Why Informed Patients are Key to Addressing India’s TB Crisis ?

From close to a decade of experience in working on Tuberculosis (TB) in India, I have noticed a constant refrain from the stories and narratives of the TB affected: ‘we didn’t know anything about TB.’ An equally common connected complaint is: ‘we were never provided the relevant information needed to fight TB.’ Why do patients […]

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Can the National Nutrition Mission address the nutrition maladies in India?

The Prime Minister of India, Shri Narendra Modi unveiled a vision to fight malnutrition in India on 8th March 2018 with the launch of a new program called POSHAN ABHIYAAN or National Nutrition Mission (NNM).  The program comes with a budget of ₹ 9000 crore (₹ 90,000 million or 1384 million US$) for three years […]

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We need to question all ‘donor fads’, not only performance-based financing

By Shola Molemodile I applaud Paul and colleagues, authors of the recent BMJ Global Health paper on performance-based financing in low-income and middle-income countries (LMICs), for being bold. We need more daring authors in health systems and global health, who are unafraid to state the obvious as these authors have done. While many may be […]

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How to ask for more trouble in an ailing health system

By Meena Putturaj Photo by Geralt under CC 0 India is one of the world’s largest economies and its health system is ranked 154th globally by the Global Burden of Disease Study 2015. Time and again, India has expressed its commitment to achieving universal health coverage (UHC), but are the policy choices being made in […]

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Towards a more balanced rethinking of performance-based financing

By Maarten Oranje In a recently published paper in BMJ Global Health, a group of authors (Paul et al) challenged overly optimistic views on performance-based financing (PBF) in the health sector, and its implementation in low- and middle-income countries. While some of the issues they raised are legitimate, the paper paints an overall picture of […]

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Trade versus health: an old argument with new hope for tobacco control in India

By Monika Arora and Soumyadeep Bhaumik ‘Two steps forward, one step back’ is probably the most appropriate catchphrase to describe the arduous progress that India has made in the use of pictorial health warnings (PHW) on tobacco products. PHWs were first implemented in India in 2009 after repeated directives from High Courts and the Supreme Court […]

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Rethinking performance-based financing: sustainability must be part of the debate

By Priscilla N Owusu In the recent BMJ Global Health article Paul et al critique the notion that performance-based financing (PBF) is an effective approach to improving health service delivery in low- and middle-income countries (LMICs). They do so by highlighting concerns about the mixed evidence supporting the efficacy of the intervention.  Using Rwanda as […]

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The baby and the bathwater: can we have a more constructive debate on performance-based financing?

By Godelieve van Heteren Paul et al’s critique In a recent paper in BMJ Global Health, 24 authors (Paul et al) – the majority of whom are French-speaking academics and consultants from northern countries – declared that performance-based financing (PBF) in low- and middle-income country (LMIC) health systems needs an urgent rethink. They claim it is […]

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Public health forgets the potential of family medicine principles in spite of available evidence

By Pieter van den Hombergh and Jarl Chabot The fact that universal health coverage (UHC) is a moral obligation is no longer debatable. What is debatable now is what processes and evidence are needed to realise UHC. The recent article in BMJ Global Health provided a sophisticated view on “how to reach UHC” and we hope responsible […]

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Why are there so many doctors leading global health?

By Paisly Symenuk The appointment of Dr Tedros Ghebreyesus as the Director General of the World Health Organization has paved the path for greater diversity within the organization. He has been applauded for attaining regional and gender parity in the WHO’s executive leadership. We should indeed celebrate the choice for diversity in geographic background of […]

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