PSinHealth at HSR2014

Health insurance

posted Sep 29, 2014, 1:44 AM by Jeff Knezovich

3 October, 11:30-13:00, 1.42

This session includes two presentations each on three topics: large-scale evidence of access effects; complexity in implementing insurance programmes; and user experiences of access to insurance and care.

Moderator: Peter Berman, Professor of the Practice of Global Health Systems and Economics, Harvard University, USA

  • Peter Annear, Academic, Nossal Institute for Global Health, Australia, Effective strategies for providing prepaid insurance and universal coverage to informal sector workers in low- and middle-income countries: The state of the evidence
  • Caroline Jehu-Appiah, Health Economist, African Development Bank, Tunis, The impact of a multi-stakeholder problem-solving programme on increasing enrolment in Ghana’s National Health Insurance Scheme: A cluster-randomized controlled trial
  • Gayatri Ganesh, Qualitative Research Consultant, Institute of Public Health, India, Social exclusion of women in a health financing scheme in Karnataka, India
  • Davidson Gwatkin, Senior Fellow, Results for Development, USA, How many poor people go without health care because of Its cost? The case of Central America 
  • Leizel Lagrada, OIC Vice President, Quality Assurance Group, Philippine Health Insurance Corporation, Philippines, The no-balance billing policy: Establishing and improving financial risk protection among sponsored patients in the Philippines
  • Luz Maria Gonzalez-Robledo, Associate Professor, Universidad Autonoma del Estado de Morelos, Mexico, Using complex adaptive systems lens: The dynamics of Mexico´s Seguro Popular policy adaptation

Launch of the Flagship Report of the Alliance for Health Policy and Systems Research 2014 Medicines in health systems: Advancing access, affordability and appropriate use

posted Sep 29, 2014, 1:37 AM by Jeff Knezovich

3 October, 08:15-09:15, 1.43-44

The Alliance for Health Policy and Systems Research 2014 report applies a systems approach in illustrating major challenges and advances in the access, affordability and appropriate use of medicines in low- and middle-income countries, using country case-studies. Following a description of how the access-to-medicines field has evolved since the 1970s, the report explores specific links between medicines and universal health coverage,  considers the role of innovation in developing and delivering medicines, and addresses the pluralistic health system around medicines, with a particular focus on health market systems. It concludes with recommendations for decision-makers to inform, monitor and evaluate the reforms required.

Moderator: John-Arne Røttingen, Chair of the Board, Alliance for Health Policy and Systems Research, WHO, Geneva

A voice in the conversation: Simulating a healthcare social business initiative from the perspective of patients, carers, physicians, nurses, community healthcare workers and pharmacists

posted Sep 29, 2014, 1:29 AM by Jeff Knezovich

2 October, 16:30-18:00, 1.42

A system dynamics (SD) simulation model will be used as a tool to evaluate, inform and communicate a pharmaceutical firm’s social business initiative to improve medicines access in a low-income country. By discussing baseline and alternative scenarios, participants will gain experience with a SD computer model designed to simulate current conditions and system changes following the initiative. Results of simulations will be reviewed. The discussion will conclude with suggestions for improving policy and programme choices and the model used to communicate and evaluate them. 

  • Anita Wagner, Associate Professor, Harvard Medical School & Harvard Pilgrim Health Care Institute, USA
  • James Thompson, Professor, Worcester Polytechnic Institute, USA

The challenges of corruption, accountability and partnerships in people-centred health systems

posted Sep 29, 2014, 1:26 AM by Jeff Knezovich

2 October, 16:30-18:00, Roof Terrace

The session presents a conceptual framework addressing primary health care governance, a realist synthesis on social accountability and considers the role of district managers and partnerships with faith-based providers in people-centred health systems.

Moderator: Jean-Pierre Olivier de Sardan, Director of Research, Lasdel (Laboratoire d’études et de recherche sur les dynamiques sociales et le développement local), Niger

  • Seye Abimbola, PhD candidate, School of Public Health, University of Sydney, Australia, Towards people-centred health systems: A conceptual framework for the analysis of primary health care governance in low- and middle-income countries
  • Meghan Guida, Monitoring & Evaluation Specialist, Management Sciences for Health, USA, People-centred health systems and corruption: A global survey of health managers’ perceptions of the causes of, and recommended ways to reduce, health-sector corruption
  • Elsbet Lodenstein, PhD researcher, Free University Amsterdam/Royal Tropical Institute (KIT), Netherlands, When and how does social accountability influence providers’ and policy-makers’ responsiveness in health service delivery in developing countries?
  • Jill Olivier, Lecturer, Health Policy & Systems Division, University of Cape Town, South Africa, Unique governance and partnership strategies for private non-profit health providers: People-centred strategies for faith-based providers

Knowledge-sharing mechanisms, implementation research tools and lessons learned from grantees of the UN Innovations Working Group Catalytic mHealth Grant Mechanism for MDGs 4 and 5

posted Sep 29, 2014, 1:21 AM by Jeff Knezovich

2 October, 14:30-16:00, Roof Terrace

This panel highlights the experiences of UN Innovations Working Group mHealth Catalytic Grant Mechanism grantee projects focused on scaling, making sustainable and institutionalizing their maternal and child health mHealth innovations. The panel will showcase three mature projects (IRD, MAMA, mTRAC) to detail elements critical for scaling and institutionalizing mHealth within the health system. Specific tools, emerging findings as well as concepts and metrics relevant for monitoring and assessing mHealth progress toward scale, sustainability, and institutionalization will be presented and discussed.

Moderator: Garrett Mehl, Scientist, WHO, Geneva

  • • Marcha Bekker, Head of Business Development, Praekelt Foundation, South Africa
  • Aamir Khan, Executive Director, IRD, Pakistan
  • Alain Labrique, Associate Professor, Johns Hopkins Bloomberg School of Public Health, USA

Strategic purchasing: An approach to bringing citizens’ perspectives to the health system

posted Sep 29, 2014, 1:16 AM by Jeff Knezovich

2 October, 11:30-13:00, Auditorium 2

Strategic purchasing can make health services more equitable and responsive to patient needs. This session will share the results of recent research on purchasing arrangements in 10 African and Asian settings, conducted by the RESYST consortium and the Asia Pacific Observatory on Health Systems. An overview of some of the key findings will be followed by an interactive panel discussion highlighting opportunities for citizen participation in purchasing decisions and monitoring the performance of purchasers and providers.

Moderator: Kara Hanson, Professor of Health System Economics, London School of Hygiene & Tropical Medicine, United Kingdom
  • Ayako Honda, Senior Lecturer, Health Economics Unit, University of Cape Town, South Africa
  • Ayanda Ntsaluba, Group Executive Director, Discovery Health, South Africa
  • Ogochukwu Ibe, Researcher, Health Policy Research Group, College of Medicine, University of Nigeria, Nigeria
  • Walaiporn Patcharanarumol, Senior Researcher, International Health Policy Program, Thailand
  • Laksono Trisnantoro, Lecturer, Universitas Gadjah Mada, Indonesia

Universal health coverage experiences in Africa and Asia

posted Sep 29, 2014, 12:52 AM by Jeff Knezovich

1 October 2014, 14:30-16:00, 1.42

This session includes presentations addressing African and Asian experiences around pathways to universal health coverage, including civil society involvement and potential impacts on fairness in financing and impoverishment. 

Moderator: Joe Kutzin, Coordinator, Health Financing Policy, WHO, Geneva

  • Nathan Blanchet, Senior Program Officer, Results for Development, USA, Building on community-based health insurance to expand national coverage: The case of Ghana
  • Juliana Gnamon, Student, University of Cocody, Côte d’Ivoire, Exploring pathways for universal coverage in Côte d’Ivoire
  • Brendan Kwesiga, Health Economist, HealthNet Consult, Uganda, Achieving fairness in health system financing on the path to universal health coverage: A case-study
  • Devaki Nambiar, Research Scientist, Public Health Foundation of India, India, Whose UHC? Reflections from a national consultation on the role of community in relation to universal health coverage in India
  • Phusit Prakongsai, Director, International Health Policy Program, Thailand, Reducing impoverishment from health payments: Impact of universal health care coverage in Thailand

Unpleasant reality or pillars of universal health coverage: An informed debate about informal healthcare providers in Asia and Africa

posted Sep 29, 2014, 12:48 AM by Jeff Knezovich

1 October 2014, 14:30-16:00, Roof Terrace

Informal healthcare providers are the first point of care for a majority of rural and urban poor populations in many countries, but marginalized by the formal health sector. With severe shortages of health human resources, informal providers represent a valuable untapped resource for universal health coverage. However, they present both challenges and opportunities in provision of accessible, affordable and good quality primary care. The panel will highlight current controversies, policies and workable approaches for engaging with informal providers, followed by an audience debate and a final vote for or against informal providers.

Moderator: Gina Lagomarsino, Managing Director, Results for Development, USA

  • Phyllis Awor, Research Fellow, Makerere University School of Public Health, Uganda
  • Meenakshi Gautham, Research Fellow, London School of Hygiene & Tropical Medicine, United Kingdom
  • Amod Kumar, Consultant, Uttar Pradesh Government, India
  • Jafary Liana, Senior Technical Advisor, Accredited Drug Dispensing Outlets Project, Tanzania
  • Prinitha Pillay, Programme Manager, Rural Health Advocacy Project, South Africa

Assessing ‘whole system’ performance

posted Sep 29, 2014, 12:39 AM by Jeff Knezovich

1 October, 11:30-13:00, Room 2.61-63

This session focuses on methods for conducting whole systems’ assessments including composite measures of universal health coverage, holistic assessment of health markets, combining cost effectiveness with health system assessments, and cross-country comparative studies of health and social systems for ageing populations. 

Moderator: Amanda Glassman, Director of Global Health Policy, Centre for Global Development, USA

  • Gabriela Gomez, Researcher, Amsterdam Institute for Global Health and Development, Netherlands, Taking a health systems perspective in the evaluation of a new first-line regimen for tuberculosis
  • Kai Hong Phua, Professor of Health and Social Policy, Lee Kuan Yew School of Public Policy, National University of Singapore, Singapore, Comparative study of health and social care systems for ageing populations in Asia
  • Shankar Prinja, Assistant Professor, Health Economics, School of Public Health, Post  Graduate Institute of Medical Education and Research, India, Development of a composite indicator to measure the extent of universal health care in India
  • Miguel SanJoaquin, Health Economist, World Bank Group, Phnom Pehn, Methods for understanding interplay between public perceptions, utilization and quality in health systems

Can community-based health insurance work as a pathway to universal health coverage? What lessons can we learn to inform country decision-making?

posted Sep 29, 2014, 12:36 AM by Jeff Knezovich

1 October, 11.30-13.00, Auditorium 2

Within a focus on people-centred health systems, community-based health insurance  might seem a useful way to ensure inclusion of community and patient perspectives toward the development of universal health coverage. However, popular wisdom has focused on conflicts between community-based and national insurance approaches. This panel presents data from the successful case of Rwanda, experience of China’s  rural health insurance development and a case-study of how Ghana weighed options to decide on an alternative model.

Moderator: Rodrigo Moreno-Serra, Research Fellow, Imperial College London, United Kingdom
  • Kwesi Eghan, Pharmacist, Management Sciences for Health, USA
  • Zina Jarrah, Technical Advisor, Management Sciences for Health, USA
  • Joseph Kutzin, Coordinator, Health Financing Policy, WHO, Geneva 
  • Hong Wang, Senior Program Officer, Bill & Melinda Gates Foundation, USA

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