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Inclusive Social protection for chronic health problems

English title Inclusive Social protection for chronic health problems
Applicant Maurer Jürgen
Number 160374
Funding scheme r4d (Swiss Programme for Research on Global Issues for Development)
Research institution Institut d'Economie et de Management de la Santé (IEMS) Université de Lausanne
Institution of higher education University of Lausanne - LA
Main discipline Economics
Start/End 01.01.2016 - 31.12.2018
Approved amount 2'697'430.00
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All Disciplines (2)

Discipline
Economics
Public Health and Health Services

Keywords (6)

Development; Work disability; Healthcare; Health; NCDs; Poverty

Lay Summary (German)

Lead
Chronische Erkrankungen, Gesundheitsversorgung und ökonomische Entwicklung
Lay summary
Gesundheit ist ein entscheidender Einflussfaktor ökonomischer Entwicklung und umgekehrt. Das enge Zusammenspiel zwischen Gesundheit und ökonomischer Entwicklung suggeriert eine hohe Rentabilität von Gesundheitsinvestitionen in Bezug auf die ökonomische Entwicklung eines Landes. Aus diesem Grund hat die Kommission für Makroökonomie und Gesundheit bei der Weltgesundheitsorganisation bereits 2001 darauf hingewiesen, dass Gesundheit nicht nur ein Menschenrecht, sondern auch die Basis umfassender Armutsreduktionen und einer nachhaltigen ökonomische Entwicklung darstellt.

Das Ziel unseres Projekts ist ein verbessertes Verständnis des engen Zusammenspiels zwischen Gesundheit, Armut und ökonomischer Entwicklung in verschiedenen Entwicklungsländern (Indien, Malawi, den Philippinen und Sri Lanka). Ferner analysiert unser Projekt mögliche Effekte gezielter Interventionen zur Verbesserung der Gesundheitsversorgung für verschiedene chronische Erkrankungen in Bezug auf den Gesundheitsstatus und die allgemeinen Lebensbedingungen chronisch kranker Menschen. Zu diesem Zweck werden neue Daten zum Zusammenspiel von Gesundheit und sozioökonomischen Status erhoben sowie verschiedene praktische Interventionen zur Verbesserung der Gesundheitsversorgung durchgeführt.

Direct link to Lay Summary Last update: 21.12.2015

Responsible applicant and co-applicants

Employees

Publications

Publication
Aging, non-communicable diseases, and old-age disability in low- and middle-income countries: a challenge for global health
Kämpfen Fabrice, Wijemunige Nilmini, Evangelista Benedict (2018), Aging, non-communicable diseases, and old-age disability in low- and middle-income countries: a challenge for global health, in International Journal of Public Health, 1-2.
Inequalities in the use of secondary prevention of cardiovascular disease by socioeconomic status: evidence from the PURE observational study
Murphy Adrianna, Palafox Benjamin, O'Donnell Owen, Stuckler David, Perel Pablo, AlHabib Khalid F, Avezum Alvaro, Bai Xiulin, Chifamba Jephat, Chow Clara K, Corsi Daniel J, Dagenais Gilles R, Dans Antonio L, Diaz Rafael, Erbakan Ayse N, Ismail Noorhassim, Iqbal Romaina, Kelishadi Roya, Khatib Rasha, Lanas Fernando, Lear Scott A, Li Wei, Liu Jia, Lopez-Jaramillo Patricio, et al. (2018), Inequalities in the use of secondary prevention of cardiovascular disease by socioeconomic status: evidence from the PURE observational study, in The Lancet Global Health, 6(3), e292-e301.
Cognition, Health, and Well-Being in a Rural SubSaharan African Population
Payne Collin, Kohler Iliana, Bandawe Chiwoza, Lawler Kathy, Kohler Hans-Peter (2017), Cognition, Health, and Well-Being in a Rural SubSaharan African Population, in European Journal of Population, 1-26.
Progressive Universalism? The Impact of Targeted Coverage on Health Care Access and Expenditure in Peru
Neelsen Sven, O’Donnell Owen (2017), Progressive Universalism? The Impact of Targeted Coverage on Health Care Access and Expenditure in Peru, in Health Economics.
Subjective Expectations of Medical Expenditures and Insurance in Rural Ethiopia
Yilma Zelalem, O’Donnell Owen, Mebratie Anagaw, Alemu Getnet, Bedi Arjun (2017), Subjective Expectations of Medical Expenditures and Insurance in Rural Ethiopia, in Sadka Efraim, Baltagi Badi (ed.), Emerald Group Publishing Limited, Bingley, UK.
The Demography of Mental Health Among Mature Adults in a Low-Income High HIV-Prevalence Context
Kohler Iliana, Payne Collin, Bandawe Chiwoza, Kohler Hans-Peter (2017), The Demography of Mental Health Among Mature Adults in a Low-Income High HIV-Prevalence Context, in Demography, 54(4), 1529-1558.
Up, Down and Reciprocal: The Dynamics of Intergenerational Transfers, Family Structure and Health in a Low-Income Context
PayneC. F., PesandoL. M., KohlerH.-P., Up, Down and Reciprocal: The Dynamics of Intergenerational Transfers, Family Structure and Health in a Low-Income Context, in Population and Development Review.

Collaboration

Group / person Country
Types of collaboration
iHOPE Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
The Alliance for Health Policy and System Research Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Research Infrastructure
DG, Ministry of Health (MoH) Sri Lanka (Asia)
- in-depth/constructive exchanges on approaches, methods or results
University of Southern California United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
University of Chicago United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
College of Medicine Malawi (Africa)
- in-depth/constructive exchanges on approaches, methods or results
P4H-the Global Network for Universal Health Coverage and Social Health Protection Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
Erasmus University Netherlands (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
iBMG Erasmus University Netherlands (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
Organisation for Economic Co-operation and Development (OECD) France (Europe)
- in-depth/constructive exchanges on approaches, methods or results
World Health Organization Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Research Infrastructure
DDG, Management Development & Planning Unit (MDPU) at the MoH Sri Lanka (Asia)
- in-depth/constructive exchanges on approaches, methods or results
- Research Infrastructure
- Industry/business/other use-inspired collaboration
University of Michigan United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
University of Pennsylvania United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
GASS India (Asia)
- in-depth/constructive exchanges on approaches, methods or results
Director of the NCD Unit, Director General of Health Services, WHO Sri Lanka (Asia)
- in-depth/constructive exchanges on approaches, methods or results
Harvard T. H. Chan school of public health United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
- Exchange of personnel
World Bank United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
IRDES Workshop on Applied Health Economics Talk given at a conference A behavioral decomposition of willingness to pay for health insurance 21.06.2018 Paris, France O'Donnell Owen;
London School of Economics seminar Individual talk A behavioral decomposition of willingness to pay for health insurance 21.06.2018 London, Great Britain and Northern Ireland O'Donnell Owen;
Lund University seminar Individual talk A behavioral decomposition of willingness to pay for health insurance 31.05.2018 Lund, Sweden O'Donnell Owen;
Pre-PAA Africa Population, Environment and Health Mini-Conference Talk given at a conference highlight MLSFH-R4d Aging Research 25.04.2018 Denver, United States of America Kämpfen Fabrice;
International Health Economics Association World Congress Talk given at a conference Progressive Universalism? The Impact of Targeted Coverage on Healthcare Access and Expenditures in Peru 08.07.2017 Boston, United States of America O'Donnell Owen;
International Health Economics Association World Congress Poster Modeling of cost-effectiveness, costs and impact of WHO PEN and alternative cardiovascular disease prevention protocols in Sri Lanka 08.07.2017 Boston, United States of America Rannan-Eliya Ravindra P.;
Heidelberg Seminar in Health Economics Individual talk Access to medicines in low- and lower-middle-income countries 22.06.2017 Heidelberg, Germany Maurer Jürgen;
Annual meeting of the Health Economics Section of the German Economic Association Talk given at a conference Aging and wellbeing in the developing world 21.10.2016 Stuttgart, Germany Maurer Jürgen;
Geneva Health Forum Talk given at a conference Toward Universal Health Coverage: Leaving no one behind 19.04.2016 Geneva, Switzerland Maurer Jürgen;
Population Association of America Poster An anatomy of old-age disability 28.03.2016 Washington, DC, United States of America Maurer Jürgen;


Self-organised

Title Date Place
Improving coverage for Chronic Diseases in Aging Populations – Evidence from Emerging Research 12.02.2018 Colombo, Sri Lanka
Aging, Health, Disability and Wellbeing 12.06.2017 Lausanne, Switzerland
Venice International University Summer Institute on Ageing 05.06.2017 Venice, Italy
European Workshop on Econometrics and Health Economics 31.08.2016 Odense, Denmark
Venice International University Summer Institute on Ageing 13.06.2016 Venice, Italy
Frontiers of Longitudinal Research in Malawi: Informing Health and Family Policies after the Peak of the AIDS Epidemic 11.03.2016 Blantyre, Malawi

Knowledge transfer events

Active participation

Title Type of contribution Date Place Persons involved
Pro-Poor Universal Health Coverage Workshop 01.06.2017 Paris, France O'Donnell Owen;
Second Annual Universal Health Coverage Financing Forum Workshop 20.04.2017 Washington, DC, United States of America Maurer Jürgen;
Sri Lanka National Science Foundation - Big Data Research in Health Workshop 13.03.2017 Colombo, Sri Lanka Rannan-Eliya Ravindra P.;


Self-organised

Title Date Place
Improving Coverage for Chronic Disease in Aging Populations – Evidence from Emerging Research 12.02.2018 Colombo, Sri Lanka
Extensive training on financial and quality monitoring of complex fieldwork operation 22.05.2017 Mchinji, Malawi
Extensive training on innovative data collection techniques 22.05.2017 Mchinji, Malawi

Communication with the public

Communication Title Media Place Year
Talks/events/exhibitions Meeting the mayors and local health officials in Cabanatuan City, Nueva Ecija province, Philippines International 2018
New media (web, blogs, podcasts, news feeds etc.) Surviving an epdicemic: charting trends and resilience in sub-saharan Africa OMNIA International 2018
Talks/events/exhibitions MLSFH Mature Adult Cohort: Preliminary Findings from the 2017 data collection International 2017
New media (web, blogs, podcasts, news feeds etc.) Philippine project: The Nueva Ecija Cardiovascular Health Study (NECHS) Internet International 2017
Talks/events/exhibitions Malawi Mental Health Conference International 2016
Talks/events/exhibitions The Demographic dividend and sustainable development goals International 2016

Associated projects

Number Title Start Funding scheme
183759 Inclusive Social protection for chronic health problems 01.01.2019 r4d (Swiss Programme for Research on Global Issues for Development)

Abstract

The main objectives of our proposed research are to (a) deepen knowledge of the relationship between chronic illness and poverty in low-income settings and (b) provide evidence on the health and economic impact of increased access to diagnosis and treatment for selected chronic health problems in the context of poorly resourced health systems with a special focus on mature adult populations who are the main sufferers of NCDs.To further examine the causes of and solutions to health-related poverty traps, our proposed research will investigate the following hypotheses:H1: Chronic illness makes a substantial contribution to the risk and persistence of poverty in LMICs, and it does so more through reduced work capacity/productivity than through the burden of medical expenses.H2: Improved access to healthcare (diagnosis, medication and treatment) for chronic health problems is an effective instrument for maintaining health, reducing disability and combatting economic deprivation.H3: Subsidization of indirect costs is effective in increasing diagnosis and medical treatment of certain chronic conditions, and consequently improves health (generating resource savings for the health system) and future economic performance (generating health-led economic development).H4: Scaling-up of coverage for diagnosis and treatment of certain NCDs is cost-effective even in low-resource health systems, especially when their impact on reducing disability and improving socioeconomic development is taken into account.To test the above four hypotheses, our proposed research will take a quantitative approach that combines the collection and analysis of longitudinal data with the implementation of randomized experiments for the causal study of specific pathways linking NCDs, healthcare use, and subsequent health and economic outcomes. Existing longitudinal survey infrastructures will be built and drawn on for the collection of new data and experiments will efficiently exploit existing data infrastructures within a randomized controlled trail (RCT) study design.
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