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HFG Project TB Strategic Purchasing Activity: Malawi Assessment Technical Report

The purpose of the USAID HFG TB Strategic Purchasing Activity is to identify and recommend small improvements in TB purchasing/provider payment and related public finance management (PFM) mechanism to better target country health budgets towards priority TB services for the poor in USAID TB priority countries. This technical report summarizes the rapid assessment findings, conclusions, […]

Estimating Bangladesh Urban Healthcare Expenditure Under the System of Health Accounts (SHA) 2011 Framework

Bangladesh is a densely populated country with 23 % people residing in urban areas and with a 3.5% annual growth of urban population. Bangladesh Bureau of Statistics divided into seven administrative divisions: Barisal, Chittagong, Dhaka, Khulna, Rajshahi, Rangpur, and Sylhet. Each division is divided into zilas, and each zila into upazilas. Each urban area in […]

Measuring Technical Efficiency of the Provision of Antiretroviral Therapy Among Public Facilities in Botswana

The objective of this study was to analyze variations in the cost and efficiency of providing outpatient ART in public facilities in Botswana. Therefore, we applied an activity-based costing approach to collect data on the costs of delivering ART in a random sample of 120 facilities providing adult ART outpatient services in Botswana, including all […]

PHSP Jimma Higher Clinic

How Ethiopia is Empowering Women Through Community-Based Health Insurance

In many Ethiopian communities, not unlike other traditional societies, men are the head of household—the primary income earners and decision makers. As keepers of the family purse, men often make all financial decisions for the family–including spending on healthcare. Prior to 1998, the majority of the Ethiopian population was not covered by health insurance, and […]

HFG Rapid Assessment of TB Payment and PFM Systems in Cambodia: Lessons Learned and Policy Implications

Despite substantial funding for tuberculosis (TB) prevention and treatment over the last 10 years, both by donors and governments, the worldwide incidence of TB remains troubling. Across lower- and middle-income countries, access to TB services is limited, and the quality of TB services is often substandard.

Guide d’Introduction a la Professionnalisation des Mutuelles de Sante au Benin

Le Ministère de la santé et ses partenaires techniques et financiers contribuent depuis 1994, à travers plusieurs projets successifs, à l’amélioration de l’accessibilité financière des populations aux soins de santé de qualité par la promotion des mutuelles de santé. Les mutuelles de santé du Bénin ont évolué sans une législation propre. Mais depuis le 26 […]

Stronger Health Governance to Tackle Emerging Health Emergencies

The lack of trust between communities and health systems has been cited by the World Health Organization as a significant factor in fueling West Africa’s Ebola epidemic. Many communities did not follow officially recommended practices—such as safe funeral and burial rites. Others did not cooperate with contact tracing ‒ identifying people who may have been […]

Mobile money options to facilitate payment of incentives in Senegal’s RBF program: An assessment of opportunities, barriers, and solutions

USAID promotes the use of electronic payment services as a means for improving access to financial services for “unbanked” populations and increasing accountability and transparency for financial flows in public sector programs. Widespread diffusion of digital payments also can introduce more advanced services including savings, credit, and insurance. Results-Based Financing (RBF) interventions link incentive payments […]

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