Roadmap
July 12
Economic Burden of Subsidized HIV Services on Patients in East Africa
Service delivery costs for HIV are subsidized by the government and donors in Tanzania and Uganda. Less is known about the economic burden still caused by direct and indirect costs faced by clients seeking these services. Bridging this knowledge gap and identifying appropriate interventions have the potential of improving the delivery of key HIV services, access, and utilization in East African countries. HP+ will present on a study that leveraged time-motion study results to estimate opportunity cost to HIV clients. Although service delivery costs are subsidized and user fees are low, HIV clients in East Africa, particularly those in the lowest wealth quintiles and initiating on ART, still face a significant economic burden from accessing HIV services.
Presenter: Huiling Pan
Time: 2:45 - 3:45 PM EDT
Type: Oral Presentation
July 13
Shaking up the Market: Impact of Indonesia's National Health Insurance Scheme on Healthcare Competitive Landscape
Indonesia introduced its national health insurance scheme – JKN – in 2014, aiming to achieve 95% coverage in five years. Leveraging the private health sector was essential and the government aimed to drive competition to reduce price while maintaining or improving quality. Under the USAID-funded Health Policy Plus project, we assessed JKN’s effect on the competitive landscape of hospitals, pharmaceuticals, and medical devices sub-sectors. This mixed method study collected data through a facility survey and key informant interviews. HP+ analyzed whether JKN incentivized private sector firms to engage in the market, to scale up services and products, and to improve quality.
Presenter: Rebecca Ross
Time: 9:45 - 10:45 AM EDT
Type: Organized Session
July 14
Is the Gap between Public Financial Management 'Best Practices' and On-the-Ground Exigencies Closing? Evidence from Three African Countries
A strong and effective public financial management (PFM) system is at the core of countries’ journey towards universal health coverage (UHC). Emphasis seesaws between the need for spending more, to the pressure for spending better. There is also an emphasis that services must achieve planned volume while also being high quality. An orderly and robust PFM system has an envisaged role to deliver better spending. Understanding this critical link is essential, especially in sub-Saharan African countries where a long slew of PFM reforms has ostensibly transformed budgetary processes. However, recent evidence shows that PFM reforms in Africa are either incomplete or misaligned with the budgetary realities, and many countries still face key challenges in “spending better” in their health sectors. HP+ experts from Nigeria, Kenya, and Malawi will present on the individual situations in each country.
Presenter: Jorge Ugaz
Time: 7:30 - 8:30 AM EDT
Type: Organized Session
Financial Risk Protection in the COVID-19 Pandemic and Recession for Households Insured by Indonesia's Jaminan Kesehatan Nasional
Globally, households have postponed or cancelled healthcare visits in response to the COVID-19 pandemic, resulting in temporary reductions in out-of-pocket health expenditure. However, the accompanying economic contraction may cause some households to spend a greater share of their total expenditure on healthcare. This risk is greatest among poor households, which tend to experience the largest reductions in consumption during economic contractions. To assess the pandemic-related change in financial risk protection among households insured by Indonesia’s national health insurance scheme, the USAID-funded Health Policy Plus project – in collaboration with the Indonesia Ministry of Health’s Center for Health Financing and Insurance – estimated changes in healthcare utilization, out-of-pocket health expenditure, and household consumption and the impact of these changes on catastrophic health expenditure incidence in each of Indonesia’s provinces.
Presenter: Lyubov Teplitskaya
Time: 10:30 - 11:30 AM EDT
Type: Oral Presentation
Are Minority Groups Represented at the Decision Table in Matters Concerning Them? Findings from a Gender and Equity Analysis of the Basic Health Care Provision Fund Intervention in Nigeria
The Basic Health Care Provision Fund (BHCPF) is a priority health intervention designed to improve equity in health access and quality of care at the primary health care level; with a high focus on maternal and child health. This intervention is implemented through government agencies at the national and state levels. The BHCPF Operations Manual endorses at least 40 percent female membership, with women in ‘effective roles’ in implementation structures. HP+ experts will present on a gender and equity analysis was conducted in three Nigerian states (Abia, Osun, Ebonyi) and the Federal Capital Territory (FCT) representing the three major ethnic groups. We examined specific gender and equity considerations and potential challenges, while identifying areas of improvement in ensuring BHCPF efforts are successful.
Presenter: Frances Ilika
Time: 1:15 - 2:30 PM EDT
Type: Poster
Estimating the Cost of COVID-19 Testing and Treatment in Burkina Faso
As of November 15, 2020, Burkina Faso—a country of more than 19 million people—had more than 2,650 confirmed cases of COVID-19 with 68 deaths. Projections vary, but evidence suggests that Burkina Faso could see a large epidemic, causing disruptions across the health system and the economy. Projections suggest that the country could reac around 400,000 cases. Of the symptomatic cases, around 80% would be mild or moderate, with the remaining 15% severe, and the final 5% critical. Based on these estimates, we projected the resource requirements in Burkina Faso for testing and treating COVID-19. HP+ experts will present on these projections.
Presenter: Rachel Sanders
Time: 1:15 - 2:30 PM EDT
Type: Poster
Estimating the Indirect Health Impacts of COVID-19: Impact of Declines in Utilization of Key Health Services
As of June 15, 2020, Burkina Faso had 894 reported COVID-19 cases with 53 deaths. At that time, it was feared that Burkina Faso could see a large epidemic, causing disruptions across the health system and the economy. Evidence from past disease outbreaks, and emerging evidence specific to COVID-19, suggested that utilization of key health services is likely to decline as a result of a range of supply- and demand-side factors. We estimated the potential impact of COVID-19 on several health areas based on different scenarios of the severity and duration of COVID-19 in Burkina Faso. HP+ experts modeled the potential impact of COVID-10 based on the outlook of the epidemic in the country as of July 2020, and will present on this data.
Presenter: Michelle Weinberger
Time: 1:15 - 2:30 PM EDT
Type: Poster