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Health Policy and Planning

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https://www.readbyqxmd.com/read/29741673/strengthening-decentralized-primary-healthcare-planning-in-nigeria-using-a-quality-improvement-model-how-contexts-and-actors-affect-implementation
#1
Ejemai Amaize Eboreime, Nonhlanhla Nxumalo, Rohit Ramaswamy, John Eyles
Quality improvement models have been applied across various levels of health systems with varying success leading to scepticisms about effectiveness. Health systems are complex, influenced by contexts and characterized by numerous interests. Thus, a shift in focus from examining whether improvement models work, to understanding why, when and where they work most effectively is essential. Nigeria introduced DIVA (Diagnose-Intervene-Verify-Adjust) as a model to strengthen decentralized PHC planning. However, implementation has been poorly sustained...
May 8, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29697772/implementation-and-clinical-effectiveness-of-a-community-based-non-communicable-disease-treatment-programme-in-rural-mexico-a-difference-in-differences-analysis
#2
Kevin Duan, Ryan McBain, Hugo Flores, Francisco Rodriguez Garza, Gustavo Nigenda, Lindsay Palazuelos, Daniel Palazuelos, Elena Moreno Lázaro, Natán Enríquez Ríos, Patrick F Elliott
Non-communicable diseases (NCDs) account for the five largest contributors to burden of disease in Mexico, with diabetes representing the greatest contributor. However, evidence supporting chronic disease programmes in Mexico is limited, especially in rural communities. Compañeros En Salud (CES) partnered with the Secretariat of Health of Chiapas, Mexico to implement a novel community-based NCD treatment programme. We describe the implementation of this programme and conducted a population-based, retrospective analysis, using a difference-in-differences regression approach to estimate the impact of the programme...
April 25, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29684122/technical-quality-of-delivery-care-in-private-and-public-sector-health-facilities-in-enugu-and-lagos-states-nigeria
#3
Atsumi Hirose, Ibrahim O Yisa, Amina Aminu, Nathanael Afolabi, Makinde Olasunmbo, George Oluka, Khalilu Muhammad, Julia Hussein
Private-sector providers are increasingly being recognized as important contributors to the delivery of healthcare. Countries with high disease burdens and limited public-sector resources are considering using the private sector to achieve universal health coverage. However, evidence for the technical quality of private-sector care is lacking. This study assesses the technical quality of maternal healthcare during delivery in public- and private-sector facilities in resource-limited settings, from a systems and programmatic perspective...
April 18, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29668967/reducing-blindness-from-retinopathy-of-prematurity-rop-in-argentina-through-collaboration-advocacy-and-policy-implementation
#4
Luxme Hariharan, Clare E Gilbert, Graham E Quinn, Frances K Barg, Celia Lomuto, Ana Quiroga, Joan McLeod-Omawale, Andrea Zin, Zulma Ortiz, Ernesto Alda, Liliana Bouzas, Marina Brussa, Adriana Cattaino, Alejandro Dinerstein, Norma Erpen, Adriana Fandiño, Lidia Galina, Julio Manzitti, Silvia Marinaro, Teresa Sepúlveda, Patricia Visintín, Juan Carlos Silva, Cynthia Magluta, Alicia Benitez
Retinopathy of prematurity (ROP) is a largely avoidable cause of blindness in children worldwide, requiring high-quality neonatal care, early detection and treatment. In middle-income countries throughout Latin America, Eastern Europe and South Asia, there has been a rise in ROP blindness due to a combination of increased survival of preterm infants, resource-scarce medical environments and lack of policies, training and human resources. However, Argentina is an example of country where rates of ROP blindness have declined and ROP programmes have been successfully and effectively embedded within the health and legal system...
April 16, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29659831/institutional-delivery-in-india-2004-14-unravelling-the-equity-enhancing-contributions-of-the-public-sector
#5
William Joe, Jessica M Perkins, Saroj Kumar, Sunil Rajpal, S V Subramanian
To achieve faster and equitable improvements in maternal and child health outcomes, the government of India launched the National Rural Health Mission in 2005. This paper describes the equity-enhancing role of the public sector in increasing use of institutional delivery care services in India between 2004 and 2014. Information on 24 661 births from nationally representative survey data for 2004 and 2014 is analysed. Concentration index is computed to describe socioeconomic-rank-related relative inequalities in institutional delivery and decomposition is used to assess the contributions of public and private sectors in overall socioeconomic inequality...
April 5, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29635414/the-passage-of-tobacco-control-law-174-in-lebanon-reflections-on-the-problem-policies-and-politics
#6
R T Nakkash, L Torossian, T El Hajj, J Khalil, R A Afifi
Progress in tobacco control policy making has occurred worldwide through advocacy campaigns involving multiple players- civil society groups, activists, academics, media and policymakers. The Framework Convention on Tobacco Control (FCTC)-the first ever global health treaty-outlines evidence-based tobacco control policies. Lebanon ratified the FCTC in 2005, but until 2011, tobacco control policies remained rudimentary and not evidence-based. Beginning in 2009, a concerted advocacy campaign was undertaken by a variety of stakeholders with the aim of accelerating the process of adopting a strong tobacco control policy...
April 4, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29617996/response-to-a-comment-on-unravelling-the-socioeconomic-gradient-in-the-incidence-of-catastrophic-health-care-expenditure
#7
Jahangir A M Khan, Sayem Ahmed, Timothy G Evans
No abstract text is available yet for this article.
March 30, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29617995/unravelling-the-socioeconomic-gradient-in-the-incidence-of-catastrophic-health-care-expenditure-a-comment
#8
William Joe, Sunil Rajpal
No abstract text is available yet for this article.
March 30, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29596614/trials-and-tribulations-cross-learning-from-the-practices-of-epidemiologists-and-economists-in-the-evaluation-of-public-health-interventions
#9
Timothy Powell-Jackson, Calum Davey, Edoardo Masset, Shari Krishnaratne, Richard Hayes, Kara Hanson, James R Hargreaves
The randomized controlled trial is commonly used by both epidemiologists and economists to test the effectiveness of public health interventions. Yet we have noticed differences in practice between the two disciplines. In this article, we propose that there are some underlying differences between the disciplines in the way trials are used, how they are conducted and how results from trials are reported and disseminated. We hypothesize that evidence-based public health could be strengthened by understanding these differences, harvesting best-practice across the disciplines and breaking down communication barriers between economists and epidemiologists who conduct trials of public health interventions...
March 27, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29590366/-drug-adherence-levels-are-falling-down-again-health-worker-perceptions-of-women-s-service-utilization-before-and-after-integration-of-hiv-aids-services-into-general-care-in-india
#10
Shrivridhi Shukla, Felix M Muchomba, Judith L M McCoyd
Integrated models of HIV/AIDS service delivery are believed to have advantages over stand-alone models of care from health planners' and providers' perspectives. Integration models differ, yet there is little information about the influence of differing models on workers' beliefs about models' efficacy. Here, we examine the effect of integration of HIV care into the general health system in India. In 2014, India replaced its stand-alone model of HIV service delivery-Community Care Centers (CCCs)-with a purported integrated model that delivers HIV medical services at general hospitals and HIV psychosocial services at nearby Care and Support Centers (CSCs)...
March 26, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29562286/health-industry-linkages-for-local-health-reframing-policies-for-african-health-system-strengthening
#11
Maureen Mackintosh, Julius Mugwagwa, Geoffrey Banda, Paula Tibandebage, Jires Tunguhole, Samuel Wangwe, Mercy Karimi Njeru
The benefits of local production of pharmaceuticals in Africa for local access to medicines and to effective treatment remain contested. There is scepticism among health systems experts internationally that production of pharmaceuticals in sub-Saharan Africa (SSA) can provide competitive prices, quality and reliability of supply. Meanwhile low-income African populations continue to suffer poor access to a broad range of medicines, despite major international funding efforts. A current wave of pharmaceutical industry investment in SSA is associated with active African government promotion of pharmaceuticals as a key sector in industrialization strategies...
March 19, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29562262/effects-of-a-community-based-neonatal-care-package-program
#12
Yubraj Acharya
This article evaluates a community-based effort aimed at reducing neonatal mortality. I use nationally representative data from Nepal, where 22 children per 1000 die within the first month of their birth, and evaluate the impact of Community-Based Neonatal Care Package. The identification is based on a before-and-after comparison of outcomes in program districts relative to those in non-program districts. I find that the program was successful in encouraging cleaner deliveries for births that took place at home and in increasing prenatal visits to the health center by pregnant women significantly...
March 19, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29762708/the-impact-of-cash-transfers-on-social-determinants-of-health-and-health-inequalities-in-sub-saharan-africa-a-systematic-review
#13
Ebenezer Owusu-Addo, Andre M N Renzaho, Ben J Smith
Cash transfers (CTs) are now high on the agenda of most governments in low- and middle-income countries. Within the field of health promotion, CTs constitute a healthy public policy initiative as they have the potential to address the social determinants of health (SDoH) and health inequalities. A systematic review was conducted to synthesise the evidence on CTs' impacts on SDoH and health inequalities in sub-Saharan Africa, and to identify the barriers and facilitators of effective CTs. Twenty-one electronic databases and the websites of 14 key organizations were searched in addition to grey literature and hand searching of selected journals for quantitative and qualitative studies on CTs' impacts on SDoH and health outcomes...
June 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29538641/medical-society-engagement-in-contentious-policy-reform-the-ethiopian-society-for-obstetricians-and-gynecologists-esog-and-ethiopia-s-2005-reform-of-its-penal-code-on-abortion
#14
Sarah Jane Holcombe
Unsafe abortion is one of the three leading causes of maternal mortality in low-income countries; however, few countries have reformed their laws to permit safer, legal abortion, and professional medical associations have not tended to spearhead this type of reform. Support from a professional association typically carries more weight than does that from an individual medical professional. However, theory predicts and the empirical record largely reveals that medical associations shy from engagement in conflictual policymaking such as on abortion, except when professional autonomy or income is at stake...
May 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29534176/donor-funding-for-family-planning-levels-and-trends-between-2003-and-2013
#15
Christopher Grollman, Francesca L Cavallaro, Diane Duclos, Victoria Bakare, Melisa Martínez Álvarez, Josephine Borghi
The International Conference on Population and Development in 1994 set targets for donor funding to support family planning programmes, and recent initiatives such as FP2020 have renewed focus on the need for adequate funding to rights-based family planning. Disbursements supporting family planning disaggregated by donor, recipient country and year are not available for recent years. We estimate international donor funding for family planning in 2003-13, the period covering the introduction of reproductive health targets to the Millennium Development Goals and up to the beginning of FP2020, and compare funding to unmet need for family planning in recipient countries...
May 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29529282/the-investment-case-for-hepatitis-b-and-c-in-south-africa-adaptation-and-innovation-in-policy-analysis-for-disease-program-scale-up
#16
Robert Hecht, Lindsey Hiebert, Wendy C Spearman, Mark W Sonderup, Teresa Guthrie, Timothy B Hallett, Shevanthi Nayagam, Homie Razavi, Shan Soe-Lin, Kgomotso Vilakazi-Nhlapo, Yogan Pillay, Stephen Resch
Even though WHO has approved global goals for hepatitis elimination, most countries have yet to establish programs for hepatitis B and C, which account for 320 million infections and over a million deaths annually. One reason for this slow response is the paucity of robust, compelling analyses showing that national HBV/HCV programs could have a significant impact on these epidemics and save lives in a cost-effective, affordable manner. In this context, our team used an investment case approach to develop a national hepatitis action plan for South Africa, grounded in a process of intensive engagement of local stakeholders...
May 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29522103/designing-programs-to-improve-diets-for-maternal-and-child-health-estimating-costs-and-potential-dietary-impacts-of-nutrition-sensitive-programs-in-ethiopia-nigeria-and-india
#17
William A Masters, Katherine L Rosettie, Sarah Kranz, Goodarz Danaei, Patrick Webb, Dariush Mozaffarian
Improving maternal and child nutrition in resource-poor settings requires effective use of limited resources, but priority-setting is constrained by limited information about program costs and impacts, especially for interventions designed to improve diet quality. This study utilized a mixed methods approach to identify, describe and estimate the potential costs and impacts on child dietary intake of 12 nutrition-sensitive programs in Ethiopia, Nigeria and India. These potential interventions included conditional livestock and cash transfers, media and education, complementary food processing and sales, household production and food pricing programs...
May 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29514283/district-team-problem-solving-as-an-approach-to-district-health-programme-planning-a-review-and-survey-of-its-status-in-selected-districts-in-indonesia
#18
David Barry Hipgrave, Lukman Hendro Laksmono, Gita Maya Koemarasakti, Robin Nandy, Budhi Setiawan, Lukas Hermawan, Deswanto Marbun
District team problem solving (DTPS) was developed by WHO in the 1980s to explicitly engage local stakeholders in decentralized planning and, in later iterations, budgeting of health services. It became WHO's global flagship approach to district-level health priority-setting and planning. DTPS entails multisectoral stakeholders (the team) using local data to prioritize and fund services, and should enhance capacity in management of decentralized healthcare. From the late 1990s, DTPS evolved through several phases in Indonesia...
May 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29506146/assessing-the-influence-of-knowledge-translation-platforms-on-health-system-policy-processes-to-achieve-the-health-millennium-development-goals-in-cameroon-and-uganda-a-comparative-case-study
#19
Pierre Ongolo-Zogo, John N Lavis, Goran Tomson, Nelson K Sewankambo
There is a scarcity of empirical data on the influence of initiatives supporting evidence-informed health system policy-making (EIHSP), such as the knowledge translation platforms (KTPs) operating in Africa. To assess whether and how two KTPs housed in government-affiliated institutions in Cameroon and Uganda have influenced: (1) health system policy-making processes and decisions aiming at supporting achievement of the health millennium development goals (MDGs); and (2) the general climate for EIHSP. We conducted an embedded comparative case study of four policy processes in which Evidence Informed Policy Network (EVIPNet) Cameroon and Regional East African Community Health Policy Initiative (REACH-PI) Uganda were involved between 2009 and 2011...
May 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29471544/10-best-resources-on-power-in-health-policy-and-systems-in-low-and-middle-income-countries
#20
Veena Sriram, Stephanie M Topp, Marta Schaaf, Arima Mishra, Walter Flores, Subramania Raju Rajasulochana, Kerry Scott
Power is a critical concept to understand and transform health policy and systems. Power manifests implicitly or explicitly at multiple levels-local, national and global-and is present at each actor interface, therefore shaping all actions, processes and outcomes. Analysing and engaging with power has important potential for improving our understanding of the underlying causes of inequity, and our ability to promote transparency, accountability and fairness. However, the study and analysis of the role of power in health policy and systems, particularly in the context of low- and middle-income countries, has been lacking...
May 1, 2018: Health Policy and Planning
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