The Role of Impact Approach in Minimizing Wastage During TLE-TLD Transition: A Case of Geita Region
Japhet Simeo,
Eddom Silabi,
Martha Kikwale,
Hemedi Mahamudu,
Charles Mateso,
Ondo Baraka,
Lynne Nuru Mshamu,
Salum Ndimu,
Athanas Ntaganyamba,
Projestus Tehingisa,
Furaha Kibaba,
Mathew Mganga,
Lameck Yohana
Issue:
Volume 7, Issue 4, December 2022
Pages:
78-83
Received:
29 September 2022
Accepted:
17 October 2022
Published:
28 October 2022
DOI:
10.11648/j.hep.20220704.11
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Abstract: The Tanzanian government, in its quest to improve the health care supply chain and the availability of essential health commodities, has taken several measures over the years, including the development of robust electronic systems to improve data transparency. However, the use of available data for informed decision-making was still very low. This prompted the introduction of IMPACT (Information Mobilized for Performance Analysis and Continuous Transformation) in 23 regions, including Geita Region, to compensate for the underutilization of data. Following the introduction of TLD, which replaced TLE as the standard drug of choice for HIV/AIDS care and treatment in Tanzania, Geita Region faced a higher risk of wasting about 40 000 tins of TLE through expiry, at a cost of 615 million Tanzanian shillings. To mitigate this huge risk, the Geita regional IMPACT team implemented data-driven interventions under the IMPACT team approach. Therefore, this study aimed at assessing the impact of the implemented data-driven IMPACT processes on minimizing TLE wastage during the TLE-TLD transition in the region. Among the notable methods employed by the regional IMPACT team in Geita to mitigate the risks of TLE wastage, were the development of a standardized tool to collect various logistics and service data from all health facilities and then conducting two phases of data analysis to identify the risks of TLE wastage before developing interventions to prevent wastage. Finally, all councils in the region took the agreed data-driven actions to save the available TLEs. The region's collective efforts through the IMPACT teams resulted in the salvage of approximately 1.2 million tabs of TLE valued at US$263,918 by July 2021, representing 99.95% of the stock available in August 2020, the start of the intervention period. These results suggest that the IMPACT approach is very vital in enhancing data-driven decision-making in identifying supply chain issues and finding innovative and appropriate solutions. In addition, effective data use, strong team spirit and leadership support were found to be critical in solving health supply chain problems. Therefore, it is recommended that the IMPACT approach be strengthened and transferred to lower levels of the supply chain to improve data use and supply chain performance.
Abstract: The Tanzanian government, in its quest to improve the health care supply chain and the availability of essential health commodities, has taken several measures over the years, including the development of robust electronic systems to improve data transparency. However, the use of available data for informed decision-making was still very low. This ...
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The Causal Effect of Free Health Insurance Policy on the Well-Being and Health Care Utilisation of Jordanian Children
Issue:
Volume 7, Issue 4, December 2022
Pages:
84-93
Received:
21 May 2022
Accepted:
9 October 2022
Published:
9 January 2023
Abstract: The provision of free health insurance can be considered as an essential step towards achieving Universal Health Coverage which is one of the Sustainable Development Goals defined by the United Nations. To achieve Universal Health Coverage, Jordan made the health insurance free for the children under the age of six in year 2002. The children lose the free health insurance eligibility on their seventh birthday. This health insurance policy provides eligible children with free health care at any hospital or health center embodied by the Ministry of Health. The paper estimates the causal effect of the Jordanian government’s free health insurance policy, which covers children under the age of six, on children’s health care utilisation, well-being, and development. To understand the causal impact of the policy on children’s well-being and health utilization behavior the paper employs the age-related Regression Discontinuity Design and uses 2017 Jordan Demographic Health Survey data. The results suggest that children under age six are 17 percentage points more likely to be insured. The increase in insurance coverage leads to more frequent hospital visits, a preference for private hospitals and an improvement in children's well-being. Although one might expect that health care spending would be significantly lower in the treatment group, the policy does not have a significant impact on health care spending. This can be explained by the fact that this group prefers to use private health care services in addition to public health care services due to the inefficient public health care system.
Abstract: The provision of free health insurance can be considered as an essential step towards achieving Universal Health Coverage which is one of the Sustainable Development Goals defined by the United Nations. To achieve Universal Health Coverage, Jordan made the health insurance free for the children under the age of six in year 2002. The children lose t...
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