HEALTH INC.

Socially inclusive health care financing in West Africa and India Short title: Financing health care for inclusion

Coordinatore	LONDON SCHOOL OF ECONOMICS AND POLITICAL SCIENCE    more  Organization address address: Houghton Street 1 city: LONDON postcode: WC2A 2AE contact info Titolo: Ms. Nome: Milena Cognome: Vasileva Email: send email Telefono: +44 20 7955 6851 Fax: +44 20 7955 6187
Nazionalità Coordinatore	United Kingdom [UK]
Totale costo	3˙446˙246 €
EC contributo	2˙764˙046 €
Programma	FP7-HEALTH Specific Programme "Cooperation": Health
Code Call	FP7-HEALTH-2010-single-stage
Funding Scheme	CP-FP-SICA
Anno di inizio	2011
Periodo (anno-mese-giorno)	2011-05-01   -   2014-10-31

 Partecipanti

#	participant	country	role	EC contrib. [€]
1	LONDON SCHOOL OF ECONOMICS AND POLITICAL SCIENCE  Organization address address: Houghton Street 1 city: LONDON postcode: WC2A 2AE contact info Titolo: Ms. Nome: Milena Cognome: Vasileva Email: send email Telefono: +44 20 7955 6851 Fax: +44 20 7955 6187	UK (LONDON)	coordinator	830˙229.06
2	PRINS LEOPOLD INSTITUUT VOOR TROPISCHE GENEESKUNDE  Organization address address: Nationalestraat 155 city: ANTWERPEN postcode: 2000 contact info Titolo: Dr. Nome: Bart Cognome: Criel Email: send email Telefono: +32 3 24 76 293 Fax: +32 3 24 76 258	BE (ANTWERPEN)	participant	589˙787.20
3	INSTITUTE OF PUBLIC HEALTH  Organization address address: "4th Cross, JP Nagar 3rd Phase 138" city: BANGALORE postcode: 560078 contact info Titolo: Dr. Nome: Devadasan Cognome: Narayanan Email: send email Telefono: +91 80 26421929 Fax: +91 80 26421929	IN (BANGALORE)	participant	345˙401.90
4	Tata Institute of Social Sciences  Organization address address: "V.N.Purav Marg, Deonar" city: Mumbai postcode: 400088 contact info Titolo: Prof. Nome: Harshad Cognome: Thakur Email: send email Telefono: +91 22 25525511 Fax: +91 22 25525050	IN (Mumbai)	participant	338˙261.12
5	UNIVERSITY OF GHANA  Organization address address: "Mile 11, Dodowa Road" city: LEGON-ACCRA postcode: N/A contact info Titolo: Dr. Nome: Felix Ankomah Cognome: Asante Email: send email Telefono: +233 24 4635189 Fax: +233 21 512504	GH (LEGON-ACCRA)	participant	334˙376.30
6	CENTRE DE RECHERCHE SUR LES POLITIQUES SOCIALES  Organization address address: RUE E X LEON GONTAN DAMAS FANN RESIDENCE city: DAKAR postcode: 25233 contact info Titolo: Dr. Nome: Ndiaye Cognome: Alfred Email: send email Telefono: +221 77 637 08 19 Fax: +221 33 824 20 58	SN (DAKAR)	participant	325˙990.72

Mappa

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 Obiettivo del progetto (Objective)

'Recent health financing reforms in low and middle income countries aim to introduce affordable prepayment and subsidies for low socio-economic groups. However, while such reforms have led to increased utilization of care, often the poor and informal sector continue to be excluded from coverage.

Health Inc. puts forward the hypothesis that social exclusion is an important cause of the limited success of recent health financing reforms. First, social exclusion can explain barriers to accessing health care due to disrespectful, discriminatory or culturally inappropriate practices of medical professionals and their organisations, within the context of poor accessibility and quality of care. As a consequence, removing financial barriers does not necessarily guarantee equitable access to care. Second, social exclusion can explain barriers to accessing the health financing mechanism itself. Differential access to information, bureaucratic processes, complex eligibility rules and/or crude and stigmatizing criteria for means testing prevent socially excluded groups from enrolling in financing schemes, even if they are fully subsidised. Social inclusion, by contrast, may explain why more powerful, wealthy and vocal groups disproportionately ‘capture’ the benefits of publicly funded health care.

In four countries/states (Ghana, Karnataka, Maharashtra and Senegal), Health Inc. employs mixed methods to analyse whether different types of financing arrangements overcome social exclusion and also increase social inclusion by empowering socially marginalised groups. A multi-sectoral stakeholder analysis will also explore whether vulnerable populations participate in policy making and whether their needs are understood.

Health Inc. will compare policies across contexts in order to elicit lessons. Local policy makers and population groups will then be consulted in a feasibility analysis to identify and test policy recommendations, which will be widely disseminated.'