Sierra Leone’s free health care initiative: financing implications

In 2010, the Government of Sierra Leone (GoSL) took steps towards establishing the Free Health Care Initiative (FHCI). At its core, this was the removal of user fees (on drugs and consultations) for pregnant women, lactating mothers and children under five. This brief is based on an independent review of FHCI completed in 2016, which looked… Read more




Urban health reading pack C: interventions and pro-poor service provision

Introduction to the topic This is the third in the series of urban health reading packs. It builds on the urban heath reading pack A on the data and evidence available on urban health, and on the experiences and challenges of inter-sectoral responses outlined in reading pack B. This pack focuses on service provision within… Read more




Urban health reading pack B: improving population health – strategies for inter-sectoral action

Introduction to the topic The multi-dimensional nature of the factors affecting urban health is highlighted in the reading pack on data and evidence. Urban infrastructure such as housing, water and sanitation, green space, crime and security, transport and traffic planning, social welfare schemes, and health and education services have direct and indirect impacts on health…. Read more




Rights-based approaches to increasing access to Sexual and Reproductive Health and Rights

This helpdesk report provides an overview of some of the most relevant evidence on rights-based approaches to increasing access to SRHR including how they have been measured and enhanced access where information is available. Section 2 of this report explores the impact of policy changes on accessing rights, and the impact that champions of SRHR within… Read more




Increasing access to sexual and reproductive health and rights via new innovations and technologies in Africa

New innovations and technology, including mobiles and internet, have enormous potential for increasing access to sexual and reproductive health and rights (SRHR). They can be particularly helpful in reaching hard to access groups, including remote or stigmatised populations, due to the rapid spread of telecommunications infrastructure, mobile phones and broadband usage in low and middle… Read more




Preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries

The WHO guidelines, Preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries, provide both a call to action and directions for future research on: preventing early pregnancy: by preventing marriage before 18 years of age; by increasing knowledge and understanding of the importance of pregnancy prevention; by increasing the use of contraception;… Read more




Health budgets for primary health facilities

This helpdesk response aimed to discover what the recommended proportion of an annual national health budget in sub-Saharan Africa is for the maintenance of primary health facilities. From both a rapid review of the evidence available and from correspondence with experts in public health financing, it is clear that no such recommendation exists. In light… Read more




Measuring the quality and performance of healthcare providers in conflict settings

The purpose of the review was to provide a summary of possible indicators which might be used to measure the performance and quality of healthcare in conflict-affected settings. There is considerable guidance on measuring access, availability and quantity of health provision in these settings, but much less on whether this care is sufficient or effective…. Read more




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