iii
TABLE OF CONTENTS
EXECUTIVE SUMMARY 1 INTRODUCTION 3 1.1. Background 3 1.2. Objectives and study methodology 6 CHAPTER 2: CONCEPTUAL FRAMEWORK 7 2.1 Health and development 7 2.2 Concepts, dimensions and measurements related to access to health 8 2.3 Disparities in access to Health and Health Outcomes 11 2.4 What works and what does not: Critical success factors and main risks in improving the access to health services 15 CHAPTER 3: CURRENT LEVEL OF ACCESS TO HEALTH SERVICES AND ITS TRENDS IN THE OIC MEMBER COUNTRIES 18 3.1. Trends of health outcomes in the OIC Member Countries vis-à-vis the rest of the world 18 3.2. Trends of access to health in OIC vs. non-OIC countries 22 3.3. Demand for health services and health outcomes in OIC member countries 27 3.4. Access to healthcare services in OIC countries 32 3.5. Wealth-disaggregated access to health and health outcomes across OIC countries 41 3.6. Regional policies related to access to health services within OIC region 50 3.7. What is the role of data and information management systems in terms of improving access to health services in OIC? 51 CHAPTER 4: CASE STUDIES 52 4.1. Purpose and methodology 52 4.2. Indonesia 53 4.3. Turkey 61 4.4. Uganda 70 4.5. Tunisia 79 4.6. Learnings from the case studies 85 CHAPTER 5: RECOMMENDATIONS 87 REFERENCES 90 ANNEXES 97