Building capacity for priority-setting

Colleagues and I have just published a new article in the journal, Global Health Action.

It is titled Strengthening expertise for health technology assessment and priority-setting in Africa.

As the article explains, “The focus on priority-setting is in response to the urgent need to ensure scarce resources are used effectively in support of Universal Health Coverage, and the scant literature discussing how technical economic evaluations should be integrated into highly political and complex priority-setting processes. Researchers’ roles in developing capacity in these areas are highlighted because few African governments have technology assessment units that can take responsibility for driving formal priority-setting processes.”

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Training health system leaders

One of the key reasons for weak public health systems is poor leadership.

It is urgent to up-skill aspirant leaders if countries want to achieve universal health coverage.

Here are some tips on how to do this in a way that is sensitive to the needs of workplaces:

Doherty J, Gilson L. 2015. Workplace-based learning for health systems leaders. London: RESYST Consortium. 

 

Achieving universal health coverage in Africa: is there a role for formal for-profit providers?

Here is the link for a blog post that has just been published on Oxfam’s Global Health Check – it summarises the recommendations of the paper in my previous post.

Doherty J. 2015. Achieving universal health coverage in Africa: is there a role for formal for-profit providers? Global Health Check. Available at: http://www.globalhealthcheck.org/?p=1841

Will for-profit private providers help low- and middle-income countries reach universal health coverage?

Doherty J. 2015. Achieving universal health coverage in East and Southern Africa: what role for for-profit providers? Paper presented as part of Panel Session T03P13: Private sector and universal health coverage – examining evidence and deconstructing rhetoric. DOI: 10.13140/RG.2.1.1993.9682. The International Conference on Public Policy, Università Cattolica del Sacro Cuore, Milan, Italy, 1-4 July 2015.

This paper cautions that regulatory frameworks governing the behaviour of the for-profit private health sector in Africa are weak.

These frameworks need to be strengthened before promoting the growth of the for-profit private health sector.

This is because, if poorly regulated, the behaviour of the for-profit health sector can lead to health system distortions that undermine progress towards universal access to affordable, quality health care.

More detail on legislation in the region can be found in:

Doherty J. 2015. Regulating the for-profit private health sector: lessons from East and Southern Africa. Health Policy and Planning; 30(3); i93-i102. doi: 10.1093/heapol/czu111.

Progress towards Universal Health Coverage in Fiji, Ghana, Hong Kong, Indonesia and Zambia

Some new country UHC assessments have been added to the website of the Global Network on Health Equity (GNHE).

  • Bangladesh
  • Fiji
  • Ghana
  • Hong Kong
  • Indonesia
  • Peru
  • South Africa
  • Taiwan
  • Tanzania
  • Uganda
  • Zambia

I’ve posted the link here because I am the editor of the series.

Universal health coverage assessment: South Africa

If anyone missed this in an earlier blog, I’ve posted a preliminary assessment of South Africa’s progress towards universal health coverage here.

The purpose of the assessment is to use what data are available to analyse the extent to which South Africans are enjoying financial protection against the costs of using health care services, and accessing the services they need.

Increasing the fiscal space for health in Africa

Tax-based financing is increasingly recognised as one of the better ways to finance universal health coverage.

But how feasible is it for low- and middle-income countries to increase tax revenue, and how likely is it that the public health sector will benefit from additional revenue? In other words, how easy is it to increase the fiscal space for health?

I have contributed to a study by the research consortium RESYST which explores some of these issues, using Kenya, Lagos State (in Nigeria) and South Africa as case studies.

See here for documents from this study.