Health Financing in Kenya - The case of Wajir, Mandera, Turkana, Meru and Bun...Omondi Otieno
A brief look into Health Financing in Kenya using 5 demographically diverse rural counties as case studies. The Budget Analysis Study was commissioned by Save the Children (Kenya program) in January 2014, and conducted by Capacities For Health. The study team was led by Omondi Otieno and Dr. Nduta Githae.
Presented at “Financial Protection and Improved Access to Health Care: Peer-to-Peer Learning Workshop Finding Solutions to Common Challenges” in Accra, Ghana, February 2016. To learn more, visit: https://www.hfgproject.org/ghana-uhc-workshop
Budgeting for Results and Paying for Success in State Government 5.6.14Greg Wass
My presentation for Big Data Week 2014 (livestreamed from Chicago on 05.06.2014) on how the State of Illinois is using data to drive governmental decisionmaking at the enterprise and individual program levels.
Health Financing in Kenya - The case of Wajir, Mandera, Turkana, Meru and Bun...Omondi Otieno
A brief look into Health Financing in Kenya using 5 demographically diverse rural counties as case studies. The Budget Analysis Study was commissioned by Save the Children (Kenya program) in January 2014, and conducted by Capacities For Health. The study team was led by Omondi Otieno and Dr. Nduta Githae.
Presented at “Financial Protection and Improved Access to Health Care: Peer-to-Peer Learning Workshop Finding Solutions to Common Challenges” in Accra, Ghana, February 2016. To learn more, visit: https://www.hfgproject.org/ghana-uhc-workshop
Budgeting for Results and Paying for Success in State Government 5.6.14Greg Wass
My presentation for Big Data Week 2014 (livestreamed from Chicago on 05.06.2014) on how the State of Illinois is using data to drive governmental decisionmaking at the enterprise and individual program levels.
Overview of Community Based Health Insurance LessonsHFG Project
Presentation during the Institutionalizing Community Health Conference in Johannesburg, South Africa, on March 28th, 2017. This presentation gives an overview of Community-based Health Insurance (CBHI), and explores country experiences and lessons with CBHI in Rwanda, Ghana, and Senegal.
Expanding access to social services using remittanceskhdiallo
Senegal is a developing country which faces significant challenges to mobilize resources to finance its development and reduce poverty. At the same time, financial flows from migrant remittances continue to grow and have been above USD 1 billion a year for the last 8 years. Unfortunately, the government has not developed innovative strategies to tap into this significant source of finances. The main purpose of this project is to explore and propose an innovative mechanism to access and use remittances for financing development in a public private partnership (government and migrants) model.
At the health policy dialogue organised by PharmAccess Foundation and Nigeria Health Watch on the 11th April 2019, Njide Ndili discussed Disrupting healthcare with public-private partnerships in Nigeria.
Decentralizing Health Insurance in Nigeria: Legal Framework for State Health ...HFG Project
Presented during Day Three of the 2016 Nigeria Health Care Financing Training Workshop. Presented by Dr. Jonathan Eke. More: https://www.hfgproject.org/hcf-training-nigeria
Sustainable financing of health and social services: Good health at low cost ...OECD Governance
This presentation was made by Mark Blecher, South Africa, at the 10th OECD-Asian Senior Budget Officials Annual Meeting held in Bangkok, Thailand, on 18-19 December 2014.
Deven Ghelani, Director and founder of Policy in Practice, was invited to speak at the Neath Port Talbot Poverty Symposium on the topic of the impact of welfare reform on personal debt and financial resilience.
In his session Deven talked about the general impact of welfare policies on our living standards and how Neath Port Talbot Council is using their own household level data to identify vulnerability, target support and track change. Deven then shared Policy in Practice's new research on transitioning to Universal Credit.
For further information visit www.policyinpractice.co.uk, call 0330 088 9242 or email hello@policyinpractice.co.uk
This presentation discusses IHME's research in public financing of health in developing countries, including study design, findings, study limitations, and recommendations for governments and future research.
For more information please visit www.healthmetricsandevaluation.org
João Domingos, Gestor do Sector de Governação da DW e um dos contribuinte na elaboração do relatório final de 2015 sobre o Índice de Sustentabilidade das Organizações da Sociedade Civil, foi o prelector do dia 03 De Fevereiro de 2017 no espaço do Debate à Sexta feira onde abordou o tema: Apresentação do Relatório Final de 2015 sobre o Índice de Sustentabilidade das Organizações da Sociedade Civil para a África subsariana. Ao longo da sua explanação, falou sobre os indicadores que foram analisados, como: o Ambiente legal, Capacidade organizacional, Viabilidade financeiro, Advocacia, Provisão de serviços, Infra-estruturas e Imagem pública das OSC.
Essential Package of Health Services and Health Benefit Plans Mapping BriefHFG Project
Many governments are scaling up health benefit plans, such as social health insurance, to increase population health coverage. This brief presents findings from a mapping between the services covered under the country’s prominent health benefit plan(s) to the country’s Essential Package of Health Services. The mapping analyzes the extent to which the plan(s) cover essential services.
Kenya Mobilizing financial resources needed for health in the SDG eraDeepak Mattur
- In 2015 the UN General Assembly formally accepted a new set of 17 measurable Sustainable Development Goals (SDGs), ranging from ending world poverty to achieving gender equality and empowering women and girls by 2030. The SDG target 3 encompasses 9 sub targets focussed on ensuring healthy lives and well-being for all. These goals set by the proposed SDGs are ambitious and challenging. It will not be achieved with a business-as-usual approach.
- ODA in Kenya: In 2013, ODA for Health reached its highest level at US$ 934 million. However, the outlook of future aid to Kenya remains flat.
- The share of government expenditure on health in Kenya has not shown a commensurate increase with its increase in GDP. The share has actually declined from 46% of the Total Health Expenditure in 2000 to 46% in 2000. Government needs to increase its share of health expenditure to meet the rising healthcare demands.
- At current level of health expenditure at US$ 1.9 BN, there exists an annual funding gap of US$ 1.4 BN to meet the needs of Healthcare services.
- Kenya needs to consider several instruments of innovative financing in order to achieve its financing needs for Health. Some of the potential options presented in this digital artefact are raising additional taxes, Debt-swaps and social bonds.
- There is a hope that Kenya will make a paradigm shift in its approach to health financing and the Healthcare financing gap in Kenya will be filled in with additional sources generated through innovative financing instruments.
Proposed solutions to the problems associated with the changing nature of wor...OtobongEssiet
MOOC final project on the proposed solution to the issues associated with the changing nature of work.
Over the last century, technology has created more jobs than it has displaced. This column presents an overview of ways in which technology and innovation are changing the nature of work, leading to demand advanced cognitive skills and greater adaptability among workers. The rise of platform marketplaces is also changing the way people work and the terms on which they work, which requires a rethinking of social protection systems.
Overview of Community Based Health Insurance LessonsHFG Project
Presentation during the Institutionalizing Community Health Conference in Johannesburg, South Africa, on March 28th, 2017. This presentation gives an overview of Community-based Health Insurance (CBHI), and explores country experiences and lessons with CBHI in Rwanda, Ghana, and Senegal.
Expanding access to social services using remittanceskhdiallo
Senegal is a developing country which faces significant challenges to mobilize resources to finance its development and reduce poverty. At the same time, financial flows from migrant remittances continue to grow and have been above USD 1 billion a year for the last 8 years. Unfortunately, the government has not developed innovative strategies to tap into this significant source of finances. The main purpose of this project is to explore and propose an innovative mechanism to access and use remittances for financing development in a public private partnership (government and migrants) model.
At the health policy dialogue organised by PharmAccess Foundation and Nigeria Health Watch on the 11th April 2019, Njide Ndili discussed Disrupting healthcare with public-private partnerships in Nigeria.
Decentralizing Health Insurance in Nigeria: Legal Framework for State Health ...HFG Project
Presented during Day Three of the 2016 Nigeria Health Care Financing Training Workshop. Presented by Dr. Jonathan Eke. More: https://www.hfgproject.org/hcf-training-nigeria
Sustainable financing of health and social services: Good health at low cost ...OECD Governance
This presentation was made by Mark Blecher, South Africa, at the 10th OECD-Asian Senior Budget Officials Annual Meeting held in Bangkok, Thailand, on 18-19 December 2014.
Deven Ghelani, Director and founder of Policy in Practice, was invited to speak at the Neath Port Talbot Poverty Symposium on the topic of the impact of welfare reform on personal debt and financial resilience.
In his session Deven talked about the general impact of welfare policies on our living standards and how Neath Port Talbot Council is using their own household level data to identify vulnerability, target support and track change. Deven then shared Policy in Practice's new research on transitioning to Universal Credit.
For further information visit www.policyinpractice.co.uk, call 0330 088 9242 or email hello@policyinpractice.co.uk
This presentation discusses IHME's research in public financing of health in developing countries, including study design, findings, study limitations, and recommendations for governments and future research.
For more information please visit www.healthmetricsandevaluation.org
João Domingos, Gestor do Sector de Governação da DW e um dos contribuinte na elaboração do relatório final de 2015 sobre o Índice de Sustentabilidade das Organizações da Sociedade Civil, foi o prelector do dia 03 De Fevereiro de 2017 no espaço do Debate à Sexta feira onde abordou o tema: Apresentação do Relatório Final de 2015 sobre o Índice de Sustentabilidade das Organizações da Sociedade Civil para a África subsariana. Ao longo da sua explanação, falou sobre os indicadores que foram analisados, como: o Ambiente legal, Capacidade organizacional, Viabilidade financeiro, Advocacia, Provisão de serviços, Infra-estruturas e Imagem pública das OSC.
Essential Package of Health Services and Health Benefit Plans Mapping BriefHFG Project
Many governments are scaling up health benefit plans, such as social health insurance, to increase population health coverage. This brief presents findings from a mapping between the services covered under the country’s prominent health benefit plan(s) to the country’s Essential Package of Health Services. The mapping analyzes the extent to which the plan(s) cover essential services.
Kenya Mobilizing financial resources needed for health in the SDG eraDeepak Mattur
- In 2015 the UN General Assembly formally accepted a new set of 17 measurable Sustainable Development Goals (SDGs), ranging from ending world poverty to achieving gender equality and empowering women and girls by 2030. The SDG target 3 encompasses 9 sub targets focussed on ensuring healthy lives and well-being for all. These goals set by the proposed SDGs are ambitious and challenging. It will not be achieved with a business-as-usual approach.
- ODA in Kenya: In 2013, ODA for Health reached its highest level at US$ 934 million. However, the outlook of future aid to Kenya remains flat.
- The share of government expenditure on health in Kenya has not shown a commensurate increase with its increase in GDP. The share has actually declined from 46% of the Total Health Expenditure in 2000 to 46% in 2000. Government needs to increase its share of health expenditure to meet the rising healthcare demands.
- At current level of health expenditure at US$ 1.9 BN, there exists an annual funding gap of US$ 1.4 BN to meet the needs of Healthcare services.
- Kenya needs to consider several instruments of innovative financing in order to achieve its financing needs for Health. Some of the potential options presented in this digital artefact are raising additional taxes, Debt-swaps and social bonds.
- There is a hope that Kenya will make a paradigm shift in its approach to health financing and the Healthcare financing gap in Kenya will be filled in with additional sources generated through innovative financing instruments.
Proposed solutions to the problems associated with the changing nature of wor...OtobongEssiet
MOOC final project on the proposed solution to the issues associated with the changing nature of work.
Over the last century, technology has created more jobs than it has displaced. This column presents an overview of ways in which technology and innovation are changing the nature of work, leading to demand advanced cognitive skills and greater adaptability among workers. The rise of platform marketplaces is also changing the way people work and the terms on which they work, which requires a rethinking of social protection systems.
mHealth Israel_The Chinese Health Tech Startup and Investment Sector_Presenta...Levi Shapiro
mHealth Israel meetup, presentation by Presentation by Zhu RenMing, Chairman, COBIO Smart Healthcare Technology: The Chinese Health Tech Startup and Investment Sector. Feb 16, 2016
Domestic Financing for Health in Africa: The Road of Sustainability and Owner...Linda Mtambo
Presentation delivered by Prof Alan Whiteside at the 17th ICASA Conference in Cape Town, South Africa as a panel participant on ‘The End of AIDS: Myth or reality?'
Digital artifacts presentation- Unlocking financial opportunities (Focus on T...Ba'a Saleh
The study is on finding a solution to unlocking financial opportunities in Togo through the integration of the International Development Association (IDA) private sector window.
IDA as we all know is that part of the World Bank which helps the world’s poorest countries towards reducing poverty, improving living conditions of its people and boosting the economy of these countries.
With 173 shareholders, IDA is said to be one of the largest source of assistance to the 77 poorest countries in the world, out of which 37 are African countries. As one of the largest source of development finance, IDA’s main focus is on the provision of support for health care, education, infrastructures, agriculture, economic & institutional development.
IDA has help millions of people to escape poverty through job creation, access to clean water, provision of schools, roads & electricity. It has also help fund the immunization of over 227 million children, created better water sources to about 64 million people and gave 50 million people access to better health care services.
Dr Rajeev Rao Eashwari speaks on A progressive Healthcare industry- How far has Africa come, the pitfalls and the milestones, at Healthcare Innovation Summit Africa 2022.
"Looking Ahead" Post-Ebola Strategy in West Africa is the first in a series of planned webinars, where we invite knowledgeable individuals and participants to join the post-Ebola strategy in West Africa discussion.
During the webinars, experts from different backgrounds, will outline their view on the Ebola Crisis and most importantly, share their vision on what needs to be done now, and post-Ebola, to ensure aversion of further political and economic disturbances.
The fast spread of the Ebola virus has major consequences on the African countries it has hit the hardest: Guinea, Liberia, and Sierra Leone.
Besides the death tolls and associate losses, the countries are also facing great danger because of the economic consequences the virus carries.
Sierra Leone and Liberia, two of the most hit countries, have both recently come out of more than a decade of gruesome civil wars and the set back of the disease does not help with the stabilization of the economies. Their democracies are fragile and the deprivation from the Ebola crisis could be a trigger for political disruption.
The youth played a major role in those conflicts as a result of economic and social marginalization. Without a post-Ebola strategy to ensure the youth a future of economic and social stability, there may be unforeseeable instabilities.
ABOUT THE ORGANIZER:
Twenty-First Century African Youth Movement, (AYM) empowers and mobilizes Africa’s youth through employment. The AYM is dedicated to developing new and exciting enterprise opportunities for young people in Sierra Leone, to help provide young people with the confidence, power and skills they need to get themselves into employment and out of poverty.
Mobilizing Africa’s unemployed and underemployed youth is the key to the continent’s economic growth and stability. AYM works to mobilize marginalized youth through education, training, and employment, creating entrepreneurial opportunities to help move communities away from poverty, disease, and hunger. AYM aims to establish personal empowerment and community resilience by energizing the continent’s youth population, its most critical resource in the reversal of social and economic stagnation.
For more information, visit:
http://www.aym-inc.org/ebola-looking-ahead/.
AYM’s call for action:
Dr David J Baumler’s AYM Pepper Challenge: http://youtu.be/iU1Ot60mT7I
Inclusive Innovation and Growth strategy- Healthcare IndiaRuchi Dass
Drug Discovery
Crowd Sourcing
Clinical Trials
Analytics
An “inclusive innovation strategy” is a set of policies that connects excluded populations to a nation’s innovation system. It complements frontier innovation by increasing the purchasing power and enhancing income-generating opportunities for the poor population.
A presentation from the University or Ilorin research team in the Exploring the Emerging Impacts of Open Data in Development Countries research network
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
A Proposal to Improve the Nigerian Primary Health Care System timothy attoye
1. A Proposal To Improve The
Nigerian Primary Health care
systemA digital Artifact for the MOOC on financing for development
by Timothy E.O Attoye
timattoye@gmail.com
2. Situation Analysis
• Land Mass: 910770square kilometers
• Population size: 177.5 million
• Over 60% below the poverty line
• No of health personnel to people : Approx 1.4 per 1000
• Government facilities vs private facilities
• Inherent inefficiencies of public sector provision
• Poor regulation of the private sector.
• Serious mismatch in number needed and in geographical
coverage of health facilities (US Govt Interagency Team (2011))
A digital Artifact for the MOOC on financing for development by
Timothy E.O Attoye
2
3. Financing
• Financing: GDP- USD 568.5B
• Health expenditure % of GDP: 3.9%
• Out of pocket expenditure over 95%
• Major percentage of government expenditure on staffing
salaries.
• Less than 5% from Social insurance
A digital Artifact for the MOOC on financing for development by
Timothy E.O Attoye
3
4. Health System
Performance
• Life expectancy: 52 years
• Infant Mortality Rate: 72 per 1000 live births
• Maternal mortality ratio: 814 per 100,000births
• Epidemic of noncommunicable diseases
A digital Artifact for the MOOC on financing for development by
Timothy E.O Attoye
4
5. The Solution
• Increase spending on health
• A mechanism to ensure that the poorest quintiles can
access health care.
• Better location and distribution of health care personnel
and facilities as well as more efficient management of the
facilities.
A digital Artifact for the MOOC on financing for development by
Timothy E.O Attoye
5
6. The Proposal
• Shift government focus to financing and regulation of
healthcare and increase private sector participation in
health care provision with potential efficiency gains.
A digital Artifact for the MOOC on financing for development by
Timothy E.O Attoye
6
7. Feasibility
• Two proofs of concept.
1. NHIS scheme: Primary Health services can be provided
for 750 naira capitation (approx. 3USD) per month
2. The capitation model can be used by the private sector
in a sustainable and profitable way of running primary
care in Nigeria; demonstrated by the Hygeia/Lagoon
group
A digital Artifact for the MOOC on financing for development by
Timothy E.O Attoye
7
8. Execution
• Comprehensive situation analysis
• Geographical distribution of health facilities and staff needs
to be carried out to demonstrate clearly where new facilities
would need to be cited what staff need to be employed.
• Clearly define the market; map citizens to health facility,
creating catchment areas and clearly defining the market for
each service provider.
A digital Artifact for the MOOC on financing for development by
Timothy E.O Attoye
8
9. Execution (contd)
• Financing for each facility to be based on the number of
people in the catchment area and on the basis of 750 per
person per month.
• Sourcing: the previous allocations to health by the
different tiers of government; both from the local to
federal levels
A digital Artifact for the MOOC on financing for development by
Timothy E.O Attoye
9
10. Execution (contd)
• Private development partners, particularly to be
contracted to run existing facilities and build new ones
where needed under the build-own-operate arrangements
• These could be for profit health maintenance
organizations or new private development partners.
A digital Artifact for the MOOC on financing for development by
Timothy E.O Attoye
10
11. Value Proposition
• Reduced barriers to entry in the case of existing health
facilities.
• Limited competition in catchment area a ready market
• Government risk mitigation by the assurance of income
stream based on the capitation model .
A digital Artifact for the MOOC on financing for development by
Timothy E.O Attoye
11
12. Potential challenges and
solutions
• A massive undertaking requiring tremendous technical
know how and possibly external aid which the World
bank is eminently qualified to provide.
• Substantive contributions and collaborations from the
ministry of health and finance, between the legislative
and executive arms
• Starting with a proof of concept at a local/ regional level
before a national roll-out.
A digital Artifact for the MOOC on financing for development by
Timothy E.O Attoye
12
13. • Thank you for your time
A digital Artifact for the MOOC on financing for development by
Timothy E.O Attoye
13
14. Sources
• The World Bank, World Development Indicators (2013). Nigeria: World development Indicators;
Retrieved from http://data.worldbank.org/country/nigeria#cp_wdi
• Federal ministry of Health. Nigeria Strategic Health Development Plan 2010-2015. Retrieved from
http://www.health.gov.ng/doc/NSHDP.pdf
• United States Government Interagency Team (2011): Nigeria Global Health Initiative Strategy 2010 –
2015 Retrieved from http://www.ghi.gov/whereWeWork/docs/NigeriaStrategy.pdf
https://openknowledge.worldbank.org/bitstream/handle/10986/5958/540370PUB0heal101Official0Use0O
nly1.pdf?sequence=1
• Ejughemre, U. J. (2014). Accelerated reforms in healthcare financing: The need to scale up private sector
participation in Nigeria. International journal of health policy and management, 2(1), 13.
• Adefolaju, T. (2014). Repositioning Health Insurance in Nigeria: Prospects and Challenges. International
Journal of Health Sciences, 2(2), 151-162.
A digital Artifact for the MOOC on financing for development by
Timothy E.O Attoye
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