Uzbekistan Women and Child Health Development Project
Start Date:
October 2003
End Date:
December 2003
Country:
Uzbekistan
Client:
Government of Uzbekistan
Funder:
ADB
Project Information
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 channelling more resources into WCH either by redistributing resources from other parts of the health sector and by increasing the overall volume of finance. Based on these findings proposals for a revised system of PHC allocation of the WCH will be 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 will have 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, the financial sustainability could not be ensured unless more funds are 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 is required in any case to provide an updated system of primary and emergency care envisaged by the project.