Parmi les différentes mesures adoptées pour freiner la propagation du Covid-19, la Belgique a cho... more Parmi les différentes mesures adoptées pour freiner la propagation du Covid-19, la Belgique a choisi d'interdire les voyages non-essentiels, y compris vers les autres Etats membres de l'Union européenne. Plusieurs chercheurs, issus de disciplines variées, ont - en plus de l’argument juridique - opté pour une analyse multidisciplinaire sur la base des arguments avancés par le Gems, le groupe d’experts qui conseille le gouvernement dans la gestion de la crise. L’étude se focalise sur les coûts et les bénéfices d’une telle mesure, sur son impact social, humain, économique, mais aussi et surtout sur son effet dans l’évolution de la situation sanitaire
Introduction: The Government of Senegal is firmly committed towards universal health coverage (UH... more Introduction: The Government of Senegal is firmly committed towards universal health coverage (UHC). Various initiatives have been launched over the last decade to extend the coverage of risk protection to the entire population. The objective of UHC is mainly pursued through (i) a desire to expand coverage in services in poor areas and (ii) improvement of financial access through the Universal Health Insurance Policy (called CMU). However, the proportion of the population actually covered is still low, and access to health services and funding of national public health priorities are limited by inadequate allocation of resources. The concept of UHC is closely linked to health system strengthening (HSS). The latter comprises the means, while UHC is a way of framing the policy objectives.1Aim: This study aims to assess the main gaps and henceforth necessary requirements in terms of HSS so as to facilitate progress towards UHC in Senegal.Methods: Based on a critical review of existing ...
audience: researcher, professionalIntroduction: In its pursuance of universal health coverage (UH... more audience: researcher, professionalIntroduction: In its pursuance of universal health coverage (UHC), the government of Benin has launched an ambitious reform of the health sector governance and has recently started to implement a policy of mandatory social insurance for health through the so-called Assurance pour le Renforcement du Capital Humain (ARCH) project. This raises important fiscal challenges, both at the revenue mobilisation and at the spending levels. Aim: We analyse the fiscal challenges raised by the launch of State-subsidised mandatory social health insurance in Benin. Methods: We analysed fiscal data and ARCH documents, and performed interviews with over 40 representatives of the government, development partners, private insurers and other resource persons during two mission in Benin in March 2018 and April 2019. Results are presented along the three classical objective or functions of public expenditure management.1 Results: The government of Benin faces important fiscal challenges to implement the ARCH social insurance project: (i) regarding aggregate fiscal discipline, the fiscal space is quite limited, there is little room for raising new revenues, hence the necessity to re-prioritise fiscal resources without jeopardising other areas; (ii) regarding resource allocation and use based on strategic priorities, purchasing of health services will need to be more strategic so as to increase allocative efficiency and equity; (iii) regarding efficiency and effectiveness of programmes and service delivery, the fluidity of the expenditure process will have to be improved, and more autonomy will have to be devoted to the operational level, so as to ensure health facilities are reimbursed in time for insured people’s health costs, so as not to jeopardize their financial equilibrium. Conclusion: Benin faces important fiscal challenges to implement its UHC policy, which are also faced by many other African countries. An important risk to be avoided is to ensure that the resources dedicated by the government to the social health insurance system are not compensated by a reduction in the financing of preventive and promotional health services. Reference(s): 1. World Bank. Public Expenditure Management Handbook. 1998; Washington, D.C.; 178 pages.ARC grant for Concerted Research Action
This cross-sectional study examines why people in French-speaking regions of Belgium who initiall... more This cross-sectional study examines why people in French-speaking regions of Belgium who initially resisted getting the COVID-19 vaccine eventually chose to get vaccinated.
L'aide au développement dans le secteur de la santé est extrêmement fragmentée, ce qui risque... more L'aide au développement dans le secteur de la santé est extrêmement fragmentée, ce qui risque d’en diminuer l’efficacité (WHO 2007, Piva & Dodd 2009). L'appui budgétaire (AB) est souvent présenté comme un instrument de financement permettant d’améliorer l'efficacité de l'aide en respectant les principes énoncés dans la Déclaration de Paris. Si ceci est probablement vrai en théorie lorsque les conditions le permettent, il est très difficile d'évaluer l'impact de l’AB, vu les problèmes d’attribution que cela suppose. Des évaluations de l'AB général ont été réalisées dans plusieurs pays, mais qui n’ont pas étudié spécifiquement ses effets sur le secteur de la santé. La communication a pour objectif de faire le point des connaissances sur les effets de l'AB sur le secteur de la santé, et de discuter deux aspects qui n'ont guère fait l’objet d’études et qui pourtant sont des défis importants pour l'efficacité de l'AB dans le secteur: d'une ...
Parmi les différentes mesures adoptées pour freiner la propagation du Covid-19, la Belgique a cho... more Parmi les différentes mesures adoptées pour freiner la propagation du Covid-19, la Belgique a choisi d'interdire les voyages non-essentiels, y compris vers les autres Etats membres de l'Union européenne. Plusieurs chercheurs, issus de disciplines variées, ont - en plus de l’argument juridique - opté pour une analyse multidisciplinaire sur la base des arguments avancés par le Gems, le groupe d’experts qui conseille le gouvernement dans la gestion de la crise. L’étude se focalise sur les coûts et les bénéfices d’une telle mesure, sur son impact social, humain, économique, mais aussi et surtout sur son effet dans l’évolution de la situation sanitaire
Introduction: The Government of Senegal is firmly committed towards universal health coverage (UH... more Introduction: The Government of Senegal is firmly committed towards universal health coverage (UHC). Various initiatives have been launched over the last decade to extend the coverage of risk protection to the entire population. The objective of UHC is mainly pursued through (i) a desire to expand coverage in services in poor areas and (ii) improvement of financial access through the Universal Health Insurance Policy (called CMU). However, the proportion of the population actually covered is still low, and access to health services and funding of national public health priorities are limited by inadequate allocation of resources. The concept of UHC is closely linked to health system strengthening (HSS). The latter comprises the means, while UHC is a way of framing the policy objectives.1Aim: This study aims to assess the main gaps and henceforth necessary requirements in terms of HSS so as to facilitate progress towards UHC in Senegal.Methods: Based on a critical review of existing ...
audience: researcher, professionalIntroduction: In its pursuance of universal health coverage (UH... more audience: researcher, professionalIntroduction: In its pursuance of universal health coverage (UHC), the government of Benin has launched an ambitious reform of the health sector governance and has recently started to implement a policy of mandatory social insurance for health through the so-called Assurance pour le Renforcement du Capital Humain (ARCH) project. This raises important fiscal challenges, both at the revenue mobilisation and at the spending levels. Aim: We analyse the fiscal challenges raised by the launch of State-subsidised mandatory social health insurance in Benin. Methods: We analysed fiscal data and ARCH documents, and performed interviews with over 40 representatives of the government, development partners, private insurers and other resource persons during two mission in Benin in March 2018 and April 2019. Results are presented along the three classical objective or functions of public expenditure management.1 Results: The government of Benin faces important fiscal challenges to implement the ARCH social insurance project: (i) regarding aggregate fiscal discipline, the fiscal space is quite limited, there is little room for raising new revenues, hence the necessity to re-prioritise fiscal resources without jeopardising other areas; (ii) regarding resource allocation and use based on strategic priorities, purchasing of health services will need to be more strategic so as to increase allocative efficiency and equity; (iii) regarding efficiency and effectiveness of programmes and service delivery, the fluidity of the expenditure process will have to be improved, and more autonomy will have to be devoted to the operational level, so as to ensure health facilities are reimbursed in time for insured people’s health costs, so as not to jeopardize their financial equilibrium. Conclusion: Benin faces important fiscal challenges to implement its UHC policy, which are also faced by many other African countries. An important risk to be avoided is to ensure that the resources dedicated by the government to the social health insurance system are not compensated by a reduction in the financing of preventive and promotional health services. Reference(s): 1. World Bank. Public Expenditure Management Handbook. 1998; Washington, D.C.; 178 pages.ARC grant for Concerted Research Action
This cross-sectional study examines why people in French-speaking regions of Belgium who initiall... more This cross-sectional study examines why people in French-speaking regions of Belgium who initially resisted getting the COVID-19 vaccine eventually chose to get vaccinated.
L'aide au développement dans le secteur de la santé est extrêmement fragmentée, ce qui risque... more L'aide au développement dans le secteur de la santé est extrêmement fragmentée, ce qui risque d’en diminuer l’efficacité (WHO 2007, Piva & Dodd 2009). L'appui budgétaire (AB) est souvent présenté comme un instrument de financement permettant d’améliorer l'efficacité de l'aide en respectant les principes énoncés dans la Déclaration de Paris. Si ceci est probablement vrai en théorie lorsque les conditions le permettent, il est très difficile d'évaluer l'impact de l’AB, vu les problèmes d’attribution que cela suppose. Des évaluations de l'AB général ont été réalisées dans plusieurs pays, mais qui n’ont pas étudié spécifiquement ses effets sur le secteur de la santé. La communication a pour objectif de faire le point des connaissances sur les effets de l'AB sur le secteur de la santé, et de discuter deux aspects qui n'ont guère fait l’objet d’études et qui pourtant sont des défis importants pour l'efficacité de l'AB dans le secteur: d'une ...
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