The need for equity-oriented health sector reforms

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Abstract
To many, the expression ‘health system reform’ brings to mind a particular set of measures widely adopted during the 1990s in order to deal with a particular problem: increased reliance on private sector institutions and operating procedures in order to improve efficiency. But in principle, the expression ‘health system reform’ is a general one, applied to a broad range of policy measures designed to deal with an equally broad range of problems. According to one standard definition, for example, health sector reform can be defined as ‘sustained, purposeful change to improve the efficiency, equity, and effectiveness of the health sector.’1

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