Abstract
Lynn Freedman argues that strategies for meeting the MDGs should be premised on an understanding of health systems as core social institutions that help define the very experience of poverty and citizenship. MDG 5 on maternal mortality provides a strategic entry point for addressing health systems.
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Notes
The Averting Maternal Death and Disability (AMDD) Network is coordinated by the Mailman School of Public Health at Columbia University. AMDD works with field-based partners – including UNICEF, UNFPA, CARE, Save the Children, The Reproductive Health Response in Conflict Consortium, and the Regional Prevention of Maternal Mortality Network – and their government counterparts to improve availability and utilization of EmOC. AMDD is funded by The Bill and Melinda Gates Foundation.
References
Afsana, Koasar (2004) ‘The tremendous cost of seeking hospital obstetric care in Bangladesh’, Reproductive Health Matters 12(24): 171–180.
Bloom, G. and H. Standing (2001) ‘Pluralism and marketisation in the health sector: meeting health needs in contexts of social change in low and middle-income countries’, IDS Working Paper 136.
Caro, D.A., S.F. Murray and P. Putney (2004) ‘Evaluation of the Averting Maternal Death and Disability Program’, [on file with author].
Commission on Macroeconomics and Health (2001) ‘Macroeconomics and health: investing in health for economic development’. World Health Organization: Geneva.
Committee on Economic Social and Cultural Rights (2000) ‘General Comment 14 on the Right to Health, E/C.12/2000/4.
Freedman, L. (2003) ‘Strategic Advocacy and Maternal Mortality: Moving Targets and the Millennium Development Goals’, Gender and Development 11(1): 97–108.
Freedman, L.P., R. Waldman, M. Wirth, A. Rosenfield and M. Chowdhury (2004) ‘Millennium Project Task Force on Child Health and Maternal Health Interim Report’, available athttp://www.unmillenniumproject.org/html/tf4docs.shtm.
Gilson, L. (2003) ‘Trust and Development of Health Care as a Social Institution’, Social Science and Medicine 56: 1453–1468.
Gwatkin, D.R., A. Bhuiya and C. Victora (2004) ‘Making Health Systems More Equitable’, The Lancet 364: 1273–1280.
Jewkes, R., N. Abrahams and Z. Mvo (1998) ‘Why do Nurses Abuse Patients? Reflections from South African Obstetric Services’, Social Science and Medicine 47(11): 1781–1795.
Joint Learning Initiative (2004) Human Resources for Health: Overcoming the Crisis, Cambridge: Harvard University Press.
Koivusalo, M. and M. Mackintosh (2004) ‘Health Systems and Commercialisation: In search of good sense’. prepared for the UNRISD conference on Commercialization of Health Care, programme on Social Policy and Development, UNRISD: Geneva.
Mackintosh, M. (2001) ‘Do Health Care Systems Contribute to Inequalities’, in D.A. Leon and G. Walt (eds.) Poverty, Inequality and Health: An international perspective, Oxford: Oxford University Press.
Mackintosh, M. and L. Gilson (2002) ‘Non-market Relationships in Health Care’, in J. Heyer (ed.) Group Behavior and Development: Is the market destroying cooperation?, Oxford: Oxford University Press.
Mackintosh, M. and P. Tibandebage (2004) ‘Inequality and redistribution in health care: analytical issues for developmental social policy’, in T. Mkandawire (ed.) Social Policy in a Development context. Basingstoke: Palgrave.
Maine, D. (1991) Safe Motherhood Programs: Options and issues, New York: Center for Population and Family Health.
Miller, S., A. Tejada and P. Murgueytio (2002) Strategic Assessment of Reproductive Health in the Dominican Republic, New York: Population Council.
Mumtaz, Z., S. Salway, M. Waseem and N. Umer (2003) ‘Gender-based Barriers to Primary Health Care Provision in Pakistan: The experience of female providers’, Health Policy and Planning 18(3): 261–269.
Narayan, D. (2000) Voices of the Poor: Can anyone hear us?, New York: Oxford University Press.
Sen, A. (2001) Development as Freedom, New York: Oxford University Press.
Standing, H. (2004) Understanding the ‘Demand Side’ in Service Delivery: Definitions, frameworks and tools from the health sector, London: DFID Health systems Resource Centre.
Tendler, J. and S. Freedheim (1994) ‘Trust in a Rent-seeking World: Health and government transformed in northeast Brazil’, World Development 22(12): 1771–1791.
Travis, P., S. Bennett, A. Haines, T. Pang, Z. Bhutta, A.A. Hyder, N. Pielemeier, A. Mills and T. Evans (2004) ‘Overcoming Health-systems Constraints to Achieve the Millennium Development Goals’, The Lancet 364(9437): 900–906.
Wagstaff, A. and M. Claeson (2004) The Millennium Development Goals for Health: rising to the challenges, Washington DC: The World Bank.
WHO (2001) World Health Report, Geneva: World Health Organization.
WHO and World Bank (2002) ‘Dying for change: poor people's experience of health and ill-health’. WHO: Geneva.
World Bank (1993) World Development Report 1993: Investing in health, New York: Oxford University Press.
Xu, K., D.B. Evans, K. Kawabata, R. Zeramdini, J. Klavus and C.J. Murray (2003) ‘Household Catastrophic Health Expenditure: A multicountry analysis’, The Lancet 362(9378): 111.
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Shows how critical health systems are to several of the MDG goals
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Freedman, L. Achieving the MDGs: Health systems as core social institutions. Development 48, 19–24 (2005). https://doi.org/10.1057/palgrave.development.1100107
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DOI: https://doi.org/10.1057/palgrave.development.1100107