The Community Investment Program – East was funded by BP/Mercy Corps, and implemented in partnership with Mercy Corps., Elkana, TAG, Constanta and Curatio International Foundation (CIF) in March 2003- December 2005. In the frame of this project, CIF was responsible for conducting the trainings of PHC staff available in village ambulatories (Doctors and nurses) on different health issues, including Antenatal Care, Immunization, Chronic diseases prevention, Geriatric disorders, etc.
Category: Health Financing
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Community Investment Program – West
The Community Investment Program – West was funded by BP/CARE Int. and implemented in partnership with CARE Int., ICCN, TAG, Constanta, and Curatio International Foundation (CIF) in the period of March 2003- December 2005. In the frame of this project, CIF was responsible for conducting the trainings of PHC staff available in village ambulatories (Doctors and nurses) on different health issues, including Antenatal Care, Immunization, Chronic diseases prevention, Geriatric disorders, etc. CIF conducted trainings for community members on First Aid and psycho-social care of the elderly. In addition to conducting trainings, CIF also designed and implemented the Psycho-social network for the elderly and community based health financing schemes. CIF developed and implemented the education, communication, and information campaign for communities on prevention measures of Chronic diseases, as well as STD/HIV/AIDS and alcohol and drug addiction. The informational materials have been printed and were distributed in the communities.
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Community Based Health Financing Project
Community Based Health Financing (CBHF) project was implemented by Curatio International Foundation (CIF) through the Sub-Grant Agreement No: RFA-GC6-001-DT under the West Georgia Community Mobilization Initiative Project, which was administered by the Care International in Caucasus and was funded by the United States Agency for International Development (USAID). CIF started project implementation in August 2003 and completed it by August 2004, in accordance with the proposed implementation schedule.
The main goal of the CBHF project was to decrease the financial access barriers for the poor members of the targeted communities by establishing Community managed and operated health care schemes, that mobilize community’s financial resources (designated for the health care) on a pre-paid basis.
CIF identified the following objectives:
Establish 12-18 sustainable CBHF schemes in selected geographic areas, involving communities and local healthcare providers;
Utilize CBHF schemes to target the most needy within the communities;
Develop and strengthen local capacity to manage CBHF schemes;
Ensure future sustainability of CBHF schemes
The following Project Activities took place during the implementation phase:Initial assessment of the situation in 6 regions of Western Georgia;
Selection of communities that indicated interest in establishing CBHF schemes
Through the participatory approach, designed CBHF schemes that were custom tailored to each selected community;
Introduced the designed schemes to Community Based organization through Workshops;
Identified the training needs of the Community groups and Health Providers;
Developed training materials for the Communities and Health Providers based on the identified needs;
Trained Fund Managers, and Health Providers;
The CBHF Schemes were initiated in 8 targeted communities. -
Health Reform and Hospital Financing in Georgia
The publication aims to analyze hospital financing and delivery of inpatient services, financial requirements of the hospitals, and their ability to meet these determinant requirements. There were different types of methods used during this work. By means of standardized questionnaire data on financial performance of 41 hospitals were collected. Patient survey, group discussions with hospital administrators, and interviews with policy-makers were also used. As a result it appeared that thirty-three hospitals were unable to recover full costs, and 29 were unable to recover full costs excluding capital consumption cost. Medium-sized hospitals recovered only 63.5% of full costs. They employed salary equalization policies, which increased the share of fixed costs, perpetuated the oversupply of medical personnel, and yielded low pays. Hospitals charged in excess of their officially accounted costs but, and due to the low collection rates, cost recovery rates were below the officially accounted costs (87.6%).In conclusion it can be said that low official reimbursement rates and patient unawareness of official hospital costs creates conducive environment for shifting major turnover of the real hospital costs to the patients, resulting in illegal patients charging.
Authors:Avtandil Jorbenadze, Akaki Zoidze, David Gzirirshvili, George Gotsadze.
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Reform strategies in Georgia and their impact on health care provision in rural areas: evidence from a household survey
This paper aims to contribute to the assessment of the impact of health sector reforms in Georgia. It mainly focuses on changes in the patterns of health services utilization in rural areas of the country as a function of implemented changes in healthcare financing on a primary health care (PHC) level. Our findings are based on a household survey, which was carried out during summer 2002. Conclusions derived from the findings could be of interest to policy makers in transitional countries. The paper argues that health financing reforms on the PHC level initiated by the Government of Georgia, aimed at decreasing financial access barriers for the population in the countryside have rendered initial positive results and improved access to essential PHC services. However, to sustain and enhance this attainments the government should ensure equity, improve the targeting mechanisms for the indigent population and mobilize additional public and private funds for financing primary care in the country. Read further.
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Development of Hospital Master Plan for Georgia, 1998-1999
Development of Hospital Master Plan for Georgia project started in July 1998 and ended in January 1999. The project was funded by the World Bank through prime contract with Kaiser Permanente International (USA). Curatio International Foundation managed and administered all operations in Georgia, managed local and international consultants, and provided technical input for the project implementation. The project aimed to evaluate the hospital sector and health needs of the Georgian population all over the country and design the hospital master plan. As a result of this work, the Ministry of Labor, Health, and Social Affairs received master plan for hospital sector restructuring in the country.
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Hospital Financing in Georgia: Problems & Solutions, 1998-1999
The Hospital Financing in Georgia Problems & Solutions project was funded by the U.S. Agency for International Development (USAID) through prime contract with Abt. Associates Inc. The project aimed to evaluate financing of the hospital sector in Georgia in order to propose policy recommendations for the sector. In the duration of February 1998- March 1999, Curatio International Foundation (CIF), with technical guidance received from Abt. Associates, designed the evaluation methodology and tools, carried out evaluation and analysis, and developed a comprehensive report with the needed policy recommendations.