Tag Archives: Avila

Antiretroviral Therapy in Botswana: Comparing Costs, Service Utilization, and Quality at Three Levels of Care

Under Botswana’s ambitious Treat All Strategy, nearly 350,000 people living with HIV will require antiretroviral therapy (ART) by 2020. With almost half of Botswana’s health expenditure already allocated to HIV, the Ministry of Health (MOH) will need to mobilize additional resources and achieve efficient use of available resources to sustain successful ART coverage.

Improving Efficiency to Achieve Health System Goals in Botswana: Background Paper for Botswana’s Health Care Financing Strategy

Health outcomes have improved in Botswana over the last few decades. These successes have come at the same time as overall macroeconomic growth, with annual Gross Domestic Product (GDP) growth averaging around 6 percent between 2010 and 2015 (IMF 2015), and Human Development Index ranking above the regional average. These improvements originate in a strong […]

Role of Health Insurance in Strengthening the Financial Protection System in India

Costs of HIV Viral Load and Early Infant Diagnosis Testing in Kenya

Resource Type: Report Authors: Christopher Cintron, Victor Mudhune, Romana Haider, Heather Cogswell, Jose Gutierrez, Frank Angira, and Carlos Avila Published: April 2017 Resource Description: Kenya’s current HIV care guidelines call for universal coverage of routine viral load (VL) monitoring for people receiving antiretroviral therapy and early infant diagnosis (EID) testing for all children born to women with […]

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 […]

Cost-Benefit Analysis of Outsourcing Cleaning Services at Mahalapye Hospital, Botswana – Journal Article

Resource Type: Journal Article Authors: Jonathan Cali, Heather A. Cogswell, Mompati Buzwani, Elizabeth Ohadi, Carlos Avila Published: December 2015 Resource Description: As published in the Journal of Hospital Administration 2016, Vol. 5, No. 1. As part of its national privatization strategy to diversify the economy, Botswana has started outsourcing nonclinical services at seven public hospitals. Hospital managers are signing contracts […]

Viral-Load Point-of-Care Technologies to Achieve an AIDS-Free Generation

Ending the AIDS epidemic requires not only political commitment and financial resources but also innovative solutions. New point-of-care (POC) technology to detect HIV viral load promises to be a game changer in the diagnosis and monitoring of HIV infection. Poverty and distance from healthcare facilities often place people infected with HIV beyond the reach of […]

Guatemala Health System Assessment 2015

Resource Type: Report Authors: Carlos Avila, Rhea Bright, Jose Carlos Gutierrez, Kenneth Hoadley, Coite Manuel, Natalia Romero, and Michael P. Rodriguez Published: 8/2015 Resource Description: Guatemala’s public health system benefits from a well-established regulatory framework, many years of institutional history, dedicated and experienced health sector workers, and an absence of dependence on external sources for financial support. […]

Cost-Benefit Analysis of Outsourcing Cleaning Services at Mahalapye Hospital, Botswana

The Government of Botswana (GoB) is currently implementing a long-term strategy to diversify the economy, create opportunities for growth in the private sector, and increase the efficiency of the public sector. Outsourcing service delivery is one of four main approaches to privatisation outlined in the GoB’s policies, and the Ministry of Health (MoH) has been […]

A Concise, Health Service Coverage Index for Monitoring Progress Towards Universal Health Coverage

Resource Type: Journal Article Authors: Anthony Leegwater, Wendy Wong, Carlos Avila Published: June 2015 Resource Description: A growing share of countries across the globe are declaring a commitment to pursuing Universal Health Coverage (UHC) and introducing policies and approaches to advance toward that goal. International donors and multilateral organizations are supporting these initiatives, with UHC under serious consideration […]

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