Kara Hanson

Datos Biográficos

ID3581645
NOMBREKara Hanson
NOMBRESKara
APELLIDOHanson
FIRMAHANSON K
AFILIACIONESLondon School of Hygiene & Tropical Medicine
ORCID0000-0002-9928-2823
VERIFICADOSí
TOTAL DE OBRAS62
TOTAL DE CITAS94
TOTAL COMO AUTOR62
TOTAL COMO EDITOR0
PRIMER AÑO DE PUBLICACIÓN1992
AÑO MÁS RECIENTE DE PUBLICACIÓN2025
ÍNDICE H6

  • Reducing fragmentation of primary healthcare financing for more equitable, people-centred primary healthcare

    Open AccessAgnes Gatome-Munyua, Susan P Sparkes et al.ARTICLEBMJ Global Health2025

    Despite primary healthcare (PHC) being recognised in global declarations—Alma Ata in 1978 and Astana in 2018—and prioritised in national health strategies, chronic under-resourcing of PHC persists in most low-income and middle-income countries. More public spending is needed for PHC, but macrofiscal and political constraints often limit the ability of governments to allocate more public resources to PHC. Under-resourcing has been compounded by fr…

  • Stronger together

    Open AccessRebecca Ingenhoff, Malabika Sarker et al.ARTICLEBMJ Global Health2025

    Box Global health research partnerships face persistent inequities, including funding imbalances, unbalanced recognition and inequitable recognition of low-and middle-income country (LMIC) researchers and their overall capacities

  • Co-developing a comprehensive disease policy model with stakeholders

    Open AccessSilke Fernandes, Anthony Briggs et al.ARTICLEPLOS Global Public Health2025

    Understanding the holistic impact of malaria during pregnancy is essential for improving maternal and child outcomes in malaria endemic settings. To be able to design appropriate research and conduct robust policy analyses, a comprehensive model of the underlying disease, representing the current understanding of mechanisms and consequences, is needed. This study aimed to illustrate a methodology to co-develop a disease policy model with expert s…

  • Still rethinking external assistance for health

    Open AccessSusan P Sparkes, Zubin Cyrus Shroff et al.ARTICLEHealth Policy and Planning2024

    As we revisited our April 2022 announcement of this special issue on Rethinking External Assistance for Health, we were struck by the increasing relevance of the themes that were raised (Shroff et al., 2022; HPP call for abstracts 2022). We are no longer speaking about the potential effects of the economic crisis triggered by COVID-19, but rather how countries and households are now experiencing the realities of fiscal tightening, increased sover…

  • Exploring the risks of fragmentation in health care markets - An analysis of inpatient care in Georgia

    Open AccessMari Tvaliashvili, Lela Sulaberidze et al.ARTICLESocial Science & Medicine2024Citada por: 1Referencias: 27

    Private providers play an important role in health systems in low-and middle-income countries. In many such contexts, markets are characterized by a high number of relatively small private facilities. The potential risks from highly concentrated healthcare markets are well-researched, and feature in the "Theories of Harm" investigated by competition regulators. However, there is limited evidence on markets that exhibit substantial harms as a resu…

  • Determinants of government spending on primary healthcare

    Open AccessDarius Erlangga, Timothy Powell-Jackson et al.ARTICLEBMJ Global Health2023

    In 2018 global leaders renewed their political commitment to primary healthcare (PHC) ratifying the Declaration of Astana emphasising the importance of building a sustainable PHC system based on accessible and affordable delivery models strengthened by community empowerment. Yet, PHC often remains underfunded, of poor quality, unreliable and not accountable to users which further deprives PHC of funding. This paper analyses the determinants of PH…

  • Comparing estimates of household expenditures between pictorial diaries and surveys in three low- and middle-income countries

    Open AccessAdrianna Murphy, Benjamin Palafox et al.ARTICLEPLOS Global Public Health2023

    In most low- and middle-income countries (LMICs), household out-of-pocket (OOP) health spending constitutes a major source of healthcare financing. Household surveys are commonly used to monitor OOP health spending, but are prone to recall bias and unable to capture seasonal variation, and may underestimate expenditure–particularly among households with long-term chronic health conditions. Household expenditure diaries have been developed as an a…

  • Budget monitoring, accountability practices and their influence on the efficiency of county health systems in Kenya

    Open AccessAnita Musiega, Lizah Nyawira et al.ARTICLEPLOS Global Public Health2023

    Public Finance Management (PFM) practices influence the attainment of health system goals. PFM processes are implemented within the budget cycle which entails the formulation, execution, and monitoring of government budgets. Budget monitoring and accountability actors, structures, and processes are important in improving the efficiency of health systems. This study examined how the budget monitoring and accountability processes influence the effi…

  • Evaluating the effectiveness of the National Health Insurance Fund in providing financial protection to households with hypertension and diabetes patients in Kenya

    Open AccessRobinson Oyando, Vincent Were et al.ARTICLEInternational Journal for Equity…2023

    We did not find strong evidence that the NHIF national scheme is effective in providing financial risk protection to households with individuals living with hypertension and/diabetes in Kenya. This could partly be explained by the low depth of cover of the NHIF national scheme, and the high attrition rate. To enhance NHIF effectiveness, there is a need to revise the NHIF benefit package to include essential hypertension and/diabetes services, rev…

  • The stated preferences of community-based volunteers for roles in the prevention of violence against women and girls in Ghana

    Open AccessNeeraj Arora, Romain Crastes Dit Sourd et al.ARTICLESocial Science & Medicine2023Referencias: 32

    Violence against women and girls (VAWG) is a human rights violation with substantial health-related consequences. Interventions to prevent VAWG, often implemented at the community level by volunteers, have been proven effective and cost-effective. One such intervention is the Rural Response System in Ghana, a volunteer-run program which hires community based action teams (COMBATs) to sensitise the community about VAWG and to provide counselling s…

  • The Lancet Global Health Commission on financing primary health care

    Open AccessKara Hanson, Nouria Brikci et al.ARTICLEThe Lancet Global Health2022

    The COVID-19 pandemic has brought the need for well-functioning primary health care (PHC) into sharp focus. PHC is the best platform for providing basic health interventions (including effective management of non-communicable diseases) and essential public health functions. PHC is widely recognised as a key component of all high-performing health systems and is an essential foundation of universal health coverage. PHC was famously set as a global…

  • Rethinking external assistance for health

    Open AccessZubin Cyrus Shroff, Susan P Sparkes et al.ARTICLEHealth Policy and Planning2022

    Coronavirus disease (COVID-19) and the subsequent economic crisis have raised questions about the long-term sustainability of external assistance for health and the interventions that it supports. New thinking is needed on how external assistance for health may best contribute to the sustainable coverage of essential health interventions embedded within countries’ efforts to make progress towards Universal Health Coverage (UHC). We propose a rese…

  • Linking health worker motivation with their stated job preferences

    Open AccessNeeraj Arora, Romain Crastes Dit Sourd et al.ARTICLESocial Science & Medicine2022Citada por: 2Referencias: 36

  • When technology precedes regulation

    Open AccessRosalind Miller, Francis Wafula et al.ARTICLEBMJ Global Health2021

    The recent growth of medicine sales online represents a major disruption to pharmacy markets, with COVID-19 encouraging this trend further. While e-pharmacy businesses were initially the preserve of high-income countries, in the past decade they have been growing rapidly in low-income and middle-income countries (LMICs). Public health concerns associated with e-pharmacy include the sale of prescription-only medicines without a prescription and th…

  • Can we do for other essential medicines what we are doing for the Covid-19 vaccine

    Open AccessAdrianna Murphy, Lilian Mbau et al.ARTICLEBMJ Global Health2021

    box By the beginning of 2021 the world welcomed encouraging news on several candidate vaccines for COVID-19. Pfizer-BioNTech, Moderna, Oxford/AstraZeneca and the Chinese BBIBP-CorV vaccines are already rolled out in some high-income countries, and other vaccines may follow. While in low-income and middle-income countries (LMICs) access is lagging, there are several vaccines with significant potential for fighting the pandemic in those LMICs that …

  • Examining health sector stakeholder perceptions on the efficiency of county health systems in Kenya

    Open AccessLizah Nyawira, Rahab Mbau et al.ARTICLEPLOS Global Public Health2021

    Efficiency gains is a potential strategy to expand Kenya’s fiscal space for health. We explored health sector stakeholders’ understanding of efficiency and their perceptions of the factors that influence the efficiency of county health systems in Kenya. We conducted a qualitative cross-sectional study and collected data using three focus group discussions during a stakeholder engagement workshop. Workshop participants included health sector stake…

  • A dominance approach to analyze the incidence of catastrophic health expenditures in Iran

    Open AccessJustine Hsu, Reza Majdzadeh et al.ARTICLESocial Science & Medicine2021Referencias: 29

  • The household economic burden of non-communicable diseases in 18 countries

    Open AccessAdrianna Murphy, Benjamin Palafox et al.ARTICLEBMJ Global Health2020

    Background: Non-communicable diseases (NCDs) are the leading cause of death globally. In 2014, the United Nations committed to reducing premature mortality from NCDs, including by reducing the burden of healthcare costs. Since 2014, the Prospective Urban and Rural Epidemiology (PURE) Study has been collecting health expenditure data from households with NCDs in 18 countries. Methods: Using data from the PURE Study, we estimated risk of catastroph…

  • Examining purchasing reforms towards universal health coverage by the National Hospital Insurance Fund in Kenya

    Open AccessRahab Mbau, Evelyn Kabia et al.ARTICLEInternational Journal for Equity…2020

    While NHIF sought to expand population and service coverage and reduce out-of-pocket payments with the new reforms, weaknesses in the reforms' design and implementation limited NHIF's purchasing actions with negative implications for the health system goals of equity, efficiency and quality. For the reforms to accelerate the country's progress towards UHC, policy makers at the NHIF and, national and county government should make deliberate effort…

  • Malaria, medicines and miles

    Open AccessBenjamin Palafox, Carl Goodman et al.ARTICLESSM - Population Health2019

    Nearly a decade after the adoption of confirmed diagnosis and artemisinin combination therapy (ACT) for the treatment of uncomplicated falciparum malaria, a large treatment gap persists. We describe a novel approach of combining data from households and the universe of treatment sources in their vicinities to produce nationally representative indicators of physical and financial access to malaria care from the household's perspective in Benin, Ni…

  • The State of Health Policy and Systems Research

    Open AccessKara Hanson, Kumanan Rasanathan et al.ARTICLEHealth Policy and Planning2019Referencias: 13

    The latest version of this event, the 5th Global Symposium on Health Systems Research, took place in Liverpool, UK from 8 to 12 October 2018, and drew 2247 participants from >125 countries—the largest gathering to date of health systems researchers from across the globe. Organized by Health Systems Global (HSG), it took place 40 years after the Alma-Ata Conference on Primary Health Care and 70 years after the creation of the United Kingdom’s Nati…

  • Measuring management practices in India's district public health bureaucracy

    Open AccessTimothy Powell-Jackson, Bhaskar Purohit et al.ARTICLESocial Science & Medicine2019Citada por: 2Referencias: 30

  • Does expanding fiscal space lead to improved funding of the health sector in developing countries

    Open AccessJane Doherty, Doris Kirigia et al.ARTICLEGlobal Health Action2018

    BACKGROUND: The global focus on promoting Universal Health Coverage has drawn attention to the need to increase public domestic funding for health care in low- and middle-income countries. OBJECTIVES: This article examines whether increased tax revenue in the three territories of Kenya, Lagos State (Nigeria) and South Africa was accompanied by improved resource allocation to their public health sectors, and explores the reasons underlying the obs…

  • Measuring financial protection against catastrophic health expenditures

    Open AccessJustine Hsu, Gabriela Flores et al.ARTICLEInternational Journal for Equity…2018

    Interpreting comparisons from global monitoring based on a single threshold should be done with caution as these may not provide reliable insight into relative country progress. We therefore recommend financial protection against catastrophic health expenditures be measured across a range of thresholds using a catastrophic incidence curve as shown in this paper. We further recommend evaluating financial protection in relation to a country's healt…

  • Trials and tribulations

    Open AccessTimothy Powell-Jackson, Calum Davey et al.ARTICLEHealth Policy and Planning2018Referencias: 35

    The randomized controlled trial is commonly used by both epidemiologists and economists to test the effectiveness of public health interventions. Yet we have noticed differences in practice between the two disciplines. In this article, we propose that there are some underlying differences between the disciplines in the way trials are used, how they are conducted and how results from trials are reported and disseminated. We hypothesize that eviden…