Health Policy and Planning published an article Privilege and inclusivity in shaping Global Health agendas. CIF director George Gotsadze co-authors the paper together with Kabir Sheikh, Sara Bennett and Fadi el Jardali.
The article discusses lack of inclusivity in Global Health and possible actions to promote inclusivity and diversity in the field.
“Northern voices dominate Global Health discussions. Of recent Lancet Commissions, excluding representatives from international organizations, 70% of commissioners on the Women and Health commission came from the global North, and likewise, 71% of the Health and Climate Change commission, 72% of the Global Surgery commission and 73% of the Global Health commission (Lancet 2016). Only two out of the 16-member Board of Directors of the Consortium of Universities of Global Health come from the global South (CUGH 2016). No current or past president and only one current member of the World Health Summit’s scientific committee is from the global South (WHS 2016). Only one of the 17 advisory board members of the journal Global Health Governance is based in a low/middle income country (LMIC) institution (GHG 2016).
Only 15% of the world’s population lives in high-income countries. Yet Global Health conferences continue to be dominated by invited Northern speakers and important committees on Global Health composed mainly of Northerners. The words of a few from the global North wield a disproportionate power that carries …”
The full text is downloadable here.
The Curatio International Foundation has released the results of the fifth wave of the Pharmaceutical Price and Availability (PPA) study in Georgia. The study set out to generate further evidence regarding pharmaceutical prices and availability in the country through the continuous monitoring of the prices of medicine. One of the chief aims of the study is to inform and strengthen health policy and contribute to evidence-based discussions around current trends and processes in pharmaceutical market in Georgia.
The study analyzes the current, as well as the previous four waves of the PPA studies that have been conducted by CIF since 2009. The main findings of the research responds to two important questions:
The answers to these questions are available in the main findings of the study:
A single policy intervention in a complex pharmaceutical market like Georgia’s will most likely fail to meet its objective i.e. a reduction in costs to the public, and improved access to pharmaceuticals. Therefore, the government needs to immediately implement a multi-pronged policy to better address the issue.
This policy should include the following:
The full report is available here.
About the Study
The study was conducted using World Health Organization (WHO) standard methodology. The survey looked at the prices and mark-ups of 52 medicines (brand-name medicines and their generic equivalents) in six regions of Georgia.
CIF has been conducting the PPA study since 2009. The results of the study’s previous waves were released in 2010, 2011, 2012 and 2014.
Bio-Behavioral Surveillance Survey among Men who have Sex with Men in two major cities of Georgia, 2015
Curatio International Foundation continues implementation of Bio-Behavioral Surveillance Surveys (BBS) among Key Affected Populations (KAP’s) with the aim to measure HIV prevalence among KAP’s, monitor risk behaviors among these groups and generate evidence for advocacy and policy-making.
The current study describes the most recent wave of BBS surveys among Men who have Sex with Men (MSM) in Georgia (Bio-BBS surveys among MSM have been implemented since 2007). Study also was looking at HCV and STI (Syphilis) prevalence among MSM. CIF implemented this study together with partner organisations – Center for Information and Counseling on Reproductive Health – Tanadgoma and the Infectious Diseases, AIDS and Clinical Immunology Research Center.
The study used a cross-sectional design and respondent‐driven sampling methodology (RDS). A sample of 415 MSM18 years and older were recruited in the survey in two major cities of Georgia: Tbilisi and Batumi.
The study was financially supported by the Global Fund to fight AIDS, Tuberculosis and Malaria (GFATM).
Full study report is available here.
Curatio International Foundation together with BEMONI PUBLIC UNION (BPU) represented BioBehavior Surveillance Survey results to the Members of Parliament of Georgia.
The study was conducted in seven major cities of Georgia (Tbilisi, Gori, Telavi, Zugdidi, Batumi, Kutaisi and Rustavi) with a sample of 2037 injecting drug users 18 years and older. The current study describes the most recent wave of Bio-BBS surveys among PWIDs in Georgia (Bio-BBS surveys among PWIDs have been undertaken since 2002). The study was funded by the Global Fund to fight AIDS, Tuberculosis and Malaria (GFATM).
Drug Scene and other contextual factors
HIV knowledge and HIV testing practice
Access to and coverage of treatment and harm reduction interventions
HIV and HICV prevalence
Presentation is avalable in Georgian.
Strengthening Capacity of Civil Society for Promoting Research Evidence into Policy Development in Georgia
The idea of initiating the project was prompted by aggressive health and insurance market oriented reforms focusing on hospital sector privatization and financing of health care services through the private insurance companies. Implicit risks posing this campaign and fast pace of implementation needed to be mitigated through effective and evidence informed policies and regulations.
The project aims to achieve development of policies that are: a) evidence informed; b) tailored to Georgia’s social, economic and cultural context, and c) responsive to public interest. Curatio International Foundation intends to contribute to achieving this goal by allying two distinct networks of NGOs and strengthening their capacity in delivering evidence into policy process. The alliance gathers experts in their own operations field, been active as watchdogs for health sector reforms on one hand and focusing on mental health issues on another hand.
Curatio International Foundation embarked on a strategy of using evidence-informed advocacy as an essential ingredient in the policy development process. The Evidence to Policy is viewed through institutional lens rather than individual, therefore it focuses on interventions on institutions and on strengthening the links between institutions within and outside of the NGO networks through trainings of NGO staff and establishing Information Exchange Platforms. Training topics were informed from the assessment of capacity needs undertaken prior to project launch.
As a result of this project it is expected that:
* The capacity of NGOs involved in the network will be increased in accessing, acquiring and communicating available evidence to policy makers;
* NGOs will develop better capacity to identify policy relevant research evidence and use the means of communication to effectively influence the policymakers;
* NGO and stakeholder understanding about how they could engage with each other will improve “bonding” and “bridging” ties that link researchers, policy makers and NGOs involved in evidence informed policy making.
NGO networks involved in alliance are:
1. Network of NGOs already active as watchdogs and advocacy groups for health sector reforms:
a. Georgian Young Lawyer’s Association (GYLA)
b. Transparency International Georgia
c. Open Society Georgia Foundation (Soros Foundation national chapter)
d. Association of Young Economists of Georgia (AYEG)
e. Economic Policy Research Centre
2. Network of NGOs focusing on mental health issues:
a. Georgian Association for Mental Health (GAMH)
b. Mental Health Coalition
c. Association of People in Need of Special Care (APNSC)
d. The Georgian Association for Psychosocial Aid “Ndoba”
Policy Information Platform (PIP) expert consultation was held in Istanbul on 29-30 January, 2015. At the meeting methodological issues, roadmap for the PIP implementation and evaluation approaches were discussed.
CIF director George Gotsadze and Research Unit director Ivdity Chikovani participated in the expert consultation.
PIP is a repository of peer-reviewed publications and grey literature that should generate knowledge for health policy decision-making. PIP should respond to the priority topics emerging in the policy-making process.
The project is an initiative of Alliance for Health Policy and Systems Research (AHPSR) aiming at alleviating access barriers to policy-relevant information at national level in low-middle income countries. The piloting countries are: Georgia, Argentina, Pakistan and Nigeria.
In the pilot countries PIP implementing partners are: CIF, Argentina MoH, Pakistan King Edward Medical University and Nigeria Ebonyi State University.
CIF contributes to the whole PIP initiative by developing methodological approaches for grey literature evaluation.
The PIP project will be implemented during 2015-2016.
Development of a Strategic Plan to Strengthen Health Information System in Georgia project was financed by the Health Metrics Network (HMN). The project started in April 2007 and was completed in March 2008.
The aim of the project was to formulate a sound health information system and development of the strategic plan aligned with HMN standards. The project focused on assisting the Government of Georgia (GoG) in identifying and convening country stakeholders from health, statistics, and development agencies; assessing the current health information system using the HMN Toolkit; and composing a comprehensive, prioritized, and budgeted Health Information System Strategic Plan.
Rapid Assessment of Pharmaceutical Sector in Uzbekistan project was funded by The World Bank and implemented by Curatio International Foundation in partnership with Credes (France). The project commenced in 2003.
The main objective of the project was to perform a rapid assessment designed to gather information on different issues like drug policy and regulation, strategic framework, product selection, forecasting methods, procurement mechanisms, quality assurance, storage, transport, and reporting. Other issues studied were the structures of public and private distribution systems, the types and values of drugs flowing through, and the availability of essential drugs.
The Rapid Assessment covered the following major tasks:
Review the relevance of several rapid assessment tools that are available (through WHO, John Snow Inc, Management for Sciences for Health, and Boston University);
Adapt the tools for Uzbekistan;
Gather data using several defined methodologies, such as in-depth interviews, focus groups, record review, flow-charting;
Compile and triangulate the data and seek clarifications where data shows conflicting results;
Compile a report providing a review of each of the supply chain functions, their strengths and weaknesses;
For a sample of drugs, collect data on the base price for drugs manufactured or imported into Uzbekistan, other additional costs such as duties, clearing charges, taxes, storage fees, and transport costs, markups, dispensing fees for drugs that pass through the public and commercial and semi-private systems;
Conduct a literature review of both published and gray materials on pharmaceuticals and Uzbekistan;
Present findings in a stakeholder workshop.
In order to obtain the most precise picture of the sector, the following activities were conducted:
Meetings with the MoH, Pharmacology Committee and CPIB to clarify the objective of the assignment and the organization of the mission;
Preparation and definition of a methodology for rapid assessment and development of approach for completion of study;
Meetings and discussions with key partners, stakeholders and policy-makers.
Assessment design was performed considering the following steps:
Define the method of interview and rapid appraisal techniques (in-depth interviews, record
Identify and select the geographic sites to be visited and the major stakeholders to be met;
List the major topics to focus on;
Organize the teamwork and review the activities schedule;
Sample the drugs for the prices analysis.
The study assesses the impact of Medical Health Insurance (MIP) for the Poor on equity in access to essential health care services and financial protection against health care costs for the poor and general population. The document briefly describes identified accomplishments and shortcomings of the public private partnership in realization of MIP and discusses emerging policy options and policy recommendations on the future of MIP.
The study was financially and technically supported by the Alliance for Health Policy and Systems Research/World Health Organization and carried out by Curatio International Foundation.