Capacity building for global health diplomacy: Thailand's experience of trade and health
This study involved semi-structured interviews with 20 people involved in trade-related health negotiations, together with observation of 9 meetings concerning trade-related health issues. Capacity to engage with trade negotiations appears to have been developed by health actors through several stages; starting from the Individual (I) understanding of trade effects on health, through Nodes (N) that establish the mechanisms to enhance health interests, Networks (N) to advocate for health within these negotiations, and an Enabling environment (E) to retain health officials and further strengthen their capacities to deal with...
Source: Health Policy and Planning - October 7, 2015 Category: Health Management Authors: Thaiprayoon, S., Smith, R. Tags: Original articles Source Type: research
Towards universal coverage: a policy analysis of the development of the National Health Insurance Scheme in Nigeria
This article examines why and how a national health insurance (NHI) proposal targeting universal health coverage (UHC) in Nigeria developed over time. The study involved document reviews, in-depth interviews, a further review of preliminary analysis by relevant actors and use of a stakeholder analysis approach. The need for strategies to improve healthcare funding during the economic recession of the 1980s stimulated the proposal. The inclusion of Health Maintenance Organizations (HMOs) as financing organizations for national health insurance at the expense of sub-national (state) government mechanisms increased credibilit...
Source: Health Policy and Planning - October 7, 2015 Category: Health Management Authors: Onoka, C. A., Hanson, K., Hanefeld, J. Tags: Original articles Source Type: research
A network study exploring factors that promote or erode interaction among diverse community health workers in rural Ethiopia
This article helps fill this knowledge gap by exploring the dyadic level, or relational, characteristics of community maternal and newborn health workers and the individual and collective influence of these characteristics on interaction patterns. Network data were collected from community health workers (N = 194) in seven rural kebeles of Amhara region, Ethiopia from November 2011 to January 2012. Multiple Regression Quadratic Assignment Procedure was used to fit regression models for frequency of work interactions, a proxy for teamwork. Strong and consistent evidence was found in support of Trust and Past training togeth...
Source: Health Policy and Planning - October 7, 2015 Category: Health Management Authors: Dynes, M. M., Hadley, C., Stephenson, R., Sibley, L. M. Tags: Original articles Source Type: research
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Source: Health Policy and Planning - October 7, 2015 Category: Health Management Tags: Spanish Abstracts Source Type: research
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Source: Health Policy and Planning - October 7, 2015 Category: Health Management Tags: French Abstracts Source Type: research
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Source: Health Policy and Planning - October 7, 2015 Category: Health Management Tags: Chinese Abstracts Source Type: research
Food sovereignty, food security and health equity: a meta-narrative mapping exercise
There has been growing policy interest in social justice issues related to both health and food. We sought to understand the state of knowledge on relationships between health equity—i.e. health inequalities that are socially produced—and food systems, where the concepts of ‘food security’ and ‘food sovereignty’ are prominent. We undertook exploratory scoping and mapping stages of a ‘meta-narrative synthesis’ on pathways from global food systems to health equity outcomes. The review was oriented by a conceptual framework delineating eight pathways to health (in)equity through...
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Authors: Weiler, A. M., Hergesheimer, C., Brisbois, B., Wittman, H., Yassi, A., Spiegel, J. M. Tags: Reviews Source Type: research
Cultural consonance, constructions of science and co-existence: a review of the integration of traditional, complementary and alternative medicine in low- and middle-income countries
This review examined the determinants, patterns and imports of official recognition, and incorporation of different traditional, complementary and alternative systems of medicine (TCAM) in the public health establishment of low- and middle-income countries, with a particular focus on India. Public health systems in most countries have tended to establish health facilities centred on allopathy, and then to recognize or derecognize different TCAM based on evidence or judgement, to arrive at health-care configurations that include several systems of medicine with disparate levels of authority, jurisdiction and government supp...
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Authors: Lakshmi, J. K., Nambiar, D., Narayan, V., Sathyanarayana, T. N., Porter, J., Sheikh, K. Tags: Reviews Source Type: research
Equity and efficiency preferences of health policy makers in China--a stated preference analysis
Conclusion Although efficiency criteria override equity ones, major health threats in China would be targeted. Multicriteria decision analysis makes explicit important trade-offs between efficiency and equity, leading to explicit, transparent and rational policy making. (Source: Health Policy and Planning)
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Authors: Paolucci, F., Mentzakis, E., Defechereux, T., Niessen, L. W. Tags: Original articles Source Type: research
Ten best resources for conducting financing and benefit incidence analysis in resource-poor settings
Many low- and middle-income countries are seeking to reform their health financing systems to move towards universal coverage. This typically means that financing is based on people’s ability to pay while, for service use, benefits are based on the need for health care. Financing incidence analysis (FIA) and benefit incidence analysis (BIA) are two popular tools used to assess equity in health systems financing and service use. FIA studies examine who pays for the health sector and how these contributions are distributed according to socioeconomic status (SES). BIA determines who benefits from health care spending, w...
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Authors: Wiseman, V., Asante, A., Price, J., Hayen, A., Irava, W., Martins, J., Guinness, L., Jan, S. Tags: Original articles Source Type: research
Evidence on access to medicines for chronic diseases from household surveys in five low- and middle-income countries
The 2011 United Nations (UN) General Assembly Political Declaration on Prevention and Control of Non-Communicable Diseases (NCDs) brought NCDs to the global health agenda. Essential medicines are central to treating chronic diseases such as hypertension and diabetes. Our study aimed to quantify access to essential medicines for people with chronic conditions in five low- and middle-income countries and to evaluate how household socioeconomic status and perceptions about medicines availability and affordability influence access. We analysed data for 1867 individuals with chronic diseases from national surveys (Ghana, Jordan...
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Authors: Vialle-Valentin, C. E., Serumaga, B., Wagner, A. K., Ross-Degnan, D. Tags: Original articles Source Type: research
Is diabetes and hypertension screening worthwhile in resource-limited settings? An economic evaluation based on a pilot of a Package of Essential Non-communicable disease interventions in Bhutan
In response to a lack of cost-effective data on screening and early treatment of diabetes and hypertension in resource-limited settings, a model-based economic evaluation was performed on the World Health Organization (WHO)’s Package of Essential Non-communicable (PEN) disease interventions for primary health care in Bhutan. Both local and international data were applied in the model in order to derive lifetime costs and outcomes resulting from the early treatment of diabetes and hypertension. The results indicate that the current screening option (where people who are overweight, obese or aged 40 years or older who ...
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Authors: Dukpa, W., Teerawattananon, Y., Rattanavipapong, W., Srinonprasert, V., Tongsri, W., Kingkaew, P., Yothasamut, J., Wangchuk, D., Dorji, T., Wangmo, K. Tags: Original articles Source Type: research
The impact of Ghana's R3M programme on the provision of safe abortions and postabortion care
This article examines whether this intervention made a difference to the provision of safe abortion services and postabortion care (PAC). We also examine the role played by provider attitudes and knowledge of the abortion law, on providers with clinical training in service provision. Primary data on health care providers in Ghana, collected using a quasi-experimental design, were analysed using propensity score weighting. Apart from the treatment group, the sample included two controls: (1) Districts in Accra, Ashanti and Eastern, not exposed to the treatment; and (2) Districts from distant Brong Ahafo, also not exposed to...
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Authors: Sundaram, A., Juarez, F., Ahiadeke, C., Bankole, A., Blades, N. Tags: Original articles Source Type: research
Increasing socioeconomic inequality in childhood undernutrition in urban India: trends between 1992-93, 1998-99 and 2005-06
This article examines the trends and pattern in socioeconomic inequality in stunting, underweight and wasting among children aged <3 years in urban India over a 14-year period. We use three successive rounds of the National Family Health Survey data conducted during 1992–93, 1998–99 and 2005–06. The selected socioeconomic predictors are household wealth and mother’s education level. We use principal component analysis to compute a separate wealth index for urban India for all three rounds of the survey. We have used descriptive statistics, concentration index and pooled logistic regression to ana...
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Authors: Kumar, A., Kumari, D., Singh, A. Tags: Original articles Source Type: research
'Excuse me, sir. Please don't smoke here'. A qualitative study of social enforcement of smoke-free policies in Indonesia
Conclusion Palembang and Bogor may be evolving towards creating social norms in support of prohibiting smoking in public spaces. If provided with more support from government and law officials, such as government officials themselves promoting the policies and demonstrating compliance, and renewed efforts to promote and enforce policies in general were made, Indonesians in these cities may feel more confident protecting non-smokers from SHS. (Source: Health Policy and Planning)
Source: Health Policy and Planning - September 3, 2015 Category: Health Management Authors: Kaufman, M. R., Merritt, A. P., Rimbatmaja, R., Cohen, J. E. Tags: Original articles Source Type: research
