By Van Der Gaag
Publication through Gaag, Van Der
Read Online or Download Private and public initiatives: working together for health and education PDF
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Additional resources for Private and public initiatives: working together for health and education
Sample text
Project-funded school vouchers and health cards put resources directly into the hands of families. Beneficiaries are then free to use these funds to purchase services from the public sector, nonprofit private institutions, or for-profit private providers as they choose. Page 4 Although many Bank-supported initiatives involving the private sector in social service provision are too recent to be evaluated fully, they appear to be working well. And the continued success of joint public-private initiatives will strengthen public sector efficiency and increase private sector involvement.
Equity in Health One recent study of health care systems in OECD countries concluded thatif equity is defined in terms of general health statusinequality is relatively great in Britain (with the most public of health care systems) and in the United States (with the most private of systems). Further, if equity is defined as equal treatment for equal need, a bias toward the rich shows up once more in the United States and the United Kingdombut also in Spain, where health care is funded primarily from social security payments.
In general, when government expenditures are concentrated on urban areas and on hospitals rather than on basic services, the results are highly inequitable, governments are essentially subsidizing the rich (box 5). Equity in Education In education equity means equal access to good quality schooling. Most middle-income countries achieved near universal primary enrollment by 1985, but in low-income countries (excluding China and India) only slightly more than half of all six-to-eleven-year-olds were enrolled in school.
