This article proposes a critical but non systematic review of recent health care system reforms in developing countries the literature reports mixed results as to whether reforms improve the financial protection of the poor or not. A review of alternative approaches to health care delivery in developing countries kevin m denny on amazoncom free shipping on qualifying offers. Alternative sites for delivery of primary health care face a number of challenges sometimes solving the simplest ones causes more difficult ones to diminish or disappear. In developing countries where governments have severe fiscal constraints contracting ngos or similar private entities for the provision of primary health care services may represent an attractive alternative. The challenges of healthcare delivery in a developing country such as nigeria with its diverse ethnic and cultural groups pose is huge poverty ignorance lack of resources and health facilities and bad leadership acting in concert produce a wide spectrum of disease on one hand
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