Scaling-up essential neuropsychiatric services in Ethiopia: a cost-effectiveness analysis
Conclusion This analysis gives the Ethiopian government a comprehensive overview of the expected costs, effectiveness and cost-effectiveness of introducing basic neuropsychiatric interventions. (Source: Health Policy and Planning)
Source: Health Policy and Planning - March 23, 2016 Category: Health Management Authors: Strand, K. B., Chisholm, D., Fekadu, A., Johansson, K. A. Tags: Original Articles Source Type: research
Agenda setting and framing of gender-based violence in Nepal: how it became a health issue
This article draws on the concepts of agenda setting and framing to analyse the historical processes by which GBV became legitimized as a health policy issue in Nepal and explored factors that facilitated and constrained the opening and closing of windows of opportunity. The results presented are based on a document analysis of the policy and regulatory framework around GBV in Nepal. A content analysis was undertaken. Agenda setting for GBV policies in Nepal evolved over many years and was characterized by the interplay of political context factors, actors and multiple frames. The way the issue was depicted at different ti...
Source: Health Policy and Planning - March 23, 2016 Category: Health Management Authors: Colombini, M., Mayhew, S. H., Hawkins, B., Bista, M., Joshi, S. K., Schei, B., Watts, C., on Behalf of the ADVANCE Study Team Tags: Original Articles Source Type: research
An ex-ante economic evaluation of the Maternal and Child Health Voucher Scheme as a decision-making tool in Myanmar
This study is part of an ex-ante evaluation of a feasibility study of the MCH Voucher Scheme. A cost-utility analysis was conducted using a decision tree model to assess the cost per disability-adjusted life years (DALYs) averted from the MCH Voucher Scheme compared with the current situation. Most input parameters were obtained from Myanmar context. From the base-case analysis, where the financial burden on households was fully subsidized, the MCH Voucher Scheme increased utilization for ANC from 73% up to 93% and for delivery from SBAs from 51% up to and 71%, respectively; hence, it is considered to be very cost-effectiv...
Source: Health Policy and Planning - March 23, 2016 Category: Health Management Authors: Kingkaew, P., Werayingyong, P., Aye, S. S., Tin, N., Singh, A., Myint, P., Teerawattananon, Y. Tags: Original Articles Source Type: research
How to do (or not to do) ... translation of national health accounts data to evidence for policy making in a low resourced setting
For more than a decade, the Organization for Economic Co-operation and Development (OECD), the World Health Organization (WHO) and the World Bank have promoted the international standardization of National Health Accounts (NHA) for reporting global statistics on public, private and donor health expenditure and improve the quality of evidence-based decision-making at country level. A 2010–2012 World Bank review of NHA activity in 50 countries found structural and technical constraints (rather than cost) were key impediments to institutionalizing NHA in many low- and middle-income countries (LMICs). Pilot projects focu...
Source: Health Policy and Planning - March 23, 2016 Category: Health Management Authors: Price, J. A., Guinness, L., Irava, W., Khan, I., Asante, A., Wiseman, V. Tags: Original Articles Source Type: research
Effect of a policy to reduce user fees on the rate of skilled birth attendance across socioeconomic strata in Burkina Faso
Conclusion. Our study suggests that the introduction of a user-fee subsidy in Burkina Faso resulted in increased rates of SBA across all SES strata. The increase was sustained over time and strongest among the poorest women. These findings have important implications for evidence-informed policymaking in Burkina Faso and other countries in Sub-Saharan Africa. (Source: Health Policy and Planning)
Source: Health Policy and Planning - March 23, 2016 Category: Health Management Authors: Langlois, E. V., Karp, I., Serme, J. D. D., Bicaba, A. Tags: Original Articles Source Type: research
Does treatment collection and observation each day keep the patient away? An analysis of the determinants of adherence among patients with Tuberculosis in South Africa
Directly observed treatment short course (DOTS) has been the recommended strategy for Tuberculosis (TB) control since 1995. Developed as an alternative to inpatient treatment, it involves observation of patients' medication intake to promote adherence. However, the burden of daily clinic visits may affect access to care. Using a mixed methods approach, we consider whether (1) non-adherence differs systematically between patients required to make daily clinic visits and patients cared for under less frequent clinic visits and (2) the association between frequency of required clinic visits and adherence depends on affordabil...
Source: Health Policy and Planning - March 23, 2016 Category: Health Management Authors: Birch, S., Govender, V., Fried, J., Eyles, J., Daries, V., Moshabela, M., Cleary, S. Tags: Original Articles Source Type: research
Timeliness, frequency and content of antenatal care: which is most important to reducing indigenous disparities in birth weight in Mexico?
This article examines the role of components of adequate antenatal care (ANC) in disparities in birth weight between indigenous and non-indigenous women in Mexico. We estimate the potential for added weight gain among indigenous infants if their mothers received timely, frequent ( ≥4 visits) and complete ANC (≥75% of recommended processes of care). We used population-based survey data (2012; N = 6612 women 12–49). We applied quantile regression to examine heterogeneity of the association between adequate ANC, indigenous ethnicity and birth weight across quantiles of the birth weight distribution. A greater prop...
Source: Health Policy and Planning - March 23, 2016 Category: Health Management Authors: Servan-Mori, E., Sosa-Rubi, S. G., Najera-Leon, E., Darney, B. G. Tags: Original Articles Source Type: research
Recognizing the importance of chronic disease in driving healthcare expenditure in Tanzania: analysis of panel data from 1991 to 2010
Conclusions: The financial burden of healthcare is greater for households affected by chronic disease than those unaffected. Households appear unable to sustain high levels of expenditure over time, likely resulting in both irregular chronic disease treatment and impoverishment. The Tanzanian government’s current efforts to develop a National Health Financing Strategy present an important opportunity to prioritize policies that promote the long-term financial protection of households by preventing the catastrophic consequences of chronic disease care payments. (Source: Health Policy and Planning)
Source: Health Policy and Planning - March 23, 2016 Category: Health Management Authors: Counts, C. J., Skordis-Worrall, J. Tags: Original Articles Source Type: research
An evaluation of early countermeasures to reduce the risk of internal radiation exposure after the Fukushima nuclear incident in Japan
This study assessed the relationship between initial stage evacuation/indoor sheltering and internal radiation contamination levels 4 months after the 2011 Fukushima nuclear incident in Japan and estimated potential pathways of the contamination. The study population comprised 525 participants in the internal radiation screening program at Minamisoma Municipal General Hospital, 23 km north of the Fukushima nuclear plant. The analysed dataset included the results of a screening performed in July 2011, 4 months after the incident, and of a questionnaire on early-incident response behaviours, such as sheltering indoors and ev...
Source: Health Policy and Planning - March 23, 2016 Category: Health Management Authors: Nomura, S., Tsubokura, M., Gilmour, S., Hayano, R. S., Watanabe, Y. N., Kami, M., Kanazawa, Y., Oikawa, T. Tags: Original Articles Source Type: research
Costs and cost-effectiveness of a mental health intervention for war-affected young persons: decision analysis based on a randomized controlled trial
Conclusions: The YRI is not cost-effective at a willingness-to-pay threshold of three times average gross domestic product per capita. However, results indicate that the YRI translated into a range of benefits, such as improved school enrolment, not captured by cost-effectiveness analysis. We also outline areas for modification to improve cost-effectiveness in future trials.
Trial Registration: clinicaltrials.gov Identifier: RPCGA-YRI-21003 (Source: Health Policy and Planning)
Source: Health Policy and Planning - March 23, 2016 Category: Health Management Authors: McBain, R. K., Salhi, C., Hann, K., Salomon, J. A., Kim, J. J., Betancourt, T. S. Tags: Original Articles Source Type: research
Equity improvements in maternal and newborn care indicators: results from the Bardiya district of Nepal
We present an analysis of equity improvements after the implementation of a Community Based Newborn Care Package (CB-NCP) in the Bardiya district of Nepal. The package was implemented alongside other programs that were already in place within the district. We present changes in concentration indices (CIndices) as measures of changes in equity, as well as percentage changes in coverage, between baseline and endline. The CIndices were derived from wealth scores that were based on household assets, and they were compared using t-tests. We observed statistically significant improvements in equity for facility delivery [CIndex:...
Source: Health Policy and Planning - March 23, 2016 Category: Health Management Authors: Nonyane, B. A., KC, A., Callaghan-Koru, J. A., Guenther, T., Sitrin, D., Syed, U., Pradhan, Y. V., Khadka, N., Shah, R., Baqui, A. H. Tags: Original Articles Source Type: research
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Source: Health Policy and Planning - March 10, 2016 Category: Health Management Tags: Spanish Abstracts Source Type: research
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Source: Health Policy and Planning - March 10, 2016 Category: Health Management Tags: French Abstracts Source Type: research
本期摘要
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Source: Health Policy and Planning - March 10, 2016 Category: Health Management Tags: Chinese Abstracts Source Type: research
Understanding congestion in Chinas medical market: an incentive structure perspective
In this study, we explore the causes and effects of structural congestion in the Chinese medical market from an incentive structure perspective. Our analysis reveals that prior medical system reforms with price regulation in China have induced hospitals to establish incentives for capital-intensive investments, while ignoring human capital, and have driven medical staff and patients to higher-level hospitals, reinforcing an incentive structure in which congestion in higher-level hospitals and idle resources in lower-level hospitals coexist. The existing incentive structure has led to cost increases and degradation of human...
Source: Health Policy and Planning - March 4, 2016 Category: Health Management Authors: Sun, Z., Wang, S., Barnes, S. R. Tags: Review Source Type: research
