Targeting the poorest in a performance-based financing programme in northern Cameroon
In conclusion, a system of targeting the poorest of society in PBF programmes may help reduce inequalities in health care use, but only when design and implementation problems leading to substantial under-coverage are addressed. Furthermore, remaining barriers to health care use (e.g. transport) and negative reactions of other community members towards indigents deserve attention. (Source: Health Policy and Planning)
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Authors: Flink, I. J., Ziebe, R., Vagaï, D., van de Looij, F., van 'T Riet, H., Houweling, T. A. Tags: Original Articles Source Type: research
Monitoring iCCM: a feasibility study of the indicator guide for monitoring and evaluating integrated community case management
This article presents findings from two studies that examined the feasibility of collecting the Indicator Guide’s 18 routine monitoring indicators with the iCCM monitoring systems that countries currently have in place. We reviewed iCCM monitoring tools, protocols and reports from a purposive sample of 10 countries in sub-Saharan Africa. We developed a scorecard system to assess which of the Indicator Guide’s 18 routine monitoring indicators could be calculated with the given monitoring tools, and at which level of the health system the relevant information would be available. We found that the data needed to c...
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Authors: Roberton, T., Kasungami, D., Guenther, T., Hazel, E. Tags: Original Articles Source Type: research
Economic vulnerability to health shocks and coping strategies: evidence from Andhra Pradesh, India
Empirical research has shown that households in developing countries are unable to sustain current levels of consumption during and after severe health crises due to substantial increase in medical expenditure and/or loss of income. Health events are also found to have an adverse impact on nutritional status and educational attainment of household members. Thus, in this study, we investigate: who are vulnerable to welfare loss from health shocks, what are the household responses to cope with the economic burden of health shocks and if policy responses like state health insurance schemes are effective in reducing the econom...
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Authors: Dhanaraj, S. Tags: Original Articles Source Type: research
Barriers to healthcare coordination in market-based and decentralized public health systems: a qualitative study in healthcare networks of Colombia and Brazil
Although integrated healthcare networks (IHNs) are promoted in Latin America in response to health system fragmentation, few analyses on the coordination of care across levels in these networks have been conducted in the region. The aim is to analyse the existence of healthcare coordination across levels of care and the factors influencing it from the health personnel’ perspective in healthcare networks of two countries with different health systems: Colombia, with a social security system based on managed competition and Brazil, with a decentralized national health system. A qualitative, exploratory and descriptive&...
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Authors: Vargas, I., Mogollon-Perez, A. S., De Paepe, P., Ferreira da Silva, M. R., Unger, J.-P., Vazquez, M.-L. Tags: Original Articles Source Type: research
Assessing girls HIV vulnerability: evidence from Botswana, Malawi and Mozambique
This study characterized, developed and tested a set of indicators to measure girls’ vulnerability, resulting in the vulnerable girls index (VGI). A quasi- experimental, separate-sample pre-/post-test design was used to test the index. Adolescent girls were randomly drawn for the pre-test (2277 respondents) and post-test (1418 respondents) from 16 purposively selected communities in Botswana, Malawi and Mozambique. The higher the VGI score—or the more vulnerable the girl—the more likely she was to report premarital sexual experience across the three countries and the more likely she was to report low agen...
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Authors: Underwood, C. R., Schwandt, H. M. Tags: Original Articles Source Type: research
BRICS countries and the global movement for universal health coverage
This article explores BRICS’ engagement in the global movement for Universal Health Coverage (UHC) and the implications for global health governance. It is based on primary data collected from 43 key informant interviews, complemented by a review of BRICS’ global commitments supporting UHC. Interviews were conducted using a semi-structured questionnaire that included both closed- and open-ended questions. Question development was informed by insights from the literature on UHC, Cox’s framework for action, and Kingdon’s multiple-stream theory of policy formation. The closed questions were analysed wi...
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Authors: Tediosi, F., Finch, A., Procacci, C., Marten, R., Missoni, E. Tags: Original Articles Source Type: research
Task-sharing or public finance for the expansion of surgical access in rural Ethiopia: an extended cost-effectiveness analysis
Despite a high burden of surgical disease, access to surgical services in low- and middle-income countries is often limited. In line with the World Health Organization’s current focus on universal health coverage and equitable access to care, we examined how policies to expand access to surgery in rural Ethiopia would impact health, impoverishment and equity. An extended cost-effectiveness analysis was performed. Deterministic and stochastic models of surgery in rural Ethiopia were constructed, utilizing pooled estimates of costs and probabilities from national surveys and published literature. Model calibration and ...
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Authors: Shrime, M. G., Verguet, S., Johansson, K. A., Desalegn, D., Jamison, D. T., Kruk, M. E. Tags: Original Articles Source Type: research
Effective universal health coverage and improved 1-year survival after acute myocardial infarction: the Chilean experience
Conclusions The implementation of AUGE in Chile appears to have contributed to improved treatment of MI in public hospitals and increased 1-year survival, which is consistent with its aim to improve access to quality medical care and to reduce health inequities. (Source: Health Policy and Planning)
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Authors: Nazzal, C., Frenz, P., Alonso, F. T., Lanas, F. Tags: Original Articles Source Type: research
Feasibility and acceptability of delivering adolescent health interventions alongside HPV vaccination in Tanzania
Conclusions: Given programme constraints, limited experience with integrated delivery and concern about real or perceived side-effects being attributed to the vaccine, it will be very important to pilot-test integration of AHI/SHI with HPV vaccination. Selected interventions will need to be simple and quick to deliver since health workers are likely to face significant logistic and time constraints during vaccination visits. (Source: Health Policy and Planning)
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Authors: Watson-Jones, D., Lees, S., Mwanga, J., Neke, N., Changalucha, J., Broutet, N., Maduhu, I., Kapiga, S., Chandra-Mouli, V., Bloem, P., Ross, D. A. Tags: Original Articles Source Type: research
The emergence of the vertical birth in Ecuador: an analysis of agenda setting and policy windows for intercultural health
Maternal mortality continues to claim the lives of thousands of women in Latin America despite the availability of effective treatments to avert maternal death. In the past, efforts to acknowledge cultural diversity in birth practices had not been clearly integrated into policy. However, in Otavalo (Ecuador) a local hospital pioneered the implementation of the ‘Vertical Birth’—a practical manifestation of an intercultural health policy aimed at increasing indigenous women’s access to maternity care. Drawing on agenda-setting theory, this qualitative research explores how the vertical birth practice ...
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Authors: Llamas, A., Mayhew, S. Tags: Original Articles Source Type: research
Resumenes en esta edicion
(Source: Health Policy and Planning)
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Tags: Spanish Abstracts Source Type: research
本期摘要
(Source: Health Policy and Planning)
Source: Health Policy and Planning - June 20, 2016 Category: Health Management Tags: Chinese Abstracts Source Type: research
Resumenes en esta edicion
(Source: Health Policy and Planning)
Source: Health Policy and Planning - May 8, 2016 Category: Health Management Tags: Spanish Abstracts Source Type: research
本期摘要
(Source: Health Policy and Planning)
Source: Health Policy and Planning - May 8, 2016 Category: Health Management Tags: Chinese Abstracts Source Type: research
User fees exemptions alone are not enough to increase indigent use of healthcare services
The aim of this study was to assess whether user fees exemptions increased healthcare services use among indigents in the Ouargaye district in Burkina Faso. In this pre–post study, we surveyed 1224 indigents in 2010 about their healthcare services use over the preceding 6 months. Of these, 540 subsequently received a user fees exemption card. A follow-up survey was conducted 1 year later with a 55.3% retention rate. Analyses were performed in accordance with Andersen and Newman’s model (Societal and individual determinants of medical care utilization in the United States. Milbank Q 1973;51:95–124) to expl...
Source: Health Policy and Planning - May 3, 2016 Category: Health Management Authors: Atchessi, N., Ridde, V., Zunzunegui, M.-V. Tags: Original Articles Source Type: research
