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Moving towards universal health coverage: health insurance reforms in nine developing countries in Africa and Asia

Lagomarsion G.
Garabrant A.
Adyas A.
Otoo N.
Muga R.
et al
September 2012

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The implementation of national health insurance reforms designed to move towards universal health coverage by 9 low-income and lower-middle-income countries in Africa and Asia  is reported. Five countries at intermediate stages of reform (Ghana, Indonesia, the Philippines, Rwanda, and Vietnam) and four at earlier stages (India, Kenya, Mali, and Nigeria) are considered. These countries’ approaches to raising prepaid revenues, pooling risk, and purchasing services are described using the functions-of-health-systems framework. Their progress across three dimensions of coverage: who, what services, and what proportion of health costs is assessed using the coverage-box framework. Patterns in the structure of these countries’ reforms including use of tax revenues to subsidise target populations and steps towards broader risk pools are identified. Trends in progress towards universal coverage, including increasing enrolment in government health insurance and a movement towards expanded benefits packages are reported. Common, comparable indicators of progress towards universal coverage are needed.

Access to medicines through politics : preliminary assessment of drug price control policy in the Philippines

OPLAS, Bienvenido 'Nonoy'
2009

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This paper analyses the philosophical, legal and political basis for declaring price control of any commodity in general, and medicine products in particular. It also discusses the evolution of policies and political events that coincide with the declaration and implementation of drug price control in the Philippines, and the policy’s impact on the various players and consumers in the country. The paper concludes that more competition, not more regulations like price control, will bring down medicine prices both in the short-term and long-term

A call for transparency in medicine pricing

HARTIGAN-GO, Kenneth
October 2008

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This blog sets out the need for a transparent medicine pricing mechanism in the Philippines backed up by the development of a responsive, competitive pharmaceutical sector capable of undertaking science and technology activities

Evaluating capacity development : experiences from research and development organizations around the world

HORTON, Douglas
et al
2003

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This book is the result of the Evaluating Capacity Development (ECD) Project, begun by ISNAR in January 2000, which aimed to improve capacity development efforts in research and development organizations through the use of evaluation. It explains how the project used an action-learning approach, bringing together people from various countries and different types of organisations. Six evaluation studies were conducted over the course of three years: exploring capacity development in a rural development NGO in Bangladesh; towards strategic management in a Cuban agricultural research institute; understanding capacity development in a plant genetic resources centre in Ghana; assessing organisational change in an agricultural faculty in Nicaragua; strengthening participatory research capacities in a Philippines root crops research centre; and expanding capacities in a rural development institute in Vietnam. Chapter 1 provides background reading on the ECD project that gave rise to the book. Chapter 2 discusses basic concepts of organisational capacity, capacity development and evaluation. Chapter 3 addresses two fundamental issues: why managers should be concerned with organisational capacity development and why they should evaluate capacity development efforts. Chapter 4 discusses issues related to the 'how' of capacity development. Chapter 5 discusses partnerships for capacity development while 6 outlines approaches and methods for evaluating organisational capacity development. Chapter 7 discusses how to utilize evaluation processes and results to advance capacity development and performance in an organisation

Participatory monitoring and evaluation

February 1988

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One of the PLA Notes special editions, includes articles on: tracking change together; monitoring and evaluating in the Nepal-UK Community Forest Project; particpatory self-evaluation of World Neighbors, Burkino Faso; institutional issues for monitoring local development in Ecuador; growing from the grassroots: building participatory planning, monitoring and evaluation methods in PARC; ELF - 3 year impact evaluation: experiences and insights; Participatory monitoring and evaluation in flood proofing pilot project, CARE-Bangladesh

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