Designup

Category: 2017

  • Network Coordination Partner: The Learning Network for Countries in Transition

    [vc_row][vc_column width=”1/2″][vc_column_text]

    Introduction and Overview

    According to a new Gavi strategy for 2016-­2020 one of the strategic goals for Gavi is to assure that EPI programs are sustainable in a long-term, especially within the group of countries transitioning out of Gavi financial support during the next five-­year period. A large number of countries receiving support from Gavi, are transitioning or expected to transition out of support in the next few years.[/vc_column_text][/vc_column][vc_column width=”1/2″][vc_column_text]

    Visit the project website 

    [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column width=”1/1″][vc_column_text]As transition is a new challenge middle-­income countries are faced, it is crucial to capture experiences of countries go through the transition process and utilize country-­to-­country peer learning to address common challenges in immunization financing and programming. For this purposes a new initiative, the Learning Network for Countries in Transition was launched in May 2017. Results for Development (R4D) is leading network coordination and technical facilitation, drawing on partners and experts as needed.

    Specific objectives of the project are following:

    1. Facilitate knowledge exchange on technical topics;
    2. Build community and sustain the collaborative process;
    3. Co-develop clear and agreed output(s) related to priority technical topics;
    4. Support LNCT country core groups;
    5. Help with broader dissemination of LNCT messages, approaches, and lessons.
    Organizations Involved in the Research

    Project is implemented by Results for Development Institute, Inc. “R4D” in partnership with Learning Network for Countries in Transition, middle-income countries in transition from GAVI support.

    The project is funded by Bill&Melinda Gates Foundation.

    Expected Results

    CIF will support R4D in conducting scoping literature review and interviews with partner organizations and country stakeholders to a) better understand current country processes, b) identify other country experiences regionally/ globally that would provide good learning opportunities; c) explore existing approaches, tools, and resources on identified technical topics; d) refine identified topics through understanding of country demand, experiences, and gaps in knowledge.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column width=”1/1″][/vc_column][/vc_row]

  • Technical Assistance to Evaluate HIV Monitoring and Evaluation System in the Republic of Moldova

    Introduction and Overview

    The evaluation is expected to comprehensively assess the HIV Monitoring and Evaluation (M&E) system aimed to standardizing the reporting forms, build the national information flow within HIV related organizations, developing the national M&E System and Plan. The evaluation has to provide recommendations for improvement of M&E System, enhance its quality and comprehensiveness, including coordination and sustainability of the system.

    The evaluation will assess the HIV/AIDS M&E system, type of indicators and data flows starting from the first service contact level up to the national level, between different sectors and with particular emphasis on Prednestrovya region. The evaluation will last by the end of November, 2017.

    Organizations involved in the research

    Public Institution “Coordination, Implementation and Monitoring Unit of the  Health  System Projects” is implementing the project, funded by The Global Fund. Partners of the project are Ministry of Health (MoH) and other sectorail ministries under the leadership of the National Coordination Council of Moldova.

    The HIV Monitoring and Evaluation is one part of the project fulfilled by Curatio International Foundation.

    Expected Results

    The Program Management structure, regional health authorities, health and other service providers will largely benefit from enhanced and comprehensive M&E system, for which the evaluation will formulate recommendations.

  • Designing and evaluating provider results-based financing for tuberculosis care in Georgia (RBF4TB)

    Introduction and Overview

    CIF in partnership with Queen Margaret University (UK), London School of Hygiene and Tropical Medicine (UK) and Antwerp Institute of Tropical Medicine (Belgium) is implementing a study “Designing and evaluating provider results-based financing for tuberculosis care in Georgia: understanding costs, mechanisms of effect and impact”. The 48-month research project will assist the Government of Georgia in developing a provider incentive payment scheme for Tuberculosis. It will generate evidence on its effects on adherence and treatment success rates and costs.

    The research will seek to answer the following research questions:

    (1) What is the impact of provider-focused Results-Based Financing (RBF) on patients, adherence to tuberculosis treatment and treatment outcomes of both Drug-Susceptible (DS) and Multi Drug Resistant (MDR) patients in Georgia?

    (2) Is the RBF intervention cost-effective?

    (3) How does it work, for whom and in which conditions?

    (4) How should RBF be modified to optimize national roll-out for this and possibly other health services?

    Project has launched in March 2017 and will run till March 2021.

    Organizations involved in the research

    The project is funded through the Joint Health Systems Research Initiative, which is jointly funded by the Department of International Development (DFID), the Economic and Social Research Council (ESRC), the Medical Research Council (MRC) and the Wellcome Trust (WT).

    The study will be implemented by CIF (Georgia), Queen Margaret University (UK), London School of Hygiene and Tropical Medicine (UK) and Antwerp Institute of Tropical Medicine (Belgium).

    Expected Results and Their Application

    The beneficiaries of this research will be TB patients, nurses and physicians involved in TB care, health facility managers, policy-makers, community members and the scientific community in Georgia, in the region and globally.

    The research will narrow the knowledge gap existing around RBF interventions, such as their application in public/private settings and their cost-effectiveness, the conditions of success and the wider (negative and positive) consequences of the scheme.

    The research will also produce methodological innovation regarding the use of realist evaluation alongside cost effectiveness analysis.

    National policy-makers will use the evidence produced through this research to reform the financing of primary health schemes in a way that improves efficiency, quality and sustainability of services. Additionally, findings will be beneficial for other LMICs, particularly for those with a similar vertical organization of TB services (most of the former Socialist countries of Eastern and Central Europe and Central Asia) and for countries where private providers play an important role in the provision of TB services.

     

  • Barriers and Facilitators to Screening and Treatment of HCV among IV drug-users in the Republic of Georgia: A Formative Qualitative Study

    Status: Closed

    Introduction and Overview

    In Georgia HCV treatment has become accessible to the population through a new government initiative. This initiative entails the provision of costly HCV treatment drugs at a lower cost (60% lower than the market price) to the patients who have completed HCV diagnostic testing. The hepatitis C program has been placed high on the country’s political agenda, which demonstrates the priority of this public health problem. Since 2008, harm reduction programs operating in all major cities of Georgia provide free HCV antibody testing to PWIDs along with other preventive interventions. On average 2,000 IDUs get tested, and around 50% screen positive for exposure to HCV annually. Although preventive programs encourage HCV positive individuals to continue with further diagnostic procedures and treatment, the care and treatment outcomes for these individuals is unclear. Greater knowledge regarding the facilitators and barriers to diagnosis and care is urgently needed to ensure the country provides the most effective coverage of the population, and to help guide the implementation and refinement of the government’s new hepatitis C program.

    Organizations involved in the research

    The Curatio International Foundation (leading), Public Union Bemoni (partner) and New York University College of Nursing have considerable experience in the field of public health research, qualitative research methods, HCV research and studies with PWIDs.

    Expected Results and Their Application

    The implementation of this research will generate evidence that will in turn inform the future design of the Hepatitis C program. Specifically, the research findings will help to identify the barriers and facilitating factors to providing adequate HCV care and treatment. Additionally, it will assist in guiding the design of strategies to remove these barriers and enhance enabling factors, thus increase the effective coverage of the program.

    Sustainability Implementation Plan

    In Georgia there is no evidence regarding the factors that influence PWIDs decision to take the HCV test and to seek treatment following a positive test. Moreover, since the introduction of the government’s Hepatitis C program, there is a changing context (a decrease in the financial barriers), the influence of which, is interesting to investigate. Therefore, the findings of this research will be unique

    Read the report >>