2008 | DAVID H. PETERS, a ANU GARG, a GERRY BLOOM, b DAMIAN G. WALKER, a WILLIAM R. BRIEGER, a AND M. HAFIZUR RAHMAN a
The article "Poverty and Access to Health Care in Developing Countries" by David H. Peters et al. examines the disparities in access to health services in low- and middle-income countries (LMICs), focusing on the role of poverty. The authors use a framework that includes quality, geographic accessibility, availability, financial accessibility, and acceptability of services to document these disparities. They find that the poor in LMICs consistently face disadvantages in all dimensions of access and their determinants. However, the article also highlights various approaches that have been successful in improving access for the poor, such as targeted or universal interventions, engagement with government, nongovernmental, or commercial organizations, and innovative financing and service delivery strategies. Key ingredients for success include community engagement, local adaptation, and careful monitoring of effects on the poor. Despite these efforts, governments in LMICs often fail to prioritize the poor in their policies and implementation. The article concludes by emphasizing the need for innovative financing, service delivery, and regulatory approaches to improve access for vulnerable populations and ensure that they have a say in the development and implementation of health strategies.The article "Poverty and Access to Health Care in Developing Countries" by David H. Peters et al. examines the disparities in access to health services in low- and middle-income countries (LMICs), focusing on the role of poverty. The authors use a framework that includes quality, geographic accessibility, availability, financial accessibility, and acceptability of services to document these disparities. They find that the poor in LMICs consistently face disadvantages in all dimensions of access and their determinants. However, the article also highlights various approaches that have been successful in improving access for the poor, such as targeted or universal interventions, engagement with government, nongovernmental, or commercial organizations, and innovative financing and service delivery strategies. Key ingredients for success include community engagement, local adaptation, and careful monitoring of effects on the poor. Despite these efforts, governments in LMICs often fail to prioritize the poor in their policies and implementation. The article concludes by emphasizing the need for innovative financing, service delivery, and regulatory approaches to improve access for vulnerable populations and ensure that they have a say in the development and implementation of health strategies.