Improving primary health-care services in LMIC cities
Urban environments are home to more than half of the people living in low-income and middle-income countries (LMICs), and this proportion will only increase over the coming decades. Much policy discussion of health services in LMICs still relies on knowledge and models derived from rural contexts, for which a single public-sector clinic is often the only option. In contrast, contemporary evidence shows that the urban health service landscapes are made up of dense networks of competing provider clinics that constitute a market. Improvement strategies that work in non-urban contexts are therefore unlikely to be sufficient in these environments. Innovative policy approaches that leverage choice and competition to re-shape markets offer great promise.
Authors
- Robert Mash (ORCID: https://orcid.org/0000-0001-7373-0774)
- Jishnu Das (ORCID: https://orcid.org/0000-0002-5909-3585)
- Elzo Pereira Pinto (ORCID: https://orcid.org/0000-0002-6977-2071)
- Frances Griffiths (ORCID: https://orcid.org/0000-0002-4173-1438)
- Catherine Kyobutungi (ORCID: https://orcid.org/0000-0002-5344-5631)
- Kabir Sheikh (ORCID: https://orcid.org/0000-0003-4755-2075)
- Richard Lilford (ORCID: https://orcid.org/0000-0002-0634-984X)
- Zulfiqar Ahmed Bhutta (ORCID: https://orcid.org/0000-0003-0637-599X)
- GM Leung (ORCID: https://orcid.org/0000-0002-2503-6283)
- Benjamin Daniels (ORCID: https://orcid.org/0000-0001-9652-6653)
- Peter J Chilton (ORCID: https://orcid.org/0000-0001-8809-9735)
- Peter Waiswa (ORCID: https://orcid.org/0000-0001-8221-902X)
- Cristiani Vieira Machado (ORCID: https://orcid.org/0000-0002-9577-0301)
- Gershim Asiki (ORCID: https://orcid.org/0000-0002-9966-1153)
- Sam Watson (ORCID: https://orcid.org/0000-0002-8972-769X)
- Katie Scandrett (ORCID: https://orcid.org/0000-0001-6111-2805)
- Akinyinka Omigbodun (ORCID: https://orcid.org/0000-0002-6377-9299)
- Alex Ezeh (ORCID: https://orcid.org/0000-0002-1309-4697)
- Jo Sartori (ORCID: https://orcid.org/0000-0002-8681-9329)
- Yen‐Fu Chen (ORCID: https://orcid.org/0000-0002-9446-2761)
- Eika Webb (ORCID: https://orcid.org/0000-0002-6506-3489)
- Barbara McPake (ORCID: https://orcid.org/0000-0002-9904-1077)
- Radhika Jain (ORCID: https://orcid.org/0000-0001-7657-0390)
Institutions
- University Hospitals Birmingham NHS Foundation Trust (GB)
- The University of Melbourne (AU)
- University of Ibadan (NG)
- University of Warwick (GB)
- African Population and Health Research Center (KE)
- Harvard Global Health Institute (US)
- University College London (GB)
- Makerere University (UG)
- Drexel University (US)
- University of Birmingham (GB)
- University of Hong Kong (HK)
Publication Details
- Journal
- The Lancet Global Health
- Published
- 2025-04-24
- DOI
- https://doi.org/10.1016/s2214-109x(24)00537-0
- Citations
- 9
- Primary Topic
- Healthcare Systems and Reforms
- Type
- article
- Field-Weighted Citation Impact
- 19.87
Funders
- National Institute for Health and Care Research
- Medical Research Council