Marty Makinen

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OBJECTIVE To examine the effects of a community-based mutual health organization (MHO) on utilization of priority health services, financial protection of its members and inclusion of the poor and other target groups. METHODS Four MHOs were established in two districts in Mali. A case-control study was carried out in which household survey data were(More)
OBJECTIVE This study examined the impact of an Integrated Care Delivery intervention on health care seeking and outcomes for chronically-ill patients in Henan province, China. METHODS A case-control study was carried out in six health care organizations from two counties in Henan province, China. 371 patients aged 50 years or over with hypertension or(More)
User fee removal has been put forward as an approach to increasing priority health service utilization, reducing impoverishment, and ultimately reducing maternal and neonatal mortality. However, user fees are a source of facility revenue in many low-income countries, often used for purchasing drugs and supplies and paying incentives to health workers. This(More)
OBJECTIVES Lower-middle-income countries (LMICs) are lagging behind both high-income and low-income countries in new vaccine adoption. Our study involved the following objectives: (1) understand the decision-making processes of LMICs on new vaccine adoption, (2) identify the factors influencing LMIC decisions, (3) obtain the views of vaccine manufacturers(More)
This paper reports the preliminary results of the architectural design of the HAPTEX system that will be developed in the framework of the IST FET (Future and Emerging Technologies) initiative. The aim of the EU funded RTD project is to realize a virtual reality system able to render, visually and haptically, the behavior of fabrics. The integration of(More)
Improving the quality of clinical care in developing country settings is a difficult task, both in public sector settings where supervision is infrequent and in private sector settings where supervision and certification are non-existent. This study tested a low-cost method, self-assessment, for improving the quality of care that providers offer in a(More)
Middle-income countries (MICs) as a group are not only characterized by a wide range of gross national income (GNI) per capita (US $1026 to $12,475), but also by diversity in size, geography, governance, and infrastructure. They include the largest and smallest countries of the world-including 16 landlocked developing countries, 27 small island developing(More)
OBJECTIVE Reform of the health care system in urban areas of China has prompted concerns about the utilization of Community Health Centers (CHC). This study examined which of the dominant primary care delivery models, i.e., the public CHC model, the 'gate-keeper' CHC model, or the hospital-owned CHC models, was most effective in enhancing access to and(More)
i ABSTRACT As Phase I of a three-phase Health Financing and Sustainability project, this paper reviews the relevant concepts and literature and presents the preliminary field work design for research regarding provider incentives and productive efficiency in government health services. In addition to providing a basic conceptual framework of the issues, the(More)
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