Ethics of resource allocation in developing countries: The case of Sri Lanka

Jayasinghe, Kosala Saroj Amarasiri; Silva, D. De; Mendis, N.; Lie, Reidar K.

doi:10.1016/s0277-9536(98)00110-5

Cited by 14 publications

(6 citation statements)

References 11 publications

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“…Sri Lanka has been known to have satisfactory health and other social indicators compared to similar middleincome countries, as the government has invested in social development programmes such as free education and health services [17][18][19][20]. For example, the maternal mortality ratio (MMR) was 24 per 100,000 live births in 1996.…”

Section: Introductionmentioning

confidence: 99%

Medical students’ willingness to work in post-conflict areas: A qualitative study in Sri Lanka

Gadi¹,

Higuchi²,

Warnasuriya³

et al. 2012

Health

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Background: The north-east (NE) region of Sri Lanka observed a critical health workers' shortage after the long-lasting armed conflict. This study aimed to explore medical students' attitudes towards working in the NE and to identify factors determining such attitudes. Methods: A semi-structured, self-administered questionnaire survey was conducted in two medical schools, one in the NE and the other near the capital, in October 2004. Data were qualitatively analysed using the framework approach. Results: Three main themes were identified: 1) Professional motives and career plans; 2) Students' perceptions of the healthcare situation in the NE; and 3) Students' choice of the NE as a future practice location. It was found that familiarity with the difficulties faced by the NE people was a major motivation for medical students to work in the NE in the future. For NE students, familiarity was linked to their sense of belonging. For non-NE students, their personal experience of the NE familiarized them with the difficult situation there, which positively influenced their willingness to work there. Demotivations to work in the NE were poor working and living conditions, fewer opportunities for postgraduate education, language differences, insecurity, and fear of an unpleasant social response from the NE communities. Conclusions: NE local medical students had a sense of belonging to the NE and compassion for the Tamil people as members of the ethnic group. They were willing to work in the NE if their concerns about difficult working and living conditions and postgraduate education could be solved. Non-NE students who were familiar with the NE situation through their personal experience also showed a willingness to work there; thus, early exposure programmes in medical education might help to increase the health workforce in the NE. It is also expected that non-NE physicians working for the NE people would facilitate reconciliation and the rebuilding of trust between two ethnic groups.

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Section: Introductionmentioning

confidence: 99%

Medical students’ willingness to work in post-conflict areas: A qualitative study in Sri Lanka

Gadi¹,

Higuchi²,

Warnasuriya³

et al. 2012

Health

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“…Disease burden analysis has greatly assisted policymakers with targeted interventions in areas with high disease burden [ 25 ]. In the study by Jayasinghe et al, estimation of disease burden was recommended as the main prioritization approach in developing countries [ 26 ]. However, some individuals believe that burden of disease lacks a conceptual basis for prioritizing health interventions.…”

Section: Discussionmentioning

confidence: 99%

Scoping literature review on the basic health benefit package and its determinant criteria

Hayati¹,

Bastani²,

Kabir³

et al. 2018

Global Health

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BackgroundThere are various criteria and methods to develop Basic Health Benefit Package (BHBP) in world health systems. The present study aimed to extract criteria used in health systems in different countries around the world using scoping review method.MethodsA systematic search was carried out in Cochrane Library, PubMed, Scopus, Science Direct, Web of Science, ProQuest, World Bank, World Health Organization, and Google databases between January and April 2016. Papers and reports were gathered according to selected keywords and were examined by two authors. Finally, the criteria were extracted from the selected papers.ResultsThe primary search included 8876 papers. After studying the articles’ titles, abstracts, and full texts, 9 articles and 14 reports were selected for final analysis. After the final analysis, 19 criteria were extracted. Due to diversity of criteria in terms of number and nature, they were divided into three categories. The categories included intervention-related criteria, disease-related criteria, and community-related criteria. The largest number of criteria belonged to the first category. Indeed, the most widely applied criteria included cost-effectiveness (20), effectiveness (19), budget impact (12), equity (12), and burden of disease (10).ConclusionAccording to the results, different criteria were identified in terms of number and nature in developing BHBP in world health systems. It seems that certain criteria, such as cost-effectiveness, effectiveness, budget impact, burden of disease, equity, and necessity, that were most widely utilized in countries under study could be for designing BHBP with regard to social, cultural, and economic considerations.

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“…In some cases, this is not considered to be practical due to concerns over technical reliability of economic valuation methods and the quality of data used, and partly because of concern over their likely public acceptability (Lee and Kirkpatrick, 1997;Hoehn and Krieger, 2000). Measures such as morbidity and mortality routinely collected by national census and international agencies such as the UN and World Bank have been used in various sanitation and health studies (Jayasinghe et al, 1998). Environmental measures (e.g., degree of water pollution, amount of untreated human excreta) are also collected and studied in connection to the lack of sanitation services.…”

Section: How Are These Impacts Measured?mentioning

confidence: 99%

Risk-based sequential allocation of competing sanitation infrastructure investments

Louis

Magpili

Pinto

2012

IJEWM

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Given severe sanitation service shortages, infrastructure interdependencies and extreme scarcity of funding that prevail in many developing countries, the allocation of funds across the three services of providing drinking water, wastewater and sewage and solid waste is vital to their sustained expansion. This paper adopts an approach to resource allocation for the three services based on the triplet of questions found in risk management regarding what options are available, their associated trade-offs, and their impacts on future options. An example shows an application to a multistage sequential allocation of investments to sanitation infrastructure representative of a scenario in developing countries.

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Ethics of resource allocation in developing countries: The case of Sri Lanka

Cited by 14 publications

References 11 publications

Medical students’ willingness to work in post-conflict areas: A qualitative study in Sri Lanka

Medical students’ willingness to work in post-conflict areas: A qualitative study in Sri Lanka

Scoping literature review on the basic health benefit package and its determinant criteria

Risk-based sequential allocation of competing sanitation infrastructure investments

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