How do the implementation and re-formulation processes of P4P/PBF in PHC affect health system strengthening in LMICs around the Globe? A comparative policy and system analysis in global health

 

This project has been selected to receive a small grant from SHAPES/Health Systems Global. Announcement made on 4th October 2017 via SHAPES Google group list. SHAPES members will be involved in and the whole SHAPES TWGroup will be updated on the project.

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Funding: CAPES/ Ministry of Education of Brazil (PNPD Post-doctoral Fellowship) and SHAPES/HSG Health Systems Global Association (Switzerland)

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Research team:

• Dr. Fabiana C. Saddi PPGCP-FCS/UFG PNPD CAPES Fellow (PI)

• Germano Araújo Coelho, Master researcher in Political Science/UFG

• João Paulo Dantas, Master in Political Science, UFG

• Renata Lozano, Master in Political Science, UFG

• Renata Almeida, MD Family Health Strategy, SUS-Goiania

• 5 Graduation students in Social Sciences or International Relations from FCS/UFG (2 months each) (to be selected)

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Collaborators / Consulting Group (to be invited)

SHAPES/HSG members

Policymakers at Ministries of Health  (in Brazil, one country in Africa and another in Asia)

Memeber of International and national networks on p4p or phc

Other

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General Objective: To explore if/how the implementation and re-formulation of P4P/PBF programs have affected two (of the six) health system building blocks (leadership and workforce) in LMICs adopting varied/similar organizational models and at specific stages of development of PHC, in different Regions/Continents of the Globe.

 

Specific Objectives: [Review & Framework] To develop a concept and state-of-the-art rapid literature review and further develop the comparative framework of analysis to compare countries with different/similar models/stages of development in PHC. [Implementation and Re-formulation] To characterize the implementation and re-formulation process of P4P/PBF according to relevant policy drivers (Table 1) in LMICs with different/similar models/stages of development in PHC. [Impact on HS] To explore how both the implementation and re-formulation processes related to P4P/PBF, in countries with distinct models/stages of development of PHC, have affected performance drivers (Table 1) and thus enabled (or not) changes in the HSSBB of leadership and workforce.

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It is expected that results will generate comparative lessons for experts and policymakers on how to promote more responsive/accountable implementation and re-formulation processes for P4P/PBF programs (or better integration between formulation and implementation), with greater capacity to improve the leadership and workforce building blocks in the selected countries, and in global health in a broader manner. Policymakers will be able to learn from other countries, making the implementation and re-formulation of P4P/PBF programs more effective, thus contributing to HSS.

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Project's page at the Research group website

project's page at Research Gate

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