Many people in developing countries lack access to health
technologies, even basic ones. Why do these problems in access
persist? What can be done to improve access to good health
technologies, especially for poor people in poor countries?
This book answers those questions by developing a
comprehensive analytical framework for access and examining six
case studies. Access to health technologies in poor countries is
shaped by social, economic, political, and cultural processes.
To understand those processes, the authors develop an analytic
framework based on four A’s- Architecture, Availability,
Affordability, and Adoption.
The book applies this approach to explain why some health
technologies achieved more access than others. The technologies
include praziquantel (for the treatment of schistosomiasis),
hepatitis B vaccine, malaria rapid diagnostic tests, vaccine
vial monitors for temperature exposure, the Norplant implant
contraceptive, and female condoms. The book is based on research
studies commissioned by the Bill & Melinda Gates Foundation.