Pay for performance in Nigeria: the influence of context and implementation on results
This study aimed to explore how context and implementation influence P4P in Nigeria. Semi-structured in-depth interviews with 36 health workers explored their views and experiences on how contextual and implementation factors influenced the impact of the P4P scheme. Data were analysed using the framework approach. Four themes captured the views and experiences of participants. Uncertainty of earning the incentive and inadequate infrastructure reduced health worker motivation and performance results; whilst adequate health worker understanding of the scheme and good managerial skills (health facility level) improved motivat...
Source: Health Policy and Planning - September 6, 2016 Category: Health Management Authors: Ogundeji, Y. K., Jackson, C., Sheldon, T., Olubajo, O., Ihebuzor, N. Tags: Original Articles Source Type: research
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Source: Health Policy and Planning - September 6, 2016 Category: Health Management Tags: Spanish Abstracts Source Type: research
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Source: Health Policy and Planning - September 6, 2016 Category: Health Management Tags: French Abstracts Source Type: research
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Source: Health Policy and Planning - September 6, 2016 Category: Health Management Tags: Chinese Abstracts Source Type: research
District decision-making for health in low-income settings: a qualitative study in Uttar Pradesh, India, on engaging the private health sector in sharing health-related data
Health information systems are an important planning and monitoring tool for public health services, but may lack information from the private health sector. In this fourth article in a series on district decision-making for health, we assessed the extent of maternal, newborn and child health (MNCH)-related data sharing between the private and public sectors in two districts of Uttar Pradesh, India; analysed barriers to data sharing; and identified key inputs required for data sharing. Between March 2013 and August 2014, we conducted 74 key informant interviews at national, state and district levels. Respondents were stake...
Source: Health Policy and Planning - August 31, 2016 Category: Health Management Authors: Gautham, M., Spicer, N., Subharwal, M., Gupta, S., Srivastava, A., Bhattacharyya, S., Avan, B. I., Schellenberg, J. Tags: Original Articles Source Type: research
District decision-making for health in low-income settings: a case study of the potential of public and private sector data in India and Ethiopia
Many low- and middle-income countries have pluralistic health systems where private for-profit and not-for-profit sectors complement the public sector: data shared across sectors can provide information for local decision-making. The third article in a series of four on district decision-making for health in low-income settings, this study shows the untapped potential of existing data through documenting the nature and type of data collected by the public and private health systems, data flow and sharing, use and inter-sectoral linkages in India and Ethiopia. In two districts in each country, semi-structured interviews wer...
Source: Health Policy and Planning - August 31, 2016 Category: Health Management Authors: Bhattacharyya, S., Berhanu, D., Taddesse, N., Srivastava, A., Wickremasinghe, D., Schellenberg, J., Iqbal Avan, B. Tags: Original Articles Source Type: research
District decision-making for health in low-income settings: a systematic literature review
Health management information systems (HMIS) produce large amounts of data about health service provision and population health, and provide opportunities for data-based decision-making in decentralized health systems. Yet the data are little-used locally. A well-defined approach to district-level decision-making using health data would help better meet the needs of the local population. In this second of four papers on district decision-making for health in low-income settings, our aim was to explore ways in which district administrators and health managers in low- and lower-middle-income countries use health data to make...
Source: Health Policy and Planning - August 31, 2016 Category: Health Management Authors: Wickremasinghe, D., Hashmi, I. E., Schellenberg, J., Avan, B. I. Tags: Original Articles Source Type: research
District decision-making for health in low-income settings: a feasibility study of a data-informed platform for health in India, Nigeria and Ethiopia
Low-resource settings often have limited use of local data for health system planning and decision-making. To promote local data use for decision-making and priority setting, we propose an adapted framework: a data-informed platform for health (DIPH) aimed at guiding coordination, bringing together key data from the public and private sectors on inputs and processes. In working to transform this framework from a concept to a health systems initiative, we undertook a series of implementation research activities including background assessment, testing and scaling up of the intervention. This first paper of four reports the ...
Source: Health Policy and Planning - August 31, 2016 Category: Health Management Authors: Avan, B. I., Berhanu, D., Umar, N., Wickremasinghe, D., Schellenberg, J. Tags: Original Articles Source Type: research
Commentary--District decision-making to strengthen maternal, newborn and child health services in low-income settings
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Source: Health Policy and Planning - August 31, 2016 Category: Health Management Authors: Hanson, K., Schellenberg, J. Tags: Editorial Source Type: research
Performance of retail pharmacies in low- and middle-income Asian settings: a systematic review
In low- and middle-income countries (LMIC) in Asia, pharmacies are often patients’ first point of contact with the health care system and their preferred channel for purchasing medicines. Unfortunately, pharmacy practice in these settings has been characterized by deficient knowledge and inappropriate treatment. This paper systematically reviews both the performance of all types of pharmacies and drug stores across Asia’s LMIC, and the determinants of poor practice, in order to reflect on how this could best be addressed. Poor pharmacy practice in Asia appears to have persisted over the past 30 years. We identi...
Source: Health Policy and Planning - August 8, 2016 Category: Health Management Authors: Miller, R., Goodman, C. Tags: Reviews Source Type: research
Towards subsidized malaria rapid diagnostic tests. Lessons learned from programmes to subsidise artemisinin-based combination therapies in the private sector: a review
The idea of a private sector subsidy programme of artemisinin-based combination therapies (ACTs) was first proposed in 2004. Since then, several countries around the world have hosted pilot projects or programmes on subsidized ACTs and/or the Affordable Medicines Facility-malaria programme (AMFm). Overall the private sector subsidy programmes of ACTs have been effective in increasing availability of ACTs in the private sector and driving down average prices but struggled to crowd out antimalarial monotherapies. The results obtained from this ambitious strategy should inform policy makers in the designing of future interven...
Source: Health Policy and Planning - August 8, 2016 Category: Health Management Authors: Lussiana, C. Tags: Reviews Source Type: research
Financial protection from health spending in the Philippines: policies and progress
The objective of this article is to assess the progress of the Philippines health sector in providing financial protection to the population, as measured by estimates of health insurance coverage, out-of-pocket spending, catastrophic payments and impoverishing health expenditures. Data are drawn from eight household surveys between 2000 and 2013, including two Demographic and Health Surveys, one Family Health Survey and five Family Income and Expenditure Surveys. We find that out-of-pocket spending increased by 150% (real) from 2000 to 2012, with the sharpest increases occurring in recent years. The main driver of health s...
Source: Health Policy and Planning - August 8, 2016 Category: Health Management Authors: Bredenkamp, C., Buisman, L. R. Tags: Original Articles Source Type: research
Stakeholder learning for health sector reform in Lao PDR
Development organizations and academic institutions have expressed the need for increased research to guide the development and implementation of policies to strengthen health systems in low- and middle-income countries. The extent to which evidence-based policies alone can produce changes in health systems remains a point of debate; other factors, such as a country’s political climate and the level of actor engagement, have been identified as influential variables in effective policy development and implementation. In response to this debate, this article contends that the success of health sector reform depends lar...
Source: Health Policy and Planning - August 8, 2016 Category: Health Management Authors: Phillips, S., Pholsena, S., Gao, J., Oliveira Cruz, V. Tags: Original Articles Source Type: research
Did PEPFAR investments result in health system strengthening? A retrospective longitudinal study measuring non-HIV health service utilization at the district level
Conclusions This study sought to understand whether PEPFAR, as a vertical programme, may have had a spill-over effect on the health system generally, as measured by utilization. Our conclusion is that it did not, at least not in Uganda. (Source: Health Policy and Planning)
Source: Health Policy and Planning - August 8, 2016 Category: Health Management Authors: Luboga, S. A., Stover, B., Lim, T. W., Makumbi, F., Kiwanuka, N., Lubega, F., Ndizihiwe, A., Mukooyo, E., Hurley, E. K., Borse, N., Wood, A., Bernhardt, J., Lohman, N., Sheppard, L., Barnhart, S., Hagopian, A. Tags: Original Articles Source Type: research
Role of the private sector in vaccination service delivery in India: evidence from private-sector vaccine sales data, 2009-12
Conclusion In India, the public sector offers vaccination services to the majority of the population but the private sector should not be neglected as it could potentially improve overall vaccination coverage. The government could train and incentivize a wider range of private-sector health professionals to help deliver the vaccines, especially in the low income states with the largest birth cohorts. We recommend future studies to identify strengths and limitations of the public and private health sectors in each Indian state. (Source: Health Policy and Planning)
Source: Health Policy and Planning - August 8, 2016 Category: Health Management Authors: Sharma, A., Kaplan, W. A., Chokshi, M., Zodpey, S. P. Tags: Original Articles Source Type: research
