This book meets a critical need felt by analysts, researchers, and officials struggling with health-sector reform around the world. The authors synthesize diverse analytical methods and international experience to provide practical guidance on how to improve the performance of health-care delivery systems. Drawing on economic analysis, political strategy, managerial considerations, and ethical concerns, the text guides the reader through a step-by-step process for defining problems, diagnosing causes, devising solutions, and assuring adoption and implementation. With a focus on the health-care system as a means to an end-and improving the well-being of a nation's population-the book helps the reader develop effective strategies tailored to each nation's individual situation. Particular attention is paid to issues of equity and the difficulties confronted by disadvantaged populations. Book jacket.