How did the government of India tailor its HIV/AIDS program to the needs of one particularly high-risk group—female sex workers—and effectively deliver services? In two states hard hit by the epidemic, Andhra Pradesh and Karnataka, the government’s AIDS program included specific targeted interventions: outreach, condom promotion and distribution, clinical services, and community mobilization and social support.
How to Ensure Quality Health Care and Coverage of Uninsured Populations: Argentina’s Plan Nacer/Programa Sumar
How can a developing country provide free basic health care to poor pregnant mothers and children? How can it expand such a program to provide more comprehensive services to a wider group of beneficiaries? This case study analyzes the “silent revolution” that changed the organizational culture of the health system in Argentina in a way that improved health outcomes, improving the lives of millions of people.
Addressing Chronic Illness in Low-Income Populations through Innovative Health Service Delivery Practices: The AtlantiCare Special Care Center, 2007–13
The AtlantiCare Special Care Center (the SCC) in Atlantic City, New Jersey, was set up to focus on the needs of a specific set of patients: the sickest 10–20 percent of the patient pool of the health trust of an Atlantic City hospitality workers union, Local 54. These patients suffer from chronic conditions that drastically affect their quality of life and that are extremely expensive to treat. At the same time, ill health and out-of-control health care costs represented a burden on the local economy.
Mobilizing NGOs through Coordinated Donor and Ministry Support for Basic Health Care Service Delivery in Afghanistan, 2002–14
This case study examines the revival of the health care system in Afghanistan after the fall of the Taliban in 2001. At the start of the period all measures of health status and service delivery were extremely low. The government concluded that contracting out to NGOs was the best means of delivering primary health care services. Carefully chosen staff developed a Basic Package of Health Services that the NGOs contracted to deliver.