Systematic reviews included in this broad synthesis

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Broad synthesis

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Authors Waddington, Hugh
Report 3ie Enduring Questions Brief Number 11
Year 2009
Poor people’s access to good health care is limited because they cannot afford it and often live far from quality services. There is evidence that poor people will pay to use health services if the quality is good. Cash transfers have also been highly successful in encouraging women to use health care. And contracting-out can help to improve coverage.

Broad synthesis / Overview of systematic reviews

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Authors Lagarde,M , Palmer,N
Report Draft for discussion
Year 2006
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ORIGINAL TITLE: Evidence from systematic reviews to inform decision making regarding financing mechanisms that improve access to health services for poor people A policy brief prepared for the International Dialogue on Evidence-Informed Action to Achieve Health Goals in Developing Countries (IDEAHealth) BACKGROUND: Increasing evidence indicates that many vulnerable groups are effectively excluded from accessing reasonable quality health care in low and middle income countries. Even services established as highly cost-effective have been seen as failing to reach those in need. Financial barriers have been recognized as primary obstacles for those trying to access health services. In low and middle income countries (LMICs) chronic under-funding of health systems has sometimes led to the adoption of health financing mechanisms whose beneficial effects are disputed. Given this growing concern several innovative financing mechanisms have been developed that aim to encourage greater service provision efficiency and a greater uptake of existing services. This policy brief reports the findings of a series of systematic reviews that assessed the impact of five health financing policy options on access to health services, particular for poor populations.