A Health Sector Strategy for the Europe and Central Asia by Verdon S Staines

By Verdon S Staines

The future health platforms inherited by means of transition international locations of Europe and important Asia (ECA) are altering in line with basic and unparalleled demanding situations. even if the specified form of well-being platforms in lots of ECA nations is discernible, the method for buying there has to be invented alongside the way in which. 'A overall healthiness region procedure for the Europe and critical Asia zone' experiences great concerns dealing with healthiness policymakers in ECA. It summarizes the area Bank's event to date during this enviornment and the teachings it indicates. moreover, it outlines either an exterior technique through which the Bank's ECA wellbeing and fitness employees may perhaps support international locations to restructure their overall healthiness platforms and an inner technique during which the workers may possibly arrange their very own actions to accomplish this outcome. The ebook bargains these open air the financial institution a foundation for pro discussion to foster positive switch within the Bank's ways.

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Sample text

Moreover, health policymakers in ECA transition countries have a vital need for better explanations of why sharp variations in health status and patterns occurred here recently, both across the ECA Region and over time. There is evidence that lifestyle factorsdiet, tobacco and alcohol consumption, lack of exercise and stresspartly account for the East-West gap in mortality and morbidity patterns. Of these factors, tobacco appears the most important. But why has premature death from non-communicable diseases grown so much more in some countries than others?

In 1900, countries now comprising the ECA Region generally enjoyed income levels and health status on a par with those of Western Europe. As real incomes rose in the post-1945 era, the countries' health systems contributed to long-run progress in epidemiological transformation, with rapid declines in mortality and morbidity due to infectious diseases. As a result, life expectancy rose and infant mortality fell rapidly in the 1960s and 1970s. During most of the Soviet era, the region's health indicators compared favorably with those of countries elsewhere with comparable incomes.

The choice for ECA countries is not between reforming their health sectors and having them remain unchanged. Fiscal and other pressures make sectoral change inevitable. So the option of leaving things as they are is not available. The real choice is whether policymakers will allow change to occur haphazardly or will instead direct and guide it through a rational reform program, to the extent that circumstances allow. Accordingly, the general case for systemic health-sector reform rests on the claim that directed, guided change will result in more satisfactory health outcomes and a more effective use of economic resources.

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