Fiscal space analysis in Sierra Leone: the free health care initiative and universal health coverage

This brief highlights how Sierra Leone can improve the sustainability of the free health care initiative (FHCI) financing, lower household out-of-pocket (OOP) payments on health care, and decrease its dependence on donors. A secondary analysis provides insights into how Sierra Leone could work towards achieving its longer-term health goal of Universal Health Coverage (UHC). If… Read more


Who pays for progress? The role of domestic resource mobilisation and development assistance in financing health. A case study from Kenya.

Kenya has one of the most vibrant economies in Sub-Saharan Africa. Economic growth is strong, and in 2014 it was announced that Kenya had crossed the threshold from a ‘low-Income country’ to a ‘lower-middle-Income country’ (LMIC). Yet, 43% of the people live on less than $1.25 a day and in some parts of Kenya only… Read more


Increasing the provision of essential health care services through support of health workers in Sierra Leone

DFID committed 12 million GBP to uplift frontline health workers’ salaries in Sierra Leone from 2010 to 2015 to support the implementation of the Free Healthcare Initiative (FHCI), launched in April 2010, which made health services free for pregnant women, children under five years of age and nursing mothers. Increasing the availability of frontline health… Read more


Leo Devillé on Monitoring Progress in the International Health Partnership and Related Initiatives (IHP+)

Leo Devillé is the Chief Executive Officer at HERA – Right to Health and Development. In this video, he talks about a monitoring exercise carried out in 2014 by HERA and its consortium partners on behalf of the International Health Partnership (IHP+). IHP+ is a voluntary partnership between a number of 37 countries and 29 development… Read more


Health pooled fund: South Sudan. Mid-Term Review Report: Draft for Submission

Beginning in October 2012, five donors (Australia, Canada, the European Union, Sweden and the UK) are providing £120 million through the Health Pooled Fund (HPF) for a programme in South Sudan lasting three and a half years. The UK leads and manages the HPF on behalf of other contributing donors. The programme supports the delivery… Read more


Cost analysis of the essential package of health services (EPHS) in Somalia

This cost study of the EPHS in the three zones of Somalia provides an important step in establishing the fundamental building blocks for further economic and VfM analysis of EPHS implementation and impact. The report explores the following economic questions: What are the actual total and unit costs of EPHS implementation in the regions where… Read more


Ghana health sector support programme: scenario planning and risk management, Draft report

This review considered possible scenarios for the health sector over the next three years and a range of associated options for future support from the Department for International Development (DFID). The review concludes the best option to be: provision of non-budget support financial aid for primary care. The report makes the following recommendations: DFID should… Read more


Topic Guide on Social Protection

This GSDRC resource guide provides a reference for policymakers and practitioners involved in social protection. It introduces some of the best literature on the understandings and types of social protection, the design and implementation problems to be considered, the potential for mainstreaming other development concerns into social protection programming, and the major debates both the… Read more


Quality of Early Childhood Development Programs: Rationale for Investment, Conceptual Framework and Implications for Equity

Across nations, Early Childhood Development (ECD) programs are of great interest to policymakers, service providers, and families. ECD programs are cross-cutting, often involving the health, education, child welfare, and other sectors, and their emphases shift over the early childhood years. In this paper, the authors propose equity as the construct central to the provision of… Read more


Mexico’s Model Conditional Cash Transfer (CCT) Program for Fighting Poverty

This feature story highlights Mexico’s exemplary poverty fighting program, Oportunidades, which used results-based financing methods for a decade to help 25% of the population improve their health, nutrition and educational status. Research documenting the program’s results shows how using CCTs raised incomes and changed behavior.


The impact of Mexico’s conditional cash transfer programme, Oportunidades, on birthweight

The objective is to evaluate the impact of Oportunidades, a large-scale, conditional cash transfer programme in Mexico, on birthweight. The programme provides cash transfers to low-income, rural households in Mexico, conditional on accepting nutritional supplements health education, and health care. The primary analyses used retrospective reports from 840 women in poor rural communities participating in… Read more


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