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The WHO Cross-Programmatic Efficiency Analysis (CPEA) diagnostic detects inefficiencies resulting from the ways in which health programmes and related services are articulated within the context of the overall health system. This approach helps to identify and address duplications and misalignments between functions that are common across selected health programmes and focuses on fragmentation that constrains the ability to improve or at the very least sustain coverage of these health programmes. In its application in 16+ countries to date, the CPEA has been an important process to bring together, build consensus between, and align through evidence-based dialogue diverse sets of stakeholders. This webinar is build from the session held at the 15th international Health Economics Congress (iHEA) in July 2023 (see also our newly released blog from this session on “Addressing fragmentation to improve efficiency on the road to UHC”). During the webinar, the CPEA approach is explained and demonstrated building first from cross-country experiences in addressing identified
inefficiencies and then the recent application in Cameroon, Mozambique, and Nigeria. The session brings together speakers across all three levels of WHO, Ministry of Health, and academia.
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Cross-programmatic efficiency analysis: emerging lessons and experiences ![]()
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Presenters ![]()
![]() Georgina Bonet Arroyo is the health financing specialist at WHO Mozambique country office. She is also involved in health governance and reforms, including working with provincial parliamentarians. Prior to that, Georgina has been working as PFM and health financing adviser in Mozambique, as well as for health NGOs and bilateral donor, such as the Swiss Agency for Development and Cooperation (SDC) and the Danish International Development Agency (DANIDA). Georgina holds a MSc in Health Economics and Pharmacoeconomics and a postgraduate degree in Health Integrated Management Services. ![]() Francis Nwachukwu Ukwuije is a medical doctor and a health economist, who has significantly contributed to Nigeria’s progress towards sustainable financing for UHC. His passion is to painstakingly guide policy makers through sustainable solutions to the age-long challenge of making appropriate health investments towards accelerating UHC and improving the quality of life of all people, especially those most in need. Francis’ interests are in linking core research evidence to policy development and implementation; political economy, economic planning for development; financial risk protection for health, and innovative result-based reforms for efficiency in health. Moderator ![]()
Discussant ![]() Simeon Onyemaechi MD, PhD., is the Managing Director and CEO of Anambra State Health Insurance Agency as well as Chairman of the Forum of the CEOs of State Social Health Insurance Schemes in Nigeria. He is a public health physician with 10+ years experience working at subnational and national levels in low and middle income countries. He is experienced in innovative health financing; monitoring, evaluation and learning; domestic resource mobilization for health; and social health insurance scheme administration. He has demonstrated this through initiation of various novel strategies that have resulted in increasing enrolment and access to care for informal sector employees in Anambra State Health Insurance Scheme. |