journal supplement on scaling-up health services
CREHS researchers and collaborators have produced
eight research papers on scaling up that have been published
in a supplement in BMC
health services research - an open access online journal.
Together, these papers contribute a rich set of new evidence
about the barriers to scaling up, the opportunities for overcoming
these through changes in financing arrangements and service
delivery innovations, and the critical importance of the processes
of managing change in order to realise the promise of scaled
up programmes and interventions.
policy briefs Several new policy briefs are now
available from the publications page. These include policy briefs
on public health insurance and financial risk protection in
Thailand, and on measuring catastrophic health care expenditures
Delivering Effective Health Care for All
On the 29th of March 2010, CREHS co-hosted a conference with
research programme consortia, all funded by DFID. The aim of
the event was to increase dialogue and debate on equitable access
to health services, with three key themes: engaging service
providers, reducing barriers to access, and scaling up health
services and policies.
A new publication, Scaling
up in international health: what are the key issues?
is now available and free to access and download. The article
discusses four pertinent issues in scaling up the coverage of
health interventions: the costs of scaling up coverage; constraints
to scaling up; equity and quality concerns; and key service
delivery issues when scaling up. It also reviews recent progress
in scaling up interventions including a considerable increase
in the volume of aid, accompanied by numerous new health initiatives
and financing mechanisms.
newsletter This issue of our newsletter highlights
some recent experiences of CREHS
researchers at national and regional events. As the Consortiums
5 year programme draws to an end, efforts to disseminate research
findings, strengthen relationships with decision makers and
inform health policy and practice have intensified.
publications Several new policy briefs, journal
articles and PowerPoint presentations are now available from
the publications page. These include policy briefs on Reducing
User Fees in Kenya, and health policy implementation in South
CREHS researchers from the
University of Cape Town in South Africa have recently published
an article in the Lancet on 'The
economic situation in South Africa and health inequities'.
The article has received widespread interest from the Ministry
of Health in South Africa, local and international media including
the New York Times. Read
the full New York Times article.
newsletter This issue of our newsletter focuses
on CREHS research that will be presented at the International
Health Economics Association Conference on "Harmonizing
Health and Economics".
Members from CREHS will be attending the International Health
Economics Association 7th World Conference on Health Economics
in Beijing from 12-15 July. We will be organising a session
on challenges to financing health systems in low and middle
income countries, and making several oral and written presentations.
CREHS materials will be available from the exhibit space during
highlights A new CREHS publication summarises research
findings and policy recommendations from studies on health sector
Policy and Systems Forum, Nigeria A new blog has
been set up by researchers from the Health Policy Research Group
in Nigeria. It provides a space for researchers to comment on
topical health issues in the country.
Writing workshop Members
of CREHS have participated in a workshop, hosted by the Health
Economics Unit at the University of Cape Town, South Africa,
which focused on writing papers on scaling-up.
newsletter This issue of our newsletter focuses
on financial risk protection. It contains research findings
from Kenya on the perceived impact of direct facility funding
at health centres and dispensaries.
of International Development has published a special
issue on household experiences of ill-health and risk protection
mechanisms. The issue is titled "Managing risks: household
illness costs, coping strategies and access to social protection".
The papers are based on a collaborative research workshop that
was hosted by the Consortium for Research on Equitable Health
Systems to discuss research findings from several countries
in Africa and Asia. Read the press
release for more information, or access the special
Health Policy Program in Thailand are hosting a
workshop from 21 to 23 January for CREHS partners conducting
benefit incidence or financing incidence analysis studies as
part of CREHS research on financial
With technical support from
colleagues from IHPP, the study teams will focus on producing
preliminary results for three CREHS-funded reserach projects:
Benefit and Financing Incidence of public health expenditure
in Tamil Nadu and Orissa States; BIA of the Employees State
Insurance Scheme in Tamil Nadu, India; and BIA of public health
expenditure in Enugu and Anambra States, Nigeria.
newsletter The latest issue of the CREHS newsletter
focuses on health worker performance and includes updates about
our current research in Kenya, South Africa and Thailand. To
subscribe to the CREHS newsletter, please email
issue of Health Policy and Planning The journal
Health Policy and Planning has published a special issue on
health policy analysis. It is titled "Future Directions
for Health Policy Analysis: a Tribute to the Work of Professor
Gill Walt". The edition is based on a workshop organised
by the Consortium for Research on Equitable Health Systems;
College, London; and the Overseas
CREHS blog We have
set up a blog to document our current research on health workers
in three countries. We will investigate the attitudes, job preferences
and career choices of a cohort of nursing graduates in Kenya,
South Africa and Thailand. The blog currently includes pictures
from data collection in South Africa and will be used to maintain
contact with and get feedback from cohort members.
Research Meeting Our
Tanzanian and South African partners have been attending a meeting
in Zanzibar as part of the EU funded SHIELD (Strategies for
Health Insurance for Equity in Less Developed Countries) project.
This project is led by the Health Economics Unit at the University of Cape Town and examines the role of social health
insurance in South Africa, Tanzania and Ghana.