Papers by Ruairí F Brugha
Bulletin of the World Health Organization, 2003
The formal private sector could play a significant role in determining whether success or failure... more The formal private sector could play a significant role in determining whether success or failure is achieved in working towards goals for safe motherhood in many low- and middle-income settings. Established private providers, especially nurses/midwives, have the potential to contribute to safe motherhood practices if they are involved in the care continuum. However, they have largely been overlooked by policy-makers in low-income settings. The private sector (mainly doctors) contributes to overprovision and high Caesarean section rates in settings where it provides care to wealthier segments of the population; such care is often funded through third-party payment schemes. In poorer settings, especially rural areas, private nurses/midwives and the women who choose to use them are likely to experience similar constraints to those encountered in the public sector - for example, poor or unaffordable access to higher level facilities for the management of obstetrical emergencies. Policy...
Bulletin of the World Health Organization, 2002
A very large private health sector exists in low-income countries. It consists of a great variety... more A very large private health sector exists in low-income countries. It consists of a great variety of providers and is used by a wide cross-section of the population. There are substantial concerns about the quality of care given, especially at the more informal end of the range of providers. This is particularly true for diseases of public health importance such as tuberculosis, malaria, and sexually transmitted infections. How can the activities of the private sector in these countries be influenced so that they help to meet national health objectives? Although the evidence base is not good, there is a fair amount of information on the types of intervention that are most successful in directly influencing the behaviour of providers and on what might be the necessary conditions for success. There is much less evidence, however, of effective approaches to interventions on the demand side and policies that involve strengthening the purchasing and regulatory roles of governments.
The Global Fund has commissioned an independent assessment of the process through which proposals... more The Global Fund has commissioned an independent assessment of the process through which proposals are developed, submitted, subjected to a technical review and then sent to the Global Fund Board. The assessment will be used by The Global Fund to strengthen and refine the proposal development and review process.
Health Policy in a Globalising World, 2001
... Over the subsequent five years, public expenditure, as a percentage of GNP, fell in eight of ... more ... Over the subsequent five years, public expenditure, as a percentage of GNP, fell in eight of these countries (World Bank 1997a). Between 1990 and 1995, the share of private expenditure rose in 15 of the 22 countries of Latin America (Govindaraj ct al. 1995). ...
BMC Health Services Research, 2014
An Interdisciplinary Perspective, 1999
This book chapter examines the aspects of tuberculosis contributing to its recent resurgence and ... more This book chapter examines the aspects of tuberculosis contributing to its recent resurgence and the contribution of the private sector in tuberculosis control in low-and middle-income countries. It discusses the comparative advantages and disadvantages of private providers and ...
Tropical Medicine and International Health, 2005
The Lancet, 2002
ceptive increase have an application in rehabilitation, and could this be a useful approach to th... more ceptive increase have an application in rehabilitation, and could this be a useful approach to the impairment of position sense and associated risk of injury that occurs with ageing? 3 And, even, whether long underwear could have more than a thermoregulatory function! I thank D J Dandy for his helpful comments.
Human Resources for Health, 2009
Background: This paper presents data on the remittances sent by migrant nurses to their families ... more Background: This paper presents data on the remittances sent by migrant nurses to their families "back home". It gives voice to the experiences of migrant nurses and illustrates the financial obligations they maintain while working overseas. Although the international economic recession has decreased global remittance flows, they remain resilient. Drawing on the experiences of migrant nurses in Ireland, this paper indicates how and why migrants strive to maintain remittance flows, even in an economic downturn.
Human Resources for Health, 2009
Background: Although international nurse recruitment campaigns have succeeded in attracting large... more Background: Although international nurse recruitment campaigns have succeeded in attracting large numbers of migrant nurses to countries such as Ireland, where domestic supply has not kept pace with demand, the long-term success of such initiatives from a workforce planning perspective will depend on the extent to which these nurses can be retained in destination countries.
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Papers by Ruairí F Brugha