Cost and Effectiveness Analysis of "Strategically Packaging" Malaria Interventions - Evidence from a Retrospective Analysis in Senegal

Sep 28, 20180 likes563 views

This document outlines a training manual for a hospital costing workshop. It provides an agenda for the 3-day workshop covering topics like the fundamentals of costing, the MASH costing tool, and calculating unit costs. The workshop aims to teach participants how to conduct costing exercises to understand their hospital's costs and improve management. Sessions include introductions, an overview of costing concepts, the costing process, and a demonstration of the MASH tool which is an Excel-based framework for tracking and analyzing hospital resources, services, and costs.

Haïti Plan Stratégique de Développement des Ressources Humaines pour la Santé...HFG Project

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Trinidad and Tobago 2015 Health Accounts - Main ReportHFG Project

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This document summarizes the key findings of the 2015 health accounts report for Trinidad and Tobago. It finds that total health expenditure was 4.5 billion TT dollars in 2015, equivalent to 4.1% of GDP. The government financed 41% of health spending, while households financed 35% through direct out-of-pocket payments. Noncommunicable diseases accounted for the largest share of recurrent health spending at 42%. Out-of-pocket payments remain high, comprising over a third of total health expenditure. The report recommends strengthening government commitment to health financing, increasing risk pooling to reduce out-of-pocket spending, improving access to services, and institutionalizing ongoing health accounts estimations.

Guyana 2016 Health Accounts - Dissemination BriefHFG Project

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The 2016 Guyana Health Accounts study found that: 1) Total health expenditure in Guyana was $28.6 billion (Guyanese dollars), with the government contributing 81% of funding. 2) The majority (71%) of health funds were spent on public health facilities like hospitals and clinics. 3) Most funds (64%) were spent on curative care services, while non-communicable diseases received the largest share (34%) of funds. 4) Government funding represents the largest source of financing for HIV/AIDS programs and services in Guyana, providing 62% of funds.

Guyana 2016 Health Accounts - Statistical ReportHFG Project

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The document provides an overview of Guyana's 2016 Health Accounts methodology. It summarizes key aspects of the System of Health Accounts 2011 framework used, including boundaries, classifications, and definitions. Data was collected from government, households, NGOs, employers, insurers, and donors to track financial flows for health for 2016. The results help understand Guyana's health financing and answer questions on spending patterns.

Guyana 2016 Health Accounts - Main ReportHFG Project

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The document summarizes the key findings of Guyana's first Health Accounts exercise for fiscal year 2016. It found that total health expenditure was G$ 28.6 billion, with the government contributing 81% of funding. Household out-of-pocket spending accounted for 9% of total spending. Non-communicable diseases received the largest share of spending at 34%. The analysis aims to inform strategic health financing decisions and assess domestic resource mobilization as external donor funding declines. Recommendations include increasing prevention spending and strengthening financial commitment to HIV programs.

The Next Frontier to Support Health Resource TrackingHFG Project

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The document discusses challenges and opportunities for institutionalizing health resource tracking (HRT) in low- and middle-income countries. It identifies three key elements needed for institutionalization: strong demand for HRT data; sustainable local capacity to produce HRT data; and use of HRT results in policy and decision making. It outlines remaining challenges in each area and suggestions for future investments to address challenges, such as building understanding of HRT's value, maintaining local expertise, improving health information systems, and strengthening communication and use of HRT findings.

Technical Report: Hospital Drug Expenditures - Estimating Budget Needs at the...HFG Project

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Exploring the Institutional Arrangements for Linking Health Financing to th...HFG Project

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River State Health Profile - NigeriaHFG Project

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Rivers State has a population of over 7 million people from various ethnic groups. The main occupations are fishing, farming, and trading. The state has high rates of tuberculosis, neonatal and under-5 mortality, and HIV prevalence. Key stakeholders in health include the Ministry of Health, Ministry of Finance, and various agencies. The USAID Health Finance and Governance project worked to increase domestic health financing through advocacy, establishing a health insurance scheme, and capacity building. These efforts led to increased health budgets, establishment of healthcare financing units, and improved sustainability of health financing in Rivers State.

The health and economic benefits of investing in HIV prevention: a review of ...HFG Project

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ASSESSMENT OF RMNCH FUNCTIONALITY IN HEALTH FACILITIES IN BAUCHI STATE, NIGERIAHFG Project

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This document summarizes an assessment of reproductive, maternal, newborn and child health (RMNCH) services in health facilities in Bauchi State, Nigeria. It found that infrastructure like electricity, water and toilets were lacking in many facilities. There were also shortages of skilled healthcare workers, especially midwives, and staff training. While many facilities offered antenatal care and immunizations, availability of emergency obstetric and newborn care and services like postnatal care and post-abortion care were more limited. Supplies of essential medicines, equipment and guidelines were also often inadequate. Community outreach was provided by some facilities but could be expanded.

BAUCHI STATE, NIGERIA PUBLIC EXPENDITURE REVIEW 2012-2016 HFG Project

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This document summarizes a public expenditure review of health spending in Bauchi State, Nigeria from 2012 to 2016. It finds that while Bauchi State's health budget increased over this period, actual health spending lagged behind budgeted amounts. Specifically, health spending accounted for a small and declining share of the state's total budget and expenditure. The review recommends that Bauchi State increase and better target public health funding to improve health outcomes and progress toward universal health coverage goals.

HEALTH INSURANCE: PRICING REPORT FOR MINIMUM HEALTH BENEFITS PACKAGE, RIVERS ...HFG Project

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This document provides a pricing report for a Minimum Health Benefit Package (MHBP) being developed by Rivers State government in Nigeria. It analyzes the cost of 6 scenarios for the package, including individual and household premiums, based on medical claims data from hospitals in Rivers State from 2014-2017. The recommended annual premiums range from N14,026 to N111,734 for individuals and N79,946 to N636,882 for households, depending on the benefits included and the percentage of the state's population covered. The report provides context on data sources and actuarial assumptions used to determine the premiums.

Actuarial Report for Healthcare Contributory Benefit Package, Kano State, Nig...HFG Project

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The document is an actuarial report for Kano State's contributory healthcare benefit package in Nigeria. It analyzes 4 scenarios for the package - a basic minimum package alone or plus HIV/AIDS, tuberculosis, or family planning services. The report finds that the estimated annual premium per individual would be between N12,180-N12,600 depending on the scenario, while the estimated annual premium per household of 6 would be between N73,081-N75,595. It provides these estimates by analyzing the state's population data, healthcare facilities, utilization rates, and costs to determine the risk premiums, administrative costs, marketing costs, and contingency margins for each scenario. The report recommends rounding the premium estimates and includes

Supplementary Actuarial Analysis of Tuberculosis, LAGOS STATE, NIGERIA HEALTH...HFG Project

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This document provides an actuarial analysis of including tuberculosis (TB) coverage in the Lagos State Health Scheme in Nigeria. It analyzes 3 different TB treatment regimens and estimates the additional premium required. Based on historical TB case data from 2013-2016, it projects the number of cases and costs for the next 3 years. The analysis finds the additional premium to be 488.79 Naira on average per person to cover TB screening tests and the 3 treatment regimens. It acknowledges limitations in the source data and outlines key assumptions made in the projections.

Supplementary Actuarial Analysis of HIV/AIDS in Lagos State, NigeriaHFG Project

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This document provides a supplementary actuarial analysis of including HIV/AIDS coverage in the Lagos State Health Scheme benefit package in Nigeria. It estimates the total additional medical cost to cover HIV/AIDS services would be 209.40 Naira per person per year, broken down into costs for HIV testing and counseling (13.60), antiretroviral therapy (133.05), and preventing mother-to-child transmission (15.96). The analysis is based on HIV service data from 2012-2016 and projected population and drug cost data from the Lagos State Ministry of Health. It assumes a 90% continuation and conversion rate for antiretroviral therapy and a 6.5% annual medical cost trend.

Assessment Of RMNCH Functionality In Health Facilities in Osun State, NigeriaHFG Project

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This document summarizes an assessment of reproductive, maternal, newborn and child health functionality in health facilities in Osun State, Nigeria. It was conducted by Abt Associates in collaboration with other organizations as part of the USAID Health Finance and Governance Project. The assessment aimed to determine service delivery readiness in primary health centers for the Basic Health Care Provision Fund pilot. Key findings included inadequate health facility infrastructure, shortages of health workers and equipment, and gaps in administrative and referral systems. The results provide baseline data on capacity for implementing health financing reforms in Osun State under the National Health Act.

OSUN STATE, NIGERIA FISCAL SPACE ANALYSIS FOR HEALTH SECTORHFG Project

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This document analyzes fiscal space for health in Osun State, Nigeria. It examines options for increasing fiscal space such as prioritizing health spending, earmarking taxes for health, and improving efficiency. The analysis finds that covering the state's population under the Osun State Health Insurance Scheme at a premium of N7,660 per person annually would cost over N30 billion, exceeding currently available resources. Additional funding sources or subsidies for vulnerable groups would be required to achieve universal health coverage in Osun State.

ANALYZING FISCAL SPACE FOR HEALTH IN NASARAWA STATE, NIGERIAHFG Project

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This document analyzes potential fiscal space for health in Nasarawa State, Nigeria. It identifies several options for increasing funding available for the health sector, including leveraging conducive macroeconomic conditions, increasing the priority of health in sectoral budget allocations, earmarking portions of taxes and fees for health, obtaining external grants, and improving efficiency. Collectively, these options could provide tens of millions of additional naira annually that could be directed towards expanding health coverage and services. The document recommends that Nasarawa State prioritize these funding avenues and implement reforms to fully capitalize on the fiscal space available.

PUBLIC FINANCIAL ASSESSMENT OF HIV SPENDING: NASARAWA STATE, NIGERIAHFG Project

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This document assesses public financial management of HIV spending in Nasarawa State, Nigeria. It identifies several bottlenecks in the planning, budgeting, and budget execution processes. Bottlenecks include highly centralized decision making, lack of cohesive planning, and absence of evidence-based advocacy. It also notes differences in priorities between government officials and program managers. Recommendations include advocating for HIV program needs, preparing medium-term sector strategies, making budgets and revenue forecasts more realistic, and building capacity of HIV agencies to improve financial management processes.

NASARAWA STATE, NIGERIA 2012-2016 PUBLIC EXPENDITURE REVIEWHFG Project

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The document summarizes a public expenditure review of Nasarawa State from 2012-2016. It finds that while the state's health budget increased over this period, it still represents a low share of the total budget. The state's population health outcomes lag behind other states and access to health services remains limited. The review recommends that Nasarawa State increase and better target health spending to improve health system performance and progress toward universal health coverage.

KEBBI STATE, NIGERIA FISCAL SPACE ANALYSIS FOR HEALTH SECTORHFG Project

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This document analyzes fiscal space for health in Kebbi State, Nigeria. It finds that while Kebbi State needs more resources for its health sector, there are several options to increase fiscal space. These include improving macroeconomic conditions, reprioritizing a greater share of the budget to health above the Abuja Declaration target of 15%, earmarking funds such as through the Contributory Health Scheme, mobilizing external resources, and improving health sector efficiency. The analysis models a scenario of the Kebbi State Contributory Health Scheme at a premium of N7,660 per person. It finds that even with coverage increases, efficiency gains, and utilization of options to raise funds, there remains a funding gap that

KEBBI STATE, NIGERIA PUBLIC EXPENDITURE REVIEW 2013-2016HFG Project

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This document provides a public expenditure review of health spending in Kebbi State, Nigeria from 2013 to 2016. It finds that while the state's health budget increased over this period, actual spending on health remained low and did not keep pace with budget allocations. The document makes several recommendations to improve health financing in Kebbi State, including increasing the prioritization of health in the state budget, promoting preventive care at primary health centers, and further evaluating the efficiency of the state health system.

PUBLIC FINANCIAL ASSESSMENT OF HIV SPENDING: BENUE STATE, NIGERIAHFG Project

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The document assesses public financial management of HIV spending in Benue State, Nigeria. It identifies bottlenecks in the planning, budgeting, and budget execution processes for HIV/AIDS initiatives. Key bottlenecks include highly centralized budgeting decisions, lack of agreed priorities, and poor stakeholder engagement. For budget execution, differences in priorities between government levels, lack of budget realism, and funding challenges hamper effective HIV/AIDS spending. The assessment aims to understand Benue State's financial processes and identify obstacles to improved resource allocation and cash backing for health and HIV programs.

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