Evaluation of care access and hypertension control in a community health worker driven non-communicable disease programme in rural Uganda: the chronic disease in the community project
This study aimed to evaluate consistency of access to care and quality of hypertension control in a community health worker led, decentralized non-communicable disease programme operating in rural Uganda. Days between clinical evaluations and average systolic blood pressure were described for programme patients; these markers were also compared with patients seen in a central, hospital-based clinic. In 2013, community health worker programme patients were seen every 35.6 days and significantly more often than clinic patients (50.8 days, P < 0.001). From October to December 2013, hypertensive patients in the community he...
Source: Health Policy and Planning - August 8, 2016 Category: Health Management Authors: ONeil, D. S., Lam, W. C., Nyirangirimana, P., Burton, W. B., Baganizi, M., Musominali, S., Bareke, D., Paccione, G. A. Tags: Original Articles Source Type: research
Motivating health workers up to a limit: partial effects of performance-based financing on working environments in Nigeria
Conclusions: PBF strategies can succeed in motivating health workers by bringing about a change in incentives and working conditions. However, such programmes need to be aligned with human resource reforms including timely recruitment and appropriate distribution of health workers to prevent burn out and attrition. As people working on the frontline of constrained health systems, health workers are responsive to improved incentives and working conditions, but need more comprehensive support. (Source: Health Policy and Planning)
Source: Health Policy and Planning - August 8, 2016 Category: Health Management Authors: Bhatnagar, A., George, A. S. Tags: Original Articles Source Type: research
Measuring implementation strength: lessons from the evaluation of public health strategies in low- and middle-income settings
We described the approaches used in three examples of measures of implementation strength in evaluation. These addressed important public health topics with a substantial disease burden in low-and middle-income countries; they involved large-scale implementation; and featured evaluation designs without comparison areas. Strengths and weaknesses of the approaches were discussed. In the evaluation of Ethiopia’s Health Extension Programme, implementation strength scoring for each kebele (ward) was based on aggregated data from interviews with mothers of children aged 12–23 months, reflecting their reports of conta...
Source: Health Policy and Planning - August 8, 2016 Category: Health Management Authors: Hargreaves, J. R. M., Goodman, C., Davey, C., Willey, B. A., Avan, B. I., Schellenberg, J. R. A. Tags: Original Articles Source Type: research
Benefit distribution of social health insurance: evidence from chinas urban resident basic medical insurance
This article evaluates the benefit distribution of the China’s Urban Residents’ Basic Medical Insurance (URBMI), covering 300 million urban populations. Using the URBMI Household Survey data fielded between 2007 and 2011, we estimate the benefit distribution by the two-part model, and find that the URBMI beneficiaries from lower income groups benefited less than that of higher income groups. In other words, government subsidy that was supposed to promote the universal coverage of health care flew more to the rich. Our study provides new evidence on China’s health insurance system reform, and it bears mean...
Source: Health Policy and Planning - August 8, 2016 Category: Health Management Authors: Pan, J., Tian, S., Zhou, Q., Han, W. Tags: Original Articles Source Type: research
Is the use of maternal healthcare among prospective mothers higher in households that have experienced maternal death? Evidence from India
This study assesses whether there is any significant difference in the utilization of maternal healthcare services between women from households that experienced any maternal death and women from households that did not experience any maternal death. Data from India’s District Level Households and Facility Survey, 2007–08 were used. A sample of 321 women (unweighted) aged 15–49 years residing in households that had experienced maternal death, and 217 737 women (unweighted) of the same age group living in households that did not experience any maternal death were found eligible for the analysis. Resul...
Source: Health Policy and Planning - August 8, 2016 Category: Health Management Authors: Rai, R. K., Singh, P. K., Kumar, C. Tags: Original Articles Source Type: research
Attributes of patient-centered primary care associated with the public perception of good healthcare quality in Brazil, Colombia, Mexico and El Salvador
In conclusion, the public has a positive perception of the quality of primary care, although it has unfulfilled expectations; further efforts are necessary to improve the provision of patient-centered primary care services in these four Latin American countries. (Source: Health Policy and Planning)
Source: Health Policy and Planning - August 8, 2016 Category: Health Management Authors: Doubova, S. V., Guanais, F. C., Perez-Cuevas, R., Canning, D., Macinko, J., Reich, M. R. Tags: Original Articles Source Type: research
The individual level cost of pregnancy termination in Zambia: a comparison of safe and unsafe abortion
This study demonstrates that despite a liberal legislation, Zambia still needs better dissemination of the law to women and providers and resources to ensure abortion service access. The policy implications of this study include: the role of pharmacists and mid-level providers in the provision of medical abortion services; increased access to contraception, especially for adolescents; and elimination of demands for unofficial provider payments. (Source: Health Policy and Planning)
Source: Health Policy and Planning - August 8, 2016 Category: Health Management Authors: Leone, T., Coast, E., Parmar, D., Vwalika, B. Tags: Original Articles Source Type: research
Inequality and inequity in healthcare utilization in urban Nepal: a cross-sectional observational study
This study aimed to identify the major sources of inequity in healthcare utilization using a population-based household survey from urban Nepal. A cross-sectional survey was conducted covering 9177 individuals residing in 1997 households in five municipalities of Kathmandu valley between 2011 and 2012. The concentration index was calculated and a decomposition method was used to measure inequality in healthcare utilization, along with a horizontal inequity index (HI) to estimate socioeconomic inequalities in healthcare utilization. Results showed a significant pro-rich distribution of general healthcare utilization in all ...
Source: Health Policy and Planning - August 8, 2016 Category: Health Management Authors: Saito, E., Gilmour, S., Yoneoka, D., Gautam, G. S., Rahman, M. M., Shrestha, P. K., Shibuya, K. Tags: Original Articles Source Type: research
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Source: Health Policy and Planning - August 8, 2016 Category: Health Management Tags: Spanish Abstracts Source Type: research
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Source: Health Policy and Planning - August 8, 2016 Category: Health Management Tags: French Abstracts Source Type: research
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Source: Health Policy and Planning - August 8, 2016 Category: Health Management Tags: Chinese Abstracts Source Type: research
Framing and the health policy process: a scoping review
Framing research seeks to understand the forces that shape human behaviour in the policy process. It assumes that policy is a social construct and can be cast in a variety of ways to imply multiple legitimate value considerations. Frames provide the cognitive means of making sense of the social world, but discordance among them forms the basis of policy contestation. Framing, as both theory and method, has proven to generate considerable insight into the nature of policy debates in a variety of disciplines. Despite its salience for understanding health policy debates; however, little is known about the ways frames influenc...
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Authors: Koon, A. D., Hawkins, B., Mayhew, S. H. Tags: Review Source Type: research
Progress in increasing affordability of medicines for non-communicable diseases since the introduction of mandatory health insurance in the Republic of Moldova
Conclusion: If mandatory health insurance is to improve affordability of medicines for the Moldovan population, more funds need to be (re-)allocated to enable higher percentage coverage of essential medicines and efficiencies need to be generated within the health system. These should include a budget reallocation between secondary and primary care, strengthening primary care to manage chronic conditions and raise population awareness, implementation of evidence-based selection and quality use of medicines in both outpatient and inpatient settings, improving monitoring and regulation of prices and the supply chain; and ali...
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Authors: Ferrario, A., Chitan, E., Seicas, R., Sautenkova, N., Bezverhni, Z., Kluge, H., Habicht, J. Tags: Original Articles Source Type: research
The relationship between non-communicable disease occurrence and poverty--evidence from demographic surveillance in Matlab, Bangladesh
This article estimates the risk of being poor after an NCD death in the rural, low-income area of Matlab, Bangladesh. In a matched cohort study, we estimated the 2-year relative risk (RR) of being poor in Matlab households with an NCD death in 2010. Three separate measures of household economic status were used as outcomes: an asset-based index, self-rated household economic condition and total household landholding. Several estimation methods were used including contingency tables, log-binomial regression and regression standardization and machine learning. Households with an NCD death had a large and significant risk of ...
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Authors: Mirelman, A. J., Rose, S., Khan, J. A., Ahmed, S., Peters, D. H., Niessen, L. W., Trujillo, A. J. Tags: Original Articles Source Type: research
Levels and variations in the quality of facility-based antenatal care in Kenya: evidence from the 2010 service provision assessment
Quality of care is emerging as an important concern for low- and middle-income countries working to expand and improve coverage. However, there is limited systematic, large-scale empirical guidance to inform policy design. Our study operationalized indicators for six dimensions of quality of care that are captured in currently available, standardized Service Provision Assessments. We implemented these measures to assess the levels and heterogeneity of antenatal care in Kenya. Using our indicator mix, we find that performance is low overall and that there is substantial variation across provinces, management authority and f...
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Authors: Lee, E., Madhavan, S., Bauhoff, S. Tags: Original Articles Source Type: research
