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Multi-source financing for tuberculosis treatment in China: key issues and challenges

Infectious Diseases of Poverty 2021年第2期10卷 44-49页

作者： Qian Long Wei-Xi Jiang Hui Zhang Jun Cheng Sheng-LanTang Wei-Bing Wang Global health Research Center Duke Kunshan UniversityJiangsuChina National Center for Tuberculosis Control and Prevention China CDCBeijingChina Duke Global health Institute Duke UniversityDurhamNCUSA. Department of Epidemiology School of Public Health&Key Laboratory of Public Health Safety(Ministry of Education)Fudan University138 Vi Xue Yuan RoadShanghai 200032China.

Background:The End Tuberculosis(TB)Strategy of the World health Organization highlights the need for patientcentered care and social protection measures that alleviate the financial hardships faced by many TB *** China,TB treatments are paid for by earmarked government funds,social health insurance,medical assistance for the poor,and out-of-pocket payments from *** part of Phase III of the China-Gates TB project,this paper introduces multi-source financing ofTB treatment in the three provinces of China and analyzes the challenges of moving towards universal coverage and its implications of multi-sectoral engagement for TB *** text:The new financing policies forTB treatment in the three provinces include increased reimbursement forTB outpatient care,linkage ofTB treatment with local poverty alleviation programs,and use of local government funds to cover some costs to reduce out-of-pocket ***,there are several challenges in reducing the financial burdens faced byTB ***,medical costs must be contained by reducing the profit-maximizing behaviors of ***,treatment forTB and multi-drug resistant TB(MDR-TB)is only available at county hospitals and city or provincial hospitals,respectively,and these hospitals have low reimbursement rates and high ***,many patients with TB and MDR-TB are at the edge of poverty,and therefore ineligible for medical assistance,which targets extremely poor *** addition,the local governments of less developed provinces often face fiscal difficulties,making it challenging to use of local government funds to provide financial support for TB *** suggest that stakeholders at multiple sectors should engage in transparent and responsive communications,coordinate policy developments,and integrate resources to improve the integration of social protection ***:The Chinese government is examining the establishment of multi-source financing forTB treatm

关键词： Tuberculosis Medical cost Financial protection universal health coverage Multi-sector engagement China

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Prevalence and risk distribution of schistosomiasis among adults in Madagascar:a cross-sectional study

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Infectious Diseases of Poverty 2023年第2期12卷 136-136页

作者： Sarah Katharina Gruninger Tahinamandranto Rasamoelina Rivo Andry Rakotoarivelo Anjarasoa Ravo Razafindrakoto Zaraniaina Tahiry Rasolojaona Rodson Morin Rakotozafy Patrick Richard Soloniaina Njary Rakotozandrindrainy Pia Rausche Cheick Oumar Doumbia Anna Jaeger Alexandre Zerbo Heidrun von Thien Philipp Klein Govert van Dam Egbert Tannich Norbert Georg Schwarz Eva Lorenz Jürgen May Raphael Rakotozandrindrainy Daniela Fusco Department of Infectious Disease Epidemiology Bernhard Nocht Institute for Tropical Medicine Hamburg Germany German Centre for Infection Research (DZIF) Hamburg-Borstel-Lübeck-Riems Germany Centre d’Infectiologie Charles Mérieux (CICM) University of Antananarivo Antananarivo Madagascar Department of Infectious Diseases University of Fianarantsoa Andrainjato Fianarantsoa Madagascar Department of Microbiology and Parasitology University of Antananarivo Antananarivo Madagascar University Clinical Research Centre (UCRC) University of Sciences Technics and Technologies of Bamako (USTTB) Bamako Mali Department of Parasitology Leiden University Medical Centre Leiden The Netherlands National Reference Centre for Tropical Pathogens (NRC) Hamburg Germany Institute of Medical Biostatistics Epidemiology and Informatics University Medical Centre of the Johannes Gutenberg University Mainz Mainz Germany Department of Tropical Medicine I University Medical Center Hamburg-Eppendorf (UKE) Hamburg Germany

Background The goal to eliminate the parasitic disease of poverty schistosomiasis as a public health problem is aligned with the 2030 United Nations agenda for sustainable development goals,including universal health coverage(UHC).Current control strategies focus on school-aged children,systematically neglecting *** aimed at providing evidence for the need of shifting the paradigm of schistosomiasis control programs from targeted to generalized approaches as key element for both the elimination of schistosomiasis as a public health problem and the promotion of *** In a cross-sectional study performed between March 2020 and January 2021 at three primary health care centers in Andina,Tsiroanomandidy and Ankazomborona in Madagascar,we determined prevalence and risk factors for schistosomiasis by a semi-quantitative PCR assay from specimens collected from 1482 adult *** and multivariable logistic regression were performed to evaluate odd *** The highest prevalence of ***,*** and co-infection of both species was 59.5%,61.3%and 3.3%,in Andina and Ankazomborona *** prevalence was observed among males(52.4%)and main contributors to the family income(68.1%).Not working as a farmer and higher age were found to be protective factors for *** Our findings provide evidence that adults are a high-risk group for *** data suggests that,for ensuring basic health as a human right,current public health strategies for schistosomiasis prevention and control need to be re-addressed towards more context specific,holistic and integrated approaches.

关键词： Schistosomiasis Schistosoma haematobium Schistosoma mansoni universal health coverage Madagascar

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How to Integrate Palliative Care Into Primary health Care

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Sociology Study 2020年第3期10卷 123-140页

作者： Mercy Wanjiku Wachiuri Department of Palliative Care Nakuru Level 5 Teaching and Referral HospitalNakuruKenya

Integration of Palliative Care into Primary health Care will have a substantial amount of positive impact on health Care in Nakuru County,***,all aspects of Palliative Care should be given to more than 2/3 population that suffer from cancers and chronic illnesses which sometimes overflow to some acute *** Palliative Care focuses on Holistic Care encompassing physical,psychological,social,and spiritual aspects to adults and children,Primary health Care operates on the principles of equity,solidarity,universal access to services,multisectoral action,social justice,centralization,and community ***,there are similarities in Palliative Care and Primary health Care putting into consideration that the latter is based on practical,scientifically sound and socially accepted methods and *** is affordable,universally accessible to individuals and families in the *** health coverage ensures that all people and communities have access to promotive,preventive,curative,rehabilitative,and palliative health services they need,of sufficient quality to be effective while also ensuring that the use of these services does not expose the users to financial *** 60%of the Nakuru County population are in need of Palliative Care services,but only about 20%access these *** suffer from cancers,non-communicable diseases,dementia,and *** challenges,staff shortages,and lack of Palliative Care knowledge are the main barriers to provision of care.

关键词： integration palliative care primary health care universal health coverage

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Social innovation for health: engaging communities to address infectious diseases

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Infectious Diseases of Poverty 2020年第4期9卷 174-174页

作者： Phyllis Dako-Gyeke Uche V.Amazigo Beatrice Halpaap Lenore Manderson Department of Social and Behavioural Sciences School of Public HealthUniversity of GhanaAccraGhana Pan-African Community Initiative on Education and health(PACIEH) EnuguNigeria Special Programme for Research and Training in Tropical Diseases(UNICEF/UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases) GenevaSwitzerland School of Public health University of the WitwatersrandJohannesburgSouth Africa Institute at Brown for Environment and Society Brown UniversityProvidenceRIUSA School of Social Sciences Monash UniversityMelbourneAustralia

universal health coverage emphasises the value of the community-based delivery of health services to ensure that underserved populations have access to *** areas where infectious diseases are endemic,there are often few resources and limited capacity,and the introduction of effective and accessible strategies require *** this special issue,the contributing authors emphasise the power of local responses to the circumstances that underpin diseases of poverty,and highlight the methodological and programme innovations necessary to support and sustain these *** case studies,the authors illustrate how social innovations can address health inequities,and they identify the role of academics in the Social Innovation in health Initiative to support this approach.

关键词： Community engagement Empowerment Social innovation universal health coverage

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Inequity in catastrophic costs among tuberculosis-affected households in China

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Infectious Diseases of Poverty 2019年第3期8卷 104-104页

作者： Cai-Hong Xu Kathiresan Jeyashree Hemant Deepak Shewade Yin-Yin Xia Li-Xia Wang Yan Liu Hui Zhang Li Wang National Center for Tuberculosis Control and Prevention Chinese Center for Disease Control and PreventionBeijing 100226China 不详 Department of Epidemiology and Biostatistics Institute of Basic Medical Sciences Chinese Academy of Medical SciencesSchool of Basic Medicine Peking Union Medical CollegeBeijing 100005China

Background:There are limited nationally representative studies globally in the post-2015 END tuberculosis(TB)era regarding wealth related inequity in the distribution of catastrophic costs due to TB *** the Chinese national tuberculosis programme setting,we aimed to assess extent of equity in distribution of total TB care costs(pre-treatment,treatment and overall)and costs as a proportion of annual household income(AHI),and describe and compare equity in distribution of catastrophic costs(pre-treatment,treatment and overall)across population ***:Analytical cross-seaional study using data from national TB patient cost survey carried out in 22 counties from six provinces in China in ***-susceptible pulmonary TB registered under programme,who had received at least 2 weeks of intensive phase therapy were *** was depiaed using concentration curves and concentration indices were compared using dominance ***:Of 1147 patients,the median cost of pre-treatment,treatment and overall care,were USD 283.5,USD 413.1 and USD 965.5,*** quintiles incurred significantly higher pre-treatment and treatment costs compared to poorer *** distribution of costs as a proportion of AHI and catastrophic costs were significantly pro-poor overall as well as during pre-treatment and treatment *** the concentration curves for catastrophic costs(due to pre-treatment,treatment and overall care)stratified by region(east,middle and west),area of residence(urban,rural)and type of insurance new rural co-operative medical system[NCMS],non-NCMSalso exhibited a pro-poor pattern with statistically significant(Phealth co

关键词： Catastrophic health expenditure tuberculosis Patient cost universal health coverage Social protection Equity

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实现人人享有基本医疗保健的中国道路

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社会保障制度 2021年第9期

作者：刘远立

人人享有基本医疗保健是世界卫生组织1978年在著名的《阿拉木图宣言》中提出的世界各国共同奋斗的目标。中国共产党在其成立后的百年奋斗历程中，始终不渝地带领各族人民朝着这一基于公平正义核心价值观的目标迈进。虽然在中国革命和建... 详细信息

人人享有基本医疗保健是世界卫生组织1978年在著名的《阿拉木图宣言》中提出的世界各国共同奋斗的目标。中国共产党在其成立后的百年奋斗历程中，始终不渝地带领各族人民朝着这一基于公平正义核心价值观的目标迈进。虽然在中国革命和建设的不同历史时期，需要重点解决的问题和所能采取的手段有差异，但预防为主的核心卫生工作方针、强调公共卫生和基层医疗卫生体系建设的工作重心是中国用较少的投入相对有效地解决世界四分之一人口的基本健康问题、不断有效应对各种疫情挑战的政策法宝。党的十八大以来，全民健康与全面小康的紧密关系得到更加深入的认识，健康民生问题得到更大的重视，中国织起了、并不断织牢世界上最大的两张网：一张是世界上最大的基本医疗保障网，另一张则是世界上最大的基本医疗服务网。

关键词：基本医疗保健历史发展沿革公共卫生全民覆盖健康中国 primary healthcare historical development public health universal health coverage healthy China

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