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Low returns to health investments unless you address governance issues
What factors affect health care delivery in the developing world? Anecdotal evidence of lives cut short and the loss of productivity due to avoidable diseases is a concern in global health and international development. Center for Global Development has analysed factual evidence to describe the main challenges facing health care delivery in developing countries. This includes absenteeism, corruption, informal payments, and mismanagement. Good governance is important in ensuring effective health care delivery. Returns to investments in health are low where governance issues are not addressed.
Lewis, M. 2006. Governance and corruption in public health care systems CGD working paper