Tag: Health financing
ReBUILD paper examining political economy factors behind adoption of results-based financing and shifts in influence & resources it may bring
This paper argues that health financing and entitlement systems linked to employment can actually disadvantage women and explores how that happens
Summary of ReBUILD’s cross cutting and synthesis non peer-reviewed outputs, eg videos, briefs, infographics etc
ReBUILD and health financing – about the health systems research programme, predecessor of ReBUILD for Resilience
These two papers, produced for the World Health Organization, look at health financing policy in fragile and conflict-affected settings – Health financing policy and implementation in fragile and conflict-affected settings and Health financing policy in fragile & conflict-affected situations
Performance-Based Financing, Basic Packages of Health Services and User-Fee Exemption Mechanisms: An Analysis of Health-Financing Policy Integration in Three Fragile and Conflict-Affected Settings
Research looking at whether and how performance-based financing is integrated with national financing strategies, especially in fragile and conflict-affected settings
Results-based financing as a strategic purchasing intervention: some progress but much further to go in Zimbabwe?
Research which empirically and systematically examines how results-based financing impacts on health care purchasing in Zimbabwe
Research from ReBUILD and partners on identifying evidence on effective health systems strengthening approaches in different contexts
Paper reflecting on undertaking a health systems strengthening review, drawing out suggestions on definitions and approaches to assessment, plus key conclusions
Presentation (video and slides) given by Professor Sophie Witter on a report on health systems strengthening
Paper from ReBUILD looking at literature on health systems financing in fragile and conflict-affected settings and how it has changed in 2012-19
(How) does RBF strengthen strategic purchasing of health care? Comparing the experience of Uganda, Zimbabwe and the Democratic Republic of the Congo
Results-Based Financing has proliferated in health sectors of low and middle income countries, especially fragile and conflict-affected ones, and has been presented as a way of reforming and strengthening strategic purchasing. However, few studies have empirically examined how RBF impacts on health care purchasing in these settings. This article examines the effects of several RBF programmes on health care purchasing functions
the past decade.
Les systèmes de santé après un conflit – éléments probants en faveur de meilleures politiques et pratiques
Ces documents de synthèse décrivent les thèmes principaux issus des recherches de ReBUILD, ainsi qu’un aperçu du programme et de son large éventail de projets de recherche jusqu’en 2016.
Three presentations on performance-based financing filmed during the 2018 Fifth Global Symposium on Health Systems Research
A summary document giving an overview of the projects and research themes which have made up ReBUILD’s work.
Details of all outputs from ReBUILD’s work on gender and post-conflict health systems.
Dr Maria Bertone speaks about performance-based financing for healthcare in Sierra Leone
Professor Sophie Witter speaks about health financing in fragile and conflict-affected states
Professor Sophie Witter speaks about performance-based financing as a way to build strategic purchasing in fragile and conflict-affected states.
This policy brief reviews key dimensions of sustainability and their relevance for crisis-affected settings, then presents lessons for encouraging sustainability in these settings.
This policy brief reviews the meaning of universal health coverage (UHC) and summarises lessons for achieving UHC in crisis-affected settings.
Institutions for strong and equitable health systems after conflict and crisis – lessons from ReBUILD research
This brief outlines the findings from ReBUILD’s phase 1 research informing the theme of institutions in post-conflict health systems.
This brief outlines the findings from ReBUILD’s phase 1 research on health financing policies in post-conflict settings and how these have affected access to health care for the most vulnerable populations.
Les systèmes de santé pendant et après une crise : éléments probants en faveur de meilleures politiques et pratiques
Cette série de documents de synthèse, fruit des recherches menées par ReBUILD, aborde un nombre de questions clés concernant le renforcement des systèmes de santé dans les contextes affectés par un conflit ou une crise.
Summary of ReBUILD’s cross cutting and synthesis non peer-reviewed outputs, eg videos, briefs, infographics etc
This series of ReBUILD briefing papers addresses some key questions related to health systems strengthening in settings affected by conflict or crisis.
Webinar – Performance-based financing in fragile and conflict-affected settings: from research to practice
Recording of a webinar on the impact of PBF research on practice in fragile and conflict-affected settings
Performance-based financing as a way to build strategic purchasing in fragile and conflict affected settings: potential and pitfalls
Presentation given by Sophie Witter at a Satellite Session on “Payment for Performance, how, why, where and what?”, at the Fifth Global Symposium on Health Systems Research in Liverpool, on 9th October 2018.
A ReBUILD paper on the development of performance-based financing for healthcare in Sierra Leone
The bumpy trajectory of performance-based financing in Sierra Leone: agency, structure and frames shaping the policy process
Presentation given by Maria Paula Bertone at the 5th Global Symposium on Health Systems Reseach in Liverpool on Wednesday 10th October 2018.
Investigating results-based financing as a tool for strategic purchasing: comparing the cases of the Democratic Republic of Congo, Zimbabwe and Uganda
Presentation given by Maria Paula Bertone at a Satellite session of the 5th Global Symposium on Health Systems Reseach, on “Payment for Performance, how, why, where and what? Learning from research across income settings. Tuesday 9th October 2018.
Presentation given by Sophie Witter at a satellite session on “Health financing in fragile & conflict affected settings – controversies and innovations” at the 5th Global Symposium on Health Systems Research in Liverpool, on 8th October 2018.
Video of Maria Bertone of ReBUILD speaking on the consortium’s work on performance-based financing in fragile and post-conflict states
Poster presented at the Fifth Global Symposium on Health Systems Research in Liverpool in October 2018 on the political economy of results-based financing
This summary of ReBUILD’s research projects from both the original phase and the short extension phase of the programme. It includes links to further information on the projects and their outputs.
Presentation given by Professor Sophie Witter on 17th May 2018 for the American University of Beirut Global Health Institute’s Webinar series: “Global Health and Conflict”. This webinar theme: Health Systems in Situations of Fragility.
A paper from ReBUILD exploring the gendered experiences of health workers in fragile and post-conflict states
Changes in catastrophic health expenditure in post-conflict Sierra Leone: an Oaxaca-blinder decomposition analysis
A paper from ReBUILD examining how households’ exposure to financial risks through seeking healthcare evolved in post-conflict Sierra Leone.
A paper from ReBUILD’s study exploring how performance-based financing emerged and was adapted in three humanitarian settings.
The human resource implications of improving financial risk protection for mothers and newborns in Zimbabwe
This 2013 paper examines implications for human resources for health of changes in user fees for maternal and newborn health services in Zimbabwe.
Context matters (but how and why?) A hypothesis-led literature review of performance based financing in fragile and conflict-affected health systems
Literature review from ReBUILD by on how context affects performance-based health financing in fragile and conflict-affected settings.
What adaptation to research is needed following crises: a comparative, qualitative study of the health workforce in Sierra Leone and Nepal
ReBUILD paper examines health systems research that explored and evaluated health worker performance during crises in Sierra Leone & Nepal
Resilience of health systems during and after crises – what does it mean and how can it be enhanced?
This policy brief summarises different aspects of health system resilience, its measurement, and strategies for enhancing resilience during and after crises.
Health financing in conflict-affected and post-conflict settings: Resources from ReBUILD’s work
This 2017 paper describes the findings from ReBUILD’s research in Cambodia as part of the health financing research strand
This ReBUILD paper reflects on why we need to focus on gender when moving towards Universal Health Coverage
This paper reports on some of the findings from ReBUILD’s quantitative research into post-conflict health financing policies in Cambodia.
Health worker experiences of and movement between public and private not-for-profit sectors – findings from post-conflict Northern Uganda
This paper looks at the experiences of health workers during and after the 20 years of conflict in northern Uganda, and the factors that influenced their movement between public and private not-for-profit sectors. The findings highlight the need to ensure balanced health labour market incentives which take into account not only the changing context but also needs at different points in individuals’ life cycles and across all core service delivery sectors.
Impact of user fees on health care seeking behaviour and financial protection during the crisis period in Zimbabwe: A life history approach
This report presents the findings and recommendations from part of ReBUILD’s qualitative health financing research in Zimbabwe, using the life histories approach.
This brief is one of two briefs from ReBUILD’s research on health system financing and households’ coping strategies for health care needs in post-conflict northern Uganda.
First of two briefs from ReBUILD’s research on health system financing and households’ coping strategies for health care needs in post-conflict northern Uganda.
This brief outlines the key messages which have come from ReBUILD’s research on health financing, health workforce and aid effectiveness in post-conflict northern Uganda
From ReBUILD’s partners at Makerere University School of Public Health – an overview of the context and issues covered by the team’s research on the post-conflict health system in northern Uganda.
Presentation made by Sophie Witter at DFID lunchtime seminar 19th January 2016
Poster from ReBUILD’s health financing study in Sierra Leone, presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada
Resources from ReBUILD’s work on health worker incentives in Sierra Leone, and on health worker experiences during the Ebola outbreak
Details of all outputs from ReBUILD’s work on health worker incentives and remuneration in Sierra Leone, and on health worker experiences during the Ebola outbreak.
Performance-based financing in the context of the complex remuneration of health workers: findings from a mixed-method study in rural Sierra Leone
The study investigates the absolute and relative contribution of performance-based financing (PBF) to health workers’ income and explores their views on PBF bonuses, in comparison to and interaction with other incomes. The study confirms the complex and interrelated nature of health workers’ remuneration and that the different financial incentives cannot be examined independently from one. It also shows that the way PBF schemes are implemented has an impact on health worker motivation.
Presentation given by Tim Martineau at the Human Resources for Health Summit in Freetown, Sierra Leone, 2nd June 2016.
Presentation given by Joanna Raven on ReBUILD’s work on health systems in post-conflict states, at a Workshop on Rebuilding Health in Yemen after Conflict, 4th June 2016 in Liverpool
Free health care for under-fives, expectant and recent mothers? Evaluating the impact of Sierra Leone’s free health care initiative
This paper reports the findings of a study evaluating the impact of Sierra Leone’s 2010 Free Health Care Initiative (FHCI). It uses two nationally representative surveys to identify the impact of the policy on utilisation of maternal care services by pregnant women and recent mothers as well as the impact on curative health care services and out-of-pocket payments for consultation and prescription in children under the age of 5 years.
Health care seeking behaviour and impact of health financing policy on household financial protection in post conflict Cambodia: A life history approach
This 2015 ReBUILD working paper presents the findings and recommendations from qualitative health financing research in Cambodia
This 2016 ReBUILD paper investigates the formal and informal payments available to health workers in Sierra Leone
The challenges and opportunities of conducting ethical and trustworthy qualitative research in health systems in post-conflict and fragile contexts: Reflections from a learning community
ReBUILD poster presented at the Third Global Symposium on Health Systems Research in Cape Town 2014: A qualitative study exploring how to strengthen policy and practice related to health financing and human resource management in post conflict and fragile contexts
Equity in Maternal Health Care Services in post-conflict Northern and non-conflict East-Central Uganda: A Comparative Mixed Methods Multi-case study
ReBUILD poster presented at the Third Global Symposium on Health Systems Research in Cape Town 2014: Mixed method study comparing maternal health care in post-conflict and non-conflict regions of East Central Uganda
The Impact of Health Financing Policies on Household Spending: Evidence from Cambodia Socio-Economic Survey 2004 and 2009
ReBUILD Poster presented at the Third Global Symposium on Health Systems Research in Cape Town 2014: Cambodian study measuring the combined effects of user fee and health equity fund on household health expenditure
Health seeking behaviour and impact of health financing policy on household financial protection in post conflict Cambodia: A life history approach
Poster of ReBUILD’s qualitative research on health systems financing in Cambodia presented at the Third Global Symposium on Health Systems Research in Cape Town 2014
Despite gains in life expectancy and increased health expenditure, Cambodia still lags behind neighbours in many health indicators. This article aims to understand variations in efficiency of public health services, and the extent to which changes in efficiency are associated with key health policies that have been introduced to strengthen access to health services over the past decade.
Understanding contracting in Cambodia: findings from interviews with key informants and health service managers and providers
This research report describes findings from the qualitative component of ReBUILD’s research into health contracting in Cambodia Over the last two decades, Cambodia has implemented several policy initiatives and interventions to improve health service delivery. The contracting of services in the health sector has been happening since the late 1990s. Since 2009, an internal contracting… Read more
Understanding Contracting in Cambodia The performance of contracting and non-contracting districts in extending primary health coverage: analysis of secondary data
This research report describes findings from the quantitative component of ReBUILD’s research into health contracting in Cambodia.
Presentation on health financing in post-conflict settings given by Barbara McPake at Nossal Institute of Global Health in July 2015
This brief was produced for the Zimbabwe Health Research Forum on Evidence for Advancing Universal Health Coverage in March 2015, based on ReBUILD’s health systems financing research presented at that meeting.
This 2015 brief gives a brief outline of the range of ReBUILD’s research in Cambodia, and some of the emerging key findings.
Impact of Health Financing Policies on Household Spending: Evidence from Cambodia Socio-Economic Surveys 2004 and 2009
ReBUILD report into impact of fees, health equity funds, subsidies & vouchers on household health spending in Cambodia.
2015 policy brief outlines findings and proposals from ReBUILD’s Rebuilding the foundations for universal health coverage with equity in Zimbabwe
Report of a ReBUILD desk study to describe the organizational, institutional & governance aspects of health financing in Zimbabwe.
2013 ReBUILD literature review on healthcare purchasing arrangements between government & (i) local government & (ii) private providers in Zimbabwe.
This document contains all abstracts from presentations made at the National Research Forum: Evidence for advancing Universal Health Coverage in Zimbabwe, held on 19th/20th March 2015 in Harare, organised by ReBUILD’s Affiliate research partners in Zimbabwe. You can download the full report from this National Research Forum from the TARSC website.
Evidence for advancing Universal Health Coverage in Zimbabwe: Report of the National Research Forum, 19th/20th March 2015
Report of the National Research Forum: Evidence for advancing Universal Health Coverage in Zimbabwe held March 2015 in Harare
Background literature review to inform field work protocol to develop a resource allocation formula for public health resources in Zimbabwe.
Desk study presenting evidence on the funds pooled in and paid by semi-autonomous institutions funding health in Zimbabwe
ReBUILD desk study from 2014 on the collection, pooling, purchasing, monitoring & governance of tax-based health financing in several African countries
Catastrophic Payments and Poverty in Cambodia: Evidence from Cambodia Socio-Economic Surveys 2004-11
This 2015 ReBUILD paper estimates the incidence and intensity of catastrophic health payments and their impoverishment effects in Cambodia
This document is a summary of the protocol for ReBUILD’s research on understanding health worker incentives in post-conflict settings. It details the approach used for this research across all four of the study countries. You can download the document here.
An exploration of the political economy dynamics shaping health worker incentives in three districts in Sierra Leone
This 2015 ReBUILD paper focuses on health worker incentives and payments in Sierra Leone and presents an exploration of district-level implementation processes
Fragile and conflict affected states: report from the Consultation on Collaboration for Applied Health Research and Delivery
Fragile and Conflict Affected States present difficult contexts to achieve health system outcomes and are neglected in health systems research. This report presents key debates from the Consultation of the Collaboration for Applied Health Research and Delivery, Liverpool, June, 2014.
This narrative literature review is an output of collaborative work between ReBUILD and the Stockholm International Peace Research Institute (SIPRI) working group on gender, to explore the opportunities and challenges for building gender responsive health systems in post conflict contexts.
A 2011 ReBUILD analysis of thinking, approaches, themes and findings of writing on health financing in post-conflict or fragile health systems
A 2015 RBUILD report on the need to reach and maintain incentive environments for health workers to support access to equitable health services
A 2014 briefing paper. During conflict, health systems can break down, with clinics and hospitals destroyed and medicine in short supply, leaving people at high risk of disease. Health workers can be targets and many leave the conflict zone. Managing human resources well can help overcome shortages in the health workforce, as well as other… Read more
Following on from ReBUILD’s study of health contracting arrangements in Cambodia, which concluded that a more robust evaluation of the Special Operating Agency model should be considered, this briefing outlines two options that could be considered for such an evaluation.
This brief provides a summary of ReBUILD’s research done on health contracting in Cambodia, and identifies key points relating to the impact of the Special Operating Agency (SOA) model on service coverage and equity.
Building gender responsive health systems in post-conflict contexts: Opportunities and challenges Presentation given at a Global Health, Policy and Practice session 7 March 2014 Read the full presentation
2015 presentation entitled ‘Current work of ReBUILD: Research for Building pro-poor health systems in the aftermath of conflict’
ReBUILD consortium presentation from 2013 on contracting in conflict-affected settings: evidence from Cambodia
A REBUILD consortium Country Situation Analysis for Sierra Leone from 2011
In this paper published in Health Policy and Planning, ReBUILD researchers Sophie Witter, Haja Wurie and Maria Bertone explore the effects and implications for health staff of Sierra Leone’s introduction in 2010 of the Free Health Care Initiative (FHCI).
As part of ReBUILD’s wider work on health financing, this paper presents an exploratory literature review to analyse the themes and findings of recent writing on health financing in fragile and post-conflict settings.
A case study of health service provision in Yobe State, Nigeria in the context of the Boko Haram insurgency
A 2014 ReBUILD case study of health service provision in Yobe State, Nigeria in the context of the Boko Haram insurgency