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Health economics, health financing and payment, results-based financing, social protection
Sebastian Bauhoff is a visiting fellow at the Center for Global Development and an Assistant Professor of Global Health and Economics at the Harvard T.H. Chan School of Public Health. His research focuses on innovations in healthcare financing and service delivery that can increase access, efficiency, and quality of care in low and middle-income countries. He also examines ways to improve the design and implementation of healthcare policies and programs. Bauhoff’s recent work includes empirical impact evaluations of provider and insurance payment systems, such as performance-based financing, and of demand-side interventions to improve access and risk-protection of poor households. He holds an MPA in International Development from the Harvard Kennedy School and a PhD in Health Policy/Economics from Harvard University.
Bauhoff, Sebastian, and Dirk Göpffarth. 2018. “Asylum-Seekers in Germany Differ from Regularly Insured in their Morbidity, Utilizations and Costs of Care.” PLoS ONE 13 (6): e0197881. Published paper (open access)
Bauhoff, Sebastian, Lauren Mayer, and Lila Rabinovich. 2017. “Developing Citizen Report Cards for Primary Health Care in Low and Middle-Income Countries: Results from Cognitive Interviews in Rural Tajikistan.” PLoS ONE 12 (10): e0186745. Published paper (open access)
Recruiting community members with basic training for health promotion and care delivery is increasingly popular among development programs in low- and middle-income countries. This approach has great appeal: it could boost accountability and local ownership, and reduce program costs. Though the potential benefits of the approach are easily touted, the full costs remain murky and are often an afterthought.
Founded in 2002, the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) is one of the world’s largest multilateral health funders, disbursing $3–$4 billion a year across 100-plus countries. Many of these countries rely on Global Fund monies to finance their respective disease responses—and for their citizens, the efficient and effective use of Global Fund monies can be the difference between life and death.
Interest in the creation and use of citizen report cards (CRCs) is growing in many low- and middle-income countries. Bangalore has measured and reported citizens’ satisfaction with government agencies to the media; Kenya’s three largest cities have gauged citizens’ access to and use of waste management services; and townships in Myanmar have used CRCs to gather feedback on their provision of health and education services. Interest in social accountability tools is even echoed by officials at the highest levels. At a June summit on measurement and accountability in health, the World Bank, USAID, and WHO agreed to push for the increased use of citizen and community led reviews at every level of service and governance.
Using research to inform policy often involves reading scientific articles in costly books and journals. But for some policymakers and analysts these costs may be prohibitively expensive, leaving them without access to critical information.