Bart Criel
Datos Biográficos
| ID | 324756 |
|---|---|
| NOMBRE | Bart Criel |
| NOMBRES | Bart |
| APELLIDO | Criel |
| FIRMA | CRIEL B |
| AFILIACIONES | Instituut voor Tropische Geneeskunde |
| ORCID | 0000-0002-1452-0088 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 60 |
| TOTAL DE CITAS | 108 |
| TOTAL COMO AUTOR | 60 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1993 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 5 |
Integrating Mental Health Services into Primary Care Settings
Some experiences of integrating mental health into primary care settings, testing the feasibility of the World Health Organization's mental health Gap Action Programme, have been launched in the Democratic Republic of the Congo to address treatment gaps. However, they have not yet been documented to look at scaling up. This study described the health outcomes and lessons learned from two of these experiences. A multiple case study was conducted o…
How Does the Context Shape the Technical Support from the Provincial Health Administration to District Health Management Teams in the Democratic Republic of Congo? A Realist Evaluation
Since 2014, the health sector in the Democratic Republic of the Congo has been undergoing reforms aimed at strengthening the Provincial Health Administration (PHA) to better support health district development through technical support to district health management teams (DHMTs). However, there is limited understanding of how, for whom, and under what conditions this support works. Using a realist evaluation approach, this study aimed to test an …
Can community health insurance really live up to the expectations of providingequitable healthcare of sound quality
Conditions for health system resilience in the response to the Covid-19 pandemic in Mauritania
INTRODUCTION: A country's ability to manage a crisis depends on its level of resilience. Efforts are made to clarify the concept of health system resilience, but its operationalisation remains little studied. In the present research, we described the capacity of the local healthcare system in the Islamic Republic of Mauritania, in West Africa, to cope with the COVID-19 pandemic. METHODS: We used a single case study with two health districts as un…
Making health insurance responsive to citizens
INTRODUCTION: In moving towards universal health coverage, a number of low-income and middle-income countries have adopted community-based health insurance (CBHI) as a means to reduce both the inequity in healthcare access and the burden of catastrophic health expenditures linked to user fees. However, organisations managing CBHIs face many challenges, including a poor relationship with their members. In the Democratic Republic of the Congo, CBHI…
‘Writing budgets for meetings and teas?’
INTRODUCTION: Coordination across policy domains and among government agencies is considered critical for addressing complex challenges such as inequities, urbanisation and climate change. However, the factors influencing coordination among government entities in low-income and middle-income countries are not well known. Although theory building is well suited to explain complex social phenomena, theory-based health policy and systems studies are…
Crying baby gets the milk? The governmentality of grievance redressal for patient rights violations in Karnataka, India
BACKGROUND: Patient rights aim to protect the dignity of healthcare-seeking individuals. Realisation of these rights is predicated on effective grievance redressal for the victims of patient rights violations. METHODS: We used a critical case (that yields the most information) of patient rights violations reported in Karnataka state (South India) to explore the power dynamics involved in resolving grievances raised by healthcare-seeking individua…
What are the tools available for the job? Coordination instruments at Uganda’s national government level and their implications for multisectoral action for health
Managing sectoral interdependences requires functional tools that facilitate coordinated multisectoral efforts. The pursuit of multisectoral action for health is intrinsically linked to broader efforts in many governments to achieve greater internal coordination. This research explores the nature of coordination instruments for multisectoral action at the national level in Uganda and the complexities of how these tools play out in implementation.…
Not for us, without us
The Ministry or Department of Health (M/DoH) is the mandated government agency for health in all countries. However, achieving good health and wellbeing requires the health sector to coordinate with other sectors such as the environment, agriculture and education. Little is known about the coordination relationship between MoH and other sectors to advance health and development goals in low- and middle-income countries (LMICs). Our study examined…
Integration of perinatal mental health care into district health services in Uganda
Intra-household Variation in Pathways to Care for Epilepsy and Mental Disorders in Eastern Uganda
Integrating mental, neurological, and substance use (MNS) health care into the public health system has become a global priority, with mental health, and well-being now being part of the Sustainable Development Goals. In the aim to provide good quality care for MNS disorders, understanding patients' pathways to care is key. This qualitative study explores the pathways to care of patients attending an outpatient mental health clinic of a district …
How medical dominance and interprofessional conflicts undermine patient-centred care in hospitals
BACKGROUND: In Morocco's health systems, reforms were accompanied by increased tensions among doctors, nurses and health managers, poor interprofessional collaboration and counterproductive power struggles. However, little attention has focused on the processes underlying these interprofessional conflicts and their nature. Here, we explored the perspective of health workers and managers in four Moroccan hospitals. METHODS: We adopted a multiple e…
Multisectoral action for health in low-income and middle-income settings
There is consensus in global health on the need for multisectoral action (MSA) to address many contemporary development challenges, but there is limited action. Examples of issues that require coordinated MSA include the determinants of health conditions such as nutrition (malnutrition and obesity) and chronic non-communicable diseases. Nutrition, tobacco control and such public health issues are regulated separately by health, trade and treasury…
Multilevel governance framework on grievance redressal for patient rights violations in India
The notion of patient rights encompasses the obligations of the state and healthcare providers to respect the dignity, autonomy and equality of care-seeking individuals in healthcare processes. Functional patient grievance redressal systems are key to ensuring that the rights of individuals seeking healthcare are protected. We critically examined the published literature from high-income and upper-middle-income countries to establish an analytica…
Willingness to comply with physical distancing measures against Covid-19 in four African countries
box The world is facing an unprecedented crisis related to the COVID-19 pandemic with many unknowns, which has led to much confusion and anxiety.1 Public health measures have for centuries been the cornerstone of the response to epidemics.2 Among them, physical distancing measures aim to reduce contact between infected and uninfected people.3 As part of the global COVID-19 response, they have been widely used to slow down the spread of the virus …
An evaluation of self‐management outcomes among chronic care patients in community home‐based care programmes in rural Malawi
This paper investigates the impact of community home-based care (CHBC) on self-management outcomes for chronically ill patients in rural Malawi. A pre- and post-evaluation survey was administered among 140 chronically ill patients with HIV and non-communicable diseases, newly enrolled in four CHBC programmes. We translated, adapted and administered scales from the Stanford Chronic Disease Self-Management Programme to evaluate patient's self-manag…
Team-based primary health care for non-communicable diseases
Chronic non-communicable diseases (NCDs), such as diabetes and cardiovascular diseases, have reached epidemic proportions worldwide. Health systems, especially those in low- and middle-income countries, such as India, struggle to deliver quality chronic care. A reorganization of healthcare service delivery is needed to strengthen care for chronic conditions. In this study, we evaluated the implementation of a package of tailored interventions to …
The Social Nature of Perceived Illness Representations of Perinatal Depression in Rural Uganda
While the global health community advocates for greater integration of mental health into maternal health agendas, a more robust understanding of perinatal mental health, and its role in providing integrated maternal health care and service delivery, is required. The present study uses the Illness Representation Model, a theoretical cognitive framework for understanding illness conceptualisations, to qualitatively explore multiple stakeholder per…
Thank You to Reviewers 2017
Patients experiences of self-management and strategies for dealing with chronic conditions in rural Malawi
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
The complex challenge of providing patient-centred perinatal healthcare in rural Uganda
Performance-based financing
Although it is increasingly acknowledged within the Performance-Based Financing (PBF) research community that PBF is more than just payments based on outputs verified for quality, this narrow definition of PBF is still very present in many studies and evaluations. This leads to missed opportunities, misunderstandings and an unhelpful debate. Therefore, we reinforce the claim that PBF should be viewed as a reform package focused on targeted servic…
Integrating acute malnutrition interventions into national health systems
This study provided useful information to inform policy makers and guide strategic planning to improve integration of acute malnutrition interventions in Niger. The proposed method of assessing the extent of integration and monitoring progress may be adapted and used in Niger and other low-income countries that are integrating or intending to integrate acute malnutrition interventions
Opening the ‘black box’ of performance-based financing in low- and lower middle-income countries
Although performance-based financing (PBF) receives increasing attention in the literature, a lot remains unknown about the exact mechanisms triggered by PBF arrangements. This article aims to summarize current knowledge on how PBF works, set out what still needs to be investigated and formulate recommendations for researchers and policymakers from donor and recipient countries alike. Drawing on an extensive systematic literature review of peer-r…
The difficult relationship between faith-based health care organisations and the public sector in sub-Saharan Africa
Declining subscriptions to the Maliando Mutual Health Organisation in Guinea-Conakry (West Africa)
Improving access to hospital care for the poor
There is a large body of evidence that user fees in the health sector create exclusion. Health equity funds attempt to improve access to health care services for the poorest by paying the provider on their behalf. This paper reviews four hospital-based health equity funds in Cambodia and draws lessons for future operations. It investigates the practical questions of 'who should do what and how'. It presents, in a comparative framework, similariti…
Can social capital help explain enrolment (or lack thereof) in community-based health insurance? Results of an exploratory mixed methods study from Senegal
The Bwamanda hospital insurance scheme
Performance-based financing
Although it is increasingly acknowledged within the Performance-Based Financing (PBF) research community that PBF is more than just payments based on outputs verified for quality, this narrow definition of PBF is still very present in many studies and evaluations. This leads to missed opportunities, misunderstandings and an unhelpful debate. Therefore, we reinforce the claim that PBF should be viewed as a reform package focused on targeted servic…
Abolition of user fees
Inadequate health financing is one of the major challenges health systems in low-income countries currently face. Health financing reforms are being implemented with an increasing interest in policies that abolish user fees. Data from three nationally representative surveys conducted in Uganda in 1999/2000, 2002/03 and 2005/06 were used to investigate the impact of user fee abolition on the attainment of universal coverage objectives. An increase…
Viewpoint
In most settings, a 'public' health service refers to a service which belongs to the state. The term 'private' is used when health care is delivered by individuals and/or institutions not administered by the state. In this paper it is argued that such a distinction, which is based on the institutional or administrative identity of the health care provider, is not adequate because it takes for granted that the nature of this identity automatically…
The strategy of risk approach in antenatal care
A prepayment scheme for hospital care in the Masisi district in Zaire
The complex challenge of providing patient-centred perinatal healthcare in rural Uganda
Community health insurance in Gudalur, India, increases access to hospital care
BACKGROUND: To reduce the burden of out-of-pocket payments on households in India, the government has introduced community health insurance (CHI) as part of its National Rural Health Mission. Indian CHI schemes have been shown to provide financial protection and have the potential to improve quality of care, but do not seem to improve access. This study examines this dimension of CHI performance and explores conditions under which a CHI scheme ca…
Paying for the Kasongo hospital in Zaire
Experiences and discussions relative to community financing of health services tend to focus on the health facility of first access, that is, the health centre. The referral level, the hospital, a crucial element in the district health system, is hardly mentioned in the debate. In this paper a conceptual reference framework for user fees is presented. It is argued that a financing policy at district level should be comprehensive and, therefore, n…
Team-based primary health care for non-communicable diseases
Chronic non-communicable diseases (NCDs), such as diabetes and cardiovascular diseases, have reached epidemic proportions worldwide. Health systems, especially those in low- and middle-income countries, such as India, struggle to deliver quality chronic care. A reorganization of healthcare service delivery is needed to strengthen care for chronic conditions. In this study, we evaluated the implementation of a package of tailored interventions to …
Contracting Between Faith-Based Health Care Organizations and the Public Sector in Africa
Additional informationNotes on contributorsDelphine Boulenger, currently a freelance consultant, was at the time of this study based at the Institute of Tropical Medicine, Antwerp. A historian with additional education in public health, Boulenger has been working since 2007 around the subject of the relationship between public health authorities and faith-based organizations and hospitals in sub-Saharan Africa. She has also worked for several yea…
Delivery of Male Circumcision Services
Three randomised clinical trials on the effects of male circumcision on HIV acquisition in men have been stopped by their data safety and management boards as the interim analyses showed a large protective effect in the range of 50 to 60%. It is not only this large effect that makes male circumcision very appealing as an intervention for HIV prevention. Male circumcision is a one-time intervention and unlike other prevention tools such as use of …
Formal pooling of health risks in sub‐Saharan Africa
Over the past few years a number of institutional solutions to the pooling of health risks have been advanced in a great number of reform proposals for developing countries. The empirical arguments in favour of such recommendations have the full force of accumulated experience in countries that have long been industrialized. However, rural realities in Africa and Asia naturally have very little to do with past or present realities in western coun…
Paying for the Kasongo hospital in Zaire
Experiences and discussions relative to community financing of health services tend to focus on the health facility of first access, that is, the health centre. The referral level, the hospital, a crucial element in the district health system, is hardly mentioned in the debate. In this paper a conceptual reference framework for user fees is presented. It is argued that a financing policy at district level should be comprehensive and, therefore, n…
The strategy of risk approach in antenatal care
A prepayment scheme for hospital care in the Masisi district in Zaire
Viewpoint
In most settings, a 'public' health service refers to a service which belongs to the state. The term 'private' is used when health care is delivered by individuals and/or institutions not administered by the state. In this paper it is argued that such a distinction, which is based on the institutional or administrative identity of the health care provider, is not adequate because it takes for granted that the nature of this identity automatically…
The Bwamanda hospital insurance scheme
Formal pooling of health risks in sub‐Saharan Africa
Over the past few years a number of institutional solutions to the pooling of health risks have been advanced in a great number of reform proposals for developing countries. The empirical arguments in favour of such recommendations have the full force of accumulated experience in countries that have long been industrialized. However, rural realities in Africa and Asia naturally have very little to do with past or present realities in western coun…
Declining subscriptions to the Maliando Mutual Health Organisation in Guinea-Conakry (West Africa)
Costs and revenue of health care in a rural Zimbabwean district
The District Health Executive of Tsholotsho district in south-west Zimbabwe conducted a health care cost study for financial year 1997-98. The study's main purpose was to generate data on the cost of health care of a relatively high standard, in a context of decentralization of health services and increasing importance of local cost-recovery arrangements. The methodology was based on a combination of step-down cost accounting and detailed observa…
Improving access to hospital care for the poor
There is a large body of evidence that user fees in the health sector create exclusion. Health equity funds attempt to improve access to health care services for the poorest by paying the provider on their behalf. This paper reviews four hospital-based health equity funds in Cambodia and draws lessons for future operations. It investigates the practical questions of 'who should do what and how'. It presents, in a comparative framework, similariti…
Delivery of Male Circumcision Services
Three randomised clinical trials on the effects of male circumcision on HIV acquisition in men have been stopped by their data safety and management boards as the interim analyses showed a large protective effect in the range of 50 to 60%. It is not only this large effect that makes male circumcision very appealing as an intervention for HIV prevention. Male circumcision is a one-time intervention and unlike other prevention tools such as use of …
Community health insurance in Gudalur, India, increases access to hospital care
BACKGROUND: To reduce the burden of out-of-pocket payments on households in India, the government has introduced community health insurance (CHI) as part of its National Rural Health Mission. Indian CHI schemes have been shown to provide financial protection and have the potential to improve quality of care, but do not seem to improve access. This study examines this dimension of CHI performance and explores conditions under which a CHI scheme ca…
Community health insurance in Uganda
The estimated per capita annual health expenditure adopted in 2010 Uganda Country health financing review by a combined team of Ministry of Health, WHO Country office and Geneva was US$ 27; the government and donors accounted for half of this and another half came from private out-of-pocket spending. The funding is inadequate compared to the US$ 44 advocated by WHO. Amid political pressure and the exclusion of access to care of more than 50% of t…
Community health insurance in Uganda
Abolition of user fees
Inadequate health financing is one of the major challenges health systems in low-income countries currently face. Health financing reforms are being implemented with an increasing interest in policies that abolish user fees. Data from three nationally representative surveys conducted in Uganda in 1999/2000, 2002/03 and 2005/06 were used to investigate the impact of user fee abolition on the attainment of universal coverage objectives. An increase…
The Health System Dynamics Framework
Frameworks can clarify concepts and improve understanding of underlying mechanisms in the domain of health systems research and strengthening. Many existing frameworks have a limited capacity to analyze interactions and equilibriums within a health system overlooking values as an underlying steering mechanism. This paper introduces the health system dynamics framework and demonstrates its application as a tool for analysis and modelling. The adde…
Research, evidence and policymaking
This study refined an initial MRT on KT in policymaking in the health sector in Uganda that was based on a literature review. It provides a framework that can be used in empirical research of the process of KT on specific policy issues
Out-of-pocket healthcare payments on chronic conditions impoverish urban poor in Bangalore, India
This study provides evidence from India that the out-of-pocket payment for chronic conditions, even for outpatient care, pushes people into poverty. Our findings suggest that improving availability of affordable medications and diagnostics for chronic conditions, as well as strengthening the gate keeping function of the primary care services are important measures to enhance financial protection for urban poor. Our findings call for inclusion of …
Constraints faced by urban poor in managing diabetes care
BACKGROUND: Four out of five adults with diabetes live in low- and middle-income countries (LMIC). India has the second highest number of diabetes patients in the world. Despite a huge burden, diabetes care remains suboptimal. While patients (and families) play an important role in managing chronic conditions, there is a dearth of studies in LMIC and virtually none in India capturing perspectives and experiences of patients in regard to diabetes …
Measuring equity in utilization of emergency obstetric care at Wolisso Hospital in Oromiya, Ethiopia
We found inequity in utilization of EmOC in favour of the wealthiest. Assessing and monitoring equitable utilization of maternity services is feasible using this simple tool
The interface between the national tuberculosis control programme and district hospitals in Cameroon
Tuberculosis remains a major public health problem in sub-Saharan Africa. District hospitals (DHs) play a central role in district-based health systems, and their relation with vertical programmes is very important. Studies on the impact of vertical programmes on DHs are rare. This study aims to fill this gap. Its purpose is to analyse the interaction between the National Tuberculosis Control Programme (NTCP) and DHs in Cameroon, especially its e…
Thank You to Reviewers 2012
Beyond health aid
It has been argued that the international community is moving 'beyond aid'. International co-financing in the international collective interest is expected to replace altruistically motivated foreign aid. The World Health Organization promotes 'universal health coverage' as the overarching health goal for the next phase of the Millennium Development Goals. In order to provide a basic level of health care coverage, at least some countries will nee…
Health systems performance assessment in low-income countries
BACKGROUND: The study aimed at developing a set of attributes for a 'good' health system performance assessment (HSPA) framework from literature and experiences in different contexts and using the attributes for a structured approach to lesson learning for low-income countries (LICs). METHODS: Literature review to identify relevant attributes for a HSPA framework; attribute validation for LICs in general, and for Uganda in particular, via a high-…
Delays in diagnosis and treatment of pulmonary tuberculosis in Wakiso and Mukono districts, Uganda
There is still a significant TB diagnosis and treatment delay in Uganda. Most of the delay was caused by health system delay in the non-public health care sector. There is need for TB advocacy in the community, training of health workers in TBIC and strengthening public-private partnerships in TB control
Recognition and home care of low birth weight neonates
Recognition of low birth weight is still poor. This leads to inappropriate home care practices for these high risk newborns. Mothers' knowledge and care practices can be improved through health education, and this should be extended to the community to reach mothers that deliver at home. Mechanisms to support mothers to sustain good practices should be put in place by taking advantage of existing village health teams and social support
Medicine (46 obras) · Health care (36 obras) · Economic growth (35 obras) · Global Maternal and Child Health (35 obras) · Political science (34 obras) · Economics (33 obras) · Business (30 obras) · Nursing (29 obras) · Healthcare Systems and Reforms (25 obras) · Environmental health (18 obras)