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August 12, 2021

Malaria Case Management in the Private Sector in Africa: A Call for Action to Identify Sustainable Solutions

Over the past two decades, partnerships between bilateral and multilateral funders, philanthropy, national governments, and the private sector have substantially increased global access to effective malaria treatment. Nevertheless, further action on malaria case management is needed to meet global targets for reduced malaria morbidity and mortality.

July 20, 2021

Exploring How the US International Development Finance Corporation Can Support Health Sector Investments: Is the Glass Half Full or Half Empty?

Health sector investments present an opportunity for the US International Development Finance Corporation (DFC), under the Biden-Harris administration, to demonstrate meaningful global leadership and refocus on its development mandate, driving broader health benefits and contributing to global economic recovery.

July 19, 2021

A Global Skill Partnership in Nursing between Nigeria and the UK

This case study is one of three in a recent report by CGD and the World Bank, outlining how CGD’s Global Skill Partnership model could be applied to boost the number of skilled professionals in Nigeria and Europe. This piece focuses on the health care sector. It explores how the model could be used to foster ethical and sustainable health worker migration between Nigeria and the United Kingdom, improving training and health management infrastructure while increasing the stock of health workers in both countries.

Samik Adhikari , Michael Clemens , Helen Dempster and Nkechi Linda Ekeator
June 15, 2021

Texts Don’t Nudge: An Adaptive Trial to Prevent the Spread of COVID-19 in India

We conduct an adaptive randomized controlled trial to evaluate the impact of a SMS-based information campaign on the adoption of social distancing and handwashing in rural Bihar, India, six months into the COVID-19 pandemic. We test 10 arms that vary in delivery timing and message framing, changing content to highlight gains or losses for either one’s own family or community.Our results suggest that SMS-based information campaigns may have limited efficacy after the initial phase of a pandemic.

June 7, 2021

The Insurance Cascade Framework to Diagnose Bottlenecks and Improve the Effectiveness of Health Insurance Programs: An Application to India

Many low- and middle-income countries are looking to achieve universal health coverage by implementing large social health insurance schemes. India has been a frontrunner in this effort, introducing state and national health insurance schemes, especially for tertiary care. Despite these efforts, Indian households remain at risk of high out-of-pocket spending due to inpatient hospitalizations. We examine bottlenecks to the effectiveness of health insurance schemes in India by using the “insurance cascade,” a framework that traces the steps from enrolling eligible households to ultimately delivering their benefits at no charge.

The cover of the paper
May 27, 2021

Ethical Recruitment of Health Workers: Using Bilateral Cooperation to Fulfill the World Health Organization’s Global Code of Practice

In this policy paper, we outline how the WHO defined a “critical shortage” of health workers, both for the original Code and for its newly published Health Workforce Support and Safeguards List. The paper then goes onto explore how countries of migrant destination and origin can (and should) design ethical and sustainable health worker migration partnerships that fulfil the requirements of the Code.

May 11, 2021

The Impact of the COVID-19 Pandemic on Social Health Insurance Claims for High-Burden Diseases in the Philippines

In the Philippines, anecdotes on the dwindling use of essential healthcare services as an indirect consequence of COVID-19 pandemic are mounting, but compelling evidence remains scarce up to this day. In this study, we examined the magnitude of decline in insurance claims of twelve high burden diseases and five common procedures from 1,286 public and private hospitals.

Valerie Gilbert Ulep , Anton Paterno , Jhanna Uy , Vanessa Siy Van , Lyle Casas and Justin Tan
Cover of working paper 577
April 7, 2021

Addressing the COVID-19 Crisis’s Indirect Health Impacts for Women and Girls

The paper examines some ways national governments have sought to maintain provision of essential health services and reviews the extent to which donor institutions have prioritized financial, technical, and other forms of support to mitigate disruptions. It concludes by highlighting existing gaps, opportunities, and promising strategies that donors and governments should pursue to address indirect harms to women’s and girl’s health during and beyond the COVID-19 crisis.

The cover of the working paper
April 7, 2021

The Impacts of Health Crises on Women & Girls: How Historical Evidence Can Inform Assessment and Recovery through a Gender Lens

This paper presents a conceptual framework on the effects of health crises on women and girls with an eye toward understanding the growing evidence base for the COVID-19 pandemic. When health crises like COVID-19 emerge, the simultaneous shocks to economic, social, and health systems can have different implications for women and girls.

March 30, 2021

Health Systems Impact of COVID-19 in the Philippines

This paper presents a preliminary review on the collateral health systems impact of COVID-19 in the Philippines through review of academic and grey literature, supplemented by a qualitative survey.

Diana Beatriz S. Bayani and Soon Guan Tan
March 30, 2021

Assessing the Indirect Health Effects of the COVID-19 Pandemic in Kenya

This paper presents an analysis of the indirect health effects of the COVID-19 pandemic in Kenya. We employed a mixed-methods approach, combining the analysis of secondary quantitative data obtained from the Kenya Health Information System database (from January 2019 to November 2020) and a qualitative inquiry involving key informant interviews and document reviews

Edwine Barasa , Jacob Kazungu , Stacey Organi , Evelyn Kabia , Morris Ogero and Kadondi Kasera
March 30, 2021

Effects of the COVID-19 Pandemic on Health Services and Mitigation Measures in Uganda

On 21st March 2020, Uganda reported its first COVID-19 case. The government responded by instituting a lockdown and other measures. We assess the effects of the COVID-19 containment measures on health services to better inform the next preventive measures. We use a case study approach that involved document reviews and secondary analysis of data on attendance of key health services and mortality for the years 2019 and 2020.

Nazarius Tumwesigye , Okethwangu Denis , Mary Kaakyo and Claire Biribawa
A cover image for a paper on health taxes
March 1, 2021

Using Health Taxes to Support Revenue: An Action Agenda for the IMF and World Bank

The Covid-19 pandemic has led to large budget gaps in low- and middle-income countries, with revenues projected to be reduced for years to come. This is the moment for policymakers to consider whether health taxes—levied on tobacco products, alcoholic and sugar-sweetened beverages, and polluting fuels—can play a part in boosting revenue while also supporting better health