Health Care Patterns and Planning in Developing Countries

By Rais Akhtar | Go to book overview

policy which is presently being developed will also be incorporated. In general, the approach will be to formulate a plan that will relate directly to decision making and serve as a guide to action.

Various cost recovery strategies, including fee paying, will be gradually implemented in government, mission and mines health facilities, beginning with charges for non-life-threatening services. Some cost recovery proposals such as a medical fund scheme to be deducted from employees' salaries have met with stiff opposition by the Zambian Congress of Trade Unions. For PHC the planning challenge is to significantly shift resources away from the urban curative bias. Because a major element in PHC strategy is to give the people a choice in decisions affecting their health and a measure of control, then it is vital that PHC go beyond rhetoric to resource allocation. PHC should be planned within its own framework by first determining the existing allocation of health care resources by area and level of care. Allocation of funds should then be made with the specific goal of reducing inequalities in per capita health care expenditure in different regions of the country.

Zambia has a challenging task to continue progress toward the development goals of postindependence, to provide adequate health services and to achieve health for all by the year 2000.


NOTES
1.
GRZ ( 1981) 1980 Census of Population and Housing Preliminary Report. Central Statistical Office, Lusaka.
2.
United Nations ( 1985) World Population Prospects: Estimates and Projections as assessed in 1982. New York: U.N.
3.
J. B. Zulu. ( 1970) Zambian Humanism: Some Major Spiritual and Economic Challenges, Lusaka: NECZAM; H. S. Meebelo. ( 1973) Main Currents of Zambian Humanist Thought. London: Oxford University Press.
4.
GRZ ( 1966) First National Development Plan--1966-1970. Government Printer, Lusaka.
5.
GRZ ( 1971) Second National Development Plan, 1972-1976. Ministry of Development Planning and National Guidance. Lusaka: Government Printer.
6.
GRZ ( 1979) Third National Development Plan (1979-1983) National Commission for Development Planning, Lusaka.
7.
ILO/JASPA ( 1981) Zambia: Basic Needs in an Economy under Pressure. Addis Ababa: ILO.
8.
GRZ ( 1984) 1984 Economic Report. National Commission for Development Planning. Lusaka: Government Printer.
9.
GRZ ( 1989) New Economic Recovery Programme-Fourth National Development Plan--1989-1993, Lusaka: Government Printer.
10.
W. K Nkowani. ( 1976) Planning Techniques in Zambia. Economic Bulletin for Africa, 20: 67-92; J. H. Chileshe ( 1986) Third World Countries and Development Options; Zambia, New Delhi: Vikas Press.
11.
O. Gish. ( 1977) Guidelines for Health Planners: The Planning and Management of Health services in Developing Countries. London: Tri Medical Books Ltd.

-97-

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