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Blog

Filtering by Category: hsr2018

Thinking of Health Insurance beyond OOPs

Future Health Systems

Out-of-pocket payments (OOPs) dominate the discourse on health insurance. The success of health insurance schemes is typically measured by whether such expenses decrease for the insured. Financial hardships can indeed significantly hinder access to health care. But other barriers exist within households and across social groups that can also restrict access to health care. Health insurance schemes can improve such situations and enhance access to health care. While they are well recognised for their potential to offer financial risk protection, their ability to promote equity in other ways is not as well understood. This blog draws from a recent presentation at the Fifth Global Symposium on Health Systems Research (HSR2018) to highlight how inter- and intra-household equity can be promoted through health insurance schemes for the poor. Empirical evidence from the Rashtriya Swasthya Bima Yojana (RSBY) - a state funded health insurance scheme for the poor in India – is cited to make the case.

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Enhancing the capacity of national and local governments to drive quality improvements

Future Health Systems

Improving the effectiveness with which health services are delivered has continued to be a major concern especially in low- and middle-income countries. The ills from poor quality services have now exceeded those from non-utilization of services, with about five million deaths attributed to poor quality services. FHS Uganda Country Coordinator Elizabeth Ekirapa-Kiracho, blogs about the session that she attended at the Fifth Global Symposium on Health Systems Research in Liverpool, which focused on improving quality to promote equity and effectiveness in the SDG era.

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Community Delivery Center: the answer for safe delivery for women of the Indian Sundarbans?

Future Health Systems

Worldwide, 830 women die daily from preventable causes related to pregnancy and childbirth, and unfortunately one fifth of these women reside in India (UNICEF). Maternal death accounts for highest share of Disability-Adjusted Life Year (DALY) and is more prevalent in rural areas as compared to urban ones. This is demonstrated in areas such as the Sundarbans, where geographically inaccessible terrain makes maternal health service delivery challenging. In the near absence of formal delivery care at the grassroots level, Community Delivery Centers (CDCs) bring basic obstetric care to the doorsteps of hard-to-reach regions of Indian Sundarbans.

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Including marginalised people in ‘people centred health systems’

Future Health Systems

At the upcoming Global Symposium on Health Systems Research, we will be running a participatory session that builds on research from Uganda, Bangladesh and Nepal, entitled Amplifying Marginalised Voices: Towards Meaningful Inclusion in Social Accountability Mechanisms for Health. This session applies an intersectional lens to accountability mechanisms, asking about the inclusion of specific, marginalised categories within communities in mainstream accountability initiatives.

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