Journal article

How can health systems research reach the worst-off? A conceptual exploration

Bridget Pratt, Adnan A Hyder

BMC HEALTH SERVICES RESEARCH | BMC | Published : 2016

Abstract

BACKGROUND: Health systems research is increasingly being conducted in low and middle-income countries (LMICs). Such research should aim to reduce health disparities between and within countries as a matter of global justice. For such research to do so, ethical guidance that is consistent with egalitarian theories of social justice proposes it ought to (amongst other things) focus on worst-off countries and research populations. Yet who constitutes the worst-off is not well-defined. METHODS AND RESULTS: By applying existing work on disadvantage from political philosophy, the paper demonstrates that (at least) two options exist for how to define the worst-off upon whom equity-oriented health ..

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Grants

Awarded by Australian National Health and Medical Research Council (NHMRC) Early Career Sidney Sax Public Health Overseas Fellowship


Awarded by Department for International Development (DFID)


Funding Acknowledgements

BP is supported by an Australian National Health and Medical Research Council (NHMRC) Early Career Sidney Sax Public Health Overseas Fellowship (Award No. 1052346). The contents of this article are solely the responsibility of the authors and do not reflect the views of the NHMRC. AAH and BP are also supported by the Future Health Systems Consortium (http://www.futurehealthsystems.org), which is funded by the UK Department for International Development. Neither the NHMRC nor Future Health Systems had a role in the design of the study; in the collection, analysis, and interpretation of data; or in writing the manuscript. Publication charges were funded by the Future Health Systems. Future Health Systems is funded by UK Aid from the UK Government.