Countries pursuing universal health coverage (UHC) are increasingly active in seeking to leverage private healthcare providers to enhance their reforms. Many are contracting private providers to deliver subsidized care and/or corporatizing their public facilities in order to improve performance, tackle inefficiencies and stimulate much-needed new investment across the delivery systems. As most soon discover, this requires a very different set of skills to those traditionally developed among public healthcare officials, and a range of technical and cultural gaps become evident.
Ghana has been an active member of the Person-Centered Integrated Care (PCIC) collaborative of JLN–participating in all meetings, as well as hosting the second meeting in Ghana in March 2018 when the key components of the collaborative’s definition of empanelment were identified. Together, members of the collaborative authored an Empanelment Summary and an Empanelment Assessment Tool. We in Ghana believe that key lessons in improving this tool was made stronger due to the lessons learnt from the Ghanaian health system, particularly the Community-Based Health Planning and Services (CHPS) component.
Amid the COVID-19 pandemic, policymakers, health system managers, and frontline providers are working tirelessly to slow the spread of illness, effectively treat those who have been diagnosed, and do what they can to protect broader social systems during lockdown.
The COVID-19 pandemic resulted in a double shock to Kenya, with both an economic and health crisis. When the first confirmed COVID-19 case was reported, the government provided several directives and instituted measures to contain the spread of the virus, including restricted geographical movement; stay-at-home directives; evening curfews; and various public health measures such as mandatory wearing of masks in public, social distancing, and hand washing and sanitising campaigns. Initially, 2% of the population tested positive, with a majority (85.9%) of these cases being asymptomatic. However, the incidence continued to rise, with urban areas reporting higher rates than rural areas. Like many other countries, Kenya experienced several waves of infection and the introduction of new variants. Interventions have been guided by WHO guidelines, adapted to the Kenyan context.
Contributors: Agnes Munyua, Alex Ofori Mensah, Batbayar Ankhbayar, Francis Mensah Asenso Boadi, Humberto Silva, and Pavel Manjos. This blog is produced by the Primary Health Care Financing and Payment Collaborative. Governance is an important building block for provider payment and an important requirement for countries to establish strategic purchasers who contribute to health system objectives […]
Contributors: Agnes Munyua, Batbayar Ankhbayar, Humberto Silva, Jocelyn Maala, and Kaija Kasekamp. This blog is produced by the Primary Health Care Financing and Payment Collaborative. Sound and reliable information is the foundation of decision-making across all health system building blocks and is essential for health system policy development and implementation, governance and regulation, health research, […]
As so many health systems move towards social health insurance, the issue of who should receive this at no or low cost is becoming increasingly important. The topic can quickly become highly technical and move well beyond most health practitioners’ core skills – comparing different ‘proxies’ and formulae for assessing wealth and income, as well as methods for collecting and verifying this data.
Incentivizing quality is a topic that comes up repeatedly as a learning objective for country members of the JLN’s PHC Financing and Payment Collaborative. As countries work towards universal health coverage, evidence is pointing to the fact that universal health coverage (UHC) is grounded in quality PHC. When we measure progress in UHC, we look […]