An OPM-designed Health Commission for the Punjab region of India has recently been enshrined in legislation
We have significant experience of costing health services and health facilities
We're working on a major twinning project to build capacity in Kazakhstan's health sector
Quantitative evidence from OPM shows that altruistic health workers have lower reservation wages for rural jobs in Rwanda
The scaling up of Lesotho's AIDS response has run out of resources unless donors step up their contributions
Discreet choice experiments in Viet Nam and Cambodia show that the right mix of financial and non-financial benefits attracts more health workers to rural areas
Broad support for OPM health financing proposals in north Pakistan
Our services
Our core expertise lies in health policy, health economics and the effective organisation of health services.
There isn’t an off-the-shelf solution to health sector reform. Priorities differ across countries and health systems, and change over time. For example, countries dealing with HIV epidemics not only need to address dwindling external financing but also rise to the challenges of integrating AIDS service delivery structures into the main health service framework. While appropriate policies that motivate health care professionals are a priority for others.
Most governments have well-constructed health policies and impressive strategy documents. But turning such high-level thinking into practical results on the ground requires systematic attention to processes and the systems to make it happen, underpinned by the in-depth analysis needed to identify and tackle barriers such as resource and skills shortages.
Good governance and organisational development is about creating institutions that last, establishing a culture of openness and trust and, above all, bringing about change that can be sustained in the long term.
In the past, lack of resources has not been a big issue for AIDS initiatives. ‘Exceptionalism’ – the view that the severity of the disease justifies donor funding regardless of the long-term financing implications – has been the financing paradigm. Now tougher economic conditions are challenging this paradigm and raising questions about how low and middle income countries will fund their AIDS responses.
There is a growing consensus that health workers are essential to health service delivery in developing countries. Yet the lack of an adequate framework for understanding their performance and labour market choices means that policy-makers often struggle to achieve their objectives.
Achieving universal coverage of a basic package of quality health services has become an essential policy goal for most low- and middle-income countries.
There is a growing interest in the use of results-based incentives in the health sector to align the goals of public and private health facilities or workers with broader public health goals.