A Comparative Analysis of Health Markets and Private For Profit, Pro-Poor Interventions in East Africa
|
|
- John Walton
- 8 years ago
- Views:
Transcription
1 A Comparative Analysis of Health Markets and Private For-Profit, Pr A Comparative Analysis of Health Markets and Private For Profit, Pro-Poor Interventions in East Africa Salome Wawire
2 Presentation Outline Objectives of the Study Program Background M4P approach Selection of comparative health markets Methodology Key lessons Conclusions and Lessons Learned
3 Objectives Comparing health markets in six countries of East Africa Ethiopia, Kenya, Rwanda, Somalia, Tanzania, and Uganda Comparison in terms of; macroeconomics, health financing, insurance, and supply and demand for private sector healthcare services Identifying and comparing past and current private sector, pro-poor market interventions Identifying health markets with great potential for M4P interventions Sharing experiences and lessons of PSP4H and other programs on how to work with the private sector in health using a market based approach.
4 Program Background The Private Sector Innovation Programme for Health (PSP4H) is a DFIDfunded two year research project Implemented by Cardno Emerging Markets and consortium partners. DFID/Kenya is exploring a new approach to development assistance in health. The project utilizes a market systems approach to strengthen the for-profit health sector s capacity to reach the working poor and ensure they get better value for money spent in the private health sector.
5 What is M4P? M4P is an approach to analyse the participation of the poor in market systems and to offer guidance on how to influence markets so they benefit the poor. What distinguishes the M4P framework from others is the combination of analysis with action. Facilitative Many players in M4P in health Government Sector Informal Networks Not-for-Profit Sector Infrastructure Coordination Regulations Supporting Functions Standards Informing and Communicating Standards Setting and Enforcing Rules Informal Rules and Norms Representative Bodies Laws Membership Organizations Private Sector
6 Portfolio approach Many interventions across different health markets Emphasis on the results of the whole portfolio and less on particular interventions Iterative and continuous Lessons learned from success as well as failure Key Findings of Portfolio Approach It is adaptable in programming, allowing PSP4H to shut down unsuccessful interventions or to further invest in promising ones It is flexible in budgeting, permitting PSP4H to allocate its budget according to the size and scope of each intervention and therefore manage to the bottom line of the total portfolio Fosters innovation, permitting PSP4H to take risks and experiment in new health markets with different PFP actors and new approaches while at the same time, investing in proven approaches to scale.
7 Designing an intervention
8 Selection of comparative health markets Level of Macro-Economic Development Examining gross domestic product (GDP) Poverty profile Urbanization rates GDP, combined with percent living in poverty, provides a general sense of a country s overall wealth and size of the population with the ability to purchase health services in the private sector (Source: World Bank) Country Health % of GDP Public/ Private Mix of THE % THE that is OOP % THE from external sources Hospital beds per 1000 pop. Ethiopia / (2011) Kenya / (2010) Uganda / (2010) Rwanda / No data Somalia No data No data No data No data No data Tanzania / (2010)
9 Selection. Private Sector Contribution Number and type of private health facilities levels (infrastructure) Number and type of private health professionals (HRH) Total dollar amount spent in the health sector and or drugs purchased (Source: Various, including PSAs) Country % PFP Sector % Private HRH Infrastructure A Ethiopia 49% 55% GPs (PFP only) Kenya 48% 74% MDs (PFP only) Uganda 7% 58% of all HRH (PFP & PNFP) Rwanda 45% No data Somalia No data No data Tanzania 27.4% No data
10 Selection. Health Insurance Insurance, whether public, private or mixed, is an important driver of growth for the PFP health sector (Source, Economic Intelligence Unit, 2013) Public health insurance expenditure as % of THE, 2012 (%) Availability of Public health insurance (e.g. NHIF in Kenya) Total insurance penetration (Premiums as % of GDP), 2012 Ethiopia 48% Social health insurance and community based health insurance 0.50% Kenya 38% National Hospital Insurance Fund 3.20% (NHIF) Rwanda 57% Community Based Health Insurance 0.90% Tanzania 39% National Health Insurance Fund 0.90% Uganda 24% National Health Insurance Fund 0.70% Somalia N/A N/A N/A
11 Selection. Demand for Private Health Services Measuring demand side participation through consumers health-seeking behaviour (Sources: DHS for the specific countries) Country Public/Private Family planning 1 Public/Private Maternal Delivery 1 Public/Private Malaria A,2 Ethiopia 82.0/14.7 (PFP only) 8.7/ /46.6 (MIS) Kenya 57.3/39.2 (PFP only) 32.3/ /42.5 (MIS) Uganda 46.6/45.4 (excludes FBO/NGO) 44.0/ /47.3 (ACTw) Rwanda 92.0/ / /15.7 (MIS) Somalia No data No data No data Tanzania 65.2/26.4 (PFP only) 41.0/ /30.0 (PSA)
12 Selection. Based on the above selection criteria, the study selected Uganda and Tanzania as comparator health markets to Kenya in terms of readiness for M4P approach
13 Method For the three comparison countries selected: Literature review peer review journals, grey literature (reports) Key Informant Interviews with people in selected countries Four projects similar to PSP4H market interventions selected as below: Market Market Intervention PSP4H Other examples Drug Retail PHARMNET Network Tanzania - Accredited Drug Dispensing Outlets (ADDOs) Network Pooled Procurement Tunza Family Health Network Kenya - Kenya Association of Physician (TB) Low-cost, high quality maternal service Low-cost, high quality maternal service Private Community Midwives Network (PCMN) (Bungoma County) Jacaranda Health (Maternal, Newborn and Child Health market research and strategic marketing planning) Tanzania - PRINMAT Network of Nurse Midwives (no comparator) Micro-insurance for health Jawabu Uganda - Microcare
14 Key Lesson: Intervene with established health providers and institutions Cases: ADDO case in Tanzania and Pharmnet (PSP4H) case in Kenya Similarities : i) target drugs shops and/or pharmacies located in poor communities, ii) bring them under a common name or brand, iii) work with a lower-level pharmacy health cadre, iv) provide clinical and business training, and v) offer supportive supervision and continuous professional development. Differences ADDO uses informal providers and trains them while Pharmnet uses Pharm Techs Management: Pharmnet uses existing structures at KPA and Nairobi Pharm Tech to run a sustainable business model ADDO dependent on donor funds, and management transferred to Tanzania regulatory body Lesson: 1. Working with recognized formal providers has created savings in time and costs 2. Working with recognized formal institutions enhances programme sustainability
15 Key Lesson: A market intervention has to be easy or else it will not be adopted Cases: Kenya Association for the Prevention of Tuberculosis and Lung Disease (KAPTLD) and the Tunza Family Health Network of providers Similarities: Providing access to quality products Pooled procurement Differences Pooled procurement simplified for KAPTLD Pooled procurement deemed complicated for Tunza providers. Only 22% participate in the MEDS pooled procurement model Lesson: Simplified processes are easier to implement and easier to to be adopted
16 Key Lesson: Plan early for network management to be financially sustainable Cases: The Tunza Network, KAPTLD, Pharmnet (Kenya) and The Private Nurses and Midwives Association Tanzania (PRINMAT), Tanzania Similarities: Network Certain benefits to members Differences: Organized system of management ensuring sustainability and scale up for Pharmnet and KAPTLD and unsure model of sustainability for Tunza and PRINMAT Lessons: Managing provider networks, whether it is a chain of retail pharmacies or a group of private providers, is a complex task requiring a formal organizational structure. This needs to be part of the framework from the initial stages of the program
17 Key Lesson: A successful business model is as important as a high-quality service Case: Jacaranda Health (Kenya) Providing a comprehensive set of maternal and newborn child services supporting non-complicated deliveries at a secondary level facility Referral of complicated pregnancies to a tertiary hospital Innovations to keep costs low and affordable include: clinical task-shifting, standardization of operating procedures, and focus on cost-effectiveness Yet: There is low uptake of services and the facility is unable to convert its prenatal maternal health services into facility deliveries Lessons: Although the clinical delivery model is sound, the business model requires significant improvements. PSP4H is working with Jacaranda to address business side of operations
18 Key Lesson: Market interventions with potential scale may require more time and several attempts Cases: Afya Poa (PSP4H) and Microcare (Uganda) Similarities: Leveraging community groups and and microfinance (MFI) institutions Inpatient and outpatient insurance outpatient through Medical Savings Accounts (MSAs) Difficulties in engaging partners Underwriter for Afya Poa; MFIs for Microcare Spent long periods of time nurturing partnerships Differences: Afya Poa eventually got an underwriter and the project is ongoing Microcare closed down, albeit due to solvency issues Lesson: Time, patience and relationship management is required for success of interventions with potential scale
19 Conclusions and recommendations The goal of this report is to share lessons learned on how to work with the private sector in health using a market based approach. M4P approach works to analyse and shape health markets but with important differences between sectors, health markets Implementing M4P differs from traditional donor programming facilitative PSP4H has developed analytical approaches that can jumpstart future M4P programmes scan of private sector, consumer profiling, health seeking behaviour Using a portfolio approach helps minimize risk when facilitating change in health markets Adaptability, flexibility, innovation Field-based learning can guide design and implementation of market interventions PFPs serving the poor may have to partner with the government to achieve scale Consider Tanzania and Uganda as target countries for expansion of M4P in Health in the region
20 Thank You!
NATIONAL HEALTH ACCOUNTS:
THE REPUBLIC OF UGANDA MINISTRY OF HEALTH NATIONAL HEALTH ACCOUNTS: KEY MESSAGES (FY2010/11 & 2011/12) NATIIONAL HEALTH ACCOUNTS: KEY MESSAGES Introduction The overall purpose of the National Health Accounts
More informationHealth Insurance Systems in Five Sub-Saharan African Countries: Medicines Benefits and Data for Decision-Making
Health Insurance Systems in Five Sub-Saharan African Countries: Medicines Benefits and Data for Decision-Making Carapinha, Joao (1); Ross-Degnan, Dennis (2); Tamer Desta, Abayneh (3); Wagner, Anita (2)
More informationHealth Microinsurance -A Case Study in Kenya-
Health Microinsurance -A Case Study in Kenya- International Congress for Actuaries, 7-12 March 2010, Cape Town, South Africa Charles Mutua Regional Consultant Financial Services Swedish Cooperative Centre
More informationFinancing Private Health: A focus on Community Based Health Insurance. Dr. Ambrose Nyangao Intervention Manager 5 h June 2014
Financing Private Health: A focus on Community Based Health Insurance Dr. Ambrose Nyangao Intervention Manager 5 h June 2014 Comparing Kenya s private health markets with neighbouring markets: A focus
More informationThe Public Health Crisis in Kenya: and Economic Challenges
The Public Health Crisis in Kenya: An Inside Perspective on the Medical and Economic Challenges Mark Weisburst, MD, MBA, FACC, FACP Stanford Medical School Hartford Hospital University of Hartford Business
More informationPROPOSED MECHANISMS FOR FINANCING HEALTHCARE FOR THE POOR.
PROPOSED MECHANISMS FOR FINANCING HEALTHCARE FOR THE POOR. Concept Summary Aug 2014 Insight Health Advisors Dr. Gitonga N.R, Prof. G. Mwabu, C. Otieno. PURPOSE OF CONCEPT Propose a mechanism for mobilizing
More informationAnnex 1 Cadre definitions used in the project
WHO recommendations OPTIMIZEMNH Optimizing health worker roles to improve access to key maternal and newborn health interventions through task shifting Annex 1 Cadre definitions used in the project DEFINITIONS
More informationHOSPITAL SUBSECTOR ANALYSIS
HOSPITAL SUBSECTOR ANALYSIS Fourth Health Sector Development Project (RRP MON 41243) A. Introduction 1. The health status of the people of Mongolia has generally improved over the years, and significant
More informationAnnex 1 Cadre definitions used in the project
WHO recommendations OPTIMIZEMNH Optimizing health worker roles to improve access to key maternal and newborn health interventions through task shifting Annex 1 Cadre definitions used in the project DEFINITIONS
More informationTHE MASTERCARD FOUNDATION: RURAL AND AGRICULTURAL FINANCE STRATEGY
THE MASTERCARD FOUNDATION: RURAL AND AGRICULTURAL FINANCE STRATEGY SEPTEMBER 2015 The MasterCard Foundation works with visionary organizations to provide greater access to education, skills training and
More informationKENYA READY FOR TAKE OFF?
Central Bank of Kenya KENYA READY FOR TAKE OFF? A NATIONAL CONFERENCE ON KENYA S ECONOMIC SUCCESSES, PROSPECTS AND CHALLENGES SEPTEMBER 17 18, 2013, NAIROBI, KENYA KENYA S MOBILE PHONE FINANCIAL SERVICES:
More informationProtection Policy Statement
Partners for change School leadership Sub-Saharan Africa PARTNERS FOR CHANGE School leadership Partners for change The British Council works in partnership with key institutions across Sub-Saharan Africa
More informationEDUCATION AND SCHOOLS
PARTNERS FOR CHANGE EDUCATION AND SCHOOLS SUB-SAHARAN AFRICA PARTNERS FOR CHANGE EDUCATION AND SCHOOLS PARTNERS FOR CHANGE The British Council works in partnership with key institutions across Sub-Saharan
More informationStep 1: Analyze Data. 1.1 Organize
A private sector assessment combines quantitative and qualitative methods to increase knowledge about the private health sector. In the analytic phase, the team organizes and examines information amassed
More informationPresentation at the Global Health Policy Forum, Brussels, 25th of October 2012
Presentation at the Global Health Policy Forum, Brussels, 25th of October 2012 Beate Christiane Barth and Jennifer Hennig GIZ, Div. 43, Health, Education and Social Protection 5.11.2012 Seite Page 11 Basic
More informationUser Needs and Requirements Analysis for Big Data Healthcare Applications
User Needs and Requirements Analysis for Big Data Healthcare Applications Sonja Zillner, Siemens AG In collaboration with: Nelia Lasierra, Werner Faix, and Sabrina Neururer MIE 2014 in Istanbul: 01-09-2014
More informationVACANCY ANNOUNCEMENTS
VACANCY ANNOUNCEMENTS The Maternal and Child Survival Program (MCSP) is a USAID funded project assisting the Ministry of Health and Social welfare (MOH) to improve the effectiveness of the Ministry and
More informationAn analysis of the profitability of microinsurance for five insurance companies
briefing note 9 Microinsurance Innovation Facility A business case for microinsurance An analysis of the profitability of microinsurance for five insurance companies Is there a business case for microinsurance?
More informationApplying the Value Chain Framework to the Health Sector. Concept Note
Applying the Value Chain Framework to the Health Sector Concept Note I) Definition of value chain analysis Value chain analysis is an economic development strategy to reduce poverty by better integrating
More informationUS Hospital Information Systems Overview and Outlook, 2013 2020 Managing Information in an Era of Reform
US Hospital Information Systems Overview and Outlook, 2013 2020 Managing Information in an Era of Reform December 2014 Contents Section Slide Number Executive Summary 11 Market Background 19 The EHR Landscape
More informationACADRI 2015 TRAINING PROGRAMMES
No. COURSE TITLE DATES VENUES SECRETARIAL AND GENERAL ADMINISTRATION 1. SKILLS ENHANCEMENT PROGRAMME FOR EXECUTIVE SECRETARIES AND ADMINISTRATIVE/ PERSONAL ASSISTANTS Jan 12 30, 2015 (3 wks) May 11 29,
More informationSummary of UNICEF Private Fundraising and Partnerships Plan 2014-2017
Summary of UNICEF Private Fundraising and Partnerships Plan 2014-2017 1. Introduction The Private Fundraising and Partnerships Plan supports the UNICEF Strategic Plan 2014 2017 and other organizational
More informationU.S. Bureau of Labor Statistics. Pharmacy Tech
From the: U.S. Bureau of Labor Statistics Pharmacy Tech Pharmacy technicians fill prescriptions and check inventory. Pharmacy technicians help licensed pharmacists dispense prescription medication. They
More informationAFRICAN POLICY APPROACHES: MICROINSURANCE IN KENYA
AFRICAN POLICY APPROACHES: MICROINSURANCE IN KENYA AIO A2ii REGULATORS WORKSHOP, VICTORIA FALLS, ZIMBABWE Presented by: Sammy M. Makove, C.E.O & Commissioner of Insurance, Insurance Regulatory Authority
More informationAccess to affordable essential medicines 1
35 Access to affordable essential medicines 1 Target 8e In cooperation with pharmaceutical companies, provide access to affordable essential drugs in developing countries. Target 8e of the Millennium Development
More informationPioneering Social Health Insurance in Tanzania: The case of the National Health Insurance Fund. (NHIF)
IMPROVING ACCESS THROUGH EFFECTIVE HEALTH FINANCING Pioneering Social Health Insurance in Tanzania: The case of the National Health Insurance Fund. (NHIF) Presented by the Director General of NHIF Mr.
More informationWhy Accept Medicaid Dollars: The Facts
Why Accept Medicaid Dollars: The Facts If we accept federal Medicaid dollars, nearly 500,000 North Carolinians will gain access to health insurance. As many as 1,100 medically unnecessary deaths per year
More informationPromoting Sustainability of Health Markets: Financing Private Health Providers in Africa
Promoting Sustainability of Health Markets: Financing Private Health Providers in Africa Meaghan Smith Banyan Global March 26, 2014 SHOPS is funded by the U.S. Agency for International Development. Abt
More informationEPOC Taxonomy topics list
EPOC Taxonomy topics list Delivery Arrangements Changes in how, when and where healthcare is organized and delivered, and who delivers healthcare. How and when care is delivered Group versus individual
More informationUniversal Health Coverage in Africa. Germano Mwabu University of Nairobi and Kobe University, June 1, 2013, TICAD V, Yokohama, Japan.
Universal Health Coverage in Africa Germano Mwabu University of Nairobi and Kobe University, June 1, 2013, TICAD V, Yokohama, Japan. Introduction Health status in Africa has improved over the last two
More informationJOB DESCRIPTION RESULTS MEASUREMENT CO-ORDINATOR, FSD AFRICA
JOB DESCRIPTION RESULTS MEASUREMENT CO-ORDINATOR, FSD AFRICA SUMMARY FSD Africa is looking to recruit a motivated, team-orientated, high-achiever with significant experience of monitoring and results measurement
More informationTRAINING CATALOGUE ON IMPACT INSURANCE. Building practitioner skills in providing valuable and viable insurance products
TRAINING CATALOGUE ON IMPACT INSURANCE Building practitioner skills in providing valuable and viable insurance products 2016 List of training courses Introduction to microinsurance and its business case...
More informationA PROVIDER-DRIVEN HEALTH PLAN IN KENYA
Bima Poa A PROVIDER-DRIVEN HEALTH PLAN IN KENYA Introducing Bima Poa Bima Poa, which means cool insurance in Swahili, is a provider-driven health plan in Western Kenya. It combines health insurance for
More informationACCESS TO FINANCE RWANDA (AFR)
ACCESS TO FINANCE RWANDA (AFR) RECRUITMENT OF A TECHNICAL DIRECTOR - (Re- Advertised) 1. BACKGROUND Over the past ten years the UK s Department for International Development (DFID) has worked with other
More informationIslamic Republic of Afghanistan Ministry of Public Health. Contents. Health Financing Policy 2012 2020
Islamic Republic of Afghanistan Ministry of Public Health Contents Health Financing Policy 2012 2020 Table of Content 1. Introduction 1 1.1 Brief County Profile 1 1.2 Health Status Data 1 1.3 Sources
More informationperformance and quality improvement to strengthen skilled attendance
An affiliate of Johns Hopkins University using performance and quality improvement to strengthen skilled attendance United States Agency for International Development The Maternal and Neonatal Health (MNH)
More informationThe Role of the Health Service Administrator in TB Control. National Tuberculosis Control Programme
The Role of the Health Service Administrator in TB Control Goal/Objectives of NTP Mandate: To provide leadership for the health sector response to combat Tuberculosis in Ghana. Goal: To reduce the burden
More informationA different kind of health insurance.
A different kind of health insurance. For individuals, families, and small businesses. We were built for you. CHM_SMM01_1013 A different kind of partner for the new world of health insurance. The Affordable
More informationFIGHTING AGAINST MATERNAL AND NEONATAL MORTALITY IN DEVELOPING COUNTRIES
PRESS KIT February 2014 FIGHTING AGAINST MATERNAL AND NEONATAL MORTALITY IN DEVELOPING COUNTRIES WIVES ID M G IN T C E CONN CONTENT 02 Key figures 03 Launch of the international "Connecting Midwives" web
More informationThe landscape of Microinsurance in Tanzania: what lies beneath?
The landscape of Microinsurance in Tanzania: what lies beneath? Microinsurance learning session Dar es Salaam, 24-25 March 2014 Presented by: Christine Hougaard Context: divergent driving forces High inflation
More informationAcumen Fund. Impact Investing. Christine Kapkusum Senior Associate, Portfolio East Africa. Acumen Fund. October 4, 2011
Acumen Fund Impact Investing Christine Kapkusum Senior Associate, Portfolio East Africa Acumen Fund October 4, 2011 Acumen Fund is a not-for-profit that invests patient capital in enterprises that sustainably
More informationSenior Brand and Communications Strategist
Job description Job title Department Post holder Reporting to Responsible for Liaison with Senior Brand and Communications Strategist Technical Team Senior Brand and Communications Strategist Global Director
More informationComparative Health Care Systems. Folland et al Chapters 22
Comparative Health Care Systems. Folland et al Chapters 22 Chris Auld Economics 317 March 23, 2012 Health Care Systems. There are many different forms of health care delivery in place in different countries.
More informationA Business Case for Microinsurance
A Business Case for Microinsurance Munich Re Microinsurance Conference 2010 Presented by Doug Lacey November 2010 Agenda Purpose and methodology Experiences with insurers Framework for assessing profitability
More informationChina s 12th Five-Year Plan: Healthcare sector
China s 12th Five-Year Plan: Healthcare sector May 2011 KPMG CHINA One of the guiding principles of the 12th Five-Year Plan (5YP) is inclusive growth : helping ensure that the benefits of the country s
More informationLeadership Training: September - November, Acumen NYC
The mission of the Acumen Global Fellows Program is to build the next generation of social sector leaders by providing them with skills, tools and opportunities to reach their full leadership potential.
More informationSolar Sister s Energy Consignment Model
Emerging Models Solar Sister s Energy Consignment Model SOLAR SISTER 2011 AFFORDABILITY MECHANISMS AND ENERGY ACCESS Women Micro-Retailers Drive Solar Product Adoption in East Africa Founded in 2010 by
More informationWhat is the Public-Private Partnership Laboratory and Diagnostic Directory?
What is the Public-Private Partnership Laboratory and Diagnostic Directory? The Public-Private Partnership Laboratory and Diagnostic Directory is a joint publication between the Medical Laboratory Scientists
More informationWPS Medical Management
Medical Management WPS Medical Management Controlling Costs through Compassionate Support Managing Costs. Improving Outcomes. Just one employee with catastrophic medical claims can send your health insurance
More informationSETTING NEW STANDARDS IN A CHALLENGING ENVIRONMENT FOLA LAOYE IFC HEALTHCARE CONFERENCE 2009
SETTING NEW STANDARDS IN A CHALLENGING ENVIRONMENT FOLA LAOYE IFC HEALTHCARE CONFERENCE 2009 BACKGROUND ON NIGERIA Nigeria Most populous country in Africa and 8th most populous country in the world; population
More informationThe President s Emergency Plan for AIDS Relief. Report on Work Force Capacity and HIV/AIDS
The President s Emergency Plan for AIDS Relief Report on Work Force Capacity and HIV/AIDS Senate Report 109-96, accompanying H.R. 3057, called upon the Office of the United States Global AIDS Coordinator
More informationCosts of Maternal Health Care Serv ices in Masaka District, Uganda. Executive Summary. Special Initiatives Report 16
Costs of Maternal Health Care Serv ices in Masaka District, Uganda Special Initiatives Report 16 Cambridge, MA Lexington, MA Hadley, MA Bethesda, MD Washington, DC Chicago, IL Cairo, Egypt Johannesburg,
More informationUGANDA HEALTH CARE SYSTEM
UGANDA HEALTH CARE SYSTEM Community and Home based Rehabilitation Course Julius Kamwesiga KI May 2011 Objectives 1. Define a Health System 2. Describe how Ugandan Health care System is organized 3. Outline
More informationCreating professional unity for records managers and archivists: the experience of the Kenya Association of Records Managers and Archivists
Creating professional unity for records managers and archivists: the experience of the Kenya Association of Records Managers and Archivists Kenya s first professional association for records managers and
More informationAugust 2012. Action for Global Health call for International Development Select Committee Inquiry into health systems strengthening
August 2012 Action for Global Health call for International Development Select Committee Inquiry into health systems strengthening Introduction In recent years DFID has prioritised health and nutrition
More informationFinancial sustainability in social franchising: Promising approaches and emerging questions
Financial sustainability in social franchising: Promising approaches and emerging questions Financial sustainability in social franchising: Promising approaches and emerging questions Copyright 2014 UCSF
More informationSnapshot Report on Russia s Healthcare Infrastructure Industry
Snapshot Report on Russia s Healthcare Infrastructure Industry According to UK Trade & Investment report, Russia will spend US$ 15bn in next 2 years to modernize its healthcare system. (Source: UK Trade
More informationPPP- ROLE OF BUSINESS IN AFRICA S HEALTHCARE THE HYGEIA GROUP S EXPERIENCE
PPP- ROLE OF BUSINESS IN AFRICA S HEALTHCARE THE HYGEIA GROUP S EXPERIENCE FOLA LAOYE MARCH 2006 NIGERIAN HEALTHCARE OVERVIEW ROLE OF PPP IN NIGERIA HYGEIA S RESPONSE TO PPP IN NIGERIA NIGERIAN HEALTHCARE
More informationMolina Marketplace. We have a plan to keep you healthy.
Molina Marketplace We have a plan to keep you healthy. Access. Quality. Commitment. With the new Health Insurance Marketplace, you have a choice. Molina Healthcare is the answer. Here is why you should
More information4: Proposals for Best Practice Principles for GHP activities at country level
DOC 2.05-8.1 From: WORKING GROUP ON GLOBAL HEALTH PARTNERSHIPS: REPORT --- BEST PRACTICE PRINCIPLES FOR GLOBAL HEALTH PARTNERSHIP ACTIVITIES AT COUNTRY LEVEL (Oct. 2005) 4: Proposals for Best Practice
More informationShaping national health financing systems: can micro-banking contribute?
Shaping national health financing systems: can micro-banking contribute? Varatharajan Durairaj, Sidhartha R. Sinha, David B. Evans and Guy Carrin World Health Report (2010) Background Paper, 22 HEALTH
More informationHow Health Reform Will Help Children with Mental Health Needs
How Health Reform Will Help Children with Mental Health Needs The new health care reform law, called the Affordable Care Act (or ACA), will give children who have mental health needs better access to the
More informationParticipatory Approach to Develop and Strengthen Human Resources Information Systems for Nurses in ECSA Region
Participatory Approach to Develop and Strengthen Human Resources Information Systems for Nurses in ECSA Region ECSACON 7 th Scientific Conference August 14, 2006 Pamela A. McQuide, R.N., Ph.D. Workforce
More informationJANUARY 2015 VACANCIES
Macroeconomic and Financial Management Institute of Eastern and Southern Africa JANUARY 2015 VACANCIES 1) Information Technology Officer 2) Human Resources Officer 3) Programme Officer Macroeconomic Management
More informationCloud Computing: An enabler of IT in Indian Healthcare Sector. Media Briefing September 29, 2010
Cloud Computing: An enabler of IT in Indian Healthcare Sector Media Briefing September 29, 2010 Executive Summary Indian healthcare spending is about 4.1 percent of its GDP. The Indian healthcare industry
More informationi-care Integrated Hospital Information System
i-care Integrated Hospital Information Empowering Healthcare Through Integrated Information and Intelligence Iterum TM i-care Hospital Information (HIS) provides a comprehensive and integrated solution
More informationPHARMACY SERVICES IN TANZANIA 2012. Carl Sherman, Laura Brown, Jill Strykowski
PHARMACY SERVICES IN TANZANIA 2012 Carl Sherman, Laura Brown, Jill Strykowski Pharmacy in TZ: From Top to Bottom Infrastructure Regulatory Bodies National Formulary Manufacturing Distribution Education
More informationAppendix D. IFC Investments and Advisory Services with Health Financing Approved in FY03 12
Appendix D. IFC Investments and Advisory Services with Health Financing Approved in FY03 12 1. This appendix provides an overview of the strategy of the International Finance Corporation (IFC) in health
More informationBY: ISAAC YAW BUABENG HEAD OF MARKETING, RESEARCH AND EXTERNAL RELATIONS (NIC)
BY: ISAAC YAW BUABENG HEAD OF MARKETING, RESEARCH AND EXTERNAL RELATIONS (NIC) Microinsurance is intended to protect the poor in the society, particularly those working in the informal sector. Often poverty
More informationInternational Health Plans
International Health Plans We are with you Plan Highlights Guaranteed Renewability Worldwide Coverage Including the U.S. Five deductibles to choose from Maternity Benefits, deductible waived Organ Transplants
More information3. Financing. 3.1 Section summary. 3.2 Health expenditure
3. Financing 3.1 Section summary Malaysia s public health system is financed mainly through general revenue and taxation collected by the federal government, while the private sector is funded through
More information2015 19 Strategic Plan
2015 19 Strategic Plan humanservices.gov.au The strategic plan outlines our vision, mission, strategic themes and strategic priorities. 2 Strategic Plan 2015 19 Table of Contents Message from the Secretary
More informationHow to Design and Update School Feeding Programs
CHAPTER 7 How to Design and Update School Feeding Programs Previous chapters highlight the need to improve the design of new school feeding programs and to revisit existing programs with a view toward
More informationTable 1. Active User Projections for Planned M-Banking Service
Market Research MARKET SIZING OVERVIEW Market sizing is traditionally defined as estimating the number of buyers of a particular product, or users of a service. Because of the relative newness of mobile
More informationRichard Kerich, CPA, MBA Chief Executive Officer National Hospital Insurance Fund-Kenya
Richard Kerich, CPA, MBA Chief Executive Officer National Hospital Insurance Fund-Kenya Country Overview Key Statistics: Total Population: 40 Million Gross National Income per capita: $ 1,620 Life Expectancy
More informationPPACA, COMPLIANCE & THE USA MARKET
PPACA, COMPLIANCE & THE USA MARKET INTRODUCTION The USA healthcare market is the largest in the world followed by Switzerland and Germany It consists of broad services offered by various hospitals, physicians,
More informationContent Introduction. Pag 3. Introduction. Pag 4. The Global Fund in Zimbabwe. Pag 5. The Global Fund Grant Portfolio in Zimbabwe.
Content Introduction The Global Fund in Zimbabwe The Global Fund Grant Portfolio in Zimbabwe Capacity Development 2009-2014 Capacity Development and Transition Planning 2014 Overview of the Capacity Development
More informationAIO Life Seminar Abidjan - Côte d Ivoire
AIO Life Seminar Abidjan - Côte d Ivoire Life Insurance Market Survey of Selected African Countries Bertus Thomas Africa Committee of the Actuarial Society of South Africa Agenda SECTION 1 SURVEY OBJECTIVE
More informationHealth Research Institute 2014 June. Medical cost trend: Behind the numbers 2015 Chart pack
Health Research Institute 2014 June Medical cost trend: Behind the numbers 2015 Chart pack HRI projects 2015 s medical cost trend to be 6.8% a modest increase over our 2014 projection of 6.5%. As more
More informationAffordable Housing Finance New market development in Africa
1 Affordable Housing Finance New market development in Africa Kecia Rust Tuesday, 29 May 2012 Housing Finance in Emerging Markets 5 th Global Housing Finance Conference: Providing Shelter Creating Jobs
More informationElectronic Patient Management System epms Zimbabwe
Electronic Patient Management System epms Zimbabwe Collecting and Managing Data at the Patient Level for Better Treatment and Care Having access to patient health information enables medical professionals
More informationWorld Health Organization 2009
World Health Organization 2009 This document is not a formal publication of the World Health Organization (WHO), and all rights are reserved by the Organization. The document may, however, be freely reviewed,
More informationEmployer Investment in the Health Sector
Employer Investment in the Health Sector Presentation to the NHS Employers: Get Britain Working & Apprenticeship Network Meeting 6th December 2012 Terence Hogarth Institute for Employment Research University
More informationBroker Brochure. A different kind of health insurance. For individuals, families and small businesses.
Broker Brochure A different kind of health insurance. For individuals, families and small businesses. We were built for you. CHM_SMM01_0914 A different kind of partner for the new world of health insurance.
More informationFinancial Solutions for Sending and Keeping All Children in School. A Sustainable and Scalable Blueprint for Marginalized Communities
Financial Solutions for Sending and Keeping All Children in School A Sustainable and Scalable Blueprint for Marginalized Communities EXECUTIVE SUMMARY Investment in education is one of the few decisive
More informationENGAGING PHARMACISTS IN 1305
ENGAGING PHARMACISTS IN 1305 UTAH EXAMPLES NICOLE BISSONETTE, MPH, MCHES EPICC PROGRAM MANAGER UTAH PROJECTS INVOLVING PHARMACISTS Prior to 1305 Select Health Pharmacist Hypertension Management Team Based
More informationIFMSA Policy Statement Human Resources for Health
IFMSA Policy Statement Human Resources for Health Location: Taipei, Taiwan. Date of Adoption: August 9 th 2014. Date of Expiry: August 9 th 2017. Summary We, the International Federation of Medical Students
More informationU.S. President s Malaria Initiative (PMI) Approach to Health Systems Strengthening
U.S. President s Malaria Initiative (PMI) Approach to Health Systems Strengthening What is Health System Strengthening? Strengthening health systems means supporting equitable and efficient delivery of
More informationSession 2: Lessons from the evolution of competence based approaches to regulatory function
World Health Professions Regulation Conference 2014 Crowne Plaza Hotel, Geneva, Switzerland 17 & 18 May 2014 Session 2: Lessons from the evolution of competence based approaches to regulatory function
More informationGINA LAGOMARSINO SAPNA SINGH KUNDRA
RISK-POOLING: CHALLENGES AND OPPORTUNITIES GINA LAGOMARSINO SAPNA SINGH KUNDRA RESULTS FOR DEVELOPMENT Healthcare Systems in Africa October 23, 2008 Health Insurance Fund Conference, Amsterdam Today s
More informationHealth Partnership Scheme Multi Country Partnership Grants
Health Partnership Scheme Multi Country Partnership Grants Grant Overview 1 Purpose The Health Partnership Scheme supports the development of health services in poor countries. It is funded by the Department
More informationMeasuring quality: SafeCare experience
Measuring quality: SafeCare experience Millicent Olulo Orera Program Director SafeCare Kenya m.olulo@pharmaccess.or.ke www.safe-care-org Phiilipines, October 24, 2014 1 In resource-restricted settings...
More informationTHE UNITED REPUBLIC OF TANZANIA MINISTRY OF HEALTH AND SOCIAL SERVICES
THE UNITED REPUBLIC OF TANZANIA MINISTRY OF HEALTH AND SOCIAL SERVICES REPORT ON MEDICINES COVERAGE AND HEALTH INSURANCE PROGRAMS SURVEY IN TANZANIA 2008 0 Acknowledgements/Disclaimer This document has
More informationMICROINSURANCE PRODUCTS
MICROINSURANCE PRODUCTS Presentation at KfW/ISSSG Regional Symposium on Microinsurance Tbilisi, Georgia by Mosleh Uddin Ahmed FCA Independent Consultant 28th June 2005 MICROINSURANCE PRODUCTS Several microinsurance
More informationPaving the Road for Micro-Insurance in the MENA Region
Egyptian Financial Supervisory Authority Paving the Road for Micro-Insurance in the MENA Region Introduction to Microinsurance Cairo, Egypt 16th December 2009 Martina Wiedmaier-Pfister German Federal Ministry
More informationQuote Reference. Underwriting Terms. Premium Currency USD. Payment Frequency. Quotation Validity BUPA AFRICA PROPOSAL.
Quote Reference Family Quote 2013 Underwriting Terms BUPA AFRICA PROPOSAL Full Medical Underwriting and/or Continuous PreviousMedical Exclusions Premium Currency USD Payment Frequency One annual payment
More informationHow To Grow Your Insurance Business
divisional reviews (for the year ended 30 june 2014) Distribution Momentum Retail > 6 000 external independent brokers 400 tied agents Profit drivers Sales volumes and mix Persistency Expense management
More informationLiberty Africa Insurance
Highlights Opened a life insurance business in Zambia Liberty Online was implemented in three countries and enhanced business integration in East A new short-term administration system was implemented
More informationPresentation to 38th General Assembly of FANAF Ouagadougou, 17-21 February 2014. Thierry Tanoh- Group CEO
Presentation to 38th General Assembly of FANAF Ouagadougou, 17-21 February 2014 Thierry Tanoh- Group CEO Contents Global Demographics Africa Market Size & Growth Drivers Key players & Competitive Landscape
More information