Summary of Pharmacy on a Bicycle

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Pharmacy on a Bicycle book summary


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Millions of people in developing countries continue to die from common, easily curable diseases, but health care providers are fighting back and making a tremendous difference – while many more need support and the right strategic foundation to succeed. Marc J. Epstein and Eric G. Bing, veterans in the struggle to improve global health, offer that foundation, which they call the “IMPACTS Approach.” It provides seven guidelines or strategic handles for improving health care in developing countries: “innovation, efficiency, effectiveness, accountability, demand creation, task shifting” and “scaling.” The authors explain these components and cite successful efforts that use Impacts’ principles, including the international GAVI Alliance, Child and Family Wellness outreach in Kenya and Rwanda, and Smiling Sun in India, among others. getAbstract recommends this useful and sometimes moving text to NGOs, health care practitioners, students, entrepreneurs, innovators and anyone concerned about global health.

In this summary, you will learn

  • What barriers impede efforts to improve health conditions in developing countries,
  • Why certain small- and large-scale global health initiatives succeed, and
  • What activities are essential to the success of global health organizations.

About the Authors

Marc J. Epstein is distinguished research professor of management at Jones Graduate School of Business at Rice University. Eric G. Bing is director of global health at the George W. Bush Institute and Professor of Global Health at Southern Methodist University.



A Tool for Action
Finding ways to provide affordable health care to the people who need it at the right place and time is a worldwide problem. Although various global funds have cooperated effectively to reduce maternal deaths and fight AIDS and other infectious diseases, countless people...

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