slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Research progress update PI presentations www.rebuildconsortium.com Annual Workshop 4, Liverpool, September 2013 PowerPoint Presentation
Download Presentation
Research progress update PI presentations www.rebuildconsortium.com Annual Workshop 4, Liverpool, September 2013

Loading in 2 Seconds...

play fullscreen
1 / 65

Research progress update PI presentations www.rebuildconsortium.com Annual Workshop 4, Liverpool, September 2013 - PowerPoint PPT Presentation


  • 89 Views
  • Uploaded on

Funded by. Research progress update PI presentations www.rebuildconsortium.com Annual Workshop 4, Liverpool, September 2013. Order of presentations. Cambodia Sierra Leone Uganda Zimbabwe. Research progress update ( Cambodia ) Sreytouch Vong www.rebuildconsortium.com

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Research progress update PI presentations www.rebuildconsortium.com Annual Workshop 4, Liverpool, September 2013' - bryce


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Funded by

Research progress update

PI presentations

www.rebuildconsortium.com

Annual Workshop 4, Liverpool, September 2013

order of presentations
Order of presentations
  • Cambodia
  • Sierra Leone
  • Uganda
  • Zimbabwe
slide3
Research progress update

( Cambodia )

Sreytouch Vong

www.rebuildconsortium.com

Annual Workshop 4, Liverpool, September 2013

outline
Outline
  • Overview of ReBUILD Cambodia
  • Health organizational structure
  • Progress on
    • Research projects
    • RU
  • Success
  • Challenges
rebuild cambodia
ReBUILD Cambodia
    • Project 1: Impact of Health Financing Policy Change on Patterns of Poor Household Expenditure for Healthcare
    • Project 2: Policies to Attract and Retain Health Workers in Rural Areas
  • Project 3: The Change Process of Contracting Arrangement in Cambodia Health Sector
success
Success
  • Building network in national and sub-national level for the study
  • Build capacity of researchers in health research
challenges
Challenges
  • Research ethic approval is time consuming
  • Limited data and documents: health expenditure and equity, staff management in the 1980s and mid-1990s
  • The interview of life history takes more time
  • Take time to make appointment for interviews and consent form signed and tape record
thank you

Thank you

SreytouchVong

sreytouch@cdri.org.kh

On behalf of ReBUILD consortium

www.rebuildconsortium.com

slide16
Research Progress Update

(Sierra Leone)

Joseph Edem Hotah

www.rebuildconsortium.com

Annual Workshop 4, Liverpool, September 2013

first phase rebuild projects in sierra leone
First phase ReBUILD Projects in Sierra Leone
  • Health expenditure of households in Sierra Leone (Project 1)
  • Health Workers Incentives (Project 2)
  • Contracting in the health service delivery system in Sierra Leone (Project 3)
  • The study sites are as listed below:
    • Western Area (Urban/Rural) District
    • · Kenema District (Eastern Province)
    • · Bonthe District (Southern Province)
    • · Koinadugu District (Northern Province)
  • These are representative of the different regions, urban/rural variations, remoteness/hard to reach areas, and measures of poverty/need.
project 1 health expenditure of households in sierra leone
Project 1 - Health expenditure of households in Sierra Leone

Overall aim

  • To understand how the budgets of the poorest households have been affected by health financing policy as it has evolved throughout the pre and post-conflict period
  • To investigate the level and distribution of out-of-pocket health care expenditures in the poorest households
health workers incentive project 2
Health Workers Incentive(Project 2)
  • This project focuses on Human Resources for Health and, in particular, on the incentives established for health workers and their dynamics over the post-conflict period

Overall aim

  • to understand the post-conflict dynamics for these workers
  • deduce how to reach and maintain incentive environments for them to support access to affordable, appropriate and equitable health services.
contracting in the health service delivery system in sierra leone
Contracting in the Health Service Delivery System in Sierra Leone

Overall aim

  • To understand the change process and consequences of contracting in support of the process of decentralisation within the health system in Sierra Leone during the post conflict period
successes and challenges
Successes and challenges

Successes

  • Project 2 almost complete
  • Project 1 fieldwork almost complete
  • Capacity building
  • Effective networking – DFID, World Bank, MoHS, Regulatory bodies and policy makers

Challenges

  • Difficult to reach terrains especially the riverine areas (Bonthe and Koinadugu Districts)
  • Communication – within and internationally
thank you1

Thank you

Dr Joseph Edem-Hotah

jedemhotah@yahoo.com

On behalf of ReBUILD consortium SL

www.rebuildconsortium.com

slide31
Research progress update

(Uganda)

Freddie Ssengooba

for Uganda Team

www.rebuildconsortium.com

Annual Workshop 4, Liverpool, September 2013

slide32
Research project update: Project 1

ANALYSING PATTERNS IN HOUSEHOLD HEALTH EXPENDITURE IN GULU DISTRICT, NORTHERN UGANDA (1989-2010)

m ain objective methods
Main Objective & Methods
  • Main Objective:
    • To establish changes in health expenditure patterns for poor households pre, during and after the conflict in Northern Uganda.
  • Main Method:
    • Econometrics Analysis of National Household Survey Data
    • In depth Interviewing (Life Histories and KII)
project 1 analysing patterns in household health expenditure in gulu district 1989 2010
Project 1: Analysing Patterns in Household Health Expenditure in Gulu District (1989-2010)
one important or interesting finding1
One important or interesting finding
  • While the post conflict phase is associated with reconstruction of health facilities, new partnerships in health services provision and free health care, the people considered costs of health care to be higher than during the conflict because of reduced livelihoods and limited opportunities
successes and challenges1
Successes and challenges
  • Successes
    • All necessary quantitative data secured
    • Life histories data collection accomplished
    • Key Informant Interviews conducted
    • All qualitative interviews transcribed
  • Challenges
    • The quantitative and qualitative components are each massive, with lots of data to analyse.
    • Time to conduct econometric data analysis
slide37
Research project update: Project 2

Evolution of Health Worker Incentives

m ain objective methods1
Main Objective & Methods
  • Main Objective:
    • To understand the evolution of incentives for health workers, during and after the conflict in Northern Uganda.
  • Main Method:
    • Work histories for health workers that stayed thru the conflict and key informants at national level.
one important or interesting finding2
One important or interesting finding
  • Commitment to stay and work during conflict was arising from”
    • A strong sense of community service to home folks;
    • Mentorship & socialization by religious institutions especially before and during training;
    • Strong ties to the communities they served;
      • Social ties like family, marriage, etc;
      • Sponsorship and bonding arrangements;
successes and challenges2
Successes and challenges
  • Successes
    • Project 2 has been a front runner;
    • A lot of qualitative data was generated;
    • Preliminary findings shared to the Sydney iHEA Congress July 2013.
  • Challenges
    • Time intensive transcription & analysis;
    • Attrition of team membership;
      • Expanded workload for fewer members.
slide42
Project 4

Evolution of Health Worker Posting Systems

m ain objective methods2
Main Objective & Methods
  • Main Objective:
    • To describe the current deployment policies and systems and changes over time since the emergence from conflict;
    • To assess policy impacts on the staffing of rural areas.
  • Main Method:
    • Documents reviews, key informant interviews and routine staffing analysis.
one important or interesting finding3
One important or interesting finding
  • Most of the health facilities were closed during the insurgency and were later opened when peace returned. What shaped the deployment during the insurgency was not the policy but security
successes and challenges3
Successes and challenges
  • Successes
    • Have conducted the data collection with key informants, document and record review, IDI and life histories; districts and Lacor hospital cooperated
  • Challenges
  • A lot of gaps in the document and records review
  • Workers who were in service during the insurgency are few
slide47
Project 5

Aid Architecture for Service Delivery

m ain objective methods3
Main Objective & Methods
  • Main Objective:
    • To assess the aid relationships among agencies central to the implementation of of selected health services at the district level.
    • To analyze the aid effectiveness parameters within district-level network of agencies over a period of 2-3 years.
  • Main Method:
    • Relationship mapping for the delivery of key services using social network analysis;
    • Organization survey for resource exchange and interdependencies.
coreness index for gulu agencies
“Coreness” Index for Gulu Agencies

Core-Periphery Routine UCINET on Combined Service Networks

successes and challenges4
Successes and challenges
  • Successes
    • Mapped out the service provision networks;
    • Preliminary findings ready for sharing with district agencies for validation and awareness in Sept;
    • Abstract was sent for AFHEA conference in Kenya
  • Challenges
    • Slower progression at analysis:
      • Time commitments;
      • New analysis techniques and software.
research uptake activities
Research Uptake Activities
  • Stakeholder engagements
    • 2breakfast meetings with stakeholders for input into the research protocols;
    • Inputs into media reports about health care financing in Uganda (The Monitor);
    • Research uptake plan with regular horizon scanning;
    • Briefing notes and updates about research activities:
      • MOHSector Monitoring, Evaluation and Research (SMER) Working Group
      • Office of the Prime Minister
      • Health Advisor - DFID.
thank you2

Thank you

Freddie Ssengooba

sengooba@musph.ac.uk

On behalf of ReBUILD consortium

www.rebuildconsortium.com

slide55
Research progress update

( Zimbabwe )

Brian Chandiwana

www.rebuildconsortium.com

Annual Workshop 4, Liverpool, September 2013

rebuild zimbabwe
ReBUILD Zimbabwe
    • Project 1: Impact of user fees on the household economy
    • Project 2: Incentives Study
  • Project 4: Rural Posting Study
thank you3

Thank you

Brian Chandiwana

On behalf of ReBUILD consortium

www.rebuildconsortium.com