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Health Policy and Planning

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https://www.readbyqxmd.com/read/28531247/the-health-cost-of-tobacco-use-in-uganda
#1
Nigar Nargis, Kellen Nyamurungi, Sebastian Olakira Baine, Daniel Kadobera
The economic cost of tobacco use is well documented in high-income countries. It has been measured in relatively fewer low-and middle-income countries, and much less in sub-Saharan Africa despite the longstanding recognition of significant current and future health risk to people attributed by tobacco use in this region. This article fills this gap by estimating the economic cost of tobacco use in Uganda, a low-income country in sub-Saharan Africa. This study estimates the economic cost of tobacco use in Uganda using the cost-of-illnesses approach based on data collected from a survey of patients and caregivers in four major service centers in Mulago National Referral Hospital, namely, Uganda Cancer Institute, Uganda Heart Institute, Chest Clinic and Diabetic Clinic, key informant interviews and secondary sources for the year 2014...
May 22, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28531288/an-evaluation-of-systemic-reforms-of-public-hospitals-the-sanming-model-in-china
#2
Hongqiao Fu, Ling Li, Mingqiang Li, Chunyu Yang, William Hsiao
Low- and middle-income countries (LMICs) have been searching for effective strategies to reform their inefficient and wasteful public hospitals. Recently, China developed a model of systemic reforms called the Sanming model to address the inefficiency and waste at public hospitals. In this article, we explain and evaluate how the Sanming model reformed its 22 public hospitals in 2013 by simultaneously restructuring the hospital governance structure, altering the payment system to hospitals, and realigning physicians' incentives...
May 20, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28520949/socio-economic-inequalities-in-access-to-maternal-and-child-healthcare-in-nigeria-changes-over-time-and-decomposition-analysis
#3
Oludamilola Adeyanju, Sandy Tubeuf, Tim Ensor
This article examines socioeconomic inequalities in maternal and child health care in Nigeria over an 18-year period. Studies demonstrate that maternal and child mortality is much higher amongst the poor in low-income countries, with access to health care concentrated among the wealthiest. Evidence suggests that in Nigeria inequalities in access to quality services continue to persist. We use data from two rounds of the Nigerian Demographic and Heath Survey (NDHS) conducted in 1990 and 2008 and measure inequalities in maternal and child health care variables across socioeconomic status using concentration curves and indices...
May 17, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28520961/building-a-middle-range-theory-of-free-public-healthcare-seeking-in-sub-saharan-africa-a-realist-review
#4
Emilie Robert, Oumar Mallé Samb, Bruno Marchal, Valéry Ridde
Realist reviews are a new form of knowledge synthesis aimed at providing middle-range theories (MRTs) that specify how interventions work, for which populations, and under what circumstances. This approach opens the 'black box' of an intervention by showing how it triggers mechanisms in specific contexts to produce outcomes. We conducted a realist review of health user fee exemption policies (UFEPs) in sub-Saharan Africa (SSA). This article presents how we developed both the intervention theory (IT) of UFEPs and a MRT of free public healthcare seeking in SSA, building on Sen's capability approach...
May 16, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28481996/drivers-of-health-system-strengthening-learning-from-implementation-of-maternal-and-child-health-programmes-in-mozambique-nepal-and-rwanda
#5
Fiona Samuels, Ana B Amaya, Dina Balabanova
There is a growing understanding that strong health systems are crucial to sustain progress. Health systems, however, are complex and much of their success depends on factors operating at different levels and outside the health system, including broader governance and political commitment to health and social development priorities. Recognizing these complexities, this article offers a pragmatic approach to exploring the drivers of progress in maternal and child health in Mozambique, Nepal and Rwanda. To do this, the article builds on a semi-systematic literature review and case study findings, designed and analysed using a multi-level framework...
May 7, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28475754/a-cluster-randomized-evaluation-of-an-intervention-to-increase-skilled-birth-attendant-utilization-in-mid-and-far-western-nepal
#6
Bishnu P Choulagai, Sharad Onta, Narayan Subedi, Dharma N Bhatta, Binjwala Shrestha, Max Petzold, Alexandra Krettek
Skilled birth attendant (SBA) utilization is low in remote and rural areas of Nepal. We designed and implemented an evaluation to assess the effectiveness of a five-component intervention that addressed previously identified barriers to SBA services in mid- and far-western Nepal. We randomly and equally allocated 36 village development committees with low SBA utilization among 1-year intervention and control groups. The eligible participants for the survey were women that had delivered a baby within the past 12 months preceding the survey...
May 4, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28472460/did-contracting-effect-the-use-of-primary-health-care-units-in-pakistan
#7
Muhammad Ashar Malik, Ellen Van de Poel, Eddy Van Doorslaer
For many years, Pakistan has had a wide network of Basic Health Units spread across the country, but their utilization by the population in rural and peri-urban areas has remained low. As of 2004, in an attempt to improve the utilization and performance of these public primary healthcare facilities, the government has gradually started contracting-in intergovernmental organizations to manage these BHUs. Using five nationally representative household surveys conducted between 2001 and 2012, and exploiting the gradual roll-out of this reform to apply a difference-in-difference approach, we evaluate its impact on BHU utilization...
May 3, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28444197/understanding-the-linkages-between-social-safety-nets-and-childhood-violence-a-review-of-the-evidence-from-low-and-middle-income-countries
#8
Amber Peterman, Anastasia Naomi Neijhoft, Sarah Cook, Tia M Palermo
As many as one billion children experience violence every year, and household- and community-level poverty are among the risk factors for child protection violations. Social safety nets (SSNs) are a main policy tool to address poverty and vulnerability, and there is substantial evidence demonstrating positive effects on children's health and human capital. This paper reviews evidence and develops a framework to understand linkages between non-contributory SSNs and the experience of childhood emotional, physical and sexual violence in low- and middle-income countries...
April 22, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28444184/can-school-based-distribution-be-used-to-maintain-coverage-of-long-lasting-insecticide-treated-bed-nets-evidence-from-a-large-scale-programme-in-southern-tanzania
#9
Logan Stuck, Angelina Lutambi, Frank Chacky, Paul Schaettle, Karen Kramer, Renata Mandike, Rose Nathan, Joshua Yukich
Many sub-Saharan African countries have achieved substantial gains in insecticide treated bednet coverage since 2005. The Tanzania National Malaria Control Programme identified school-based net distribution as one potential 'keep-up' strategy for the purpose of maintaining long-lasting insecticidal net (LLIN) coverage after a nationwide mass campaign in 2011. The School Net Programme (SNP) was implemented in three regions of southern Tanzania and distributed one LLIN to each enrolled child attending schools in primary grades (standards) 1, 3, 5 and 7, and secondary grades (forms) 2 and 4 in 2013 and again with slightly modified eligibility criteria in 2014 and 2015...
April 22, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28431108/investments-in-children-s-health-and-the-kenyan-cash-transfer-for-orphans-and-vulnerable-children-evidence-from-an-unconditional-cash-transfer-scheme
#10
Carolyn Huang, Kavita Singh, Sudhanshu Handa, Carolyn Halpern, Audrey Pettifor, Harsha Thirumurthy
Child mortality is one of the most pressing global health and policy issues in the developing world. The leading drivers of death-pneumonia, diarrhea and malaria-are preventable and treatable. However, these illnesses are exacerbated by a lack of accessible nutrition, water, basic and preventive health services, and sanitary living conditions-all factors which are more likely to disproportionately impact the poor. We examine whether Kenya's largest social protection impacts children's incidence of upper respiratory illness...
April 18, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28430978/culture-matters-indigenizing-patient-safety-in-bhutan
#11
Rinchen Pelzang, Megan-Jane Johnstone, Alison M Hutchinson
Studies show that if quality of healthcare in a country is to be achieved, due consideration must be given to the importance of the core cultural values as a critical factor in improving patient safety outcomes. The influence of Bhutan's traditional (core) cultural values on the attitudes and behaviours of healthcare professionals regarding patient care are not known. This study aimed to explore the possible influence of Bhutan's traditional cultural values on staff attitudes towards patient safety and quality care...
April 17, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28419286/horizontal-inequity-in-outpatient-care-use-and-untreated-morbidity-evidence-from-nationwide-surveys-in-india-between-1995-and-2014
#12
Anamika Pandey, George B Ploubidis, Lynda Clarke, Lalit Dandona
Equity in healthcare has been a long-term guiding principle of health policy in India. We estimate the change in horizontal inequities in healthcare use over two decades comparing the older population (60 years or more) with the younger population (under 60 years). We used data from the nationwide healthcare surveys conducted in India by the National Sample Survey Organization in 1995-96 and 2014 with sample sizes 633 405 and 335 499, respectively. Bivariate and multivariate logit regression analyses were used to study the socioeconomic differentials in self-reported morbidity (SRM), outpatient care and untreated morbidity...
April 17, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28419264/evaluating-the-impact-of-contracting-out-basic-health-care-services-in-the-state-of-s%C3%A3-o-paulo-brazil
#13
Jane Greve, Vera Schattan Ruas Pereira Coelho
As a means of dealing with shortcomings in the coverage, quality and efficiency of the public health care sector, several municipalities in the state of São Paulo, Brazil, have started to contract pre-certified non-profit or non-governmental organizations to take part in the delivery of health care services.This paper explores the impact of introducing these contracts in the primary health care sector. Using data on the 645 municipalities in the state of São Paulo and difference-in-differences methods, we estimate the effect of contracting out in the primary health care sector on various dimensions of mortality and health care use...
April 16, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28407108/realizing-the-promise-of-the-partnership-for-maternal-newborn-and-child-health
#14
Hareya Fassil, John Borrazzo, Richard Greene, Troy Jacobs, Maureen Norton, Mary Ellen Stanton, Nana Taona Kuo, K Rogers, Luwei Pearson, Ted Chaiban, Anshu Banerjee, Shyama Kuruvilla, Marta Seaone, Ann Starrs, Betsy McCallon, Stefan Germann, Anshu Mohan, Flavia Bustreo, Helga Fogstad, C K Mishra
Reflecting on Storeng and Béhague ("Lives in the balance": the politics of integration in the Partnership for Maternal, Newborn and Child Health. Health Policy and Planning Storeng and Béhague (2016).) historical ethnography of the Partnership for Maternal, Newborn and Child Health (PMNCH), this commentary provides a more current account of PMNCH's trajectory since its inception in 2005. It highlights PMNCH's distinct characteristics and how it is positioned to play an instrumental role in the current global health landscape...
April 12, 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
#15
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...
April 12, 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
#16
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...
April 11, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28402420/the-effect-of-health-insurance-and-health-facility-upgrades-on-hospital-deliveries-in-rural-nigeria-a-controlled-interrupted-time-series-study
#17
Daniëlla Brals, Sunday A Aderibigbe, Ferdinand W Wit, Johannes C M van Ophem, Marijn van der List, Gordon K Osagbemi, Marleen E Hendriks, Tanimola M Akande, Michael Boele van Hensbroek, Constance Schultsz
Background : Access to quality obstetric care is considered essential to reducing maternal and new-born mortality. We evaluated the effect of the introduction of a multifaceted voluntary health insurance programme on hospital deliveries in rural Nigeria. Methods : We used an interrupted time-series design, including a control group. The intervention consisted of providing voluntary health insurance covering primary and secondary healthcare, including antenatal and obstetric care, combined with improving the quality of healthcare facilities...
April 11, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28402437/policy-ideals-and-everyday-politics-in-the-partnership-for-maternal-newborn-and-child-health-the-role-of-ethnography
#18
Katerini T Storeng, Dominique P Béhague
No abstract text is available yet for this article.
April 10, 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
#19
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...
April 5, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28369426/performance-based-financing-the-same-is-different
#20
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...
March 27, 2017: Health Policy and Planning
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