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Health Policy and Planning

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https://www.readbyqxmd.com/read/29045686/the-need-for-speed-the-peer-review-process-and-what-are-we-doing-about-it
#1
Diana Epstein, Virginia Wiseman, Natasha Salaria, Sandra Mounier-Jack
No abstract text is available yet for this article.
October 17, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29045672/dynamics-of-evidence-informed-health-policy-making-in-pakistan
#2
Zaeem Haq, Assad Hafeez, Shamsa Zafar, Abdul Ghaffar
Incorporating evidence is fundamental to maintaining the general acceptance and efficiency in public policies. In Pakistan, different actors-local and global-strive to facilitate the development of evidence-informed health policies. Effective involvement however, requires knowledge of the country-context, i.e. knowing the intricacies of how policies are formulated in Pakistan. Obtaining this knowledge is one of the key steps to making interventions impactful. We carried out a qualitative study to explore the environment of evidence-informed health policy in Pakistan...
October 17, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29040516/integrated-mental-health-services-in-china-challenges-and-planning-for-the-future
#3
Di Liang, Vickie M Mays, Wei-Chin Hwang
Eager to build an integrated community-based mental health system, in 2004 China started the '686 Programme', whose purpose was to integrate hospital and community services for patients with serious mental illness. In 2015, the National Mental Health Working Plan (2015-2020) proposed an ambitious strategy for implementing this project. The goal of this review is to assess potential opportunities for and barriers to successful implementation of a community-based mental health system that integrates hospital and community mental health services into the general healthcare system...
October 13, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29040476/national-responses-to-global-health-targets-exploring-policy-transfer-in-the-context-of-the-unaids-90-90-90-treatment-targets-in-ghana-and-uganda
#4
Ellen McRobie, Fred Matovu, Aisha Nanyiti, Justice Nonvignon, Daniel Nana Yaw Abankwah, Kelsey K Case, Timothy B Hallett, Johanna Hanefeld, Lesong Conteh
Global health organizations frequently set disease-specific targets with the goal of eliciting adoption at the national-level; consideration of the influence of target setting on national policies, programme and health budgets is of benefit to those setting targets and those intended to respond. In 2014, the Joint United Nations Programme on HIV/AIDS set 'ambitious' treatment targets for country adoption: 90% of HIV-positive persons should know their status; 90% of those on treatment; 90% of those achieving viral suppression...
October 11, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29040469/the-commercialization-of-traditional-medicine-in-modern-cambodia
#5
Bandeth Ros, Gillian Lê, Barbara McPake, Suzanne Fustukian
Globally, traditional medicine has long been used to address relatively common illness, mental ill health and during childbirth and post-natal care. However, traditional medicine is primarily provided by the private sector and it is unclear how far expenditures on traditional medicine contribute to household impoverishment. A life history method was used to understand the health seeking experience of 24 households over the last 60 years in Cambodia, a country with high out-of-pocket expenditures for health...
October 11, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29040509/a-new-use-for-an-old-tool-maternity-waiting-homes-to-improve-equity-in-rural-childbirth-care-results-from-a-cross-sectional-hospital-and-community-survey-in-tanzania
#6
Piera Fogliati, Manuela Straneo, Sabina Mangi, Gaetano Azzimonti, Firma Kisika, Giovanni Putoto
Limited quality of childbirth care in sub-Saharan Africa primarily affects the poor. Greater quality is available in facilities providing advanced management of childbirth complications. We aimed to determine whether Maternity Waiting Homes (MWHs) may be a tool to improve access of lower socio-economic women to such facilities. Secondary analysis of a cross-sectional hospital survey from Iringa District, Tanzania was carried out. Women who delivered between October 2011 and May 2012 in the only District facility providing comprehensive Emergency Obstetric Care were interviewed...
October 10, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29036530/what-does-quality-maternity-care-mean-in-a-context-of-medical-pluralism-perspectives-of-women-in-nigeria
#7
Chimaraoke O Izugbara, Frederick Wekesah
User priorities regarding quality care in contexts of medical pluralism are poorly documented. Drawing on group and individual interviews with women, we interrogate ideas of quality maternity care in the context of Nigeria's medical pluralism. We found complex utilization patterns for conventional, complementary and alternative maternity care services as well as ideas of quality maternity care that stress effective coordination and integration of different typologies of maternity health services; socially sensitive and truthful providers; and socioeconomic, physical and parochial forms of safety...
October 5, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29036453/heath-sector-network-governance-and-state-building-in-south-kivu-democratic-republic-of-congo
#8
Aembe Bwimana
Longstanding patterns of interaction exist between state and non-state actors seeking to improve public health in Democratic Republic of Congo (DRC). DRC is a weak state, and, in many cases, private actors have stepped in to fill the void created by the lack of state health care provision. However, the role of these interactions in creating a governance network in the health sector has been underexplored. Using data from 18 months of qualitative field research, this study aimed to explore governance networks in DRC's health sector, examining how multiple stakeholders work to manage the health system and how the resulting governance network has been relevant for the state-building process...
October 5, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29036378/the-effect-of-costs-on-kenyan-households-demand-for-medical-care-why-time-and-distance-matter
#9
Matt Kukla, Niccie McKay, Richard Rheingans, Jeff Harman, Jessica Schumacher, Karen L Kotloff, Myrone M Levine, Robert Breiman, Tamer Farag, Damian Walker, Dilruba Nasrin, Richard Omore, Ciara O'Reilly, Eric Mintz
In an environment of constrained resources, policymakers must identify solutions for financing and delivering health services that are efficient and sustainable. However, such solutions require that policymakers understand the complex interaction between household utilization patterns, factors influencing household medical decisions, and provider performance. This study examined whether and under what conditions out-of-pocket, transportation, and time costs influenced Kenyan households' choice of medical provider for childhood diarrhoeal illnesses...
October 5, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29029068/considering-health-equity-when-moving-from-evidence-based-guideline-recommendations-to-implementation-a-case-study-from-an-upper-middle-income-country-on-the-grade-approach
#10
Javier Eslava-Schmalbach, Paola Mosquera, Juan Pablo Alzate, Kevin Pottie, Vivian Welch, Elie A Akl, Janet Jull, Eddy Lang, Srinivasa Vittal Katikireddi, Rachel Morton, Lehana Thabane, Bev Shea, Airton T Stein, Jasvinder Singh, Ivan D Florez, Gordon Guyatt, Holger Schünemann, Peter Tugwell
The availability of evidence-based guidelines does not ensure their implementation and use in clinical practice or policy making. Inequities in health have been defined as those inequalities within or between populations that are avoidable, unnecessary and also unjust and unfair. Evidence-based clinical practice and public health guidelines ('guidelines') can be used to target health inequities experienced by disadvantaged populations, although guidelines may unintentionally increase health inequities. For this reason, there is a need for evidence-based clinical practice and public health guidelines to intentionally target health inequities experienced by disadvantaged populations...
October 3, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29029159/impact-evaluation-of-free-delivery-care-on-maternal-health-service-utilisation-and-neonatal-health-in-nepal
#11
Prabhat Lamichhane, Anurag Sharma, Ajay Mahal
Nepal introduced free delivery services for births in public facilities in 2005 in 25 districts with the intervention initially restricted to women with less than two living children and/or women with obstetric complications. After November 2007, eligibility conditions were relaxed to include all women, and the programme was later expanded to cover an additional 50 districts in December 2008. We exploit the phased expansion of the free birth delivery programme to identify its impact on place of delivery, the presence of skilled birth attendants (SBAs) and neonatal mortality using difference-in-difference methods, on data for 4457 live-births reported between 2001 and 2008 from Nepal Demographic and Health Surveys for 2006 and 2011...
September 27, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29029086/hiv-prevention-costs-and-their-predictors-evidence-from-the-orphea-project-in-kenya
#12
Omar Galárraga, Richard G Wamai, Sandra G Sosa-Rubí, Mercy G Mugo, David Contreras-Loya, Sergio Bautista-Arredondo, Helen Nyakundi, Joseph K Wang'ombe
We estimate costs and their predictors for three HIV prevention interventions in Kenya: HIV testing and counselling (HTC), prevention of mother-to-child transmission (PMTCT) and voluntary medical male circumcision (VMMC). As part of the 'Optimizing the Response of Prevention: HIV Efficiency in Africa' (ORPHEA) project, we collected retrospective data from government and non-governmental health facilities for 2011-12. We used multi-stage sampling to determine a sample of health facilities by type, ownership, size and interventions offered totalling 144 sites in 78 health facilities in 33 districts across Kenya...
September 26, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29029154/interrogating-resilience-in-health-systems-development
#13
Remco van de Pas, Majdi Ashour, Anuj Kapilashrami, Suzanne Fustukian
The Fourth Global Symposium on Health Systems Research was themed around 'Resilient and responsive health systems for a changing world.' This commentary is the outcome of a panel discussion at the symposium in which the resilience discourse and its use in health systems development was critically interrogated. The 2014-15 Ebola outbreak in West-Africa added momentum for the wider adoption of resilient health systems as a crucial element to prepare for and effectively respond to crisis. The growing salience of resilience in development and health systems debates can be attributed in part to development actors and philanthropies such as the Rockefeller Foundation...
September 23, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29029075/improving-health-systems-performance-in-low-and-middle-income-countries-a-system-dynamics-model-of-the-pay-for-performance-initiative-in-afghanistan
#14
O Alonge, S Lin, T Igusa, D H Peters
System dynamics methods were used to explore effective implementation pathways for improving health systems performance through pay-for-performance (P4P) schemes. A causal loop diagram was developed to delineate primary causal relationships for service delivery within primary health facilities. A quantitative stock-and-flow model was developed next. The stock-and-flow model was then used to simulate the impact of various P4P implementation scenarios on quality and volume of services. Data from the Afghanistan national facility survey in 2012 was used to calibrate the model...
September 23, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28973292/hospitalizations-for-primary-care-sensitive-conditions-association-with-socioeconomic-status-and-quality-of-family-health-teams-in-belo-horizonte-brazil
#15
Claunara Schilling Mendonça, Vanessa Bielefeldt Leotti, Juvenal Soares Dias-da-Costa, Erno Harzheim
Hospitalizations for primary care sensitive conditions (HPCSC) have been used as a measure of the effectiveness of primary care. Few studies, however, have measured the quality of primary health care (PHC) and how it impacts HPCSC trends. We employed previously calculated quality scores of PHC attributes (access, continuous/ongoing care, coordinated care and comprehensive care) assigned to health centres and investigated the correlation between these quality scores and HPCSC time trends in public hospitals in the city of Belo Horizonte, Brazil, adjusted by demographic and socioeconomic factors between 2010 and 2013...
September 2, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28973652/the-impact-of-prevention-and-control-of-infectious-disease-law-on-diarrhoea-control-a-5-year-evaluation-in-multiple-provinces-in-vietnam
#16
Dung Phung, Phu Dac Tran, Lien Huong Nguyen, Cuong Manh Do, Shannon Rutherford, Cordia Chu
To address to burden of infectious diseases such as diarrhoea, the Vietnamese government has enacted the Law on Prevention and Control of Infectious Diseases (LPCIDs) since July 2008. However, no evaluation of the impact of the LPCID has been conducted. This study aims to evaluate the impact of the LPCID on diarrhoeal control for the 5 years following the implementation of LPCID in Vietnam. We used an interrupted time series design using a segmented regression analysis to estimate the 'province-level' impact of LPCID and then used random-effect meta-analysis to estimate the pooled effect sizes of the 'country-level' impact of LPCID on diarrhoeal control throughout Vietnam...
August 31, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28973358/hiv-aids-national-strategic-plans-of-sub-saharan-african-countries-an-analysis-for-gender-equality-and-sex-disaggregated-hiv-targets
#17
Jennifer Sherwood, Alana Sharp, Bergen Cooper, Beirne Roose-Snyder, Susan Blumenthal
National Strategic Plans (NSPs) for HIV/AIDS are country planning documents that set priorities for programmes and services, including a set of targets to quantify progress toward national and international goals. The inclusion of sex-disaggregated targets and targets to combat gender inequality is important given the high disease burden among young women and adolescent girls in Sub-Saharan Africa, yet no comprehensive gender-focused analysis of NSP targets has been performed. This analysis quantitatively evaluates national HIV targets, included in NSPs from eighteen Sub-Saharan African countries, for sex-disaggregation...
August 31, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28973120/costing-essential-services-package-provided-by-a-non-governmental-organization-network-in-bangladesh
#18
Wu Zeng, Yara A Halasa, Marion Cros, Halida Akhter, Allyala Krishna Nandakumar, Donald S Shepard
The health profile of Bangladesh has improved remarkably, yet gaps in delivering quality health care remain. In response to the need for evidence to quantify resources for providing health services in Bangladesh, this study estimates unit costs of providing the essential services package (ESP) in the not-for-profit sector. This study used a stratified sampling approach to select 18 static clinics, which had fixed facilities, from 330 non-profit clinics under Smiling Sun network in Bangladesh. Costs were estimated from the providers' perspective, using both top-down and bottom-up methods, from July 2014 to June 2015...
August 31, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28973515/barriers-and-enablers-of-kangaroo-mother-care-implementation-from-a-health-systems-perspective-a-systematic-review
#19
Grace Chan, Ilana Bergelson, Emily R Smith, Tobi Skotnes, Stephen Wall
Kangaroo Mother Care (KMC) is an evidence-based intervention that reduces neonatal morbidity and mortality. However, adoption among health systems has varied. Understanding the interaction between health system functions-leadership, financing, healthcare workers (HCWs), technologies, information and research, and service delivery-and KMC is essential to understanding KMC adoption. We present a systematic review of the barriers and enablers of KMC implementation from the perspective of health systems, with a focus on HCWs and health facilities...
August 24, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28973511/cost-effectiveness-of-an-hpv-self-collection-campaign-in-uganda-comparing-models-for-delivery-of-cervical-cancer-screening-in-a-low-income-setting
#20
Nicole G Campos, Vivien Tsu, Jose Jeronimo, Denise Njama-Meya, Mercy Mvundura, Jane J Kim
No abstract text is available yet for this article.
August 23, 2017: Health Policy and Planning
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