Title:
Women and Child Health Development Project, Uzbekistan
Women and Child Health Development Project, Uzbekistan
Start Date:
November 2010
November 2010
Completion Date:
November 2010
November 2010
Client(s):
Government of Uzbekistan
Government of Uzbekistan
Funder(s):
Inter-American Development Bank (IADB)
Inter-American Development Bank (IADB)
Location:
Uzbekistan, Central Asia
Uzbekistan, Central Asia
Summary:
OPM provided health economics input into the preparation of a project led by JSI. The first part was to advise on a feasible provider payment mechanism to encourage the delivery of cost-effective services through the WCH package. The work investigated ways of channeling more resources into WCH either by redistributing resources from other parts of the health sector or by increasing the overall volume of finance. Based on these findings proposals for a revised system of PHC allocation of the WCH were developed during the project. The second activity was to carry out a financial sustainability and economic analysis of the project. This examined first the financial costs and savings of the project and next the impact these had on the costs of the health system over the short, medium and long term. The analysis found that, while the project appeared good value for money in cost-effectiveness terms, its financial sustainability could not be ensured unless more funds were made available to finance recurrent costs. This could either be through increased sector allocations or, more fundamentally, through a restructuring in the workforce. The latter was recommended in any case so as to provide the updated system of primary and emergency care envisaged by the project.
OPM provided health economics input into the preparation of a project led by JSI. The first part was to advise on a feasible provider payment mechanism to encourage the delivery of cost-effective services through the WCH package. The work investigated ways of channeling more resources into WCH either by redistributing resources from other parts of the health sector or by increasing the overall volume of finance. Based on these findings proposals for a revised system of PHC allocation of the WCH were developed during the project. The second activity was to carry out a financial sustainability and economic analysis of the project. This examined first the financial costs and savings of the project and next the impact these had on the costs of the health system over the short, medium and long term. The analysis found that, while the project appeared good value for money in cost-effectiveness terms, its financial sustainability could not be ensured unless more funds were made available to finance recurrent costs. This could either be through increased sector allocations or, more fundamentally, through a restructuring in the workforce. The latter was recommended in any case so as to provide the updated system of primary and emergency care envisaged by the project.