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Reaching the Poor with Health Services

Health services can make an important contribution to improved health conditions among disadvantaged groups. Yet, the services supported by governments and development agencies too often fail to reach these people who need them most.

This is not acceptable. Nor need it be accepted. For there are numerous exceptions to the normal pattern of inequitable service delivery. These demonstrate the feasibility of reaching the poor much more effectively than at present, and point to promising ways for doing so.

Cover:  Reaching the Poor



Reaching the Poor with Health, Nutrition, and Population Services marshals the available evidence about pro-poor strategies that have proven to be effective and that can help in the development of programs to better assist disadvantaged groups. In doing so, it can serve as a resource for policy makers, development practitioners, and policy analysts concerned with health conditions among the poor.

Download:  Complete Report  (PDF 1.5MB)

Table of Contents (PDF 96MB)

Ch. 1:  Why Were the Reaching the Poor Studies Undertaken? (PDF 142MB)

Ch. 2:  How Were the Reaching the Poor Studies Done? (PDF 129MB)

Ch. 3:  What Did the Reaching the Poor Studies Find? (PDF 116MB)

Ch. 4:  Ghana and Zambia: Achieving Equity in the Distribution of Insecticide-Treated Bednets through Links with Measles Vaccination Campaigns (PDF 129MB)

Ch. 5:  Kenya: Reaching the Poor through the Private Sector -- a Network Model for Expanding Access to Reproductive health Services (PDF 121MB)

Ch. 6:  South Africa: Who Goes to the Public Sector for Voluntary HIV/AIDS Counseling and Testing? (PDF 114MB)

Ch. 7:  Bangladesh: Inequalities in Utilization of Maternal Helth Care Services -- Evidence from Matlab (PDF 456MB)

Ch. 8:  Cambodia: Using Contracting to Reduce Inequity in Primary Health Care Delivery (PDF 142MB)

Ch. 9:  India: Assessing the Reach of Three SEWA Health Services among the Poor (PDF 153MB)

Ch. 10:  India: Equity Effects of Quality Improvements on health Service utlization and Patient Satisfaction in Uttar Pradesh State (PDF 145MB)

Ch. 11:  Nepal: The Distributional Impact of Participatory Approaches on Reproductive Health for Disadvantaged Youths (PDF MB)

Ch. 12:  Argentina: Assessment of Changes in the Distribution of Benefits from Health and Nutrition Policies (PDF MB)

Ch. 13:  Brazil: Are Health and Nutrition Programs Reaching the Neediest? (PDF MB)

Ch. 14:  Peru: Is Identifying the Poor the Main Problem in Reaching Them with Nutritional Programs? (PDF MB)

About the Authors (PDF MB)


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