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Category: 2014

  • Assessment of GAVI Alliance HSS support to Tajikistan

    In August 2014, Curatio International Foundation conducted an assessment of GAVI Alliance HSS support to Tajikstan to provide solid evidence of to what extent the support achieved its objectives and contributed to strengthen the health system of the country.

    The assessment aimed to identify successes, key challenges and lessons learned that may help GAVI Alliance to improve the design and implementation of future HSS support to Tajikistan and other countries. The assessment covered the period of GAVI’s HSS grant to Tajikistan from 2008-2014.

    The full report of the assessment is now available on GAVI’s website. Please visit the page for more information.

    You can also download the full report here.

  • Analyses of Costs and Financing of the Routine Immunization Program and New Vaccine Introduction in the Republic of Moldova

    In 2012-2014 Curatio International Foundation implemented the costing study that aimed to evaluate routine immunization program costs and financing as well as incremental costs and financing of a new vaccine introduction in the Republic of Moldova.

    The study was a part of a larger effort to evaluate costs and financing of routine immunization in six countries (Moldova, Benin, Uganda, Zambia, Ghana, Honduras) supported by the Bill & Melinda Gates Foundation.

    The study generated new information that will help a) improve the planning of resource requirements and financing needs at the country level; b) improve the understanding of the total immunization program costs and unit costs, as well as delivery costs of Routine Immunization services and delivery costs associated with the introduction of a new vaccine and c) contribute to updating GAVI Alliance policies on new vaccine introduction support.

    The findings of our study provide critical information for discussing issues related to the affordability of new vaccine introduction in Moldova, and the financial sustainability of the national immunization program after it graduates from GAVI support.

    Please follow the links to read the final presentation, project report and policy brief.

       

  • Final Evaluation of GAVI Alliance's Support to Bosnia and Herzogovina

    In 2014 Curatio International Foundation conducted a final evaluation of GAVI’s support to Bosnia & Herzegovina (BiH), commissioned by the Global Alliance for Vaccines and Immunization (GAVI) Alliance Secretariat.

    The evaluation assessed both financial and programmatic sustainability through an in-depth analysis of BiH’s experiences and immunization program performance before, during and after the conclusion of GAVI’s period of support for the country. The evaluation also identified factors contributing to the sustainability of these programs and their achievements.

    GAVI’s support to BiH was evaluated along three-evaluation focus areas: planning (pre-GAVI support), implementation (support received during GAVI period) and outcomes (post-GAVI support). Additionally, evidence related to each of the focus areas was assessed against five OECD/DAC evaluation criteria: relevance, efficiency, effectiveness, impact/results, and sustainability, with greatest emphasis on sustainability.

    The recommendations derived after the evaluation are planned to help further define M&E and potential programmatic activities to be conducted in graduating countries in the future.

    To read the final evaluation report, please follow the link.

  • CIF Publishes the Short Movie on 20 Years of Healthcare, 2014

    Curatio International Foundation celebrates its 20 years anniversary and prepares short movie describing the history of health care reforms in Georgia after collapse of Soviet Union. The story is retailed directly by the people involved in the process and organizations that encouraged the progress: Amiran Gamkrelidze -Minister of Labour, Health and Social Affairsin 2001-2003, Akaki Zoidze- Deputy State Minister in 2001-2003 years, Giorgi Gotsadze – CIF director, Alexander Kvitashvili – Minister of Labour, Health and Social Affairs in 2008-2010, Stephen Heikin- USAID/Caucasus Mission Director, Dandan Chen- World Bank Human Development Program Leader for the South Caucasus
    We appreciate their participation in the movie.

  • CIF Publishes Anniversary Publication '20 Years of Health Care, 2014

    20 Years Anniversary brochure describes reforms that have significantly altered the landscape of health care in Georgia after collapse of the Soviet Union. The contents draw on important publications and oral narratives by those who have been initiators, implementers and witnesses to all major changes in the history of Georgia’s health system over the last two decades.

    Please view the Publication as PDF 

     

    Please also view the Animation about the Publication:

  • Mental Health Care in Georgia, 2014

    [vc_row][vc_column][vc_column_text]In 2014 Curatio International Foundation conducted a study on financial barriers of the mental health system. The study employed qualitative research methods, as well as literature review and secondary data analysis.

    CIF prepared a policy brief document, which presents main barriers existing at the different levels of the system creating access problems to adequate and quality services for the population.

    Read the document >>[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column width=”1/1″][ultimate_spacer height=”30″][vc_simple_slider ids=”5810″][ultimate_spacer height=”30″][/vc_column][/vc_row]

  • HIV risk and prevention behavior among Female Sex Workers in two cities of Georgia – Bio-Behavioral Surveillance Survey with Population Size Estimation in Tbilisi and Batumi, 2014

    Curatio International Foundation together with Center for Information and Counseling on Reproductive Health TANADGOMA is implementing the research project which aims to generate reliable information to plan preventive interventions targeting key populations at riks of HIV/AIDS.

    Currently Georgia belongs to the groups of countries with concentrated HIV epidemics. According to the National Center for Disease Control and Public Health 4,131 People living with HIV (PLWH) were officially registered by the end of 2013. The number of newly registered cases is about 500 per year. According to the national HIV surveillance system among newly registered HIV cases heterosexual transmission is the main mode of transmission (49%), followed by injecting drug use (35%) and homosexual intercourse (13%). The findings of the last Bio-BSS conducted in 2012 among female sex workers (FSWs) in Tbilisi and Batumi showed that, HIV prevalence among FSWs is 1.3% in Tbilisi and 0.8% in Batumi. The current study represents a further round of Bio-BSS in Tbilisi and Batumi, with the additional survey of population size estimation, which is important for the planning and implementation of adequate preventive interventions.

    The current study is supported by Global Fund to fight HIV/AIDS, tuberculosis, and malaria. International experts are invited to participate in the survey design development and results analysis.

    To view full reports please follow the links below:

    1. HIV risk and prevention behaviours among Female Sex Workers in two cities of Georgia, 2014
    2. Population Size Estimation of Female Sex Workers In Tbilisi and Batumi, Georgia 2014

  • Population Size Estimation of Men Who Have Sex with Men in Georgia, 2014

    Curatio International Foundation together with Center for Information and Counseling on Reproductive Health TANADGOMA implemented the survey project which aims to plan preventive interventions targeting high risk group and estimating the population size of Men Who Have Sex with Men (MSM).

    According National center for disease control and public health 4,131People living with HIV (PLWH) were officially registered by the end of 2013. The number of newly registered is 490 in 2013 and compare to 2012decreased by 7%.
    Georgia is among low HIV prevalence (0.07%) countries. The HIV epidemic is primarily restricted to the most-at-risk populations (MARP). Among newly registered HIV cases heterosexual transmission mode is the first route 49%; the share of drug use is the second 35% and the third is homosexual route of transmission 13% according to the national HIV surveillance system.The findings of the last Bio-BSS conducted in 2012 among men who have sex with men (MSM) in Tbilisishowed that, HIV prevalence among MSM is 13%.

    Preventive interventions targeting this high risk group are implemented in the country, however for adequate planning and scaling-up of preventive interventions estimation of the MSM size is critical. Due to absence of this information in the country accurate coverage of preventive interventions is challenging as well.

    The current study is supported by Global Fund to fight HIV/AIDS, tuberculosis, and malaria. International experts are invited to participatein the survey design development and results analysis.

    For more information please view the full report.

  • Georgian Healthcare System Barometer: Experts' Evaluations of Changes Taking Place in the Healthcare

    Curatio International Foundation published results of the survey, representing expert evaluations of processes and changes taking place in the Georgian healthcare field.

    “Georgian Healthcare System Barometer” is based on evaluations of 98 experts and covers 6-month period – May-October, 2013.

    The survey was focused on expected results of the Universal Insurance; possible influence of steps made by the Government on private investments in healthcare; population health; quality of the medical service and medical education; a policy of healthcare financing.

    Curatio International Foundation first published Barometer in April 2013. In the second survey, some assessments have become more optimistic, although issues with increased pessimistic expectations have emerged as well.

    Major findings of the survey:

    • Experts believe that initiatives introduced by the Government in the healthcare sector for the past 6 months have generally been efficient – during this period, the number of skeptics significantly dropped from 52.4% to 33%;
    • This time, more respondents consider that steps made by the Government are efficient but  funding of this sector is evaluated as “less adequate”;
    • Despite the significant increase in State funding, experts’ expectations that healthcare would become more affordable and/or prices would go down, have become more pessimistic in the second wave;
    • In the second wave, optimistic expectations that prices on medications would go down have decreased from 38.8% to 25.5%. This is probably caused by the fact that 47.3% of experts believe that, in terms of pharmaceutical market management and regulation, no  important steps have been made for the past 6 months;
    • According to experts, just as in the first wave, the quality of medical service, as well as medical education system, remain problematic;
    • The majority of experts thinks that the medical personnel training system still does not meet current requirements and 69.8% of experts indicates that effective steps have not been made in this direction for the past 6 months either;
    • It is well known that for the development of the sector, it is necessary to improve the investment climate. The majority of experts are skeptical that the policy pursued for the last 6 months will promote private investments in the insurance industry (70.3%) or in medical facilities (61.6%);
    • Experts believe that the policy conducted in this sector will increase the Government’s role in insurance companies (54.9%) and clinical facilities (76.9%).

    Positive perception of results and tendencies by experts is probably caused by a clear formulation of concrete priorities by the State and communication through programmatic and/or State documents as well as through media. The negative results are probably caused by either an absence of declared priorities by the State of insufficient detalization of them.

    Researchers conclude that clear and transparent formulation of priorities and adequate communication can have a positive influence on the future of the health sector and consequently on the public opinion.

    Experts participating in the survey represent ministries and government bodies, medical facilities, international organizations, professional associations, insurance companies and research groups.

    Curatio International Foundation will conduct such survey every six months in order to observe in dynamics processes taking place in this sector and experts’ attitude towards these changes.