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Category: Publications

  • Article: Privilege and inclusivity in shaping Global Health agendas

    Health Policy and Planning published an article Privilege and inclusivity in shaping Global Health agendas.  CIF director George Gotsadze co-authors the paper together with Kabir Sheikh, Sara Bennett and Fadi el Jardali.

    The article discusses lack of inclusivity in Global Health and possible actions to promote inclusivity and diversity in the field.

    “Northern voices dominate Global Health discussions. Of recent Lancet Commissions, excluding representatives from international organizations, 70% of commissioners on the Women and Health commission came from the global North, and likewise, 71% of the Health and Climate Change commission, 72% of the Global Surgery commission and 73% of the Global Health commission (Lancet 2016). Only two out of the 16-member Board of Directors of the Consortium of Universities of Global Health come from the global South (CUGH 2016). No current or past president and only one current member of the World Health Summit’s scientific committee is from the global South (WHS 2016). Only one of the 17 advisory board members of the journal Global Health Governance is based in a low/middle income country (LMIC) institution (GHG 2016).

    Only 15% of the world’s population lives in high-income countries. Yet Global Health conferences continue to be dominated by invited Northern speakers and important committees on Global Health composed mainly of Northerners. The words of a few from the global North wield a disproportionate power that carries …”

    The full text is downloadable here.

  • 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.

  • Infographic: HIV/AIDS in Georgia

    Though preventive programs are focused on the high risk population, we face slightly but growing tendency of HIV/AIDs among general population.

  • The drivers of facility-based immunization performance and costs. An application to Moldova


    The drivers of facility-based immunization performance and costs.     An application to Moldova. This is the article an International peer reviewed Journal Vaccine published, Co-authored by experts from the Curatio International Foundation.

    The study was a part of a multi-country coting and financing study of routine immunization program, supported by the Bill and Melinda Gates Foundation.

    Few costing studies of primary health care services in developing countries evaluate the drivers of immunization program performance and cost. This exercise attempted to fill this knowledge gap and helped to identify organizational and managerial factors at a primary care, district and national level that affect the cost and performance of the routine immunization program in Moldova

    Visit ResearchGate to read and download the article.

  • Costs of routine immunization services in Moldova: Findings of a facility-based costing study

    An International peer reviewed Journal Vaccine, published an article Costs of routine immunization services in Moldova: Findings of a facility-based costing study. Authored by experts from the Curatio International Foundation.

    The study evaluates the total economic and unit costs of the immunization program in the Republic of Moldova as part of a multi-country study supported by the Bill and Melinda Gates Foundation.

    The study shows that the cost of fully immunizing a child in a middle-income country is much higher than previous estimates. The study findings could contribute to building a new evidence-base that will provide valuable inputs into the development of national and global policies, as well as contribute to better planning and management of the national immunization program in Moldova.

    Visit ResearchGate to read and download the article.

  • 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.

       

  • Health Service Utilization for Mental, Behavioural and Emotional Problems among Conflict-Affected Population in Georgia

    An International peer reviewed Journal PLOS One has published an article Health Service Utilization for Mental, Behavioral and Emotional Problems among Conflict-Affected Population in Georgia: A Cross-Sectional Study, authored by experts from the Curatio International Foundation, and the London School of Hygiene and Tropical Medicine and GIP-Tbilisi.

    The article presents health care utilization patterns for mental, behavioral and emotional problems among the adult population in Georgia affected by 1990s and 2008 armed conflicts.

    The study suggests that there is limited use of formal health services for mental health problems among this population. The factors identified by the study that prevent from use of services are financial access barriers, especially for drugs, self treatment, poor referral pathways between primary and specialized care, lack of perception about mental health problems among the population. The paper discusses possible ways to improve mental health services in Georgia.

    Visit ResearchGate to read and download the article.

     

  • 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.

  • Healthcare Utilization and Expenditures for Chronic and Acute Conditions in Georgia: Does benefit package design matter?

    An International peer reviewed journal BMC Health Services Research publishes an article Healthcare utilization and expenditures for chronic and acute conditions in Georgia: Does benefit package design matter?, authored by experts from the Curatio International Foundation and London School of Hygiene and Tropical Medicine.

    The article presents study results, evaluating health care utilization and expenditures within the program: Medical Insurance for Poor in Georgia (MIP).

    The study assesses how the program effect varied for patients with different health conditions and identifies areas for improvement. The study documented that MIP had a more positive impact for patients with acute illnesses, while for beneficiaries with chronic illnesses, the positive impact was observed just during exacerbations.

    Increasing MIP benefits, particularly for patients with chronic illnesses, should receive priority attention if universal coverage objectives are to be achieved.

    Visit ResearchGate to read and download the article.

  • An Impact Evaluation of Medical Insurance for Poor in Georgia: Preliminary Results and Policy Implications

    An International peer reviewed journal Health Policy and Planning has published an article An impact evaluation of medical insurance for poor in Georgia: preliminary results and policy implications, authored by Curatio International Foundation experts.

    The authors evaluated the impact of Medical Insurance for Poor in Georgia (MIP), the Government program that delivered state-subsidized health benefits to the poorest groups of the Georgian population through contracts with private insurance companies.

    This study documented that after 3 years of the MIP implementation the program successfully managed to reduce financial access barriers for the MIP covered individuals by delivering greater financial benefits to the poorest. Although the MIP did not facilitate growth in health care utilization for all beneficiaries, positive trends were observed among capital city residents.

    The equity impact of the MIP and improved financial protection, especially for the poor, are benefits to be considered by the government for the Universal Health Coverage.

    Visit ResearchGate to read and download the article.