5043.0: Wednesday, November 15, 2000: 8:30 AM-10:00 AM

Health and Democracy

Experience in the developing world in the 1990s indicates that the health sector provides a good forum for practicing democratic participation and governance in very concrete and practical ways. Examples from Africa and the former Soviet Union in particular provide interesting cases for study. In this panel, practitioners of health systems development from several regions of the world will share their experiences with involving community members at large in new decentralized health programs; with including members of rural health insurance and prepayment schemes in discussions and decisions regarding the scheme's benefit package; and with establishing boards of directors to oversee newly autonomous health facilties. Panel members will also offer insights into the use of health sector issues by local politicians, as well as the transformation of health workers into politicians, when successful health programs translate into votes. Panel members and the audience will be encouraged to suggest ways in which the experiences discussed might be generalized to create more systematic links between health and democracy, which in turn could result in better health outcomes, as well as more democratic processes
See individual abstracts for presenting author's disclosure statement.
Learning Objectives: Refer to the individual abstracts for learning objectives
Organizer(s):Nancy Pielemeier, DrPH
8:30 AMBuilding Democratic Health Systems in the Former Soviet Union
Forest Duncan, MS
8:45 AMPopular Participation in Prepayment Schemes in Three Low-Income Rwandan Districts
Pia Schneider, MPH
9:00 AMDevelopment of Health Policy in South Africa's New Democracy
Lucy Gilson
9:15 AMLinks Between Sector Reform and Governance
Derick Brinkerhoff, EDD
Sponsor:International Health
Cosponsors:Caucus on Refugee and Immigrant Health; Environment; Socialist Caucus; Women's Caucus

The 128th Annual Meeting of APHA