New Paper: Breaking Barriers to Universal Health Coverage: Insights from Georgia’s Chronic Disease Medicine Program
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine Program”, evaluates the program’s evolution, achievements, and remaining challenges, while offering strategies to strengthen financial protection and advance Universal Health Coverage (UHC).
Out-of-pocket (OOP) spending on medicines remains a key obstacle to UHC in many low- and middle-income countries, often driving households into poverty. In Georgia, pharmaceutical costs are a major cause of catastrophic health spending, disproportionately affecting the poorest.
Drawing on stakeholder interviews and secondary data analysis, the study finds that the Chronic Disease Medicine Program has significantly expanded benefits, broadened coverage, and removed reimbursement limits—contributing to greater access and uptake. However, important challenges persist, including inequitable access, insufficient patient-centered care, limited public awareness, and low involvement of primary healthcare providers.
The authors highlight the importance of strengthening governance, expanding benefits for vulnerable groups, empowering PHC providers, and investing in awareness campaigns. The findings provide actionable lessons for other LMICs designing pharmaceutical benefit programs to reduce OOP spending and move closer to UHC.
The research was conducted by the Curatio International Foundation.
DOI: https://doi.org/10.1016/j.ssmhs.2025.100129
Read the full paper here.
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CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Introductory Meeting on the project ‘Embedding Rapid Reviews in Health Policy-Making’
On November 5, the Committee on Health and Social Affairs of the Parliament of Georgia will host an introductory meeting on the project Embedding Rapid Reviews in Health Policy-Making. The project is jointly implemented by the “Curatio International Foundation” and…
Taavy Miller from University of North Carolina shares her internship experience
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Building Institutional Capacity for HPSR and Delivery Science- CIF is Europe region HUB
General Overview The evidence-informed decision making in health still remains a major challenge. To strengthen institutional capacity in different countries around the globe the Alliance for Health Policy and Systems Research (AHPSR) launched the new program to strengthen the capacity…
Inter-regional workshop in preparation for transitioning towards domestic financing in TB, HIV and Malaria programmes
During October 17-19 the WHO Regional Office for Europe in collaboration with WHO headquarters, GFATM and USAID organised a workshop in Tbilisi to provide countries a platform for dialogue on sustainability and transition issues, and to further define regional and…
Memorandum of Cooperation between the Health and Social Issues Committee of the Parliament of Georgia and Curatio International Foundation
Chairman of the Health Care and Social Issues Committee of the Parliament of Georgia Akaki Zoidze and Curatio International Foundation President George Gotsadze signed a memorandum of cooperation. The collaboration aims to support evidence usage by the parliament when dealing with the…
Embedding Rapid Reviews in Health Systems Decision-Making (ERA)
General Overview As a result of the constitutional amendments passed at the end of 2017, Georgia became a parliamentary republic. It increased the role of the legislature in policy development and supervision. As a result of these amendments, the Committee…
Curatio International Foundation at the Global Symposium on Health Systems Research
During October 8-12, 2018 Liverpool hosted the Fifth Global Symposium on Health Systems Research. Curatio International Foundation, as a secretariat of Health Systems Global, organzied the event for the second time in close collaboration with HSG’s partners. Over 2300 participants from…
The civil society gathered for the fourth time to discuss healthcare system challenges in Georgia
On September 27-29, the fourth work meeting of a civil society was held in Kachreti. Representatives of a civil society, media, and academia convene under the framework of the joint project of Curatio International Foundation and Open Society Foundation. The…
Project: HIV risk behavior among Men who have Sex with Men – Bio-Behavioral Surveillance Survey and Population Size Estimation
Introduction and Overview Georgia is among the countries with low HIV/AIDS prevalence but with a high potential for the development of a widespread epidemic. From the early years of the epidemic injecting drug use was the major route for HIV transmission,…
Curatio International Foundation at AIDS2018
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Big Pharma Greed and Artificial Prices – Knocking on Door to Limit Access to HIV Medicines in Georgia
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Civil society is gathering for the third time to hold a discussion about the healthcare
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Webinar: Mapping and consensus of global competencies set for the field of HPSR: A progress update and HSG round table discussion
This webinar took place on July 11th, 2018. If you missed it or would like to listen to it again, you can watch the recording. Are you involved with designing HPSR training programs? Do you create course content for HPSR training?…
Webinar: Vaccine Forecasting and Budgeting Tools and Best Practices
This webinar took place on July 2, 2018. However, if you missed the webinar or would like to listen to it again, you can watch the recording and download the slides. Participants will learn about existing vaccine forecasting and budgeting tools and best…
Technical Assistance for evaluation of transition readiness and preparation of Transition and Sustainability Plan for Global Fund-supported programs in Tajikistan
Introduction and Overview In June 2018 CIF initiated a new project with the financial support of The Global Fund. The overall goal of the CIF assignment is to support the Country Coordination Mechanism of Tajikistan (CCM) in assessing country preparedness…
Technical Assistance for the preparation of Transition and Sustainability Plan for HIV program in Philippines
Introduction and Overview Since May 2018 Curatio International Foundation implements a technical assistance for the Philippines to prepare Transition and Sustainability Plan for HIV program. The overall goal of the given assignment is to support the Department of Health and…
Discussing the accessibility of medicines in Georgia
Curatio International Foundation, within the framework of the ongoing project: “Engaging civil society in decision-making and monitoring in Georgian healthcare sector” supports strengthening and consolidating civil society representatives interested in health care for advocacy on health issues. To this end,…
Webinar: Integrating gender into health system strengthening in conflict and crisis-affected settings; what’s in our toolkit?
This webinar took place on June 22, 2018. However, if you missed the webinar or would like to listen to it again, you can watch the recording and download the slides. In 2016, HSG held the first webinar on gender, asking the question, “What…
Article: Barriers to mental health care utilization among internally displaced persons in the republic of Georgia: a rapid appraisal study
The new paper identifies the health system barriers leading to low rates of utilization of mental health services among internally displaced people (IDP) with mental disorders. The paper was published in BMC Health Services Research authored by Adrianna Murphy, Ivdity…
Why Georgians second-guess their doctors – Deregulation has left Georgian medical care something many Georgians would rather avoid
Full Article is available on Eurasianet ” […] Last year, Giorgi Tsiklauri, 24, was diagnosed with leukemia at a hospital in Tbilisi and was about to undergo chemotherapy, but he decided to seek a second opinion in Turkey. As it…
Ara Srinagesh from New York University Shares her Internship Experience
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Webinar on The peer review process – what happens when you send your manuscript to a journal
This webinar took place on April 23, 2018. However, if you missed the session or want to listen to it again, you can watch the recording. Have you ever wondered what the journal editor’s viewpoint is on your article, or what…
Webinar on Improving Quality of Care during Childbirth: Learnings and Next Steps from the BetterBirth Trial
This webinar took place on April 24, 2018. However, if you missed the session or want to listen to it again, you can watch the recording. Join the webinar organized by HSG Thematic Working Group Quality in Universal Health and Healthcare. During…
Civil Society is Being United to Discuss Healthcare System Issues
Curatio International Foundation, within the framework of the ongoing project: “Engaging civil society in decision-making and monitoring in Georgian healthcare sector” along with the Open Society Network supports strengthening and consolidating civil society representatives interested in health care for advocacy…
Curatio International Foundation for a TB-Free World
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Closing Project: Tuberculosis Community Systems Strengthening in Georgia
The Curatio International Foundation has fulfilled a Tuberculosis Community Systems Strengthening (TBCSS) Project in Georgia, funded by the Stop TB partnership in the frame of Challenge Facility for Civil Society (CFCS) round 7 program. The goal for the project was…
Primary Health Care Systems: Georgia case study
Curatio International Foundation publishes Georgia case study of primary health care system (PRIMASYS). The PRIMASYS case study covers key aspects of primary health care system, including policy development and implementation, financing, integration of primary health care into comprehensive health systems,…
Integrated Bio-behavioral surveillance and population size estimation survey among Female Sex Workers in Tbilisi and Batumi, Georgia
This study represents the subsequent wave of Bio-Behavioral Surveillance Surveys (BBS) surveys undertaken among Female Sex Workers (FSW) since 2002. The current study was conducted in 2017 using the Time-Location Sampling technique and 350 FSWs was recruited in total in…
Applying a Health Policy and Systems Research lens to Human Resources for Health: Capacity building, leadership and politics
This webinar took place on March 14, 2018. However, if you missed the webinar or want to listen to it again, you can watch the recording and download the slides. How do we study ‘invisible’ concepts such as politics and power as they…
CIF hosts Aradhana Srinagesh throughout the winter internship program
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Empowering civil society for engagement in and monitoring the decision making in health sector in Georgia
Introduction and Overview The project aims to strengthen CSOs working on Health Systems to participate in the decision-making process, to assume watchdog functions, monitor enforcement of policies and advocate for better health for all. The project is funded by Open Society…
Curatio International Foundation presented BBS and PSE study findings at the Civil Society Forum
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Article: Barriers to delivering mental health services in Georgia with an economic and financial focus: informing policy and acting on evidence
A new paper discusses the economic and financial barriers to delivering mental health services in Georgia and assessing the opportunities for reform that can support the development of strategies for change. The article was published in BMC Health Services Research,…
The Interview on population size and Human Immunodeficiency Virus risk behaviors of People who Inject Drugs in Georgia
The interview is based on the latest wave of the integrated Bio- behavioral surveillance survey conducted People Who Inject drugs (PWID) in 7 cities of Georgia. The research aims to measure the prevalence of Human Immunodeficiency Virus (HIV) and Hepatitis…
HIV risk and prevention behaviors among People Who Inject Drugs in seven cities of Georgia, 2017
Curatio International Foundation together with Bemoni Public Union has conducted HIV prevalence and risk behaviors survey among People Who Inject Drugs in Georgia. Also available: Population Size Estimation of People who Inject Drugs in Georgia 2016-2017 Current study represents the…
Conference paper: The Study of Barriers and Facilitators to Adherence to Treatment among Drug Resistant Tuberculosis Patients in Georgia to Inform Policy Decision
The abstract has been submitted and accept for oral presentation at The Union 2017 – 48th Union World Conference on Lung Health, 11 – 14 October, 2017 Guadalajara, Mexico The study outlines different health system factors as long as some…
Article: Human immunodeficiency virus prevalence and risk determinants among people who inject drugs in the Republic of Georgia
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Conference paper about realist evaluation: Informing policy, assessing its effects and understanding how it works for improved Tuberculosis management in Georgia
In the last week of October, 2017 Brisbane, Australia hosted International Conference for Realist Research Evaluation and Synthesis – Realist2017. Realist evaluation is complex sensitive approach and is useful for decision makers because rather responding the question “does the intervention…
Georgian Healthcare and its Challenges: Healthcare Expert George Gotsadze will host the lecture
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
17 years in Curatio International Foundation: President Ketevan Chkhatarashvili to Leave Organization
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Be ready for the Best Internship Experience
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Apply for Our Winter Internship Program
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Georgian Solution for a Post-Soviet TB Program: Can Integration into Primary Health Care Improve TB Care?
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Moving Forward: Second PT workshop with TB stakeholders in Georgia
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Article: Determinants analysis of outpatient service utilization in Georgia: can the approach help inform benefit package design?
Curatio International Foundation conducted secondary data analyses of Health Service Utilization and Expenditure survey (2 waves), conducted by Ministry of Labor Health and Social Affairs of Georgia, supported by WHO and The World Bank. We studied factors that impact utilization…
Designing and evaluating provider results-based financing for tuberculosis care in Georgia (RBF4TB)
Introduction and Overview CIF in partnership with Queen Margaret University (UK), London School of Hygiene and Tropical Medicine (UK) and Antwerp Institute of Tropical Medicine (Belgium) is implementing a study “Designing and evaluating provider results-based financing for tuberculosis care in…
Forbes Georgia: The Importance of Evidence in Decision Making
In February 2017, CIF director George Gotsadze talked with Forbes Georgia. The interview discusses the role of effective management in health systems and impact of innovations in the field. In the article George speaks about CIF experience serving as HSG Secretariat. Read more…
Barriers and Facilitators to Adherence to Treatment Among Drug Resistant TB Patients in Georgia
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Transition Preparedness Assessment
Sustainability of national HIV and TB programs gains importance in light of recent changes in the global health landscape when external funders are redirecting resources to poorer states while phasing out from middle-income countries. Objectively evaluation of the country transition…
New Study Findings About Tuberculosis
Curatio International Foundation together with the Partnership for Research and Action for Health organized a meeting at the National Center for Disease Control and Public Health on 26th of December, where two different study findings were represented. Studies aimed to…
Meet CIF in Vancouver at HSR2016
Curatio International Foundation will be featured at Health Systems Research 4th Symposium to be held in Vancouver, Canada November 14 -18, 2016. CIF experts will discuss several important health system-related issues and share particular knowledge with a global audience. We…
Curatio International Foundation: Transition and Sustainability Portfolio
As middle-income countries experience economic growth and increased government spending potential on healthcare, donors have begun decreasing their support under the assumption those countries have sufficient physical space to support and sustain their health programs. Countries in Eastern Europe and…
Article: Privilege and inclusivity in shaping Global Health agendas
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…
Eastern Europe and Central Asia Regional Sustainability and Transition Coordination Summit 20-21 October, 2016 Vilnius, Lithuania
In recent years there has been a significant decrease in funding from international and bilateral donors, including The Global Fund (TGF) to support HIV and TB response in middle income countries across Eastern Europe and Central Asia (EECA). This raises…
Internship Announcement, Winter 2016-17
CIF researchers Alisa Tsuladze, Akaki Zoidze, Nino Kotrikadze, and George Gotsadze, together with Janina Stauke, have published a new article in SSM – Health Systems. The paper, entitled “Breaking barriers to universal health coverage: Insights from Georgia’s Chronic Disease Medicine...
Evaluation of UNICEF’s Contribution in Central and Eastern European Five Countries
Curatio International Foundation conducted an evaluation of UNICEF’s contribution to the reduction of under 5 mortality in five countries: Kazakhstan, Kyrgyzstan, Moldova, Serbia, and Uzbekistan. The evaluation covered 12 years from 2000 – 2012 and was performed in 2014-2015. UNICEF’s…
CIF researchers represented on Global Conference AIDS2016
CIF researchers Ivdity Chikovani and Lela Sulaberidze participated in AIDS 2016 conference that was held in Durban, South Africa in July 2016. The conference assembled over 18,000 delegates from around the world. Scientists, policymakers, world leaders, and people living with…
CIF Pharmaceutical Price and Availability Study (Fifth Wave Results)
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…
HIV risk and prevention behaviours among Prison Inmates in 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…
Bio-Behavioral Surveillance Survey among Men who have Sex with Men in two major cities of Georgia, 2015
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…
EPIC Studies – Governments Finance, On Average, More Than 50 Percent Of Immunization Expenses, 2010–11
Journal Health Affairs publishes a new Article EPIC Studies: Governments Finance, On Average, More Than 50 Percent Of Immunization Expenses, 2010–11 coauthored by CIF team member Keti Goguadze. Abstract: Governments in resource-poor settings have traditionally relied on external donor support…
Bio-Behavioral Surveillance Survey among People Who Inject Drugs in 7 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…
TB Community Systems Strengthening in Georgia
We are glad to announce that Curatio International Foundation has been selected to be Round 7 Challenge Facility for Civil Society (CFCS) grantee under the Stop TB partnership financial support. TB Community Systems Strengthening (TBCSS) project in Georgia aims –…
What can be done to improve treatment adherence among tuberculosis patients in Georgia: Looking through health systems lens
Curatio International Foundation has started implementation of new research project with the aim to provide a more in-depth understanding of the factors associated with loss to follow-up among TB patients. The project is funded under the Joint TDR/EURO Small Grants…
Announcing Winter Internship Program 2016
Curatio International Foundation invites Master and PhD international students to apply on Winter Internship Program. Through the program, students have the possibility to develop advanced research skills, meet leading experts in the field and become a coauthor of a scientific…
Regional High Level Dialogue ‘Road to Success’, Tbilisi, Georgia
On September 28-30, 2015 Regional High Level Dialogue took place in Tbilisi, Georgia on Successful Transition to Domestic Funding of HIV and TB Response in EECA. The 320 delegates from 31 countries have agreed to work together in creating and…
CIF study results on 8th IAS Conference on HIV Pathogenesis, Treatment and Prevention
Findings of population size estimation study among Man who have Sex with Men (MSM) was presented to the 8th International Aids Association conference on HIV Pathogenesis, Treatment and Prevention in Vancouver, Canada in July, 2015. The study was conducted by…
Response to the “Final evaluation of GAVI support to Bosnia and Herzegovina”
Gavi, the Vaccine Alliance published response to the “Final evaluation of Gavi support to Bosnia and Herzegovina” conducted by Curatio International Foundation. Gavi assess the final evaluation and the given recommendations as an important document for the transition country program…
The drivers of facility-based immunization performance and costs. An application to Moldova
The drivers of facility-based immunization performance and costs. An application to Moldova. This is the article an International peer reviewed Journal Vaccine published, Co-authored by experts from the Curatio International Foundation. The study was a part of a multi-country coting and…
Curatio International Foundation Hosts Health Systems Global Secretariat in Tbilisi, Georgia
Curatio International Foundation Hosts Health Systems Global Secretariat in Tbilisi, Georgia. Health Systems Global (HSG) is the first international membership organization fully dedicated to promoting health systems research and related knowledge translation. HSG brings together researchers, policy-makers, funders, implementers, civil…
An Impact Evaluation of Medical Insurance for Poor in Georgia: Preliminary Results and Policy Implications
An International peer reviewed journal Health Policy and Planning has published an article An impact evaluation of medical insurance for poor in Georgia: preliminary results and policy implications, authored by Curatio International Foundation experts. The authors evaluated the impact of…
Civil Society Forum organized by Country Coordination Mechanism
On January 29, at Courtyard Marriott Hotel was held a Civil Society Forum organized by Country Coordination Mechanism. The forum was part of country dialogue process regarding HIV/AIDS and Tuberculosis issues. During the meeting, civil society representatives shared results of…
