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Reliable information on how health service strategies affect the poor is in short supply. In an attempt to redress the imbalance, 'Improving Health Service Delivery in Developing Countries' presents evidence on strategies for strengthening health service delivery, based on systematic reviews of the literature, quantitative and qualitative analyses of existing data, and seven country case studies. The authors also explore how changes in coverage of different health services affect each other on the national level. Finally, the authors explain why setting international targets for health services has been not been successful and offer an alternative approach based on a specific country's experience. The book's findings are clear and hopeful: There are many ways to improve health services. Measuring change and using information to guide decisions and inform stakeholders are critically important for successful implementation. Asking difficult questions, using information intelligently, and involving key stakeholders and institutions are central to the \"learning and doing\" practices that underlie successful health service delivery.

This paper presents the results of a rapid health sector policy analysis carried out in Ghana in October 1990. Its purpose is to illustrate the dynamics of the policy debate at a time of major change, and to provoke discussion about the practical implications of current policy directions. In addition, it demonstrates the range and nature of issues of concern to decision makers in the Ministry of Health, Ministry of Local Government and National Development Planning Commission. Issues discussed include: the restructuring of the Ministry of Health; resource allocation under decentralization; health planning responsibilities at different levels; the case for an intermediate level of management in a decentralized health system; the relationship between different forms of cost-recovery programme; the future of EPI and; the implications of establishing a national health service. The final section presents some preliminary conclusions concerning the process of organizational change in the health sector resulting from decentralization policies.

Reliable information on how health service strategies affect the poor is in short supply. In an attempt to redress the imbalance, Improving Health Service Delivery in Developing Countries presents evidence on strategies for strengthening health service delivery, based on systematic reviews of the literature, quantitative and qualitative analyses of existing data, and seven country case studies. The authors also explore how changes in coverage of different health services affect each other on the national level. Finally, the authors explain why setting international targets for health services has been not been successful and offer an alternative approach based on a specific country's experience. The book's findings are clear and hopeful: There are many ways to improve health services. Measuring change and using information to guide decisions and inform stakeholders are critically important for successful implementation. Asking difficult questions, using information intelligently, and involving key stakeholders and institutions are central to the \"learning and doing\" practices that underlie successful health service delivery. Tables, Figures, References.

Aim The enemy release hypothesis states that the invasion success of non‐native species is partly due to their escape from natural enemies, e.g., herbivores. Large‐scale studies of herbivory using multiple species across multiple sites are needed to test the generality of herbivory release in non‐native plants. Location Europe. Methods We carried out leaf‐herbivory surveys from 2007 to 2021 in 15 botanical gardens ranging in latitude from 47°N (Switzerland) to 63°N (Norway) to investigate how herbivory levels differed between (i) native and non‐native species, and (ii) native and non‐naturalised or naturalised species. Results Overall, we found that herbivory levels were lower on non‐native than native species. In addition, we found that non‐naturalised plants suffered less herbivory than natives and that naturalised plants showed similar levels of herbivory to native plants. Main Conclusions We find broad support for lower herbivory of non‐native plant species compared to natives. However, the stronger reduction in herbivory for non‐naturalised plants suggests that herbivore release may be transient and less pronounced for naturalised non‐native species that have become abundant and integrated into resident communities. This has implications for the management of naturalised non‐native plants, which are performing well in their non‐native ranges despite suffering comparable herbivory levels to native species.