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Health Systems & Reform
Scopus
ISSN 2328-8620 · Taylor & Francis Group · 337 articles in the index
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Journal Article
Quantifying the Intangible: Evidence from Nigeria on the Impact of Supervision, Autonomy, and Management Practices on PHC Performance in the Context of Direct Facility Financing
Previous studies have shown that facility autonomy, especially control over budget allocation, and management practices can have a modest positive effect on health facility performance, but the evidence is limited and often qualitative. Data from the evaluation of the Nigeria States Health…
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Journal Article
Expanding Social Health Insurance Coverage for the Informal Sector in Zambia: Lessons and Insights from LMICs
Progress toward Universal Health Coverage (UHC) remains a priority for low- and middle-income countries (LMICs). For countries that have adopted Social Health Insurance (SHI) as a strategy, expanding coverage among informal sector households presents an important pathway to this goal. This scoping…
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Journal Article
Health Policy and Systems Research: Where Are We and What Does the Future Hold?
Health policy and systems research (HPSR) is a relatively young and multidisciplinary field of applied and policy-relevant science. It bridges the worlds of research, practice, and advocacy, and is dedicated to producing evidence to improve health policies and systems, while maintaining a focus on…
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Journal Article
Effects, Challenges, and Preconditions for Implementing Direct Health Facility Financing and the Prime Vendor Model in Low-Resource Settings: The Experience from Tanzania
Primary health care (PHC), while critical to achieving universal health coverage, remains underfunded and often delivers poor-quality care. In response, Tanzania introduced two innovative and complementary reforms—Direct Health Facility Financing (DHFF) and the Prime Vendor Model—to improve PHC…
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Journal Article
A Pragmatic Call to Integrate and Regulate Non-State Actors in Fragile Health Systems
In fragile states, healthcare delivery relies on non-state actors like NGOs and private providers. Short-term donor funding has created fragmented services and weak state capacity. However, donor-driven fragmentation is not only a technical coordination problem; it is also a political economy…
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Journal Article
From Data to Policy: Strengthening Kuwait’s Health Insurance for Sustainability and Equity
The Dhaman Insurance Scheme (DIS) provides health coverage to approximately 3.5 million expatriates in Kuwait, representing more than two-thirds of the population. Despite rising health care costs and inflation, DIS premiums have remained unchanged for nearly 25 years, raising concerns about the…
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Journal Article
Challenges to Achieving Universal Health Coverage Through Public Financial Management Reforms: Insights from the Implementation of Single Nodal Agency Reform in India
Public Financial Management (PFM) reforms are being increasingly recognized for their potential to enhance health financing systems and advance progress toward Universal Health Coverage (UHC). Although theoretical frameworks have outlined the pathways through which PFM reforms operate, empirical…
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Journal Article
Poor Accountability and Corruption in Primary Healthcare in Nigeria: Subnational Governance Deficiencies Matter
The formal structures in a health system, characterized by the enforcement of rules and regulations, effective human resource management, and adequate funding, are critical contributors to effective governance and optimal health service delivery. Conversely, shortcomings in these domains could lead…
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Journal Article
Ethical Principles for Planetary Health: A Preliminary Inquiry
The field of planetary health ethics is beginning to emerge. This commentary represents a preliminary effort to articulate ethical principles for planetary health by considering three domains: (1) non‐sentient nature, (2) non‐human animals, and (3) human beings. The paper gives special attention to…
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Journal Article
Global Mega-Challenges and International Collaboration in Science, Education, and Health
We live in an interdependent world riven by ideology, factions, and rivalries, and we face enormous challenges such as climate disruption, an aging population, and coping with the consequences of technologies such as gene editing and artificial intelligence. This paper considers global…
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Journal Article
How Health Systems World-wide Fail Type 2 Diabetics
For over 50 years, health systems the world over have failed people with type 2 diabetes mellitus (T2DM). The WHO documents a quadrupling of people with diabetes in a 34-year period to 422 million in 2014, the overwhelming majority of whom were T2DM. This happened despite extensive scientific…
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Journal Article
Public Policy and Health System Responses to Diabetes Mellitus in Nigeria: A Call for Reform
Diabetes mellitus, once a rare diagnosis in precolonial and early post-colonial Nigeria, now has the highest prevalence and fatality rates in sub-Saharan Africa. This increased prevalence is attributed to rising population affluence characterized by sedentary lifestyles and higher consumption of…
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Journal Article
A 10-Step Method for Fair Priority-Setting Processes: A Qualitative Case Study from Zanzibar
Health systems worldwide face challenges in managing resource scarcity, necessitating systematic and fair approaches to prioritize essential health services. Practical guidance on structuring transparent and inclusive priority setting processes remains limited. This paper presents a 10-step method…
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Journal Article
The Diabetes Care Cascade in Sri Lanka: An Analysis of Losses, Disparities, and Opportunities for Improved Health System Outcomes
Sri Lanka has one of the highest prevalence rates of diabetes, and improving diabetes control is a national priority. The care cascade framework, a tool for evaluating diabetes control and identifying system gaps, has not been assessed nationally in Sri Lanka. This study addresses this gap using…
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Journal Article
Towards Equitable Diabetes Care: A Global Perspective on Quality Measurement Exchange
In the pursuit of equitable diabetes care, international knowledge exchange (iKE) serves as a crucial mechanism for narrowing the gaps in quality within and between countries. Little is known about the process of quality measurement exchange among stakeholders from high-income countries (HICs)…