A5038426095- Global Maternal and Child Health
- Global Health Care Issues
- Healthcare Systems and Reforms
- Healthcare Policy and Management
- HIV/AIDS Impact and Responses
- Health Systems, Economic Evaluations, Quality of Life
- Primary Care and Health Outcomes
- Child Nutrition and Water Access
- Vaccine Coverage and Hesitancy
- Poverty, Education, and Child Welfare
- Health and Conflict Studies
- Obesity, Physical Activity, Diet
- Public Health and Nutrition
- Hepatitis Viruses Studies and Epidemiology
- demographic modeling and climate adaptation
- Maternal and Neonatal Healthcare
- Patient Satisfaction in Healthcare
- International Development and Aid
- Food Security and Health in Diverse Populations
- COVID-19 epidemiological studies
- Global Health and Epidemiology
- Global Public Health Policies and Epidemiology
- Viral gastroenteritis research and epidemiology
- Community Development and Social Impact
- Migration, Health and Trauma
University Hospital Heidelberg
2018-2023
Heidelberg University
2018-2023
Institute for Health Metrics and Evaluation
2022-2023
World Bank
2015-2022
University of Washington
2022
World Health Organization - Zambia
2015-2022
World Bank Group
2017-2022
Ministry of Health
2008-2013
Lund University
2009
Human resources for health (HRH) include a range of occupations that aim to promote or improve human health. The UN Sustainable Development Goals (SDGs) and the WHO Health Workforce 2030 strategy have drawn attention importance HRH achieving policy priorities such as universal coverage (UHC). Although previous research has found substantial global disparities in HRH, absence comparable cross-national estimates existing workforces hindered efforts quantify workforce requirements meet system...
<h2>Summary</h2><h3>Background</h3> The COVID-19 pandemic highlighted gaps in health surveillance systems, disease prevention, and treatment globally. Among the many factors that might have led to these is issue of financing national especially low-income middle-income countries (LMICs), as well a robust global system for preparedness. We aimed provide comparative assessment spending at onset pandemic; characterise amount development assistance preparedness response disbursed first 2 years...
Antenatal care (ANC) is one of the recommended interventions to reduce maternal and neonatal mortality. Yet in most Sub-Saharan African countries, high rates ANC coverage coexist with This disconnect has fueled calls focus on quality services. However, little conceptual or empirical work exists measurement at health facilities low-income countries. We developed a classification tool assessed level service provision Zambia national scale compared this received by expectant mothers. analysed...
Performance-based financing (PBF) has been implemented in a number of countries with the aim transforming health systems and improving maternal child health. This paper examines effect PBF on workers’ job satisfaction, motivation, attrition Zambia. It uses randomized intervention/control design to evaluate before–after changes for three groups: intervention group, control 1 (C1; enhanced financing) 2 (C2; pure control) group. Mixed methods are employed. The quantitative portion comprises...
Objective To evaluate equity in the allocation and distribution of vaccines for coronavirus disease 2019 (COVID-19) to countries territories participating COVID-19 Vaccines Global Access (COVAX) Facility.Methods We used publicly available data on numbers COVAX vaccine doses allocated distributed 88 qualifying COVAX-sponsored 60 self-financing their facilitated by COVAX.We conducted a benefit-incident analysis examine based countries' gross domestic product (GDP) per capita.We plotted...
Armed conflict is on the rise in sub-Saharan Africa and affects public infrastructures, including health systems, although evidence population sparse. We aimed to establish how these disruptions ultimately affect service coverage.We geospatially matched Demographic Health Survey data with Uppsala Conflict Data Program Georeferenced Events Dataset, covering 35 countries for period from 1990 2020. relied linear probability models fixed effects capture effect of nearby armed (within 50 km...
To evaluate the cost-effectiveness of results-based financing and input-based to increase use quality maternal child health services in rural areas Zambia.In a cluster-randomized trial from April 2012 June 2014, 30 districts were allocated three groups: (increased funding tied performance on pre-agreed indicators), not performance) or control (no additional funding), serving populations 1.33, 1.26 1.40 million people, respectively. We assessed incremental financial costs for programme...
Zambia introduced a sector-wide approach (SWAp) in the health sector 1993. The goal was to improve efficiency use of domestic funds and externally sourced development assistance by integrating these into joint sectoral framework. Over decade its existence, however, SWAp remains largely unevaluated. This study explores whether envisaged improvements have been achieved studying developments administrative, technical allocative Zambian from 1990–2006. A case conducted using interviews analysis...
User fees for primary care services were removed in rural districts Zambia 2006. Experience from other countries has suggested that health workers play a key role determining the success of fee removal policy, but also find implementation such policy challenging. The was introduced against backdrop major shortage qualified staff. As part larger study on experience and effect user Zambia, number case studies at facility level conducted. these, quantitative qualitative data collected to...
Introduction of new vaccines in low- and lower middle-income countries has accelerated since Gavi, the Vaccine Alliance was established 2000. This study sought to (i) estimate costs introducing pneumococcal conjugate vaccine, rotavirus vaccine a second dose measles Zambia; (ii) assess affordability relation Gavi's co-financing eligibility policies. Data on 'one-time' cold storage expansions, training social mobilisation were collected from government development partners. A detailed economic...
The primary focus of this paper is to offer guidance on the analysis time streams effects that a project may have so they can be discounted appropriately. This requires framework identifies common parameters need assessed, whether conducting cost-effectiveness or benefit-cost analysis. quantification and conversion different into their equivalent health, health care cost consumption avoids embedding multiple arguments in discounting policies. helps identify where are likely differ particular...
The increasing resources available for and number of partners providing health sector aid have stimulated innovations, notably, the Paris Declaration on Aid Effectiveness, which aim to improve coordination. In this, one first studies analyse implementation coordination below national level, was investigate effect at district level in Zambia.The study carried out three districts Zambia. Data were collected via interviews with centre staff, managers officials from Ministry Health, action...
Since 2013, the government of Malawi has been pursuing a number health reforms, which include plans to increase domestic financing for through "innovative financing." As part these sought raise additional tax revenue existing and new sources with view earmarking generated sector. In this article, systematic approach assessing feasibility quantifying amount that could be from potential is devised applied. Specifically, study applies Delphi forecasting method generate qualitative assessment...
Abstract Governments in low and middle-income countries (LMICs) are increasingly considering the introduction of national health insurance scheme (NHIS) as a strategy to achieve universal coverage (UHC) targets. The literature has widely documented technical challenges associated with implementing UHC policies LMICs but much less is known about political process necessary pass legislation. In this article, we document economy issues surrounding establishment Zambia NHIS 2018. We adapted...
Zambia has implemented a number of financing and organizational reforms since the 1990s aimed at increasing efficiency, enhancing equity, improving health outcomes. This study reviews distributional impact these on equity regional level for different socioeconomic groups. Data from three nationally representative household surveys were collected, benefit incidence analysis was conducted to determine over period 2010–2015. The results show that distribution subsidies utilization outpatient...
Development assistance for health (DAH) remains a significant and important source of financing in many low lower middle-income countries. However, this has not been fully effective. This study explores the effect currency exchange rate fluctuations on volatility DAH Zambia using mixed methods approach. Data covering period 1997-2008 were collected from various financial programmatic reports, while six key informant interviews conducted to validate translate findings quantitative analysis....
Zambia has been using output-based approaches for over two decades to finance whole or part of the public health system. Between 1996 and 2006, performance-based contracting (PBC) was implemented countrywide with Central Board Health (CBoH) as provider services. This study reviews association between PBC equity access maternal services in 2006. A comprehensive document review undertaken evaluate implementation process, followed by a trend analysis expenditure at district level, segmented...