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.
Original language | English |
---|---|
Pages (from-to) | 97-108 |
Number of pages | 12 |
Journal | Journal of Health Economics |
Volume | 49 |
Early online date | 24 Jun 2016 |
DOIs | |
Publication status | E-pub ahead of print - 24 Jun 2016 |
Keywords
- health systems strengthening
- HSS
- vertical projects
- horizontal programmes
Fingerprint
Dive into the research topics of 'Decision rules for allocation of finances to health systems strengthening'. Together they form a unique fingerprint.Impacts
-
Improved patient outcomes through evidence-based decisions by Scottish and global health organisations
A. (Main contact), van der Meer, R. (Participant), Megiddo, I. (Participant) & Howick, S. (Participant)
Impact: Impact - for External Portal › Health and welfare - new products, guidelines and services
File