EPW: Evaluating Health Insurance Programmes – An Insurance Cascade Framework

Faculty member Dr. Sebastian Bauhoff published a piece recently in Economic and Political Weekly providing an insurance cascade as a framework to understand and assess bottlenecks in accessing public health insurance in India. An array of bottlenecks has ensured that the numerous health insurance schemes introduced over the years have failed to make any significant dent on the health sector. This article tries to assess these problems by using the…

Working Paper 4: Procurement of Medicines in Sri Lanka: A Case Study

For many decades, the nation of Sri Lanka has been providing for the health of its citizens at a level that exceeds what most other countries with similar economic situations have attained. Among other indicators, Sri Lanka has assured relatively good access to medicines while controlling prices. Sri Lanka spends about 1.6% of GDP on health, with about one-quarter of the total health budget spent on medicines. Its achievements in…

Odisha Health System Assessment: Key Findings

Context Over the past few years, India has introduced several major healthcare reforms like the National Health Mission (NHM), Pradhan Mantri Jan Aarogya Yojana (PMJAY) and the Health and Wellness Center (HWC) Programs, and the recent National Digital Health Mission (NDHM). In addition, India has implemented various state-level initiatives on health financing and healthcare delivery—all seeking to improve the health system’s performance. There have, undoubtedly, been some significant achievements, especially…

Other Research: Women’s Agency

Our team member Jan Cooper has new research to share. Abstract We propose a new method to design a short survey measure of a complex concept such as women’s agency. The approach combines mixed-methods data collection and machine learning. We select the best survey questions based on how strongly correlated they are with a “gold standard” measure of the concept derived from qualitative interviews. In our application, we measure agency…

Working Paper 3: A Case Study on the Use of Pay-for Performance Contracts in Turkey to Reduce Geographic and Social Disparities in Access to Primary Health Care

A Case Study on the Use of Pay-for Performance Contracts in Turkey to Reduce Geographic and Social Disparities in Access to Primary Health Care By Ece Amber Özçelik August 2020 Abstract Turkey is one of the few countries that explicitly relied on primary health care (PHC) provider payment reforms as part of a much larger health system reform process known as the Health Transformation Program (2002-2013) to address inequitable access…

Working Paper 2: Delivering primary healthcare with quality and accountability in India: the case of Swasth

Delivering primary healthcare with quality and accountability in India: the case of Swasth By Anuska Kalita, Sundeep Kapila, and Michael R. Reich October 2020 Abstract Mumbai’s health system faces several challenges, as in many other parts of India, and both the public and private sectors have failed to deliver a broad set of good quality primary healthcare services in a patient-friendly way. Swasth, a not-for-profit social enterprise, was founded in…

Working Paper 1: A Guide to Applied Political Analysis for Health Reform

A Guide to Applied Political Analysis for Health Reform By Michael R. Reich and Paola Abril Campos August 2020 Creating health system change requires a combination of technical solutions and political skill. Understanding the political context of health policies is crucial to improving the chances of effectively designing, adopting, and implementing health reforms that can achieve their intended objectives. This guide seeks to help reformers navigate the political processes involved…