HRH Global Resource Center - Financial Aspects

The Health Workforce in Latin America and the Caribbean An Analysis of Colombia, Costa Rica, Jamaica, Panama, Peru, and Uruguay

Mon, 22 Jun 2015 12:32:14 +0000

This study intends to provide an update of the status of the human resources for health (HRH) subsystem in six countries of Latin America and the Caribbean (LAC)—Colombia, Costa Rica, Jamaica, Panama, Peru, and Uruguay. The study’s discussion centers around five questions: how the health workforce is financed, how it is organized, how it is managed, how it is regulated, and how it performs. Further, the study strives to understand what role, if any, performance management policies and incentives play in these countries’ HRH subsystems.

Tracking Implementation and (Un)intended Consequences: A Process Evaluation of an Innovative Peripheral Health Facility Financing Mechanism in Kenya

Thu, 30 Apr 2015 16:50:34 +0000

In many African countries, user fees have failed to achieve intended access and quality of care improvements. Subsequent user fee reduction or elimination policies have often been poorly planned, without alternative sources of income for facilities. We describe early implementation of an innovative national health financing intervention in Kenya; the health sector services fund (HSSF). [from abstract]

Health Sector Planning and Budgeting in Kenya: Recommendations to Improve Alignment

Thu, 30 Apr 2015 16:43:52 +0000

Kenya, like many developing countries, suffers from a persistent misalignment between policy, planning and budgeting; resulting in a failure of the government to achieve public sector targets and respond to changing population needs. Research conducted by KEMRI-Wellcome Trust Research Programme has found that several years after the adoption of these planning and budgeting tools, the desired linkage between policy, planning and resource allocation in the health sector is far from being realised.

Comparative Study on Health Care System Between Myanmar and China According to World Health Organization (WHO)’s Basic Health Blocks

Tue, 20 Jan 2015 13:44:19 +0000

This paper is a comparative analysis between China’s and Myanmar’s health systems, viewed through the WHO’s six building blocs of health systems: service delivery, health workforce, health information, access to essential medicines, health financing, leadership or governance.

Wage-Setting in the Hospital Sector

Fri, 16 Jan 2015 19:29:12 +0000

This paper examines wage setting mechanisms for health workers in hospitals across eight different OECD countries. It describes similarities and differences and how fixed or fluid these approaches have been in recent years through health system reforms, labour market dynamics and economic pressures. [from abstract]

Economic Evaluation of Complex Health System Interventions

Thu, 15 Jan 2015 17:38:32 +0000

The discussion paper provides guidance to those tasked with conducting an economic evaluation of complex health system interventions. The guidance will be an elaboration of existing National guidelines for economic evaluation and serve as a discussion paper to aid investigators conducting economic evaluations of complex health interventions. This paper is intended to be a starting point for heatlh system and policy researchers who wish to understand some of the fundamentals of economic evaluation and its application complex interventions. [from abstract]

Universal Health Coverage Reforms: Implications for the Distribution of the Health Workforce in Low- and Middle-Income Countries

Tue, 13 Jan 2015 19:24:56 +0000

This paper suggests that there are risks associated with health-financing reforms, for the geographical distribution
and performance of the health workforce. These risks require greater attention if poor and rural populations are to benefit from expanded financial protection. [from abstract]

Improving Financial Access to Health Care in the Kisantu District in the Democratic Republic of Congo: Acting Upon Complexity

Mon, 12 Jan 2015 14:07:11 +0000

Comzmercialization of health care has contributed to widen inequities between the rich and the poor, especially in settings with suboptimal regulatory frameworks of the health sector. Poorly regulated fee-for-service payment systems generate inequity and initiate a vicious circle in which access to quality health care gradually deteriorates.

Health Financing in the Republic of Gabon

Tue, 14 Oct 2014 13:42:47 +0000

This is a review of the health financing situation in the Republic of Gabon. The book reviews the situation in the country under the lens of the principles of health financing: revenue mobilization for health, risk pooling, and purchasing services. [from abstract]

Consultation on the Libyan Health Systems: Towards Patient-Centred Services

Thu, 24 Apr 2014 17:50:30 +0000

The extra demand imposed upon the Libyan health services during and after the Libyan revolution in 2011
led the ailing health systems to collapse. To start the planning process to re-engineer the health sector, a conference was held in Tripoli, Libya to facilitate a consultative process between 500 Libyan health experts in order to identify the problems within the Libyan health system and propose potential solutions. This article summarises the 500 health expert recommendations that seized the opportunity to map a modern health systems to take the Libyan health sector into the 21st century.