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Health Policy and Planning

Timothee Fruhauf, Linnea Zimmerman, Simon Peter Sebina Kibira, Fredrick Makumbi, Peter Gichangi, Solomon Shiferaw, Assefa Seme, Georges Guiella, Amy Tsui
The individual impacts of several components of family planning service quality on contraceptive use have been studied, but the influence of a composite measure synthesizing these components has not been often investigated. We (1) develop a composite score for family planning service quality based on health facility data from Burkina Faso, Ethiopia, Kenya and Uganda and (2) examine the influence of structural quality on contraceptive practice in these four countries. We used nationally representative cross-sectional survey data of health facilities and women of reproductive age...
July 13, 2018: Health Policy and Planning
Suhang Song, Xiaochen Ma, Luyu Zhang, Beibei Yuan, Qingyue Meng
A strong health workforce is widely recognized as a prerequisite for health care and a crucial determinant of health system performance. The number of health professionals in China increased following the 2009 health system reform, which, in part, aimed to address the shortage and unequal distribution of health professionals. We examined whether the distribution of health professionals was more equitable following the reform and whether the reform had targeted impacts in terms of the quantity of health professionals...
July 9, 2018: Health Policy and Planning
Collins Chansa, Jesper Sundewall, Numi Östlund
Development assistance for health (DAH) remains a significant and important source of health financing in many low and lower middle-income countries. However, this assistance has not been fully effective. This study explores the effect of currency exchange rate fluctuations on volatility of DAH in Zambia using a mixed methods approach. Data covering the period 1997-2008 were collected from various financial and programmatic reports, while six key informant interviews were conducted to validate and translate findings from the quantitative analysis...
June 22, 2018: Health Policy and Planning
Adam Bertscher, Leslie London, Marsha Orgill
Alcohol is a major contributor to the Non-Communicable Disease burden in South Africa. In 2000, 7.1% of all deaths and 7% of total disability-adjusted life years were ascribed to alcohol-related harm in the country. Regulations proposed to restrict alcohol advertising in South Africa present an evidence-based upstream intervention. Research on policy formulation in low- and middle-income countries is limited. This study aims to describe and explore the policy formulation process of the 2013 draft Control of Marketing of Alcoholic Beverages Bill in South Africa between March 2011 and May 2017...
June 21, 2018: Health Policy and Planning
Pamela Lilleston, Liliane Winograd, Spogmay Ahmed, Dounia Salamé, Dayana Al Alam, Kirsten Stoebenau, Ilaria Michelis, Sunita Palekar Joergensen
As the landscape of humanitarian response shifts from camp-based to urban- and informal-tented settlement-based responses, service providers and policymakers must consider creative modes for delivering health services. Psychosocial support and case management can be life-saving services for refugee women and girls who are at increased risk for physical, sexual and psychological gender-based violence (GBV). However, these services are often unavailable in non-camp refugee settings. We evaluated an innovative mobile service delivery model for GBV response and mitigation implemented by the International Rescue Committee (IRC) in Lebanon...
June 13, 2018: Health Policy and Planning
Lauren Suchman, Elizabeth Hart, Dominic Montagu
Social health insurance (SHI), one mechanism for achieving universal health coverage, has become increasingly important in low- and middle-income countries (LMICs) as they work to achieve this goal. Although small private providers supply a significant proportion of healthcare in LMICs, integrating these providers into SHI systems is often challenging. Public-private partnerships in health are one way to address these challenges, but we know little about how these collaborations work, how effectively, and why...
June 13, 2018: Health Policy and Planning
Lani Trenouth, Timothy Colbourn, Bridget Fenn, Silke Pietzsch, Mark Myatt, Chloe Puett
Cash-based interventions (CBIs) increasingly are being used to deliver humanitarian assistance and there is growing interest in the cost-effectiveness of cash transfers for preventing undernutrition in emergency contexts. The objectives of this study were to assess the costs, cost-efficiency and cost-effectiveness in achieving nutrition outcomes of three CBIs in southern Pakistan: a 'double cash' (DC) transfer, a 'standard cash' (SC) transfer and a 'fresh food voucher' (FFV) transfer. Cash and FFVs were provided to poor households with children aged 6-48 months for 6 months in 2015...
July 1, 2018: Health Policy and Planning
Candace Johnson
No abstract text is available yet for this article.
July 1, 2018: Health Policy and Planning
Gilbert Berdine, Vincent Geloso, Benjamin Powell
No abstract text is available yet for this article.
July 1, 2018: Health Policy and Planning
Octavio Gómez-Dantés
No abstract text is available yet for this article.
July 1, 2018: Health Policy and Planning
Katherine Hirschfeld
No abstract text is available yet for this article.
July 1, 2018: Health Policy and Planning
Gilbert Berdine, Vincent Geloso, Benjamin Powell
No abstract text is available yet for this article.
July 1, 2018: Health Policy and Planning
Rosalind McCollum, Sally Theobald, Lilian Otiso, Tim Martineau, Robinson Karuga, Edwine Barasa, Sassy Molyneux, Miriam Taegtmeyer
Devolution changes the locus of power within a country from central to sub-national levels. In 2013, Kenya devolved health and other services from central government to 47 new sub-national governments (known as counties). This transition seeks to strengthen democracy and accountability, increase community participation, improve efficiency and reduce inequities. With changing responsibilities and power following devolution reforms, comes the need for priority-setting at the new county level. Priority-setting arises as a consequence of the needs and demand for healthcare resources exceeding the resources available, resulting in the need for some means of choosing between competing demands...
July 1, 2018: Health Policy and Planning
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...
July 1, 2018: Health Policy and Planning
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...
July 1, 2018: Health Policy and Planning
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
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...
June 1, 2018: Health Policy and Planning
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...
June 1, 2018: Health Policy and Planning
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...
June 1, 2018: Health Policy and Planning
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...
June 1, 2018: Health Policy and Planning
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