The rise of chronic diseases in low-and-middle income countries (LMICs) calls for a substantial transformation of health service delivery models and systems. Since the Global Action Plan for the Prevention and Control of Noncommunicable Diseases, there has been more coordinated effort to understand and evaluate the possible contribution of national health systems to manage chronic illnesses and co-morbidities. But there are still major gaps in our knowledge. So far, there has not been any comprehensive mapping and assessment of how purchasing instruments contribute to improving the quality of chronic care (purchasing refers to the allocation of pooled funds to healthcare providers for the delivery of health services on behalf of certain groups or the entire population).
In 2022-2023, the WHO Centre for Health Development and Health Governance and Financing Department of WHO Headquarters, in partnership with the OECD, will implement a comprehensive program of work to address this emerging need. Its main objective is the development of evidence-informed policy guidance on the possible use of purchasing arrangements to improve quality of chronic care, with a focus on the needs of LMICs.
The program of work foresees the conduct of ten case studies in low-, middle-, and high-income countries. WHO and OECD are now in the process of identifying the ten programs to be documented.
The participation to this identification project is very straightforward: we invite you to read the note attached to this page (see "Project Resources"). If you know an intervention deserving to be considered for this program of work, you just have to complete the Word template and send it back to us (see our contact person in the explanatory note).
At this stage, it is just about mapping experiences, but feel free to provide indication on a possible researcher for the work (it can be you, of course). Just keep in mind that as explained in the attached note, ultimately, we may not be able to select your proposition, because of the need to balance the sample of ten cases across the globe.
Anyone familiar with the agenda of purchasing arrangements and/or chronic care can contribute to this crowdsourcing project.