Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

This report describes the short-term outcomes of an evaluation study for five different HIV cohorts using routinely collected data. The evaluation study is a collaboration between the National Department of Health of South Africa, the National Health Laboratory Service (NHLS) and the World Bank. Boston University/Health Economics and Epidemiology Research Office (HE2RO) is the academic partner in the evaluation. The overall aims of the evaluation are to assess the impact of South Africa`s Adherence Guideline interventions on HIV patients' treatment outcomes; estimate the costs of the interventions; and describe the cascade of care for TB, hypertension, and diabetes at the same clinics. The short-term endpoints reported on herein concern ART initiation among FTIC eligible patients, ARV medication pick-up among AC and DMD eligible patients, retention in care among TRIC eligible patients, and viral load suppression among EAC eligible patients. The final outcomes of this evaluation will be reported on separately, once patients have been follow-up for one year and routine data on viral load suppression and retention in care become available.

Health Care Services Industry --- Health Systems Development and Reform --- Health, Nutrition and Population --- Industry

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Though Belarus has achieved improvements in key health outcomes, it faces a growing burden of noncommunicable diseases (NCDs). Demographic processes in the Republic of Belarus are accompanied by a high rate of NCDs, with cardiovascular diseases (CVDs) being a leading cause of mortality and morbidity in the country. The objective of the Advisory Services and Analytics (ASA) was to help the government in developing an understanding of the vision on hospital optimization for 2021-2025, considering lessons learned from other Europe and Central Asian countries. The paper starts with Chapter 1, defining the epidemiological profile of Belarus, its burden of diseases, organization of hospital service delivery, and utilization of these services in a manner that sets the stage for the subsequent discussion; Chapter 2 on the explanation of the health financing mechanism in the country and provides information on imbalances in the financing of the health system in Belarus, referring to the Belarus Health Public Expenditure Review (2018); Chapter 3 of the paper describes the government proposal on the creation of the interregional centers (IRCs) and interdistrict centers (IDCs) and how these centers fit into the health care delivery system and their role and functionality; Chapter 4 shares international practice, to understand how countries such as Estonia, Finland, Denmark, Germany, Netherlands, and Australia are dealing with similar health care issues and how their health care services are organized to address cardiovascular morbidity and mortality; and Chapter 5 proposes some potential options for changes in the organization and delivery of hospital services, based on the discussions and issues raised in the previous chapters as well as on the analysis of hospitals in the two regions of Brest and Gomel.

Health Care Services Industry --- Health Service Management and Delivery --- Health Systems Development and Reform --- Health, Nutrition and Population --- Industry

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

In December 2012, the government of the Philippines passed the Sin Tax Law (RA 10351) which restructured and raised tobacco and alcohol taxes, while earmarking 85 percent of the incremental revenues for health. Of this 85 percent, 80 percent was intended to be used to provide free health insurance for poor and near-poor families through the National Health Insurance Program managed by PhilHealth, programs intended to speed progress of the health Millennium Development Goals, and programs to promote health awareness. The remaining 20 percent augments the financing of the Medical Assistance Program of the Department of Health (DOH), which is a hospital-based fund (in the name of mayors, congressmen, and DOH officials) that can be used at the discretion of the facility to cover the medical costs of those who cannot afford to pay, and also the DOH's Health Facilities Enhancement Program which allows the DOH to supplement the local governments' investments in health facilities. This reform was important from a health financing perspective.In November 2014, free health insurance coverage was also extended to the elderly. This paper assesses the extent to which the automatic enrollment of a large number of poor and elderly people into health insurance programs, as a result of the Sin Tax Law, has been associated with an increase in self-reported health insurance coverage, especially among the poorest quintiles and households living below the poverty line.

Health Care Services Industry --- Health Economics & Finance --- Health Insurance --- Health, Nutrition and Population --- Industry --- Tobacco Use and Control

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

In recent years, the Philippines has seen a rapid expansion of health insurance coverage, especially among the poor. In particular, the implementation of the 2012 Sin Tax Law, which increased tobacco and alcohol excise tax and earmarked most of the incremental revenues for PhilHealth premium subsidies for indigent households, contributed to an increase in the number of families receiving government-subsidized health insurance from 5.2 million to 15.3 million poor families and senior citizens between 2012 and 2015. This paper assesses how people who are eligible for government-subsidized (free) health insurance through Philippines Health Insurance Corporation (PhilHealth) find out about their eligibility and their benefits, and also how well people know the PhilHealth benefits.

Conditional Cash Transfers --- Health Care Services Industry --- Health Economics & Finance --- Health Insurance --- Health, Nutrition and Population --- Industry

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

This practical, interactive guide walks health program implementers through how to use cascade analytics to improve service delivery and client outcomes. For policy-makers, it explains the power of the cascade framework as an analysis tool and how it can help identify bottlenecks and solutions, and inform quality improvements and in-service reforms for more efficient, client-centered services. Cascade analytics also offer a practical way to track progress and demonstrate the concrete impact that specific changes in service delivery have on outcomes. In applications, we have found that cascades provide a powerful visual summary of where care processes stall and impact is lost. The guide helps readers master key concepts and guides them through the process of designing and conducting cascade analytics. It engages the reader and facilitates step-by-step learning with interactive features and real-life examples. The guide contains tried and tested templates for cascade analytics especially for non-communicable disease programs, and a worked example on hypertension care. The tools can also be used to better understand why clients are dropping out of care and what opportunities exist to bring them back and keep them in the program to attain their treatment targets.

Health Care Services Industry --- Health Service Management and Delivery --- Health Systems Development and Reform --- Health, Nutrition and Population --- Industry