Empowering Change: Transforming Health Systems in Low- and Middle-Income Countries

Lawrenceville, NJ, USA—January 22, 2024—ISPOR—The Professional Society for Health Economics and Outcomes Research announced today the publication of a special themed section of research papers in Value in Health Regional Issues that highlight innovative approaches to improving health outcomes in low- and middle-income countries through partnerships between health economics researchers and policy makers. Guest editors for the themed section are Paul Revill, MSc, Centre for Health Economics, University of York, York, United Kingdom, and Manuel Espinoza, MD, MSc, PhD, Department of Public Health, Pontificia Universidad Catolica de Chile, Santiago, Chile. The series was published in the January 2024 issue of Value in Health Regional Issues. 

In their introductory editorial, Revill and Espinoza note that "In countries around the world, especially those in which national income is lowest, health improvement is severely hindered by limited resources and weaknesses in health systems. Moreover, due to system weaknesses and limited healthcare coverage, public spending is often relatively pro-rich. This means important interventions are often not provided for those who could benefit most, when and where they need them." This alarming disparity in healthcare access calls for urgent action and innovative solutions.

The collection of papers explores practical ways research evidence can better inform health policy decisions related to resource allocation and health systems reinforcement. Real-world examples from sub-Saharan Africa, Latin America, and the Eastern Mediterranean demonstrate how closer collaboration between analysts and decision makers can lead to more relevant research, enhanced uptake of findings, and ultimately, better population health.

The themed section includes 8 research papers:

1. “Revision of Malawi’s Health Benefits Package: A Critical Analysis of Policy Formulation and Implementation,” by Emilia Connolly, DO, MPH; Sakshi Mohan, MS; Pakwanja Twea, BA; Thulasoni Msuku, MS; Andreas Kees, MS; Lalit Sharma, BA; Stephanie Heung, BA; Dominic Nkhoma, PhD; and Gerald Manthalu, PhD
2. "Adapting Economic Evaluation Methods to Shifting Global Health Priorities: Assessing the Value of Health System Inputs," by Finn McGuire, PhD; Sakshi Mohan, MSc; Simon Walker, PhD; Juliet Nabyonga-Orem, PhD; Freddie Ssengooba, PhD; Edward Kataika, PhD; and Paul Revill, PhD
3. "Demands for Intersectoral Actions to Meet Health Challenges in East and Southern Africa and Methods for Their Evaluation," by Francesco Ramponi, PhD; Aloysius Ssennyonjo, MSc; Stephen Banda, MSc; Tom Aliti, PhD; Dominic Nkhoma, PhD; Oliver Kaonga, PhD; Susan Griffin, PhD; Paul Revill, MSc; Edward Kataika, MA; and Juliet Nabyonga-Orem, PhD
4. "Scoping Review of Health Economics Research on Refugee Health in Sub-Saharan Africa," by Wiktoria Tafesse, PhD; Julie Jemutai, PhD; Chrispus Mayora, PhD; and Federica Margini, MSc
5. "Health System Financing and Resource Allocation in Humanitarian Settings: Towards a Collaborative Policy Research Agenda in the Eastern Mediterranean Region," by Sumit Mazumdar, PhD; Rana Hajjeh, MD, PhD; Rick Brennan, MBBS, MPH; and Awad Mataria, PhD
6. "Central America and the Dominican Republic at Crossroads: The Importance of Regional Cooperation and Health Economic Research to Address Current Health Challenges," by Jose Miranda, PhD; Oscar Morales Barahona, PhD; Alejandro Barahona Krüger, MSc; Pilar Lagos, MSc; and Rodrigo Moreno-Serra, PhD
7. "Estimation of Societal Values of Health States Preferences at the National Level for Low- And Middle-Income Countries," by Oscar Espinosa, MSc, MBA; Michael Drummond, PhD; Luis-Esteban Orozco, MSc; Angélica Ordoñez, MSc; Daysi Sanmartín, MSc; Laura Mora, MSc; and Jessica Ochalek, PhD
8. "Research-to-Policy Partnerships for Evidence Informed Resource Allocation in Health Systems in Africa: An Example Using the Thanzi Proramme," by Juliet Nabyonga-Orem, MBchB, PhD; Edward Kataika, BA, MSc; Alexandra Rollinger, BA; and Helen Weatherly, MSc, PhD

“This collection of papers demonstrates there is demand from researchers and policy makers in other world regions to learn from these experiences and adapt approaches to their own contexts,” concluded Revill and Espinoza. "The way forward must surely require the two communities of skilled researchers and mandated health policy makers to be brought together in an environment of mutual trust and where better mutual understanding is fostered, despite the inevitable challenges.”

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ABOUT VALUE IN HEALTH REGIONAL ISSUES
Value in Health Regional Issues (ISSN 2212-1099) publishes articles that explore health economics and outcomes research in specific populations around the world. Value in Health Regional Issues is indexed in PubMed/MEDLINE^®, the Web of Science, and many other top scientific databases. The journal’s 2022 impact factor score is 2.0. Website | Twitter (@isporjournals)