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Health Policy and Planning

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https://www.readbyqxmd.com/read/28666336/health-systems-facilitators-and-barriers-to-the-integration-of-hiv-and-chronic-disease-services-a-systematic-review
#1
Nicola Watt, Louise Sigfrid, Helena Legido-Quigley, Sue Hogarth, Will Maimaris, Laura Otero-García, Pablo Perel, Kent Buse, Martin McKee, Peter Piot, Dina Balabanova
Integration of services for patients with more than one diagnosed condition has intuitive appeal but it has been argued that the empirical evidence to support it is limited. We report the findings of a systematic review that sought to identify health system factors, extrinsic to the integration process, which either facilitated or hindered the integration of services for two common disorders, HIV and chronic non-communicable diseases. Findings were initially extracted and organized around a health system framework, followed by a thematic cross-cutting analysis and validation steps...
June 29, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28666342/achieving-accountability-through-maternal-death-reviews-in-nigeria-a-process-analysis
#2
Bregje de Kok, M Imamura, L Kanguru, O Owolabi, F Okonofua, J Hussein
Maternal death reviews (MDRs) are part of the drive to increase accountability for maternal deaths and reduce their occurrence by identifying barriers to effective, quality care. However, conducting MDRs well is difficult; staff commitment and establishing a blame free environment are key challenges. By examining the communication strategies used in MDRs this study sought to understand how MDR members implement policy imperatives (e.g. 'no blame, no name') and manage the inevitable sensitivities of discussing a client's death in a multidisciplinary team...
June 28, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28666325/suami-siaga-male-engagement-in-maternal-health-in-indonesia
#3
Anna Kurniati, Ching-Min Chen, Ferry Efendi, Li-Jung Elizabeth Ku, Sarni Maniar Berliana
Suami SIAGA, which translates literally as the 'alert husband', is a national campaign that was created in early 2000 to promote male participation in maternal and child health program in Indonesia. The purpose of this study was to identify the proportion of men who took part in Suami SIAGA and the factors associated with their participation using the 2012 Indonesia Demographic and Health Survey (IDHS). This study also examined the relationship between Suami SIAGA and the following results related to the national campaign: the presence of husbands at antenatal care (ANC) units and the place of delivery at health facilities...
June 28, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28655160/generating-global-political-priority-for-urban-health-the-role-of-the-urban-health-epistemic-community
#4
Yusra Ribhi Shawar, Lani G Crane
No abstract text is available yet for this article.
June 26, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28637228/application-of-social-network-analysis-in-the-assessment-of-organization-infrastructure-for-service-delivery-a-three-district-case-study-from-post-conflict-northern-uganda
#5
Freddie Ssengooba, Vincent Kawooya, Justine Namakula, Suzanne Fustukian
In post-conflict settings, service coverage indices are unlikely to be sustained if health systems are built on weak and unstable inter-organization networks-here referred to as infrastructure. The objective of this study was to assess the inter-organization infrastructure that supports the provision of selected health services in the reconstruction phase after conflict in northern Uganda. Applied social network analysis was used to establish the structure, size and function among organizations supporting the provision of (1) HIV treatment, (2) maternal delivery services and (3) workforce strengthening...
June 16, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28591799/incentivizing-universal-safe-delivery-in-nepal-10%C3%A2-years-of-experience
#6
Tim Ensor, Hema Bhatt, Suresh Tiwari
Payments to users and providers of health services are an important ingredient in attempts to promote universal health coverage in low resource settings. The maternal health programme in Nepal explicitly recognizes that ensuring universal access to safe delivery care requires policies that both ensure effective services and overcome demand-side barriers. The programme has used three innovative financing initiatives to stimulate an increase in the use of facility-based delivery: the maternity incentive scheme (2005) reimbursing women for accessing a facility, activity payments in poor districts (2006) and universal free-delivery (2009)...
June 7, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28582532/generating-global-political-priority-for-urban-health-the-role-of-the-urban-health-epistemic-community
#7
Yusra Ribhi Shawar, Lani G Crane
Over the past decade there has been much discussion of the challenges posed by rapid urbanization in the developing world; yet the health of the urban poor, and especially those residing in low- and middle-income countries, continues to receive little political priority in most developing countries and at the global level. This research applies social science scholarship and a public policy analytical framework to assess the factors that have challenged efforts to make health in urban poor settings a priority...
June 3, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28575193/the-cost-structure-of-routine-infant-immunization-services-a-systematic-analysis-of-six-countries
#8
Fangli Geng, Christian Suharlim, Logan Brenzel, Stephen C Resch, Nicolas A Menzies
Little information exists on the cost structure of routine infant immunization services in low- and middle-income settings. Using a unique dataset of routine infant immunization costs from six countries, we estimated how costs were distributed across budget categories and programmatic activities, and investigated how the cost structure of immunization sites varied by country and site characteristics. The EPIC study collected data on routine infant immunization costs from 319 sites in Benin, Ghana, Honduras, Moldova, Uganda, Zambia, using a standardized approach...
May 31, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28575415/catastrophic-healthcare-expenditure-and-poverty-related-to-out-of-pocket-payments-for-healthcare-in-bangladesh-an-estimation-of-financial-risk-protection-of-universal-health-coverage
#9
Jahangir A M Khan, Sayem Ahmed, Timothy G Evans
The Sustainable Development Goals target to achieve Universal Health Coverage (UHC), including financial risk protection (FRP) among other dimensions. There are four indicators of FRP, namely incidence of catastrophic health expenditure (CHE), mean positive catastrophic overshoot, incidence of impoverishment and increase in the depth of poverty occur for high out-of-pocket (OOP) healthcare spending. OOP spending is the major payment strategy for healthcare in most low-and-middle-income countries, such as Bangladesh...
May 30, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28549142/how-do-performance-based-financing-programmes-measure-quality-of-care-a-descriptive-analysis-of-68-quality-checklists-from-28-low-and-middle-income-countries
#10
Erik Josephson, Jessica Gergen, Martha Coe, Samantha Ski, Supriya Madhavan, Sebastian Bauhoff
This paper seeks to systematically describe the length and content of quality checklists used in performance-based financing programmes, their similarities and differences, and how checklists have evolved over time. We compiled a list of supply-side, health facility-based performance-based financing (PBF) programmes in low- and lower middle-income countries based on a document review. We then solicited PBF manuals and quality checklists from implementers and donors of these PBF mechanisms. We entered each indicator from each quality checklist into a database verbatim in English, and translated into English from French where appropriate, and categorized each indicator according to the Donabedian framework and an author-derived categorization...
May 26, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28541422/where-women-go-to-deliver-understanding-the-changing-landscape-of-childbirth-in-africa-and-asia
#11
Dominic Montagu, May Sudhinaraset, Nadia Diamond-Smith, Oona Campbell, Sabine Gabrysch, Lynn Freedman, Margaret E Kruk, France Donnay
Growing evidence from a number of countries in Asia and Africa documents a large shift towards facility deliveries in the past decade. These increases have not led to the improvements in health outcomes that were predicted by health policy researchers in the past. In light of this unexpected evidence, we have assessed data from multiple sources, including nationally representative data from 43 countries in Asia and Africa, to understand the size and range of changing delivery location in Asia and Africa. We have reviewed the policies, programs and financing experiences in multiple countries to understand the drivers of changing practices, and the consequences for maternal and neonatal health and the health systems serving women and newborns...
May 25, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28541542/reducing-stock-outs-of-essential-tuberculosis-medicines-a-system-dynamics-modelling-approach-to-supply-chain-management
#12
L Bam, Z M McLaren, E Coetzee, K H von Leipzig
The under-performance of supply chains presents a significant hindrance to disease control in developing countries. Stock-outs of essential medicines lead to treatment interruption which can force changes in patient drug regimens, drive drug resistance and increase mortality. This study is one of few to quantitatively evaluate the effectiveness of supply chain policies in reducing shortages and costs. This study develops a systems dynamics simulation model of the downstream supply chain for amikacin, a second-line tuberculosis drug using 10 years of South African data...
May 24, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28407083/distrusting-community-health-workers-with-confidential-health-information-a-convergent-mixed-methods-study-in-swaziland
#13
Pascal Geldsetzer, Maria Vaikath, Jan-Walter De Neve, Thomas J Bossert, Sibusiso Sibandze, Mandla Mkhwanazi, Till Bärnighausen
Background: Patients are unlikely to share the personal information that is critical for effective healthcare, if they do not trust that this information will remain confidential. Trust in confidentiality may be particularly low in interactions with community health workers (CHW) because CHW deliver healthcare outside the clinic setting. This study aims to determine the proportion of Swaziland's population that does not trust the national CHW cadre with confidential medical information, and to identify reasons for distrust...
July 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28402469/health-system-functionality-in-a-low-income-country-in-the-midst-of-conflict-the-case-of-yemen
#14
Naseeb Qirbi, Sharif A Ismail
Background:  Although the literature on effects of armed conflict on population health is extensive, detailed assessments of effects on public health 'systems' are few. This article aims to help address this deficit through the medium of a case study on Yemen, describing health system and health outcome performance prior to the internationalisation of the conflict there in March 2015, before assessing the impact of war on health system functionality since that time. Method : Review of peer- and non-peer reviewed literature from 2005 to 2016 from academic sources, multilateral organizations, donors and governmental and non-governmental organizations, augmented by secondary data analysis...
July 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28387867/cost-effectiveness-analysis-and-mortality-impact-estimation-of-scaling-up-pregnancy-test-kits-in-madagascar-ethiopia-and-malawi
#15
Robert J Kolesar, Martine Audibert, Alison B Comfort
Cost-effective, innovative approaches are needed to accelerate progress towards ending preventable infant, child and maternal mortality. To inform policy decisions, we conducted a cost-effectiveness analysis of adding urine pregnancy test kits to the maternal and reproductive services package offered at the community level in Madagascar, Ethiopia and Malawi. We used a decision tree model to compare the intervention with the status quo for each country. We also completed single factor sensitivity analyses and Monte Carlo simulations with 10 000 iterations to generate the probability distribution of the estimates and uncertainty limits...
July 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28369426/performance-based-financing-the-same-is-different
#16
Dimitri Renmans, Nathalie Holvoet, Bart Criel, Bruno Meessen
Although it is increasingly acknowledged within the Performance-Based Financing (PBF) research community that PBF is more than just payments based on outputs verified for quality, this narrow definition of PBF is still very present in many studies and evaluations. This leads to missed opportunities, misunderstandings and an unhelpful debate. Therefore, we reinforce the claim that PBF should be viewed as a reform package focused on targeted services with many different aspects that go beyond the health worker level...
July 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28369410/from-favours-to-entitlements-community-voice-and-action-and-health-service-quality-in-zambia
#17
Marta Schaaf, Stephanie M Topp, Moses Ngulube
Social accountability is increasingly invoked as a way of improving health services. This article presents a theory-driven qualitative study of the context, mechanisms and outcomes of a social accountability program, Citizen Voice and Action (CVA), implemented by World Vision (WV) in Zambia. Primary data were collected between November 2013 and January 2014. It included in-depth interviews and focus group discussions with program stakeholders. Secondary data were used iteratively-to inform the process for primary data collection, to guide primary data analysis and to contextualize findings from the primary data...
July 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28369374/a-qualitative-study-of-the-determinants-of-hiv-guidelines-implementation-in-two-south-eastern-districts-of-tanzania
#18
Mary N Mwangome, Eveline Geubbels, Alison Wringe, Jim Todd, Paul Klatser, Marjolein Dieleman
Current HIV policies in Tanzania have adopted the three long-term impact results of zero new infections, zero HIV deaths and zero stigma and discrimination. Strategies to reach these results include scaling-up HIV Testing and Counselling (HTC); Preventing Mother-To-Child Transmission (PMTCT); and strengthening Care and Treatment Clinic (CTC) services. Previous studies showed that HIV policy and guideline recommendations were not always implemented in rural South Tanzania. This study aims to identify the determinants of HIV guideline implementation...
July 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28369366/banning-shisha-smoking-in-public-places-in-iran-an-advocacy-coalition-framework-perspective-on-policy-process-and-change
#19
Akram Khayatzadeh-Mahani, Eric Breton, Arne Ruckert, Ronald Labonté
Introduction: Shisha smoking is a widespread custom in Iran with a rapidly growing prevalence especially among the youth. In this article, we analyze the policy process of enforcing a federal/state ban on shisha smoking in all public places in Kerman Province, Iran. Guided by the Advocacy Coalition Framework (ACF), we investigate how a shisha smoking ban reached the political agenda in 2011, how it was framed by different policy actors, and why no significant breakthrough took place despite its inclusion on the agenda...
July 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28335031/ethics-of-health-policy-and-systems-research-a-scoping-review-of-the-literature
#20
Bridget Pratt, Amy Paul, Adnan A Hyder, Joseph Ali
Health policy and systems research (HPSR) is increasingly funded and undertaken as part of health system strengthening efforts worldwide. HPSR ethics is also a relatively new and emerging field, with numerous normative and descriptive questions that have largely not been considered. Normative questions include what ethical principles and values should guide HPSR. Descriptive questions include what ethical concerns arise when conducting HPSR. A small but growing body of scholarly work characterizes the various ethics issues inherent in HPSR...
July 1, 2017: Health Policy and Planning
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