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Decision rules for allocation of finances to health systems strengthening

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Title: Decision rules for allocation of finances to health systems strengthening
Authors: Thomas, RA
Morton, A
Smith, P
Item Type: Journal Article
Abstract: A key dilemma in global health is how to allocate funds between disease-specific vertical projects on the one hand and horizontal programmes which aim to strengthen the entire health system on the other. While economic evaluation provides a way of approaching the prioritisation of vertical projects, it provides less guidance on how to prioritise between horizontal and vertical spending. We approach this problem by formulating a mathematical program which captures the complementary benefits of funding both vertical projects and horizontal programmes. We show that our solution to this math program has an appealing intuitive structure. We illustrate our model by computationally solving two specialised versions of this problem, with illustrations based on the problem of allocating funding for infectious diseases in sub-Saharan Africa. We conclude by reflecting on how such a model may be developed in the future and used to guide empirical data collection and theory development.
Issue Date: 24-Jun-2016
Date of Acceptance: 6-Jun-2016
URI: http://hdl.handle.net/10044/1/33835
DOI: http://dx.doi.org/10.1016/j.jhealeco.2016.06.001
ISSN: 0167-6296
Publisher: Elsevier
Start Page: 97
End Page: 108
Journal / Book Title: Journal of Health Economics
Volume: 49
Copyright Statement: © 2016 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Sponsor/Funder: National Institutes of Health
Funder's Grant Number: AI068619
Keywords: Cost effectiveness analysis
Economic analysis
Global health
Health systems strengthening
Resource allocation
Health Policy & Services
1402 Applied Economics
1117 Public Health And Health Services
Publication Status: Published
Appears in Collections:Imperial College Business School
School of Public Health