Designup

Category: Health Financing

  • CIF Hosts workshop on Classifications for Hospital and Laboratory intervention

    On March 5, 2009 the CIF, in the framework of USAID funded CoReform project organized the workshop on Classifications for Hospital and Laboratory intervention.

    On March 5, 2009 the workshop on Classifications for Hospital, Ambulatory and Laboratory interventions was held. Over 23 participants representing MOLSHA, Health and Social Programs Agency (HeSPA), Georgian Insurance Association (GIA), Social Services Agency, private insurance companies and USAID along with other members of the project attended the workshop. Event participants were presented and handed-over those classifications (NCSP and laboratory interventions) which do not require license as a necessary precondition for implementation.

    The effort became possible in the framework of one of the components of the USAID funded CoReform project which aims at supporting insurance companies in registering and processing the information received from providers and establishing effective reporting system between private insurance companies and the Ministry. This was achieved through a) translating and adapting to the Georgian realities international classifications for medical interventions: NOMESCO Classification for Surgical Procedures (NCSP) and the International Classification for Primary Care (ICPC 2) developed by WONCA; and b) developing suitable for Georgia laboratory interventions widely using international experience.

    After securing license for ICPC2 (since NCSP does not need it) the Ministry planns to issue normative decree to make all classifications official national classifications.

  • The Global Fund Contracted Curatio International Foundation for Consulting Services

    Curatio International Foundation was contracted for consulting services in the following three areas of operation and grant management support:diagnostic and remedial action planning in Global Fund grant countries facing implementation challenges;governance and oversight processes for Country Coordinating Mechanisms (CCMs); analysis and documentation of case studies of innovative country partnerships that provide examples of best emerging practices or offer models to share among partners.

    The purpose of these Indefinite Quantity Contract (IQCs) is to establish a mechanism through which the Secretariat can effectively and efficiently supplement its capacity to manage the risks of the grants, identify the challenges to implementation and oversight, and to document these and other grant processes and activities of note.

    Task Orders will be awarded to the selected Contractors on an as-needed basis to provide the resources necessary to perform diagnostic analyses on grant implementation issues, such as program management and implementation capacity; financial budgeting, planning and reporting; procurement and supply management; and monitoring and evaluation. In the area of CCM Functioning, contractors will be asked to conduct workshops, facilitate restructuring efforts, or design assessment tools to support the effective governance role of the CCM.

    These contracts have been awarded on a regional basis and Curatio International Foundation has won this IQC contract for Easter Europe and Central Asia region along with EPOS Health Consultants (Germany) and Emerging Markets Group (USA).

  • CIF and MoLHSA conduct a workshop on Integrated Model and Strategic Plan for the Health Information system development in Georgia

    On February 12, 2008 a stakeholder workshop to discuss an Integrated Model and Strategic Plan for the Health Information System development in Georgia was held at the Ministry of Labor Health and Social Affairs of Georgia (MoLHSA). The workshop was organized in the framework of the Health Metrics Network project implemented by CIF in collaboration with the MoLHSA.

    The workshop was attended by the senior level policymakers, stakeholders from the National Center for Disease Control and Public Health, the Health and Social Programs Agency, the State Department of Statistics, private insurance companies, representatives of all donor supported Projects involved in the strengthening of the health information system. It was facilitated by the Deputy Minister Nikoloz Pruidze. Introductory remarks including a rapid review of the project, activities implementing within the project, workshop agenda, detailed the purpose of the meeting and introducing presenters from Curatio International Foundation was made by the project manager Ketevan Goguadze. Taking into account that the workshop was attended by the high level policy makers it was considered crucial to discuss proposed model of the integrated HIS once again to reach consensus on this issue.

    Topics/questions discussed at the workshop:

    Organizational Structure of HIS Introduction of relevant changes in the legislation (e.g. law on health care, law on public health, and development of “Healthcare Code”), that are required to insure Health status and IDSR data reporting from all autonomous health care facilities to rayon/ municipal public health units Introduction of the unique identification of population

    Organization Structure of HIS: One of the key topics was related to the proposed integrated model of HIS. All stakeholders agreed that having NCDC regional branches would provide very good bases for institutionalizing and implementing upgraded HIS. Agreement has also been achieved on the issue related to the pooling and analysing the data at the regional level. NCDC regional structure would allow better monitoring quality of collected data, and providing technical assistance and on-the-job training to municipal Public Health units and healthcare facility staff collecting and reporting health data from grass root level. All participants also agreed that it is critically important to have public health services at the local level to ensure timely implementation of response measures in case of infectious disease outbreaks. As for their role in implementing HIS, under the proposed model, municipal (rayonal) PH units would be collecting data reports from individual facilities, and further submitting them to regional CPH. It was mentioned that making decision on creating NCDC regional branches is not only responsibility of the Ministry of Health. This issue requires further discussion at the cabinet of Ministers. Decision was made, that recommendations will be prepared and Minister of Health will submit to the Cabinet of Ministers for future discussion.

    Introduction of relevant changes in the legislation: there is a prominent need to introduce changes in the existing laws (mainly law on health care and the law on public health) considering the current context of health care system of Georgia. While recognizing the importance of improving the aforementioned laws, the most important initiative would be introduction of effective mechanisms for implementation of these laws in real life by including administrative sanctions for both private and public facilities/ providers not complying with the defined rules in the “Administrative Code”. Decision was made to create working group at the Ministry of health, that would revise existing laws and “Administrative Code”, make relevant changes and include applicable sanctions (mostly professional, administrative, and financial) for those providers, facilities and local public health units not reporting data to MoLHSA according to defined rules and standards.

    Unique identification of population- introduction of the unique identification of population was considered as very important for the country, however, given the complexity and high cost related to this issue it supposed to be long term perspective. It was also recognized that development of unique identification of population will require inter-sectoral approach and good coordination to make sure that main stakeholders such as line ministries and governmental agencies have coherent vision and implement activities in coordinated manner.

  • Georgia Health Utilization and Expenditure Survey

    The Health Utilisation and Expenditure Survey (HUES) was conducted in May/June 2007 and consisted of a nationally representative sample of 3,218 households.

    The objectives of the survey were: to estimate household health expenditure and compare this with the Integrated Household Survey (IHS) estimates to provide adjustment factors; to provide information on reported health status, use of services and user satisfaction; and to provide a baseline for reforms in primary health care and sector financing, both nationally and for specific ‘pilot’ regions where additional support is being provided. A second round of the HUES is planned for 2009 and will provide follow-up information in each area.

    Get the full version of the survey.

  • Protocol of the Policy Club on the Public Health Organizational Development

    On February 23, 2007 the policy club has been organized within the framework of CoReform Project with the aim to discuss organizational arrangement of the Public Health at local level. It has brought together Deputy Ministers MOLHSA, representatives of Sector Policy Planning Department, Head of the Regulatory Department, Head of the Health Care Department, Director of the National Centre for Disease Control and Medical Statistics, Head of the Public Health Department, Head of the Juridical Department, State Minister Office of Reform Coordination, CoReform Project, Curatio International Foundation representatives, etc. CIF represented by Ivdity Chikovani had presented resources required for effective functioning of public health at the local level. This includes the following activities: immunization, supervision, surveillance and control, routine collection of statistical data and analysis, malaria control measures.

    See Georgian version of the presentation.

  • Community Based Health Insurance

    Community Based Health Insurance Project was funded by Japan Social Development Fund (JSDF) and was implemented by Curatio International Foundation (CIF) during the period of September 2003 – September 2007. The objective of the project was to test the feasibility and effectiveness of community based health insurance (CBHI) schemes implemented by the selected communities in Georgia.

    More specifically, the project aimed to:

    Improve access to health services and provide financial protection for poor and vulnerable groups through increased community participation;
    Replicate seven pilot (CBHI) schemes implemented in Western Georgia in at least thirty six (36) other communities in Eastern and Western Georgia;
    Link the micro schemes (micro-insurance) that increase the size of the risk pool and generate economics of scale with management of the insurance schemes.
    This grant complemented the Development Credit Agreement (Credit Number 3702 GE) of the Primary Health Care Development Project dated November 8, 2002 between Georgia and IDA and facilitated the implementation of the Primary Health Care Development Project.

  • Ukraine Mission Report

    CIF consultant George Gotsadze was invited by the country office of UNAIDS Ukraine to support the reconstruction of the management component of the Tuberculosis and HIV/AIDS Control Project, financed with the loan proceeds from the World Bank. The project has been suspended by the World Bank since April 2006 due to the slow implementation of the project. Three conditions were recommended by the World Bank to the Government for the continuation of the project. The Government had met required conditions and the suspension placed on the project was effectively lifted. Restructuring the project management and developing detailed implementation plan for the period December 2006-June 2007 were two conditions out of three for the Government of Ukraine to tackle with the help of the consultant.

  • Feasibility Assessment for Introduction of the Community Based Health Financing in Egypt

    The project of Feasibility Assessment for Introduction of the Community Based Health Financing (CBHF) was funded by Egyptian Social Fund for Development (SFD) and implemented by Curatio International Foundation during the period of September 2005- May 2006. The objective of this mission was to provide technical assistance to the SFD in evaluation of feasibility of CBHF in the selected Egyptian communities and, if CBHF proved feasible, cooperate with the government authorities in developing an action plan for CBHF implementation.

    Consultants conducted following activities:

    Visited Egypt during November 5 – 22, 2005 and discussed with SFD the methodology of and the approach to the assignment, agreeing on the final methodology to be used in feasibility assessment;
    Conducted meetings with the Egyptian government, technical counterparts/experts in the area of health sector financing, and the donors active in health sector reform area;
    Identified main risks associated with the implementation of a CBHF scheme in Egypt;
    Reviewed the documented evidence about CBHF in Egypt;
    With the help of SFD staff and based on the proposed methodology, they identified the sites/communities and institutions in which to conduct visits;
    Analyzed the available information relevant to the household health care needs, health service utilization patterns, health care access barriers, socio-cultural factors determining health care seeking behavior, and considered these factors in determining the feasibility of CBHF;
    Prepared the feasibility study report and discussed the findings with the client;
    Conducted a workshop with the stakeholders to discuss feasibility study findings as well as to propose options and to agree on those conceptual models that were found acceptable by the stakeholders for the pilot project.

  • Feasibility Assessment for Introduction of the Community Based Health Financing in Egypt

    The project of Feasibility Assessment for Introduction of the Community Based Health Financing (CBHF) was funded by Egyptian Social Fund for Development (SFD) and implemented by Curatio International Foundation during the period of September 2005- May 2006. The objective of this mission was to provide technical assistance to the SFD in evaluation of feasibility of CBHF in the selected Egyptian communities and, if CBHF proved feasible, cooperate with the government authorities in developing an action plan for CBHF implementation.

    Consultants conducted following activities:

    Visited Egypt during November 5 – 22, 2005 and discussed with SFD the methodology of and the approach to the assignment, agreeing on the final methodology to be used in feasibility assessment;
    Conducted meetings with the Egyptian government, technical counterparts/experts in the area of health sector financing, and the donors active in health sector reform area;
    Identified main risks associated with the implementation of a CBHF scheme in Egypt;
    Reviewed the documented evidence about CBHF in Egypt;
    With the help of SFD staff and based on the proposed methodology, they identified the sites/communities and institutions in which to conduct visits;
    Analyzed the available information relevant to the household health care needs, health service utilization patterns, health care access barriers, socio-cultural factors determining health care seeking behavior, and considered these factors in determining the feasibility of CBHF;
    Prepared the feasibility study report and discussed the findings with the client;
    Conducted a workshop with the stakeholders to discuss feasibility study findings as well as to propose options and to agree on those conceptual models that were found acceptable by the stakeholders for the pilot project.

  • Health System Resource Centre

    The Health System Resource Centre (HSRC) provides access to technical assistance, knowledge, and information in support of pro-poor health policies, financing, and services, for the Department for International Development of UK and its international and national partners. The duration of the project was 2002 – 2005.

    HSRC services are delivered by an international consortium of seven partner organizations, bringing together a wealth of research and operational expertise in national and international health policy issues and system development:

    Aga Khan Health Services, Community Department (CHD), Kenya;
    Centre de Recherchers et d’Etudes pour le Developpement de la Sante (CREDES), France;
    Curatio International Foundation (CIF); Georgia;
    The Harvard School of Public Health’s International Health Systems Group (IHSG), USA;
    The Institute of Development Studies, (IDS), UK;
    The Institute for Health Sector Development (IHSD), UK;
    The Institute of Policy Studies (IPS), Sri Lanka.
    The HSRC works with national, regional, and international initiatives in support of health system capacity to deliver affordable health services to the indigent people in the developing countries.

    Visit to learn more.