Joses Muthuri Kirigia
Dados Biográficos
| ID | 1122828 |
|---|---|
| NOME | Joses Muthuri Kirigia |
| PRENOMES | Joses Muthuri |
| SOBRENOME | Kirigia |
| ASSINATURA | KIRIGIA J M |
| AFILIAÇÕES | World Health Organization Regional Office for Africa |
| ORCID | 0000-0002-2317-4666 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 22 |
| TOTAL DE CITAÇÕES | 10 |
| TOTAL COMO AUTOR | 22 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1997 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2024 |
| ÍNDICE H | 1 |
The present value of human life losses associated with Covid-19 and likely productivity losses averted through Covid-19 vaccination in Madagascar
The COVID-19 pandemic has resulted in significant health and productivity losses for Madagascar. Optimizing COVID-19 vaccination coverage for the target population could substantially reduce these losses
How viable is social health insurance for financing health in Zambia? Results from a national willingness to pay survey
The Discounted Money Value of Human Life Losses Associated With Covid-19 in Mauritius
Background: The objective of this study was to estimate the total discounted money value of human life losses (〖TDMVCL〗_MAURITIUS ) associated with COVID-19 in Mauritius. Methods: The human capital approach (HCA) was used to estimate the 〖TDMVCL〗_MAURITIUS of the ten human life losses linked with COVID-19 in Mauritius as of 25 July 2020. The HCA model was estimated with the national life expectancy of 75.51 years and a discount rate of 3%. A sens…
The Monetary Value of Disability-Adjusted Life Years in Kenya in 2017
All diseases and injuries exert a heavy epidemiological and socioeconomic burden on Kenya. The specific objectives of this study were (a) to estimate the monetary value of disability-adjusted life years (DALYs) from all causes in 2017 with the ongoing implementation of United Nations sustainable development goal (SDG) 3 and (b) to estimate the reductions in the monetary value of DALYs in Kenya, assuming diseases and injuries related to SDG3 targe…
Strengthening national health research systems in the WHO African Region – progress towards universal health coverage
BACKGROUND: Health challenges and health systems set-ups differ, warranting contextualised healthcare interventions to move towards universal health coverage. As such, there is emphasis on generation of contextualized evidence to solve local challenges. However, weak research capacity and inadequate resources remain an impendiment to quality research in the African region. WHO African Region (WHO AFR) facilitated the adoption of a regional strate…
The monetary value of human lives lost through Ebola virus disease in the Democratic Republic of Congo in 2019
The EVD outbreak in DRC led to a considerable MVYLL. There is an urgent need for DRC government and development partners to disburse adequate resources to strengthen the national health system and other systems that address social determinants of health to end recurrence of EVD outbreaks
Counting the cost of child mortality in the World Health Organization African region
It is estimated that the African Region will incur a loss of approximately 6 % of its non-health GDP from the future years of life lost among the 2 976 000 child deaths that occurred in 2013. Therefore, countries and development partners should in solidarity sustainably provide the resources essential to build resilient national health systems and systems to address the determinants of health and meet the other basic needs such as for clothing, e…
Investing in health systems for universal health coverage in Africa
BACKGROUND: This study focused on the 47 Member States of the World Health Organization (WHO) African Region. The specific objectives were to prepare a synthesis on the situation of health systems' components, to analyse the correlation between the interventions related to the health Millennium Development Goals (MDGs) and some health systems' components and to provide overview of four major thrusts for progress towards universal health coverage …
Equity in reproductive and maternal health services in Bangladesh
For an inclusive and sustainable improvement in maternal and reproductive health outcomes and achievement of MDG 5 targets, it essential to address inequities in maternal and reproductive health interventions. Under the government's stewardship, all stakeholders should accord priority to tackling wealth-related inequalities in maternal and reproductive health services by implementing equity-promoting measures both within and outside the health se…
Moving from ideas to action - developing health financing systems towards universal coverage in Africa
BACKGROUND: Accelerating progress towards universal coverage in African countries calls for concrete actions that reinforce social health protection through establishment of sustainable health financing mechanisms. In order to explore possible pathways for moving past the existing obstacles, panel discussions were organized on health financing bringing together Ministers of health and Ministers of finance with the objective of creating a discussi…
National health financing policy in Eritrea
BACKGROUND: The 58th World Health Assembly and 56th WHO Regional Committee for Africa adopted resolutions urging Member States to ensure that health financing systems included a method for prepayment to foster financial risk sharing among the population and avoid catastrophic health-care expenditure. The Regional Committee asked countries to strengthen or develop comprehensive health financing policies. This paper presents the findings of a surve…
Inequities in maternal and child health outcomes and interventions in Ghana
Significant Inequities are observed in many of the selected child and maternal health outcomes and interventions. Failure to address these inequities vigorously is likely to lead to non-achievement of the MDG targets related to improving child and maternal health (MDGs 4 and 5). The government should therefore give due attention to tackling inequities in health outcomes and use of interventions by implementing equity-enhancing measure both within…
Effects of global financial crisis on funding for health development in nineteen countries of the WHO African Region
BACKGROUND: There is ample evidence in Asia and Latin America showing that past economic crises resulted in cuts in expenditures on health, lower utilization of health services, and deterioration of child and maternal nutrition and health outcomes. Evidence on the impact of past economic crises on health sector in Africa is lacking. The objectives of this article are to present the findings of a quick survey conducted among countries of the WHO A…
Reaching universal coverage by means of social health insurance in Lesotho? Results and implications from a financial feasibility assessment
This article discusses the process, results and implications of a financial feasibility assessment of social health insurance (SHI), as one part of Lesotho's exploration of how to move towards achieving universal health care coverage. Quantitative data from government and other sources, and qualitative data from discussions with stakeholders, were entered into SimIns, a health insurance simulation software, through which SHI revenue and expenditu…
Health financing in Malawi
BACKGROUND: National health accounts provide useful information to understand the functioning of a health financing system. This article attempts to present a profile of the health system financing in Malawi using data from NHA. It specifically attempts to document the health financing situation in the country and proposes recommendations relevant for developing a comprehensive health financing policy and strategic plan. METHODS: Data from three …
Inequities in utilization of maternal health interventions in Namibia
Most of the indicators such as delivery by trained health providers, delivery by caesarean section and postnatal care show inequities favoring the most educated, urban areas, regions with high human development indices and the wealthy. In the presence of inequities, it is difficult to achieve a significant reduction in the maternal mortality ratio needed to realize the MDG 5 targets so long as a large segment of society has inadequate access to e…
Willingness to pay for community-based health insurance in Nigeria
OBJECTIVE: We examine socio-economic status (SES) and geographic differences in willingness of respondents to pay for community-based health insurance (CBHI). METHODS: The study took place in Anambra and Enugu states, south-east Nigeria. It involved a rural, an urban and a semi-urban community in each of the two states. A pre-tested interviewer-administered questionnaire was used to collect information from a total of 3070 households selected by …
Economic burden of diabetes mellitus in the WHO African region
BACKGROUND: In 2000, the prevalence of diabetes among the 46 countries of the WHO African Region was estimated at 7.02 million people. Evidence from North America, Europe, Asia, Latin America and the Caribbean indicates that diabetes exerts a heavy health and economic burden on society. Unfortunately, there is a dearth of such evidence in the WHO African Region. The objective of this study was to estimate the economic burden associated with diabe…
Economic burden of cholera in the WHO African region
BACKGROUND: In 2007, various countries around the world notified 178677 cases of cholera and 4033 cholera deaths to the World Health Organization (WHO). About 62% of those cases and 56.7% of deaths were reported from the WHO African Region alone. To date, no study has been undertaken in the Region to estimate the economic burden of cholera for use in advocacy for its prevention and control. The objective of this study was to estimate the direct a…
Equity in health and healthcare in Malawi
The widening trend in inequities, in particular healthcare utilization for proven cost-effective interventions is likely to jeopardize the achievement of the Millennium Development Goals and other national and regional targets. To counteract the inequities it is recommended that coverage in poor communities be increased through appropriate targeting mechanisms and effective service delivery strategies. There is also a need for studies to identify…
E-health
In order to improve access to health care, especially for the majority of Africans living in remote rural areas, there is need to boost the availability and utilization of e-health services. Thus, universal access to e-health ought to be a vision for all countries in the African Region. Each country ought to develop a road map in a strategic e-health plan that will, over time, enable its citizens to realize that vision
Should Governments Subsidize the Use of Insecticide-Impregnated Mosquito Nets in Africa? Implications of a Cost-Effectiveness Analysis
Recent large-scale field trials show that mosquito nets impregnated with insecticide can substantially reduce all-cause mortality in children in malaria-endemic areas in Africa. This paper considers the cost-effectiveness of impregnated nets, initially from the perspective of a government programme which would distribute nets free of charge and organize and fund re-impregnation on an annual basis. The calculations show that with the reductions in…
Willingness to pay for community-based health insurance in Nigeria
OBJECTIVE: We examine socio-economic status (SES) and geographic differences in willingness of respondents to pay for community-based health insurance (CBHI). METHODS: The study took place in Anambra and Enugu states, south-east Nigeria. It involved a rural, an urban and a semi-urban community in each of the two states. A pre-tested interviewer-administered questionnaire was used to collect information from a total of 3070 households selected by …
How viable is social health insurance for financing health in Zambia? Results from a national willingness to pay survey
Reaching universal coverage by means of social health insurance in Lesotho? Results and implications from a financial feasibility assessment
This article discusses the process, results and implications of a financial feasibility assessment of social health insurance (SHI), as one part of Lesotho's exploration of how to move towards achieving universal health care coverage. Quantitative data from government and other sources, and qualitative data from discussions with stakeholders, were entered into SimIns, a health insurance simulation software, through which SHI revenue and expenditu…
Should Governments Subsidize the Use of Insecticide-Impregnated Mosquito Nets in Africa? Implications of a Cost-Effectiveness Analysis
Recent large-scale field trials show that mosquito nets impregnated with insecticide can substantially reduce all-cause mortality in children in malaria-endemic areas in Africa. This paper considers the cost-effectiveness of impregnated nets, initially from the perspective of a government programme which would distribute nets free of charge and organize and fund re-impregnation on an annual basis. The calculations show that with the reductions in…
Should Governments Subsidize the Use of Insecticide-Impregnated Mosquito Nets in Africa? Implications of a Cost-Effectiveness Analysis
Recent large-scale field trials show that mosquito nets impregnated with insecticide can substantially reduce all-cause mortality in children in malaria-endemic areas in Africa. This paper considers the cost-effectiveness of impregnated nets, initially from the perspective of a government programme which would distribute nets free of charge and organize and fund re-impregnation on an annual basis. The calculations show that with the reductions in…
E-health
In order to improve access to health care, especially for the majority of Africans living in remote rural areas, there is need to boost the availability and utilization of e-health services. Thus, universal access to e-health ought to be a vision for all countries in the African Region. Each country ought to develop a road map in a strategic e-health plan that will, over time, enable its citizens to realize that vision
Equity in health and healthcare in Malawi
The widening trend in inequities, in particular healthcare utilization for proven cost-effective interventions is likely to jeopardize the achievement of the Millennium Development Goals and other national and regional targets. To counteract the inequities it is recommended that coverage in poor communities be increased through appropriate targeting mechanisms and effective service delivery strategies. There is also a need for studies to identify…
Economic burden of diabetes mellitus in the WHO African region
BACKGROUND: In 2000, the prevalence of diabetes among the 46 countries of the WHO African Region was estimated at 7.02 million people. Evidence from North America, Europe, Asia, Latin America and the Caribbean indicates that diabetes exerts a heavy health and economic burden on society. Unfortunately, there is a dearth of such evidence in the WHO African Region. The objective of this study was to estimate the economic burden associated with diabe…
Economic burden of cholera in the WHO African region
BACKGROUND: In 2007, various countries around the world notified 178677 cases of cholera and 4033 cholera deaths to the World Health Organization (WHO). About 62% of those cases and 56.7% of deaths were reported from the WHO African Region alone. To date, no study has been undertaken in the Region to estimate the economic burden of cholera for use in advocacy for its prevention and control. The objective of this study was to estimate the direct a…
Health financing in Malawi
BACKGROUND: National health accounts provide useful information to understand the functioning of a health financing system. This article attempts to present a profile of the health system financing in Malawi using data from NHA. It specifically attempts to document the health financing situation in the country and proposes recommendations relevant for developing a comprehensive health financing policy and strategic plan. METHODS: Data from three …
Inequities in utilization of maternal health interventions in Namibia
Most of the indicators such as delivery by trained health providers, delivery by caesarean section and postnatal care show inequities favoring the most educated, urban areas, regions with high human development indices and the wealthy. In the presence of inequities, it is difficult to achieve a significant reduction in the maternal mortality ratio needed to realize the MDG 5 targets so long as a large segment of society has inadequate access to e…
Willingness to pay for community-based health insurance in Nigeria
OBJECTIVE: We examine socio-economic status (SES) and geographic differences in willingness of respondents to pay for community-based health insurance (CBHI). METHODS: The study took place in Anambra and Enugu states, south-east Nigeria. It involved a rural, an urban and a semi-urban community in each of the two states. A pre-tested interviewer-administered questionnaire was used to collect information from a total of 3070 households selected by …
Effects of global financial crisis on funding for health development in nineteen countries of the WHO African Region
BACKGROUND: There is ample evidence in Asia and Latin America showing that past economic crises resulted in cuts in expenditures on health, lower utilization of health services, and deterioration of child and maternal nutrition and health outcomes. Evidence on the impact of past economic crises on health sector in Africa is lacking. The objectives of this article are to present the findings of a quick survey conducted among countries of the WHO A…
Reaching universal coverage by means of social health insurance in Lesotho? Results and implications from a financial feasibility assessment
This article discusses the process, results and implications of a financial feasibility assessment of social health insurance (SHI), as one part of Lesotho's exploration of how to move towards achieving universal health care coverage. Quantitative data from government and other sources, and qualitative data from discussions with stakeholders, were entered into SimIns, a health insurance simulation software, through which SHI revenue and expenditu…
Moving from ideas to action - developing health financing systems towards universal coverage in Africa
BACKGROUND: Accelerating progress towards universal coverage in African countries calls for concrete actions that reinforce social health protection through establishment of sustainable health financing mechanisms. In order to explore possible pathways for moving past the existing obstacles, panel discussions were organized on health financing bringing together Ministers of health and Ministers of finance with the objective of creating a discussi…
National health financing policy in Eritrea
BACKGROUND: The 58th World Health Assembly and 56th WHO Regional Committee for Africa adopted resolutions urging Member States to ensure that health financing systems included a method for prepayment to foster financial risk sharing among the population and avoid catastrophic health-care expenditure. The Regional Committee asked countries to strengthen or develop comprehensive health financing policies. This paper presents the findings of a surve…
Inequities in maternal and child health outcomes and interventions in Ghana
Significant Inequities are observed in many of the selected child and maternal health outcomes and interventions. Failure to address these inequities vigorously is likely to lead to non-achievement of the MDG targets related to improving child and maternal health (MDGs 4 and 5). The government should therefore give due attention to tackling inequities in health outcomes and use of interventions by implementing equity-enhancing measure both within…
Equity in reproductive and maternal health services in Bangladesh
For an inclusive and sustainable improvement in maternal and reproductive health outcomes and achievement of MDG 5 targets, it essential to address inequities in maternal and reproductive health interventions. Under the government's stewardship, all stakeholders should accord priority to tackling wealth-related inequalities in maternal and reproductive health services by implementing equity-promoting measures both within and outside the health se…
Investing in health systems for universal health coverage in Africa
BACKGROUND: This study focused on the 47 Member States of the World Health Organization (WHO) African Region. The specific objectives were to prepare a synthesis on the situation of health systems' components, to analyse the correlation between the interventions related to the health Millennium Development Goals (MDGs) and some health systems' components and to provide overview of four major thrusts for progress towards universal health coverage …
Counting the cost of child mortality in the World Health Organization African region
It is estimated that the African Region will incur a loss of approximately 6 % of its non-health GDP from the future years of life lost among the 2 976 000 child deaths that occurred in 2013. Therefore, countries and development partners should in solidarity sustainably provide the resources essential to build resilient national health systems and systems to address the determinants of health and meet the other basic needs such as for clothing, e…
Strengthening national health research systems in the WHO African Region – progress towards universal health coverage
BACKGROUND: Health challenges and health systems set-ups differ, warranting contextualised healthcare interventions to move towards universal health coverage. As such, there is emphasis on generation of contextualized evidence to solve local challenges. However, weak research capacity and inadequate resources remain an impendiment to quality research in the African region. WHO African Region (WHO AFR) facilitated the adoption of a regional strate…
The monetary value of human lives lost through Ebola virus disease in the Democratic Republic of Congo in 2019
The EVD outbreak in DRC led to a considerable MVYLL. There is an urgent need for DRC government and development partners to disburse adequate resources to strengthen the national health system and other systems that address social determinants of health to end recurrence of EVD outbreaks
The Discounted Money Value of Human Life Losses Associated With Covid-19 in Mauritius
Background: The objective of this study was to estimate the total discounted money value of human life losses (〖TDMVCL〗_MAURITIUS ) associated with COVID-19 in Mauritius. Methods: The human capital approach (HCA) was used to estimate the 〖TDMVCL〗_MAURITIUS of the ten human life losses linked with COVID-19 in Mauritius as of 25 July 2020. The HCA model was estimated with the national life expectancy of 75.51 years and a discount rate of 3%. A sens…
The Monetary Value of Disability-Adjusted Life Years in Kenya in 2017
All diseases and injuries exert a heavy epidemiological and socioeconomic burden on Kenya. The specific objectives of this study were (a) to estimate the monetary value of disability-adjusted life years (DALYs) from all causes in 2017 with the ongoing implementation of United Nations sustainable development goal (SDG) 3 and (b) to estimate the reductions in the monetary value of DALYs in Kenya, assuming diseases and injuries related to SDG3 targe…
How viable is social health insurance for financing health in Zambia? Results from a national willingness to pay survey
The present value of human life losses associated with Covid-19 and likely productivity losses averted through Covid-19 vaccination in Madagascar
The COVID-19 pandemic has resulted in significant health and productivity losses for Madagascar. Optimizing COVID-19 vaccination coverage for the target population could substantially reduce these losses
Medicine (21 obras) · Economic growth (19 obras) · Economics (18 obras) · Environmental health (18 obras) · Global Maternal and Child Health (15 obras) · Public health (15 obras) · Population (14 obras) · Global Health Care Issues (13 obras) · Business (12 obras) · Healthcare Systems and Reforms (11 obras)