PMID: 16501731Feb 28, 2006Paper

District health programmes and health-sector reform: case study in the Lao People's Democratic Republic

Bulletin of the World Health Organization
Carol PerksKhamla Phouthonsy

Abstract

The Lao People's Democratic Republic (Lao PDR) is classified by the World Bank as a low-income country under stress. Development partners have sought to utilize effective aid instruments to help countries classified in this way achieve the Millennium Development Goals; these aid instruments include sector-wide approaches (SWAps) that support decentralized district health systems and seek to avoid fragmentation and duplication. In Asia and the Pacific, only Bangladesh, Papua New Guinea and the Solomon Islands have adopted SWAps. Since 1991, a comprehensive primary health care programme in the remote Sayaboury Province of Lao PDR has focused on strengthening district health management, improving access to health facilities and responding to the most common causes of mortality and morbidity among women and children. Between 1996 and 2003, health-facility utilization tripled, and the proportion of households that have access to a facility increased to 92% compared with only 61% nationally. By 2003, infant and child mortality rates were less than one-third of the national rates. The maternal mortality ratio decreased by 50% despite comprehensive emergency obstetric care not being available in most district hospitals. These trends we...Continue Reading

Citations

Aug 31, 2016·International Journal of Public Health·Daniel Cobos MuñozJuana Maria Santos Sancho
Jul 18, 2017·Frontiers in Public Health·Helen Nita Catton
Nov 15, 2007·European Journal of Clinical Nutrition·H BarennesM Strobel
Dec 17, 2014·Globalization and Health·Damian HoyYvan Souares
Oct 8, 2013·Asia-Pacific Journal of Public Health·John RuleRichard Taylor
Mar 25, 2016·Health Policy and Planning·Simone PhillipsValeria Oliveira Cruz
Apr 18, 2014·Health Policy and Planning·Kristina JönssonGöran Tomson

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