BACKGROUND Persistent low membership is observed in many community-based health insurance (CBHI) schemes in Africa. Causes for low membership have been identified and solutions suggested, but this did not result in increased membership. In this case study of the mutual health organisation of Dar Naïm in Mauritania we explore the underlying drivers that may explain why membership continued to st...

Background The Ministry of Health (MOH) of Mozambique became a People that Deliver (PtD) focus country in 2011. Soon after the PtD Conference in 2011, the MOH re-ignited the development of a Strategic Plan for Pharmaceutical Logistics and decided to make reform of Human Resources for the Supply Chain (HR for SC) a key pillar of the plan, as well as a component of the Health Sector Strategic Pla...

This article documents the history and implementation of health-based capitation risk adjustment in Minnesota public health care programs, and identifies key implementation issues. Capitation payments in these programs are risk adjusted using an historical, health plan risk score, based on concurrent risk assessment. Phased implementation of capitation risk adjustment for these programs began J...

background in 2004, the health system in iran initiated an organizational reform aiming to increase the autonomy of teaching hospitals and make them more decentralized. the policy led to the formation of a board of trustees in each hospital and significant modifications in hospitals’ financing. since the reform aimed to improve its predecessor policy (implementation of hospital autonomy began i...

Objectives: Volunteering has great economic and social benefits, but it is neglected due to the nature of the work. This study aimed to assess the monetary aspect of the voluntary activities in the National Plan of Safety and Health of Nowruz Passengers and analyze the cost of the implementation of this plan, regarding youth volunteers. Methods: In this descriptive-analytical study, 1574 volun...

This paper discusses the "Plan Against Hunger and Misery" as it relates to the Ministry of Health. The Plan centers around the program "Milk is Health", subsidized by the Brazilian Nutritional Surveillance System and aimed at undernourished children, his/her close relatives and pregnant women under nutritional risks identified in the public health sector. The authors raise questions regarding t...

Diabetes is a common and very costly chronic disease. There is broad-based agreement on how to manage diabetes, yet less than 40% of adults with diabetes achieve guideline-recommended levels of medical care. We investigate the reasons for this phenomenon by examining the business case for improved diabetes care from the perspective of a single health plan (HealthPartners of Minnesota). The pote...

Complexity science suggests that our current health care delivery system acts as a complex adaptive system (CAS). Such systems represent a dynamic and flexible network of individuals who can coevolve with their ever changing environment. The CAS performance fluctuates and its members' interactions continuously change over time in response to the stress generated by its surrounding environment. ...