Economic & Social Commission for Asia & the Pacific's Achieving the Health Millennium Development Goals in Asia PDF
By Economic & Social Commission for Asia & the Pacific
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Additional resources for Achieving the Health Millennium Development Goals in Asia and the Pacific: Policies and Actions Within Health Systems and Beyond (Asia-Pacific MDG Study Series)
Even in successful cases, however, the potential benefits of decentralization have not been fully realized. In some cases decentralization has even had detrimental effects and has contributed to the weakening of health systems (Lieberman and others, 2005). The transfer of managerial responsibilities to lower administrative levels has not always been accompanied by a parallel level of devolution in financial resources and political authority. Many local governments lack the necessary capacity to plan and manage local health services.
Measles remains relatively common in parts of the WHO Western Pacific region, where approximately 1 million cases of measles were estimated in 2003, 30,000 of them fatal (WHO, 2005h). The fact that the proportion of children vaccinated against measles in East and North-East Asia and the Pacific declined by 14 per cent and 30 per cent respectively between 1990 and 2003 is particularly worrisome. These two subregions are the only ones in the world where immunization coverage for these diseases has diminished (United Nations, 2005).
CHAPTER 3 Obstacles to Achieving the Health-Related MDGs related MDGs. Other determinants outside the health sector can also impede the ability of individuals to access health services and improve their health status. Multiple linkages between determinants inside and outside the health sector influence health outcomes, each of which will be examined. 1. OBSTACLES WITHIN HEALTH SYSTEMS WHO defines health systems as “all the activities whose primary purpose is to promote, restore or maintain health” (WHO, 2000a).
Achieving the Health Millennium Development Goals in Asia and the Pacific: Policies and Actions Within Health Systems and Beyond (Asia-Pacific MDG Study Series) by Economic & Social Commission for Asia & the Pacific