Category Archive for "Policy Brief"

Barriers and Facilitators to Adherence to Treatment Among Drug Resistant TB Patients in Georgia

Tuberculosis is a global challenge to public health throughout the world. Poor adherence to treatment remains a significant problem that prevents countries from obtaining high treatment success rates that is essential for health systems to control the epidemic and decrease spread of the disease.

In 2016 Curatio International Foundation conducted a qualitative study to investigate factors that enhance or hinder treatment adherence among Drug Resistant TB patients (DR-TB) in Georgia. The study revealed different types of factors affecting treatment adherence among DR-TB patients and grouped them into structural, social, personal and health system factors according to the study conceptual framework. The study made it clear that all factors are closely interlinked and mutually influence each other.

The study provides evidence that may help policy-makers develop effective strategies for improving treatment outcomes among DR-TB patients. The study findings might be helpful for other countries in the region where TB burden is also high.

The study report and policy brief is downloadable below:

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Analyses of Costs and Financing of the Routine Immunization Program and New Vaccine Introduction in the Republic of Moldova

In 2012-2014 Curatio International Foundation implemented the costing study that aimed to evaluate routine immunization program costs and financing as well as incremental costs and financing of a new vaccine introduction in the Republic of Moldova.

The study was a part of a larger effort to evaluate costs and financing of routine immunization in six countries (Moldova, Benin, Uganda, Zambia, Ghana, Honduras) supported by the Bill & Melinda Gates Foundation.

The study generated new information that will help a) improve the planning of resource requirements and financing needs at the country level; b) improve the understanding of the total immunization program costs and unit costs, as well as delivery costs of Routine Immunization services and delivery costs associated with the introduction of a new vaccine and c) contribute to updating GAVI Alliance policies on new vaccine introduction support.

The findings of our study provide critical information for discussing issues related to the affordability of new vaccine introduction in Moldova, and the financial sustainability of the national immunization program after it graduates from GAVI support.

Please follow the links to read the final presentationproject report and policy brief.

   

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Mental Health Care in Georgia, 2014

Policy brief: Mental Health Care in Georgia. Financial Barriers Study Findings, June 2014

 

 

 

 

 

 

 

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Problems related to the unsafe injection practice in the Health care facilities of Georgia-Policy Brief, research report, 2011

In accordance with the results of Global Disease Survey conducted by World Health Organization in 2000, every year 21 million people are infected with B Hepatitis, 2 million – with Hepatitis C and 260 thousand are infected with HIV by means of contaminated injection. 40% of B and C Hepatitis incidences among medical personnel are associated with professional activities[1].

Current policy brief involves goals and findings of the study undertaken by Curatio International Foundation. The study looked at a) whether facilities meet necessary requirements of injection practices, equipment use and medical materials and waste management; b) Determining whether injection procedures are implemented in accordance with the recommendations of the best practice; c) Identifying practices posing risk over patients, personnel and society in order to implement respective interventions.

Read policy brief and full version of the research report to learn more on background situation, findings and recommendations. (document is available in Georgian).

 

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Fourth Wave Results of Pharmaceutical Study Published

Curatio International Foundation has completed a study exploring ‘Price, Affordability and Availability of Medicines in Georgia’. The study was divided into three stages and carried out in 2009-2001.

The key aim of the study is to improve affordability and availability of medicines for the population.

Based on a three-year observation of pharmacies and different medicines in Georgia, Curatio International Foundation studied the practice in the pharmaceutical sector and came up with recommendations based on research findings. The recommendations will be presented to the broad audience of the health sector – the Health Care Committee of Parliament, the Ministry of Health, the insurance sector and other interested parties.

The study was conducted using the methodology of the World Health Organization (WHO). The survey looked at prices and mark-ups of 52 medicines (brand-name medicines and their cheap generic equivalents) over the period of three years in licensed pharmacies nationwide.

Findings and recommendations of three stages were unveiled in December 2011.

Read more on study methodology, findings and recommendations- Presentation (available in English) and Brief (available in Georgian).

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Health Insurance for Poor: Georgia’s Path to Universal Coverage

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.

View the Policy Brief-Medical Insurance for the Poor: impact on access and affordability of health services in Georgia

View the Policy Brief- Health Insurance for the Poor in Georgia, Content, Process and Actors

Read the Full Study Report- Health Insurance for Poor: Georgia’s Path to Universal Coverage

 

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Health care in Georgia is currently available for very rich and very poor

As the lead key informant to the policy brief on Medical Insurance for the Poor: impact on access and affordability of health services in Georgia says, the “health care in Georgia is currently affordable for very reach and very poor”. This conclusion grounds on the findings of the study that explored one of the most critical issues- affordability of health care services in Georgia. The matter is among top five most important national issues for a large part of the Georgian population. Medical Insurance for the Poor (MIP), a public program initiated in 2007, provides private insurance coverage to one fifth of the Georgian population and is aimed to protect its beneficiaries from financial hardship and impoverishment that may be caused by health care expenditures.

The study assessed 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 shortcoming 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.

Read the full version of the Policy Brief here to find out more on key findings, achievements and policy recommendations.

Read the full study report.

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Winner of the Fellowship Program 2011 Revealed

In May, 2011 the winner of the CIF fellowship program was revealed. According to the decision of the experts committee the fellowship will be granted to Maia Khutsishvili, Master program student of the Tbilisi State Medical University.

Over more than 15 years, Maia has been exposed to different aspects of healthcare field. From early nineties she has been working as a Medical Doctor (Pediatrician) in the leading hospitals of Georgia. In 2009 she joined one of the largest pharmaceutical companies Aversi in the capacity of Medical Representative.

Maia’s academic background includes master level degree from the Tbilisi State Medical University with the specialization of Pediatrician (completed in 1993). She expects her Master’s degree in Public Health Management by the middle of summer 2011.

Aside from clinical experience, Maia has a strong knowledge of specifics of Public Health Management related issues. In 2008-2009 she passed basic program for the managers at Business School of European School of Management. Maia plans to exercise her power in public health management and contribute to development of this field in Georgia.

“Curatio International Foundation has long been the the organization I would like to cooperate with. After completing Master’s program I plan to focus on issues that are embraced in public health management, such as HIV/Aids, Tuberculosis, Drug Addiction etc. These are topics that are widely covered by studies provided by CIF. Becoming the winner of the program is very important for me not only in terms of getting financial award and increasing motivation but also it poses a golden opportunity to get exposed to wonderful experience of Foundation’s experts and listen to their recommendations while working on the research projects in the future”- says Maia.

CIF has been running the Fellowship Program since 2009. Participants are being selected through an open and merit-based competition. The grant worth around of 250 GEL monthly (over ten academic months) is given to ONE student of the Master Program of Public Health Management or Business Administration with the focus on Public Health Management.

For further information please visit the fellowships page.

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Customer Satisfaction Research Report on Corporate Health Insurance

Customer Satisfaction Research on Corporate Health Insurance aims to explore satisfaction of corporate clients of insurance companies and develops recommendations for further polishing and improvement of corporate insurance services. The research revealed that there is a high share/percent of not insured employees in corporate insurance schemes. Financial accessibility is one of the most noteworthy barriers for joining the insurance scheme. Not all citizens having the will to use insurance have a guaranteed opportunity to get corporate insurance.

The study was supported by International Health Budget Monitoring Initiative of the Open Society Institute. The research prepared by CIF experts Marine Egutia, Natia Rukhadze, Tamar Gotsadze looks at trends of insurance market, shares of insurance types and customer satisfaction. Georgian insurance market is young, though the rapid growth is apparent. Data prompted by the National Bank of Georgia proved 33 percent growth in 2009 compared with the year 2008. The Health insurance is the most popular and occupies 68.6 percent of market structure.

The share of the insurance companies has increased since 2007 following the health financing reform launched by the Government of Georgia. The private insurance companies succeeded to attract substantial amount of state finances. Insurance of state program beneficiaries by insurance companies is being implemented in the framework of state assignments. According to 2008 year data, 18 percent of Georgian population is insured by the state. Along with this, there is a slow pace of corporate insurance development which is used by employees of public, private and non-governmental sectors. Retail insurance comprises 1 percent of market. 76 percent of the population is exposed to health risks. You can read the full version of the Report, Policy Brief, or Presentation.

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Customer Satisfaction Research Report on Corporate Health Insurance Released

Curatio International Foundation releases report on Customer Satisfaction Research on Corporate Health Insurance. The report was supported by International Health Budget Monitoring Initiative of the Open Society Institute. The research prepared by the three experts of CIF (Marine Egutia, Natia Rukhadze, Tamar Gotsadze) looks at trends of insurance market, shares of insurance types and customer satisfaction. Georgian insurance market is young, though the rapid growth is apparent. Data prompted by the National Bank of Georgia proved 33 percent growth in 2009 compared with the year 2008. The Health insurance is the most popular and occupies 68.6 percent of market structure.

The share of the insurance companies has increased since 2007 following the health financing reform launched by the Government of Georgia. The private insurance companies succeeded to attract substantial amount of state finances. Insurance of state program beneficiaries by insurance companies is being implemented in the framework of state assignments. According to 2008 year data, 18 percent of Georgian population is insured by the state. Along with this, there is a slow pace of corporate insurance development which is used by employees of public, private and non-governmental sectors. Retail insurance comprises 1 percent of market. 76 percent of the population is exposed to health risks.

The study aims to explore satisfaction of corporate clients of insurance companies and develops recommendations for further polishing and improvement of corporate insurance services. The research revealed that there is a high share/percent of not insured employees in corporate insurance schemes. Financial accessibility is one of the most noteworthy barriers for joining the insurance scheme. Not all citizens having the will to use insurance have a guaranteed opportunity to get corporate insurance.

Insurance product seems less attractive for those having the will to get insured. Insurance contracts are imperfect that often becomes the reason for customer dissatisfaction and finally leads to changes of services and vendors. Procedures for contract extension and update are complicated and have a negative impact on insured. Variety and multitude of insurance packages further complicates the process of vendor choice and decision making.

At the end the report prompts possible ways for problem solving and offers valuable recommendations on how to make corporate health insurance better and raise customer satisfaction.

Follow the link to view the full version of the report, policy brief and presentation.

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