This paper offers a fresh insight into the performance and reform opportunities of the formal health system of Papua New Guinea. A central tenant of this paper is that the historically imposed and continuing top-down nature of the formal health system in PNG is not capitalizing on potentially positive incentives and motivations inherent in the...

Sector Wide Approaches (SWAps) are an approach to aid management that aim to support recipient government leadership. Health aid has grown rapidly in the past 20 years and in this time SWAps have become an important health aid delivery approach. However, the empirical evidence is that the performance of health SWAps is, at best, mixed...

Medical supplies (drugs, dressings and equipment) are essential to an effective health service, regardless of how the service is provided or by whom. Efforts to improve the quality of service through training, supervision, innovation or partnership are almost nonsensical if a basic input such as medical supplies is not in place. Key points: Reform of...