Roadmap
July 13: Pre-Congress Sessions
Beyond Vertical: Experiences and Approaches to Integrating Vertically-funded Health Programs into Insurance Schemes – Lessons from Africa & Asia
As donor funding plateaus or declines, there is interest in effectively integrating HIV, tuberculosis, and family planning services within health financing reforms. But, from legal and regulatory frameworks to associated costs and service delivery implications, several elements must be considered for successful integration. During this pre-congress session, HP+ will explore how various countries have taken different approaches to integrating vertical programs. We will also consider how integration plans must navigate the regulatory environment, potentially revise procurement and supply chain approaches, and employ strategic purchasing mechanisms to ensure quality outcomes while achieving efficiency gains.
Presenter: Shreeshant Prabhakaran
Time: 13:00—16:30
Location: Universität Basel, Kollegienhaus, Regenzzimmer 111
Using Household Data for Evidence-Based Health Financing Decision-Making: Are Health Expenditure and Utilization Surveys Worth the Cost?
How should countries decide on appropriate survey approaches? Some middle-income countries choose to implement periodic household health expenditure and utilization surveys (HEUS) with detailed data on sources of financing, providers, and inpatient and outpatient utilization. Come to learn from the Philippines and Kenyan experiences in prioritizing HEUS and similar detailed surveys and contextualizing these data for health sector reform. Stay to hear how other countries like Indonesia and Ukraine have used other general household surveys to inform health financing decision-making.
Presenter: Lyubov Teplitskaya
Time: 14:30-16:30
Location: Universität Basel, Kollegienhaus, Fakultätenzimmer 112
July 15
"Thinking Outside the Norm" Is There Any Fiscal Space for Health? Lessons Learnt from Resource Mapping Exercise in Malawi
Malawi faces huge financing gaps making the achievement of universal health coverage challenging. The Ministry of Health of Malawi has explored ways to increase fiscal space for health through innovative health financing mechanisms and generating additional domestic revenue, including levying taxes on fuel and motor insurance. A fiscal analysis revealed inefficiencies due to misalignment of government and donor priorities. To address these inefficiencies, the Government of Malawi adopted an annual resource mapping exercise to track health sector resources to inform planning, budgeting and potential reprogramming decisions.
Presenter: Pakwanja Twea
Time: 8:30-10:00
Session: Fiscal Space, Financing and Costing
Location: Universitätsspital Basel - Klinikum 1 - Hörsaal 3
Type: Oral Presentation
Opportunities for Technical and Allocative Efficiencies in the Community Health Worker Program in Mali: Evidence from Cost, Financing, and Geospatial Analyses
Economic analyses of sub-Saharan community health worker (CHW) programs are rare. Since 2009, Mali's health system has relied on CHWs to deliver a package of preventive, promotive and curative essential community health services (ECS), for which they are also provided medical supplies. The USAID Health Policy Plus (HP+) project studied CHW program costs and financing trends holistically, including geographical allocation challenges.
Presenter: Pascal Saint-Firmin
Time: 13:30-15:00
Session: Economic Analysis of Program Impact in Africa
Location: Universität Basel, Kollegienhaus, Seminarraum 208
Type: Oral Presentation
July 16
Investing in TB: The Case for Increased Public Spending in Cambodia to Improve Health and Household Economic Outcomes
Cambodia has made significant strides in scaling up tuberculosis (TB) case detection and treatment, resulting in a 55% reduction in TB-related mortality in the last 16 years. Yet the country still has one of the highest TB burdens in the world and its TB program faced a US$19 million funding gap in 2017. Additional public investment is essential to fill this gap and protect households from catastrophic out-of-pocket spending on TB. Hear projections from HP+ and the National Center for TB and Leprosy Control on the potential economic impacts of TB on households, in light of underlying demographic and epidemiological changes.
Presenter: Shreeshant Prabhakaran
Time: 8:30—10:00
Session: Financing and Expenditure: Empirical Evidence from Asia
Location: Universitätsspital Basel, ZLF, Gross
Type: Oral Presentation
Is Indonesia's Single Payer National Health Insurance Scheme Associated with Greater Hospital Efficiency? A Data Envelopment Analysis
Under Indonesia's national health insurance scheme, Jaminan Kesehatan Nasional or JKN, there is concern that payment mechanisms incentivize overtreatment and lead to inefficiencies and a deficit. Hospital expenditures account for 80% of JKN spending, and private hospitals must fund most expenditures from their revenue. Come learn how our analysis helps discern whether private hospitals' use of resources has become more efficient since JKN, and what implications this has for quality.
Presenter: Rebecca Ross
Time: 8:30—10:00
Session: Financing and Expenditure: Empirical Evidence from Asia
Location: Universitätsspital Basel, ZLF, Gross
Type: Oral Presentation
Improving Government Financing of Priority Health Interventions; the Effect of Evidence Based Advocacy and Multi-Sectorial Action
Nigeria's is highly dependent on donor funding for its family planning interventions. A key challenge to family planning scale up is paucity of government funding and a lack dedicated budget lines by states. Come learn how a local, multi-sectoral advocacy working group used evidence from a family planning financing analysis to develop and implement a strategic advocacy plan which targeted key policy- and decision-makers, successfully making a case for improved government funding of family planning.
Presenters: Frances Ilika
Time: 15:00—16:00
Session: Health Care Financing and Expenditures Posters
Location: Universität Basel, Kollegienhaus, Aula 033
Type: Poster Session (FE7)
July 17
Does Indonesia's National Health Insurance Scheme Reduce Illness-related Worker Absenteeism?
Recent research in Indonesia suggests that the economic cost of illness-related productivity losses totaled 6.5% of the national GDP in 2015. However, relationships among insurance coverage and labor force health in Indonesia may be more complex. Based on survey data, we suggest that Indonesia's national insurance scheme, Jaminan Kesehatan Nasional (JKN), provide members the financial resiliency to miss work for illness-related care, rest, and recovery, which would contradict the reduced absenteeism effect. This study uses data from Indonesia's 2015 national socio-economic survey (Susenas) to understand the pathways through which JKN affects the health of workers and productivity in Indonesia's labor market.
Presenter: Lyubov Teplitskaya
Time: 10:30—12:00
Session: Benefits and Assistance
Location: Universität Basel - Kollegienhaus - Hörsaal 118
Type: Oral Presentation
The National Health Insurance Fund and Improved Community Health Fund as Vehicles to Drive Universal Health Coverage in Tanzania
Universal health coverage (UHC) and increasing domestic resource mobilization through the establishment of sustainable financing mechanisms for health have become major policy priorities in Tanzania, via the National Health Insurance Fund (NHIF) and the improved Community Health Fund (iCHF). The USAID-funded Health Policy Plus (HP+) project assessed the NHIF and iCHF as pathways for outward expansion of health insurance in Tanzania.
Presenter: Bryant Lee
Time: 8:30—10:00
Session: Measuring Financial Protection in Health: Experiences from Sub-Saharan Africa, Latin America and Asia
Location: Universität Basel - Versalianum - Grosser Hörsaal EO.16
Type: Oral Presentation