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OASP 2015 - From AIDS to Zika : Economic and Financing Challenges for the Global Health

Type d'enseignement : Seminar

Semester : Spring 2017-2018

Number of hours : 42

Language of tuition : English, French

Pre-requisite

Some acquaintance with using formulas in Excel. Acquaintance with Stata or strong determination to gain it.

Course Description

First AIDS, then Ebola and now Zika have shocked the international policy community into a realization that communicable diseases remain a menacing threat not just to the poorest countries, but to the entire world. However, expenditures to address this threat must still compete with expenditures on other worthy objectives (including Universal Health Coverage), both in the poor countries and in the middle and high-income donor countries. In this course students will learn to apply the principles of economic analysis to health sector planning in African countries. On completion, students will be familiar with methods for analyzing disease burden, economic impact of disease, national health accounts, cost-effectiveness of alternative health strategies and will have been introduced to mathematical epidemiology using Excel and Stata. They will have applied these tools to the analysis of the health financing and health resource allocation problems confronting a specific African country with the objective of proposing domestic and donor policies to enhance both the efficiency and the equity of health service delivery. In past years students have found the content and skills learned from this course to be useful preparation for jobs at employers such as the Global Fund, the World Bank and WHO.

Teachers

  • BRUNET JAILLY, Joseph (Economiste, ancien doyen de la faculté des sciences économiques d'Aix-en-Provence)
  • OVER, Mead (Enseignant Chercheur)
  • PACLOT, Marion (DGFIP - Ministère Economie)

Course validation

With respect to a single selected African country, students will write a paper applying course concepts and methods to describe the evolution of health financing in the country by source and health objective and to analyze its alignment with that country's disease burden and with 2030 sustainable development goals. Using a provided Stata package, the student will project the future fiscal burden of AIDS treatment under alternative policy scenarios and propose how the country and its donors might allocate limited resources among the competing objectives of: (i) Universal Health Coverage; ii) achieving an “AIDS transition”; and iii) protecting against future possible outbreaks of other dangerous infectious diseases.

Workload

Students will read papers that apply the methods discussed in class to African health problems and are useful references for their papers. Students will prepare and submit each week a fragment of the draft of their final paper in the form of 2 to 4 PowerPoint slides. Approximately 3 hours per week. A teaching assistant will help students learn to compute the incremental cost-effectiveness of their policy scenarios for their selected countries using Stata and Excel (optional supplementary workshops, schedule to be discussed with students).

Required reading

  • P. Musgrove : Public spending on health care: how are different criteria related?, Health Policy 47 (1999) 207–223: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.203.4892&rep=rep1&type=pdf
  • World Health Report 2010 : « Health Systems Financing »: http://whqlibdoc.who.int/whr/2010/9789241564021_eng.pdf
  • Jamison, Summers et al. : Global health 2035, a world converging within a generation, The Lancet Commission on Investing in Health, The Lancet, Volume 382, Issue 9908, Pages 1898 - 1955, 7 December 2013: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2813%2962105-4/fulltext?_eventId=login
  • Mead Over, Achieving an AIDS Transition Preventing Infections to Sustain Treatment, Center For Global Development, 2011, chap. 2 (prevention and cash-on-delivery): http://www.jstor.org/stable/10.7864/j.ctt1gpcdpx
  • The Economic Impact of the 2014 Ebola Epidemic : Short and Medium Term Estimates for West Africa, The World Bank Group, October 7, 2014: http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/10/07/000456286_20141007140300/Rendered/PDF/912190WP0see0a00070385314B00PUBLIC0.pdf

Additional required reading

Additional optional reading assignments are recommended each week