The Hub’s working papers are in-depth pieces of research designed to support the development of evidence-informed policy-making.
Thursday 29 August 2013
Fiji is well advanced on disease transition, with non-communicable diseases (NCDs) now the main cause of death. This paper uses a newly developed tool to describe and assess Fiji's health system response to NCDs.
Tuesday 06 August 2013
WP 32 Approaches to regulating the quality of hospital services in low- and middle-income countries with mixed health systems: A review of their effectiveness, context of operation and feasibility
Universal health coverage (UHC), a priority for many low-and middle-income countries (LMIC), encompasses health financing (social protection), access to services (equity) and quality/appropriateness of services. Recent debate on UHC has focused on health financing and access, with little attention paid to quality of services. This paper examines regulating the quality of care in LMIC hospitals.
Tuesday 06 August 2013
The Indonesian government launched its Road Map toward National Health Insurance--Universal Coverage in 2012. This study reviews the Road Map and related laws and regulations, where available, and identifies key policy, design and institutional issues. The results indicate that the overall design and institutional arrangements for the health financing aspects of the program are largely consistent with global UHC recommendations. However, limitations are identified.
Friday 28 June 2013
WP 31 Access for the poor and powerless: How changes to health funding have influenced church health service provision in low- and middle-income countries
In a number of low- and middle-income countries in Africa and in Papua New Guinea, churches and faith-based organisations play a significant role in health service provision, especially in rural and remote communities. Church health services have experienced funding shortfalls, and sector reforms and low expenditure on health have impacted on facility revenues. We conducted a review of the international literature on funding issues faced by church- and faithbased service providers in Africa and in Papua New Guinea.
Wednesday 19 June 2013
WP 30 Non-communicable diseases: an update and implications for policy in low- and middle-income countries
Non-communicable diseases (NCDs) are increasingly recognised as the next big challenge for the health sector in low- and middle-income countries (LMICs). Since the UN High Level Meeting on NCDs, held in New York in 2011, many studies have identified the increasing contribution of NCDs and their underlying risk factors to the global burden of disease. These findings have implications for health services and systems, particularly in LMICs, where the prevalence of NCDs is rising, often surprisingly rapidly, and where the global debate on health systems has been mainly focused on communicable disease and maternal and child health.
Wednesday 05 June 2013
WP 29 Private-sector provision of health care in the Asia-Pacific region: A background briefing on current issues and policy responses
In many countries of the Asia-Pacific region, the private sector provides a significant and increasing proportion of health care. However, the private sector is heterogeneous, consisting of both for-profit and not-for-profit providers, and providing both formal and informal services. The extent of private sector provision also varies considerably among countries.
Thursday 30 May 2013
WP 28 Regulating the quality of health care: Lessons from hospital accreditation in Australia and Indonesia
Regulation of the quality of care is a key challenge for governments, particularly because of the complexities of defining and measuring quality. However, with the introduction of national health insurance schemes and the move towards universal health coverage, there is increasing recognition of the need to address quality of care as part of these reforms.
Monday 15 April 2013
WP 27 Examining the degree and dynamics of policy influence: A case study of the policy outcomes from Hub-funded research into not-for-profit hospitals in Indonesia
This paper presents a case study examining the policy influence of research and related activities on not-forprofit (NFP) hospitals in Indonesia, undertaken by the Health Policy and Health Financing Hub at the Nossal Institute for Global Health at the University of Melbourne in collaboration with the Centre for Health Service Management (CHSM) at the University of Gadjah Mada in Indonesia.
Monday 15 April 2013
WP 26 Mapping the regulatory architecture for health care delivery in mixed health systems in low- and middle-income countries
Many low- and middle-income countries (LMIC) in Asia share an emerging climate of health care provision that is increasingly recognised as ‘mixed health systems syndrome’. Regulation of health care remains a preeminent challenge for future health policy in these LMIC. The failure of regulation can be most proximally located in the failure of regulatory institutions. Yet, the specific institutional and systemic contexts for failures of regulatory policies remain poorly explored and represent a significant gap in the knowledge.
Monday 18 March 2013
This paper reports on a comprehensive review of published literature on health systems issues related to NCDs in the Asia Pacific region (APR). Specifically, this review seeks to: • understand how LMICs in the APR are implementing health services and interventions aimed at primaryto- referral treatment of NCDs as well as secondary and tertiary care and prevention; and • identify the main health system issues and bottlenecks encountered in interventions aimed at prevention, treatment and care of NCDs in LMICs in the APR.
Tuesday 26 February 2013
WP25 Health system preparedness for responding to the growing burden of non-communicable disease – a case study of Bangladesh
Bangladesh has been going through a rapid epidemiologic transition in which non-communicable diseases (NCDs) now account for two-thirds of all deaths.
Monday 25 February 2013
This paper examines the application of the concepts of governance and stewardship to regulation of mixed commercialised health systems in LMICs.
Sunday 24 February 2013
WP23 Case studies of policy influence for the Knowledge Hubs for Health initiative: Design and analytic framework
Case studies of policy influence have been identified as a potential method for monitoring and evaluating the impact of knowledge communications produced by the Knowledge Hubs for Health Initiative on policy.
Tuesday 13 November 2012
This working paper explores how much of health sector spending in Pacific Island countries comes from donors and how this relates to the health agenda.
Saturday 20 October 2012
WP21 Development assistance in health - how much, where does it go and what more do health planners need to know?
What role does development assistance for health play in setting public health agendas?
Friday 31 August 2012
What are the barriers people in Cambodia with disabilities face in accessing health services? Are there facilitating factors?
Friday 17 August 2012
WP19 Institutional and operational barriers to strengthening universal coverage in the Lao PDR: barriers and policy options
The Lao PDR is committed to achieving a form of universal health coverage by 2020. A key step towards universal coverage is integration of the existing social health protection schemes.
Monday 23 July 2012
This working paper explores the barriers to strengthening universal coverage in Cambodia
Saturday 21 April 2012
WP17 The growth of non-state hospitals in Indonesia and Vietnam: market reforms and mixed commercialised health systems
This paper, the third in a series on the role of non-state sector hospitals in Indonesia and Vietnam, reflects on the major themes of the country studies, how these relate to the literature on non-state providers (NSP) and the implications for policy-makers and development partners.
Tuesday 06 December 2011
WP16 Strengthening church and government partnerships for primary health care delivery in Papua New Guinea
What lessons learned from church/government health provider partnerships in other countries can be applied to the partnership between church and government providers in PNG?
Thursday 01 December 2011
Vietnam is moving towards universal health care coverage. How can the private sector be encouraged to play its part and what should its part be?
Tuesday 20 September 2011
Healthcare regulation in developing countries is typically poor and onerous, but there are innovative ways of regulating that can overcome these barriers.
Tuesday 13 September 2011
Non-communicable diseases will soon be the greatest killer in developing countries, where health systems are ill-equipped to tackle such a complex issue. What health system reforms can change this?
Saturday 10 September 2011
Healthcare in Indonesia is increasingly becoming a luxury for those who can afford it with profit-making hospitals booming while not-for-profit hospitals are stagnant. What policies can reverse this?
Thursday 01 September 2011
WP11 Global health initiatives and health systems: a commentary on current debates and future challenges
Global health initiatives have considerably boosted funding for health programs, but how they interact with national health systems isn’t always positive.
Tuesday 01 March 2011
WP10 Analysing relationship between the state and non-state health care providers, with special reference to Asia and the Pacific
The relationship between state and non-state healthcare providers shapes the delivery of healthcare services. Adopting the right framework for assessing these relationships is critical to planning how to improve healthcare services.
Monday 08 November 2010
WP9 A comprehensive review of the literature on health equity funds in Cambodia 2001-2010 and annotated bibliography
Building on evidence of existing health equity funds in Cambodia is essential to developing a national approach to health equity funds. What does the body of evidence identify as priorities for policy dialogue and further research?
Monday 01 November 2010
There are many types of approaches to health involving the whole sector, but what features are relevant to exploring a sector-wide approach for the Solomon Islands?
Tuesday 05 October 2010
WP7 Health-seeking behaviour studies: a literature review of study design and methods with a focus on Cambodia
Delivering effective health care requires understanding how people access health care. How do we get this information and is the research reliable?
Saturday 01 May 2010
Examining over 30 years of Fiji’s primary health care history reveals important lessons for future health policy-making.
Sunday 25 April 2010
WP5 Conceptual frameworks, health financing data and assessing performance: A stock-take of tools for health financing analysis in the Asia-Pacific region
Health policies ought to be underpinned by robust evidence and analysis, drawing on links between health financing and health systems, but what is the reality in the Asia-Pacific region?
Saturday 20 March 2010
What lessons can be drawn from Samoa and the Solomon Islands on sector-wide approaches?
Monday 15 March 2010
WP3 Sector-wide approaches for health – a comparative study of experiences in Samoa and the Solomon Islands
Although common, sector-wide approaches to health are complex and difficult. How have they played out in Samoa and the Solomon Islands?
Wednesday 10 March 2010
WP2 Sector-wide approaches for health - an introduction to SWAps and their implementation in the Pacific region
Sector-wide approaches to health are common in the Pacific region, but how effective are they?
Monday 01 March 2010
WP1 Funding for HIV and non-communicable diseases - Implications for priority setting in the Pacific region
Improving health in the Pacific means spending money where it’s needed most. Are donors looking at local priorities or setting their own agendas?