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Inclusive Social protection for chronic health problems

English title Inclusive Social protection for chronic health problems
Applicant Maurer Jürgen
Number 183759
Funding scheme r4d (Swiss Programme for Research on Global Issues for Development)
Research institution HEC - Ecole des Hautes Etudes Commerciales Université de Lausanne
Institution of higher education University of Lausanne - LA
Main discipline Economics
Start/End 01.01.2019 - 31.12.2021
Approved amount 1'524'640.00
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All Disciplines (2)

Discipline
Economics
Public Health and Health Services

Keywords (6)

Health; Work Disability; Healthcare; Poverty; NCDs; Development

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: 26.11.2018

Responsible applicant and co-applicants

Employees

Publications

Publication
Using grip strength to compute physical health-adjusted old age dependency ratios
Kämpfen Fabrice, Kohler Iliana V., Bountogo Mamadou, Mwera James, Kohler Hans-Peter, Maurer Jürgen (2020), Using grip strength to compute physical health-adjusted old age dependency ratios, in SSM - Population Health, 11, 100579-100579.
Deconstructing Gender Differences in Experienced Well-Being Among Older Adults in the Developing World: The Roles of Time Use and Activity-Specific Affective Experiences
Flores Gabriela, Kieny Clémence, Maurer Jürgen (2020), Deconstructing Gender Differences in Experienced Well-Being Among Older Adults in the Developing World: The Roles of Time Use and Activity-Specific Affective Experiences, in Social Indicators Research, 1.
Utilization of research knowledge in sustainable development pathways: Insights from a transdisciplinary research-for-development programme
Jacobi J., Llanque A., Bieri S., Birachi E., Cochard R., Chauvin N. Depetris, Diebold C., Eschen R., Frossard E., Guillaume T., Jaquet S., Kämpfen F., Kenis M., Kiba D.I., Komarudin H., Madrazo J., Manoli G., Mukhovi S.M., Nguyen V.T.H., Pomalègni C., Rüegger S., Schneider F., TriDung N., von Groote P., et al. (2020), Utilization of research knowledge in sustainable development pathways: Insights from a transdisciplinary research-for-development programme, in Environmental Science & Policy, 103, 21-29.
Universal health coverage: A (social insurance) job half done?
Neelsen Sven, Limwattananon Supon, O'Donnell Owen, van Doorslaer Eddy (2019), Universal health coverage: A (social insurance) job half done?, in World Development, 113, 246-258.
Financial Protection Against Medical Expense
O'DonnellOwen, Financial Protection Against Medical Expense, in The Oxford Encyclopedia of Health Economics, TI 2019-01.

Collaboration

Group / person Country
Types of collaboration
Shridevi Institute of Management Sciences India (Asia)
- 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
University of Pennsylvania United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
College of Medicine Malawi (Africa)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
Institute of Public Health, University of Heidelberg Germany (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
Responsive and Equitable Health System-Partnership on Non-Communicable Diseases (RESPOND) Project Great Britain and Northern Ireland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
University of Texas at Austin United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
University of Michigan United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
The Alliance for Health Policy and System Research Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Research Infrastructure
London School of Hygiene and Tropic Medicine Great Britain and Northern Ireland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
University of Southern California United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
University of Ruhuna Sri Lanka (Asia)
- 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
P4H-the Global Network for Universal Health Coverage and Social Health Protection Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
Medical Research Institute (MRI), Ministry of Health Sri Lanka (Asia)
- in-depth/constructive exchanges on approaches, methods or results
University of Chicago United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
Department of Planning, Ministry of Health Sri Lanka (Asia)
- in-depth/constructive exchanges on approaches, methods or results
iBMG Erasmus University Netherlands (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
Harvard University United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
- Exchange of personnel
Responsive and Equitable Health System-Partnership on Non-Communicable Diseases (RESPOND) Project Philippines (Asia)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
University of Colombo Sri Lanka (Asia)
- in-depth/constructive exchanges on approaches, methods or results
University of Peradeniya Sri Lanka (Asia)
- in-depth/constructive exchanges on approaches, methods or results

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
Swissnex Boston SNSF Conference “2020 Interdisciplinary conference on Humanities, Social sciences, Medicine, Biology, and Mathematics, Natural & Engineering sciences Talk given at a conference Health Screening when Individual's Options are Limited: Long-term Effects of Blood Pressure Screening in a Low-Income Context 29.06.2020 Boston, United States of America Kämpfen Fabrice;
Applied Health Economics and Policy Evaluation, IRDES Talk given at a conference Persistent Effects of Temporary Incentives: Evidence from a Nationwide Health Insurance Experiment 18.06.2020 Paris, France O'Donnell Owen;
Rotterdam Global Health Initiative, Erasmus University Rotterdam Talk given at a conference Gaps in primary prevention of cardiovascular disease: evidence from a randomized encouragement design in the Philippines 11.03.2020 Rotterdam, Netherlands O'Donnell Owen;
57th Annual Conference of the Philippine Economic Society Experiment in the Philippines Talk given at a conference Is Primary Prevention of Cardiovascular Disease Implemented Effectively? Evidence from a Randomized Lottery 07.11.2019 Manila, Philippines Quimbo Stella;
2019 iHEA World Congress Talk given at a conference Risk Perceptions, Optimism Bias and Information Response: Evidence from a Cardiovascular Risk Experiment in the Philippines 13.07.2019 Basel, Switzerland Quimbo Stella;
2019 iHEA World Congress Talk given at a conference The benefits of Knowledge: Mortality Perceptions, Sexual Behavior and Forward-Looking Decisions 13.07.2019 BASEL, Switzerland Ciancio Alberto;
2019 iHEA World Congress Talk given at a conference Is Primary Prevention of Cardiovascular Disease Implemented Eectively? Evidence from a Randomized Lottery Experiment in the Philippines 13.07.2019 Basel, Switzerland Quimbo Stella;
2019 iHEA World Congress Talk given at a conference A behavioral decomposition of willingness to pay for health insurance 13.07.2019 Basel, Switzerland O'Donnell Owen;
2019 iHEA World Congress Talk given at a conference Equity Implications of Expansion of CVD Screening and Preventative Treatment in Sri Lanka 13.07.2019 Basel, Switzerland Rannan-Eliya Ravindra P.;
The Asian Meeting of the Econometric Society 2019 Talk given at a conference The Effects of Negative Economic Shocks at Birth on Child Health in Sub-Saharan Africa 14.06.2019 Xiamen, China Kämpfen Fabrice;
Workshop (cost)-effectiveness of interventions to prevent non-communicable diseases (NCD) Talk given at a conference Is it really worth going for a check-up? A randomized evaluation of cardiovascular disease prevention in the Philippines 09.05.2019 Groningen, Netherlands O'Donnell Owen;


Knowledge transfer events



Self-organised

Title Date Place
Prevention and Control of CVDs: Implications for the Universal Healthcare (UHC) Rollout 13.11.2019 Manila, Philippines

Communication with the public

Communication Title Media Place Year
Video/Film SRI LANKA HEALTH AND AGEING SURVEY International 2020
New media (web, blogs, podcasts, news feeds etc.) INCLUSIVE SOCIAL PROTECTION FOR CHRONIC HEALTH PROBLEMS International 2019
New media (web, blogs, podcasts, news feeds etc.) The NECVaRE - UPECON FOUNDATION International 2019
Print (books, brochures, leaflets) What is NECVaRE International 2019

Awards

Title Year
“Prix de la Faculté” for PhD thesis, University of Lausanne 2019
Swiss National Science Foundation – Early Post-Doc Mobility 2019

Associated projects

Number Title Start Funding scheme
160374 Inclusive Social protection for chronic health problems 01.01.2016 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.H3b: The communication of risk information-potentially coupled with financial incentives for care seeking-will be effective in increasing healthcare seeking, diagnosis and medical treatment for 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.H5: Persons with chronic conditions/disabilities have lower prospects of employment. These reduced employment prospects occur even in job for which their chronic disease/disability is largely irrelevant.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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