In Tanzania, as in many other low income countries, health care is largely obtained through out-of pocket payment. The current liberalised health care market displays a pattern of exclusion, impoverishment, abuse and poor quality care alongside substantial patches of accessibility and probity,...

International health policy proposals increasingly emphasise health system strengthening and innovation. In a context of liberalised provision, the scope for innovative health system rebuilding depends on the viability, effectiveness and capabilities of the non-governmental providers. Yet the...

This paper argues that planned health care provision and market regulation play distinct roles in relation to the effective provision of equitable health care. Governmental planned provision has as a core objective ensuring that the health system is redistributive and that the poor have access...

Examines analytically and through field work the forced transfer of economic and business concepts into the vocabulary of local government. Reflects on the use of discourse analysis in economic investigaton.

This paper identifies a large gap between the unusally implicit assumptions about non-market working relationships that underpin health care policy and evidence on non-market behaviour in practice. It then draws a series of conclusions for policy.

Examines the problem of achieving inclusive and redistributive health care systems in a context of marketisation, drawing on Tanzanian evidence.