All reform countries in Central and Eastern Europe require a rapid and comprehensive restructuring of their public pension schemes for macroand microeconomic reasons. The paper argues that pension reform, economic restructuring, and the growth options for these countries are closely related, and that by pursuing a reform which is at least partially directed towards private and funded pensions, ...

Today rural sector reform is a paramount issue in Indonesian development. Yet, different social actors have different perspectives and stances towards it. Non-Government Organisations (NGOs) in Indonesia have established themselves in pivotal positions in the social, economic and political landscape across the country, and a large number of their works has often been connected with development ...

For 26 years, from 1960 until 1996 and the signing of the Accord for a “Firm and Lasting Peace”, Guatemala was the setting of one of the bloodiest of Latin America’s Cold War armed conflicts. During this period, a national security doctrine militarized the state. The last provision of the Peace Accord in Guatemala, the ‘Agreement on the Strengthening of Civilian Power and on the Role of the Arm...

AIM To evaluate the results of current reforms in Macedonian health sector. METHOD Description and situation analysis, covering the period 1991-1997, are focused on demographic and vital indicators, morbidity and mortality data, elements of health care system, legislation, health insurance, health care financing, and elements of health care reforms. RESULTS The Republic of Macedonia experie...

SETTING Zambia, 1995-1997. OBJECTIVE To describe the process leading to the collapse of Zambia's National Tuberculosis Programme NTP). DESIGN A descriptive analysis of health sector reform in Zambia and its effects on the NTP during the period 1995-1997. RESULTS By the end of 1997 the NTP had stopped functioning. The main reason was that external support had ended, while the National Stra...

The authors argue that "health for all" is not achievable in most countries without health sector reform that incorporates a process of coordinated health and human resources development. They examine the situation in countries in the Eastern Mediterranean Region of the World Health Organization. Though advances have been made, further progress is inhibited by the limited adaptation of traditio...

America's health care system is characterized by rising costs, increasing numbers of Americans who lack health insurance coverage, and poor quality of health care delivery. The convergence of these factors is adversely affecting not only the health of Americans but also the ability of businesses to compete successfully in a global marketplace. AARP and other nonprofit organizations are collabor...

A central problem in designing effective models of provider governance in health systems has been to ensure an appropriate balance between the concerns of public sector and/or government decision-makers, on the one hand, and of non-governmental health services actors in civil society and private life, on the other. In tax-funded European health systems up to the 1980s, the state and other publi...

Though reforms in the health sector have recently been common around the world, their success has, for a variety of reasons, been mixed. The paper aims to examine and explain the importance of human resources (HR) to the success or failure of health reforms using case studies from Russia, Zambia and the United Kingdom. Health sector reform often focuses on changes in financing or organisational...