High And Middle Income Countries

1527 WordsJan 27, 20157 Pages
In low and middle income countries (LMICs), because of the limited resources and the powerful countervailing incentives which encourage deviant behaviour to exist, traditional mechanism such as licensing and certification are frequently fail to control behaviour (Ensor & Weinzierl, 2007). Many studies showed that LMICs used traditional methods to regulate the health system. For example, in Zimbabwe and Tanzania the regulation mostly focus on licensing of facilities and registration of practitioner and pharmaceutical products (Kumaranayake, et al., 2000). Licensing of facilities is a compulsory process, based on inspections. Often administrated by government entities to allow health care facilities to enter the market and operate after it meets the universal minimum standards to ensure the quality of facilities and to limit their distribution and numbers (Ensor & Palmer, 2009). Therefore, it considers one of the most used method to regulate input. Several studies suggest that in LMICs, the enforcement of licensure is usually weak because of the wide distribution of the private sector and also the very limited resources available to state agencies (Matsebula et al., 2005). The two main purposes of Licensing are; governments need to ensure that it 's give permission only for those who meet minimum standards, such as competency, hygiene, and ability to deliver particular services to enter the market. Also to ensure that the health care facilities such as hospitals and
Open Document