Cardiovascular disease and impoverishment averted due to a salt reduction policy in South Africa: an extended cost-effectiveness analysis
The South African Government recently set targets to reduce cardiovascular disease (CVD) by lowering salt consumption. We conducted an extended cost-effectiveness analysis (ECEA) to model the potential health and economic impacts of this salt policy. We used surveys and epidemiologic studies to estimate reductions in CVD resulting from lower salt intake. We calculated the average out-of-pocket (OOP) cost of CVD care, using facility fee schedules and drug prices. We estimated the reduction in OOP expenditures and government subsidies due to the policy. We estimated public and private sector costs of policy implementation. W...
Source: Health Policy and Planning - January 23, 2016 Category: Health Management Authors: Watkins, D. A., Olson, Z. D., Verguet, S., Nugent, R. A., Jamison, D. T. Tags: Original Articles Source Type: research
Eliciting health care priorities in developing countries: experimental evidence from Guatemala
We report evidence revealing that participatory budget-like experiments are incentive compatible mechanisms suitable for revealing collective preferences, while simultaneously having the advantage of involving communities in health care reform processes. (Source: Health Policy and Planning)
Source: Health Policy and Planning - January 23, 2016 Category: Health Management Authors: Font, J. C., Forns, J. R., Sato, A. Tags: Original Articles Source Type: research
Political repression, civil society and the politics of responding to AIDS in the BRICS nations
The policy responses to human immunodeficiency virus/acquired immune deficiency syndrome (AIDS) in the Brazil, Russia, India, China and South Africa (BRICS) nations have played out amid radically different political environments that have shaped state-civil society relations in critical ways. In contrasting these different environments, this article offers the first comparison of the policy response to AIDS in the BRICS nations and seeks to understand the way in which political context matters for conditioning the response to a major epidemic. Using a comparative historical approach, we find that while collaborative state-...
Source: Health Policy and Planning - January 23, 2016 Category: Health Management Authors: Gomez, E. J., Harris, J. Tags: Original Articles Source Type: research
Two decades of maternity care fee exemption policies in Ghana: have they benefited the poor?
Conclusions: The maternal care fee exemption policies specifically targeted towards the poorest women had limited impact on the uptake of skilled birth care. (Source: Health Policy and Planning)
Source: Health Policy and Planning - January 23, 2016 Category: Health Management Authors: Johnson, F. A., Frempong-Ainguah, F., Padmadas, S. S. Tags: Original Articles Source Type: research
Developing a holistic policy and intervention framework for global mental health
Conclusion: The holistic policy and intervention framework for global mental health reflects an iterative learning process that can be applied and scaled up across different settings through appropriate modifications. (Source: Health Policy and Planning)
Source: Health Policy and Planning - January 23, 2016 Category: Health Management Authors: Khenti, A., Freel, S., Trainor, R., Mohamoud, S., Diaz, P., Suh, E., Bobbili, S. J., Sapag, J. C. Tags: Original Articles Source Type: research
Evolution of health coverage in Mexico: evidence of progress and challenges in the Mexican health system
This study analyses the dynamics of health insurance coverage and effective access coverage to some health interventions in Mexico. It examines the evolution of inequalities and heterogeneous performance of the insurance subsystems incorporated under the Mexican health care system. Two types of coverage indicators were selected: health insurance and effective access to preventive health interventions intended for normative population. Data were drawn from National Health and Nutrition Surveys 2006 and 2012. The economic inequality was estimated using the Standardized Concentration Index by household per capita consumption ...
Source: Health Policy and Planning - January 23, 2016 Category: Health Management Authors: Urquieta-Salomon, J. E., Villarreal, H. J. Tags: Original Articles Source Type: research
The effect of essential medicines programme on rational use of medicines in China
Conclusions: China’s NEMP is effective in promoting rational use of medicines, and the effect is greater in public institutions than in private institutions. However, the irrational use is still high, pointing to the need for further reforms to tackle the underlying causes, such as clinical guidelines and patient education. (Source: Health Policy and Planning)
Source: Health Policy and Planning - January 23, 2016 Category: Health Management Authors: Gong, Y., Yang, C., Yin, X., Zhu, M., Yang, H., Wang, Y., Li, Y., Liu, L., Dong, X., Cao, S., Lu, Z. Tags: Original Articles Source Type: research
Exploring perceptions of community health policy in Kenya and identifying implications for policy change
Conclusion: This in-depth analysis which captures multiple perspectives results in robust recommendations for strategy revision informed by the Five Wonders of Change Framework. These recommendations point towards a more people-centred health system for improved equity and effectiveness and indicate priority areas for action if success of policy change through the roll-out of the revised strategy is to be realized. (Source: Health Policy and Planning)
Source: Health Policy and Planning - January 23, 2016 Category: Health Management Authors: McCollum, R., Otiso, L., Mireku, M., Theobald, S., de Koning, K., Hussein, S., Taegtmeyer, M. Tags: Original Articles Source Type: research
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Source: Health Policy and Planning - January 23, 2016 Category: Health Management Tags: Spanish Abstracts Source Type: research
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Source: Health Policy and Planning - January 23, 2016 Category: Health Management Tags: French Abstracts Source Type: research
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Source: Health Policy and Planning - January 23, 2016 Category: Health Management Tags: Chinese Abstracts Source Type: research
The free health care initiative: how has it affected health workers in Sierra Leone?
This article draws from five research tools used to analyse changing health worker policies and incentives in post-war Sierra Leone to document the effects of the Free Health Care Initiative (FHCI) of 2010 on health workers.
Data were collected through document review (57 documents fully reviewed, published and grey); key informant interviews (23 with government, donors, NGO staff and consultants); analysis of human resource data held by the MoHS; in-depth interviews with health workers (23 doctors, nurses, mid-wives and community health officers); and a health worker survey (312 participants, including all main cadres). T...
Source: Health Policy and Planning - January 23, 2016 Category: Health Management Authors: Witter, S., Wurie, H., Bertone, M. P. Tags: Original Articles Source Type: research
Power and pro-poor policies: the case of iCCM in Niger
We present a case study in Niger of integrated community case management (iCCM), a policy to provide basic care for poor rural children sick with malaria, diarrhoea and pneumonia, which has contributed to measurable reductions in child mortality. We focus on the three dimensions of power in policymaking: political authority, financial resources and technical expertise. Data collection took place March to August 2012 and included semi-structured interviews with policy actors (N = 32), a document review (N = 103) and contextual analysis. Preliminary data analysis relied on process tracing methodology to examine why iCCM was ...
Source: Health Policy and Planning - October 29, 2015 Category: Health Management Authors: Dalglish, S. L., Surkan, P. J., Diarra, A., Harouna, A., Bennett, S. Tags: Supplement Articles Source Type: research
Integrated community case management in Malawi: an analysis of innovation and institutional characteristics for policy adoption
In 2007, Malawi became an early adopter of integrated community case management for childhood illnesses (iCCM), a policy aimed at community-level treatment for malaria, diarrhoea and pneumonia for children below 5 years. Through a retrospective case study, this article explores critical issues in implementation that arose during policy formulation through the lens of the innovation (i.e. iCCM) and of the institutions involved in the policy process. Data analysis is founded on a documentary review and 21 in-depth stakeholder interviews across institutions in Malawi. Findings indicate that the characteristics of iCCM made it...
Source: Health Policy and Planning - October 29, 2015 Category: Health Management Authors: Rodriguez, D. C., Banda, H., Namakhoma, I. Tags: Supplement Articles Source Type: research
Integrated community case management for childhood illnesses: explaining policy resistance in Kenya
Conclusion: Kenyan actors’ concerns about iCCM underline the importance of adapting global policies to local conditions, and also generating local evidence to inform decision-making. (Source: Health Policy and Planning)
Source: Health Policy and Planning - October 29, 2015 Category: Health Management Authors: Juma, P. A., Owuor, K., Bennett, S. Tags: Supplement Articles Source Type: research
