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Haïti and the health marketplace: the role of the private, informal market in filling the gaps left by the state

Overview of attention for article published in BMC Health Services Research, September 2015
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  • Good Attention Score compared to outputs of the same age (74th percentile)
  • Good Attention Score compared to outputs of the same age and source (75th percentile)

Mentioned by

policy
1 policy source
twitter
4 X users

Citations

dimensions_citation
16 Dimensions

Readers on

mendeley
64 Mendeley
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Title
Haïti and the health marketplace: the role of the private, informal market in filling the gaps left by the state
Published in
BMC Health Services Research, September 2015
DOI 10.1186/s12913-015-1088-5
Pubmed ID
Authors

J. Durham, Marcos Michael, P. S. Hill, E. Paviignani

Abstract

In most societies the health marketplace is pluralistic in character, with a mix of formal and informal providers. In high-income countries, state regulation of the market helps ensure quality and access and mitigate market failures. In the present study, using Haiti as a case study, we explore what happens to the functioning of the pluralistic health marketplace in severely disrupted environments where the informal sector is able to flourish. The overall research design was qualitative. Research methods included an extensive documentary and policy analysis, based on peer-reviewed articles, books and "grey" literature--government policy and program reports, unpublished research and evaluations, reviews and reviews from key multilateral and bilateral donors, and non-government organisations, combined with field site visits and in-depth key informant interviews (N = 45). The findings show that state fragility has resulted in a privatised, commoditised and largely unregulated and informal health market. While different market segments can be identified, in reality the boundaries between international/domestic, public/private, for profit/not-for-profit, legal/illegal are hazy and shifting. The lack of state capacity to provide an enabling environment, establish, and enforce its regulatory framework has resulted in a highly segmented, heterogeneous and informal health market. The result is deplorable health indices which are far below regional averages and many other low-income countries. Working in fragile states with limited capacity to undertake the core function of securing the health of its population requires new and innovative ways of working. This needs longer time-frames, combining incremental top-down and bottom-up strategies which recognize and work with state and civil society, public and private actors, formal and informal institutions, and progressively facilitate changes in the different market functions of supply, demand, regulation and supporting functions.

X Demographics

X Demographics

The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 64 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 64 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 15 23%
Researcher 12 19%
Student > Ph. D. Student 6 9%
Student > Doctoral Student 3 5%
Student > Bachelor 3 5%
Other 9 14%
Unknown 16 25%
Readers by discipline Count As %
Medicine and Dentistry 15 23%
Social Sciences 12 19%
Nursing and Health Professions 6 9%
Psychology 3 5%
Business, Management and Accounting 2 3%
Other 6 9%
Unknown 20 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 6. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 November 2017.
All research outputs
#6,354,419
of 25,262,379 outputs
Outputs from BMC Health Services Research
#2,821
of 8,576 outputs
Outputs of similar age
#70,391
of 281,263 outputs
Outputs of similar age from BMC Health Services Research
#35
of 140 outputs
Altmetric has tracked 25,262,379 research outputs across all sources so far. This one has received more attention than most of these and is in the 74th percentile.
So far Altmetric has tracked 8,576 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.2. This one has gotten more attention than average, scoring higher than 67% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 281,263 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 74% of its contemporaries.
We're also able to compare this research output to 140 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 75% of its contemporaries.