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While health programmes are critical to advocate and provide access to priority services, they have also had unintended consequences, such as creating parallel service delivery, procurement, information systems, trainings, along with other areas.  This fragmentation is often driven by separate financing, governance, and accountability structures and is exacerbated by external assistance. This can constrain efficiency and impacts country progress towards universal health coverage (UHC).

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.
 


Introduction

Ogochukwu Chukwujekwu


Ogochukwu Chukwujekwu is the lead for health financing and investment in the WHO Regional Office for Africa in Brazzaville, Congo. She is a health economist and health systems specialist with more than fifteen years of experience in global health. Her work with WHO over the past ten years spans offices in the African and Western Pacific regions across thematic areas in health financing, health policy, health systems governance and primary health care.

Cross-programmatic efficiency analysis: emerging lessons and experiences

Susan Sparkes



Susan Sparkes is health economist on the health financing team at WHO in Geneva.  Her work focuses on the implications of fiscal policy, political economy, and health systems reform for universal health coverage, with experience across a range of organizations, including the World Bank, Global Fund, and USAID.

Alexandra Earle



Alexandra Earle is a technical officer for the Health Financing Team in the Department of Health Systems Governance and Financing at WHO. She specializes in health systems analysis and research related to sustainability and transition considerations. 

Presenters

Modeste Gatcho


Modeste Gatcho is a medical doctor and a health econometrics specialist. He currently works as an expert in health financing and health information at the WHO Office in Cameroon. Prior to that, he coordinated health monitoring units within the covid-19 response team in Yaoundé after working for several years in rural areas as a general practitioner in public hospitals. His work is driven, among others, by questions about the way healthcare system worked and access to healthcare for all. 

Georgina Bonet Arroyo

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

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

Agnes Gatome-Munyua


Agnes Gatome-Munyua is a medical doctor and a healthcare financing professional with more than ten years of work experience. She is currently Program Director at Results for Development (R4D). Her experience spans public/social health insurance, private health insurance, strategic purchasing, insuretech, and research on healthcare costing, discrete choice experiments and policy analysis. Agnes also holds a master's degree in health policy, planning and financing.

Discussant

Simeon Onyemaechi

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. 

Partner Remarks
Reflections will be provided from several donors before the discussion.

 

This webinar is the 21th of the HGF series.
Want to discover the previous ones? Visit our page:

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