Maureen Lewis

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What factors affect health care delivery in the developing world? Anecdotal evidence of lives cut tragically short and the loss of productivity due to avoidable diseases is an area of salient concern in global health and international development. This working paper looks at factual evidence to describe the main challenges facing health care delivery in(More)
Informal, under-the-table payments to public health care providers are increasingly viewed as a critically important source of health care financing in developing and transition countries. With minimal funding levels and limited accountability, publicly financed and delivered care falls prey to illegal payments, which require payments that can exceed 100(More)
Preface It is hardly a secret that the International Monetary Fund has won few friends among the many organizations and individuals who work in global health. Those who have worked hard in the past decade to mobilize unprecedented levels of funding and attention for HIV/AIDS, tuberculosis, malaria and other health programs in low-income countries have(More)
Acknowledgements: We are grateful to Rebecca Kinsey who compiled much of the original data, especially the perceptions-based corruption data, and to Uribe for providing invaluable insights and useful comments. Abstract The impacts of health care investments in developing and transition countries are typically measured by inputs and general health outcomes.(More)
© Center for Global Development. All Rights Reserved. * Maureen Lewis ( is a non-resident fellow at the Center for Global Development. This Brief is based on “Governance and Corruption in Public Health Care Systems” by Maureen Lewis. CGD Working Paper 78. (Washington, DC: Center for Global Development, 2006.) This brief was made possible in(More)
Primary health care is accepted as the model for delivering basic health care to low income populations in developing countries. Using El Salvador as a case study, the paper draws on three data sets and a qualitative survey to assess health care access and utilization across public and private sector options (including NGOs). Multivariate analysis is used(More)
Brazil's hospital sector is vibrant and growing. Under the 1988 Brazilian constitution all citizens have the right to health care, anticipating the global commitment to Universal Health Care. Brazil's public sector prides itself on having one of the world's largest single payer health care systems, but complementing that is a significant and larger private(More)