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Browsing Journal Articles by Department "Health Economics Unit"

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Achieving universal health care coverage: Current debates in Ghana on covering those outside the formal sector

Author: Abiiro, Gilbert ; McIntyre, Di Date: 2012 BACKGROUND: Globally, extending financial protection and equitable access to health services to those outside the formal sector employment is a major challenge for achieving universal coverage. While some favour contributory schemes, others ... Read more c b
Analysis of agency relationships in the design and implementation process of the equity fund in Madagascar

Author: Honda, Ayako Date: 04 Feb 2015 Background: There are large gaps in the literature relating to the implementation of user fee policy and fee exemption measures for the poor, particularly on how such schemes are implemented and why many have not produced expected outcomes. ... Read more c b
Assessing catastrophic and impoverishing effects of health care payments in Uganda

Author: Kwesiga, Brendan ; Zikusooka, Charlotte M ; Ataguba, John E Date: 22 Jan 2015 Background: Direct out-of-pocket payments for health care are recognised as limiting access to health care services and also endangering the welfare of households. In Uganda, such payments comprise a large portion of total health financing. ... Read more c b
Assessing the impoverishment effects of out-of-pocket healthcare payments prior to the uptake of the national health insurance scheme in Ghana

Author: Akazili, James ; Ataguba, John Ele-Ojo ; Kanmiki, Edmund Wedam ; Gyapong, John ; Sankoh, Osman ; Oduro, Abraham ; McIntyre, Di Date: 22 May 2017 Background: There is a global concern regarding how households could be protected from relatively large healthcare payments which are a major limitation to accessing healthcare. Such payments also endanger the welfare of households with the ... Read more
Association of neighbourhood and individual social capital, neighbourhood economic deprivation and self-rated health in South Africa - a multi-level analysis

Author: Chola, Lumbwe ; Alaba, Olufunke Date: 2013 Social capital is said to influence health, mostly in research undertaken in high income countries' settings. Because social capital may differ from one setting to another, it is suggested that its measurement be context specific. We examine ... Read more c b
Clinical and financial burdens of secondary level care in a public sector antiretroviral roll-out setting (G F Jooste Hospital)

Author: Kevany, Sebastian ; Meintjes, Graeme ; Rebe, Kevin ; Maartens, Gary ; Cleary, Susan Date: 2009 Background: Antiretroviral therapy (ART) is being extended across South Africa. While efforts have been made to assess the costs of providing ART via accredited service points, little information is available on its downstream costs, particularly ... Read more c b
Cost-effectiveness analysis of the available strategies for diagnosing malaria in outpatient clinics in Zambia

Author: Chanda, Pascalina ; Castillo-Riquelme, Marianela ; Masiye, Felix Date: 2009 BACKGROUND:Malaria in Zambia accounts for about 4 million clinical cases and 8 000 deaths annually. Artemether-lumefantrine (ACT), a relatively expensive drug, is being used as first line treatment of uncomplicated malaria. However, diagnostic ... Read more c b
The cost-effectiveness of Antiretroviral Treatment in Khayelitsha, South Africa - a primary data analysis

Author: Cleary, Susan ; McIntyre, Di ; Boulle, Andrew Date: 2006 BACKGROUND:Given the size of the HIV epidemic in South Africa and other developing countries, scaling up antiretroviral treatment (ART) represents one of the key public health challenges of the next decade. Appropriate priority setting and ... Read more c b
A costing analysis of B-GAP: index-linked HIV testing for children and adolescents in Zimbabwe

Author: Vasantharoopan, Arthi ; Maheswaran, Hendramoorthy ; Simms, Victoria ; Dziva Chikwari, Chido ; Chigwenah, Tariro ; Chikodzore, Rudo ; Nyathi, Khulamuzi ; Ncube, Gertrude ; Ferrand, Rashida A ; Guinness, Lorna Date: 12 Oct 2021 Background By testing children and adolescents of HIV positive caretakers, index-linked HIV testing, a targeted HIV testing strategy, has the ability to identify high risk children and adolescents earlier and more efficiently, ... Read more c b
Crises and resilience at the frontline-public health facility managers under devolution in a sub-county on the Kenyan Coast

Author: Nyikuri, Mary ; Tsofa, Benjamin ; Barasa, Edwine ; Okoth, Philip ; Molyneux, Sassy Date: 2015 BACKGROUND: Public primary health care (PHC) facilities are for many individuals the first point of contact with the formal health care system. These facilities are managed by professional nurses or clinical officers who are recognised to ... Read more c b
Devolution and its effects on health workforce and commodities management – early implementation experiences in Kilifi County, Kenya

Author: Tsofa, Benjamin ; Goodman, Catherine ; Gilson, Lucy ; Molyneux, Sassy Date: 15 Sep 2017 Background: Decentralisation is argued to promote community participation, accountability, technical efficiency, and equity in the management of resources, and has been a recurring theme in health system reforms for several decades. In 2010, ... Read more c b
Disability Grant: a precarious lifeline for HIV/AIDS patients in South Africa

Author: Govender, Veloshnee ; Fried, Jana ; Birch, Stephen ; Chimbindi, Natsayi ; Cleary, Susan Date: 2015 BACKGROUND:In South Africa, HIV/AIDS remains a major public health problem. In a context of chronic unemployment and deepening poverty, social assistance through a Disability Grant (DG) is extended to adults with HIV/AIDS who are unable to ... Read more c b
Does the distribution of health care benefits in Kenya meet the principles of universal coverage?

Author: Chuma, Jane ; Maina, Thomas ; Ataguba, John Date: 2012 BACKGROUND:The 58th World Health Assembly called for all health systems to move towards universal coverage where everyone has access to key promotive, preventive, curative and rehabilitative health interventions at an affordable cost. Universal ... Read more c b
Economic evaluation of task-shifting approaches to the dispensing of anti-retroviral therapy

Author: Foster, Nicola ; McIntyre, Diane Date: 2012 BACKGROUND:A scarcity of human resources for health has been identified as one of the primary constraints to the scale-up of the provision of Anti-Retroviral Treatment (ART). In South Africa there is a particularly severe lack of pharmacists. ... Read more c b
Extending coverage to informal sector populations in Kenya: design preferences and implications for financing policy

Author: Okungu, Vincent ; Chuma, Jane ; Mulupi, Stephen ; McIntyre, Diane Date: 09 Jan 2018 Background: Universal health coverage (UHC) is important in terms of improving access to quality health care while protecting households from the risk of catastrophic health spending and impoverishment. However, progress to UHC has been ... Read more
Extending coverage to informal sector populations in Kenya: design preferences and implications for financing policy

Author: Okungu, Vincent ; Chuma, Jane ; Mulupi, Stephen ; McIntyre, Diane Date: 2018 Universal health coverage (UHC) is important in terms of improving access to quality health care while protecting households from the risk of catastrophic health spending and impoverishment. However, progress to UHC has been hampered by the ... Read more
Financing and cost-effectiveness analysis of public-private partnerships: provision of tuberculosis treatment in South Africa

Author: Sinanovic, Edina ; Kumaranayake, Lilani Date: 2006 BACKGROUND: Public-private partnerships (PPP) could be effective in scaling up services. We estimated cost and cost-effectiveness of different PPP arrangements in the provision of tuberculosis (TB) treatment, and the financing required for ... Read more c b
Financing equitable access to antiretroviral treatment in South Africa

Author: Cleary, Susan ; McIntyre, Di Date: 2010 BACKGROUND:While South Africa spends approximately 7.4% of GDP on healthcare, only 43% of these funds are spent in the public system, which is tasked with the provision of care to the majority of the population including a large proportion ... Read more c b
From ‘stepchild of primary healthcare’ to priority programme: Lessons for the implementation of the National Integrated School Health Policy in South Africa

Author: Shung-King, Maylene Date: 2013 In this article, I explore the South African 2003 National School Health Policy (NSHP) and the revised 2012 Integrated School Health Policy (ISHP). I examine whether the shortcomings in the development, content and implementation of the 2003 ... Read more
General practitioners and national health insurance - Results of a national survey

Author: BLECHER, M ; JACOBS, T ; McIntyre, D Date: 1999 OBJECTIVE: To determine the attitudes of South African general practitioners (GPs) to national health insurance (NHI), social health insurance (SHI) and other related health system reforms. DESIGN: A national survey using postal questionnaires ... Read more

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