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(IDRC - IDRISDATA BASE) [Project value:Quoted in Canadian dollars not deflated]
Financing Municipal Health Systems and Equity (Brazil)
This research project will focus on the problem of financing the health system
in Brazil, specifically in terms of the allocation and expenditure of resources,
and on an analysis of the technical and theoretical assumptions underlying
that financing system. The general objective is to develop criteria
for allocating funding among the three levels of SHS / SUS management (federal,
state and municipal), for municipal health systems, with a view to achieving
equity. The specific objectives are to identify and analyze criteria such
as population base, historic data on service output, schedule of payments
for procedures, among others, used for allocating SHS / SUS funds in municipal
health systems, with the purpose of explaining the current logic behind SHS
/ SUS funding; identify and analyse the epidemiological models used to assess
health and living conditions for the purpose of constructing indicators for
allocating health funding, with a view to equity; identify and analyse models
for evaluating health services and systems for the purpose of constructing
indicators for allocating health care funding, with a view to equity; propose
indicators for the operationalization of criteria for allocating financial
resources, with a view to equity, in the integrated planning and programming
(PPI) of the SHS / SUS. The following outputs are expected to result
from this project: a) In the area of knowledge,a "state of the art" in terms
of epidemiological models and models for assessing services and their application
in financing equity-targeted health systems; b) In the area of research
into health services and systems, a contribution to the methodological development
of studies on the financing of equity-targeted health systems, by constructing
instruments and techniques that can be applied in such research; c) Definition
of technical criteria for allocating health resources with a view to equity,
by developing asystem of indicators; and, d) Dissemination of research results
through stakeholders, in addition to health system managers and the scientific
community.
http://www.idrc.ca/lacro/foro/projects/financing-s.htm
Decentralized Management of Health Services (Venezuela)
There is not enough information about the status of health decentralization
andperformance of public and private health institutions created by decentralization
and privatization in Venezuela. Debates about policy options and decision
making process are guided by political and sectoral interests rather than
by knowledge on strategic choices based on diagnoses and information about
the local health condition of the population. There is a need to examine
the process of health decentralization and the performance of statehealth
institutions (Organizaciones Estatales de Salud) in order to generate up-dated
information on the process, and to promote integration of this knowledge into
the policy making process in the medium and long term. The general objectives
of the project are 1. Evaluate the extent to which the transference of competencies
to state health institutions facilitates the efficient, effective, and equitable
provision of health services. 2. Examine the relation between health decentralization
and the epidemiological condition of the population. 3. Disseminate and promote
adoption of the project results by the policy making process in the medium
and long term. The specific objectives are: to describe the structures,
legal frameworks, and operations/functioning of a representative sample
of state health institutions (Organizaciones Estatales de Salud - OES) created
between 1990 and 1998; to compare performance of selected state health institutions
in terms of their effective, equitable, and efficient provision of health
services to the population; to examine the relations between transference
of competencies related to decentralized health service provision and the
performance of state health institutions in the epidemiological and organizational
areas; to identify scenarios and policy options for the management of health
services, in the context of decentralization; to disseminate project results
among stakeholders in the health sector; and, to promote adoption of project
results by policymakers in the medium and long term. Expected results
are two publications (1000 copies each) corresponding to the project's interim
reports; no less than three articles in national or international journals
and newspapers; a book about final results of the project; strengthening of
NGOs participating in the project; advice on policy options for the financing
and allocation of resources to state health institutions and Regional Health
Directions; advice and recommendations for the Ministry of Health and Social
Development concerning reformulation and management of health policies; and,
methodologies for policy analysis and improvement of the policy making process
and program management in the health sector. The project will have three phases
for description of cases, generation of explanatory models for testing working
hypotheses related to different policy scenarios, andthe final assessment
of policy options. A strategy to generate debate about policy options
will be implemented. A geographical representative sample of five federal
states will be obtained. The unit of analysis will be state health institutions
such as Regional Health Directions, health foundations, corporations, and
health institutes. The project will be implemented in a 22 month period
and will have three phases of 7.5,6.5, and 8 months each.
http://www.idrc.ca/lacro/foro/
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