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Industrial Productivity, Health Sector Performance and Policy Synergies for Inclusive Growth: A Study in Tanzania and Kenya

工业生产率、卫生部门绩效和包容性增长的政策协同效应：坦桑尼亚和肯尼亚的一项研究

基本信息

批准号：
ES/J008737/1
负责人：
Maureen Mackintosh
金额：
$ 71.57万
依托单位：
The Open University
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2012
资助国家：
英国
起止时间：
2012 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=ES%2FJ008737%2F1
关键词：
Industrial Productivity Health Sector Performance

项目摘要

The proposed project studies the supply chains of commodities - essential medicines, medical equipment and supplies, and some other health essentials such as disinfectant - from local industries and from imports into the health systems in the two countries. Shortages and unaffordability of these commodities are persistent causes of poor quality health care and exclusion from care in low income Africa. For two selected case study countries, Tanzania and Kenya, both low income but one (Kenya) with more developed manufacturing, we aim to test the hypothesis that there are unexplored synergies between industrial and health policies that could be identified, and that, if addressed, could contribute to higher employment, industrial upgrading and improved health system performance and accessibility in each country. If we are correct, improved industrial production, in terms of higher producitivity, more appropriate and cheaper products, and innovative methods of production, could improve health service performance while raising economic output: in other words, it could contribute to inclusive growth. The proposed research would bring together two groups of researchers who often work in separate 'boxes, by linking up the concerns of industrial specialists, looking at the scope for industrial innovation to develop new products and processes and raise industrial productivity, and the concerns of health systems specialists with health system strengthening including improving access to supplies. There is patchy evidence that local production of medicines may improve access to essential medicines, and that shorter supply chains and diversification of sources of supply can reduce shortages, but there are also doubts among health specialists about the quality and economic viability of local production of medicines in Africa. There is however renewed interest among African policy makers and international donors in supporting African industrial development, including local production of pharmaceuticals, and this project would contribute new information to assist debate. This is a research collaboration between two East African research institutes, ACTS in Nairobi, Kenya, and REPOA in Dar es Salaam, Tanzania, and the Open University, UK, and Rand Europe. It brings together expertise in health systems and health markets; health economics; industrial economics; and technology and innovation studies. The research process will involve from the start private, NGO and public sector stakeholders in both health and industrial sectors, and thus aims to bring together two groups of policy makers too often working in isolation from each other, to debate concrete policy options that arise from the research findings. We aim to translate the research into local and international policy impact.

拟议的项目研究商品的供应链-基本药品、医疗设备和用品以及消毒剂等其他一些卫生必需品-从当地工业和从进口到两国卫生系统。这些商品的短缺和买不起是低收入非洲保健质量差和得不到保健的长期原因。对于两个选定的案例研究国家，坦桑尼亚和肯尼亚，都是低收入国家，但其中一个国家（肯尼亚）的制造业较为发达，我们的目标是检验这一假设，即可以确定的工业和卫生政策之间存在未探索的协同作用，如果得到解决，可能有助于提高就业率，产业升级和改善卫生系统的性能和可及性。如果我们是正确的，工业生产的改善，即生产率的提高、产品的适当性和价格的降低以及生产方法的创新，可以在提高经济产出的同时改善卫生服务的绩效：换句话说，它可以促进包容性增长。拟议的研究将把两组经常在不同的盒子里工作的研究人员聚集在一起，把工业专家的关切联系起来，研究工业创新的范围，以开发新产品和新工艺，提高工业生产力，以及卫生系统专家对加强卫生系统的关切，包括改善获得供应的机会。有零星的证据表明，当地生产药品可以改善基本药品的获得，缩短供应链和实现供应来源多样化可以减少短缺，但卫生专家也对非洲当地生产药品的质量和经济可行性表示怀疑。然而，非洲决策者和国际捐助者对支持非洲工业发展，包括当地生产药品重新产生了兴趣，这一项目将为协助辩论提供新的信息。这是两个东非研究机构之间的研究合作，肯尼亚内罗毕和坦桑尼亚达累斯萨拉姆的REPOA，以及英国开放大学和兰德欧洲。它汇集了卫生系统和卫生市场的专业知识;卫生经济学;工业经济学;以及技术和创新研究。研究过程从一开始就将涉及卫生和工业部门的私营、非政府组织和公共部门利益攸关方，因此目的是将两组往往相互孤立的决策者聚集在一起，就研究结果产生的具体政策选择进行辩论。我们的目标是将研究转化为本地和国际政策影响。

项目成果

期刊论文数量（10）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Health-industry linkages for local health: reframing policies for African health system strengthening.

DOI：
10.1093/heapol/czy022
发表时间：
2018-05-01
期刊：
Health policy and planning
影响因子：
3.2
作者：
Mackintosh M;Mugwagwa J;Banda G;Tibandebage P;Tunguhole J;Wangwe S;Karimi Njeru M
通讯作者：
Karimi Njeru M

Making medicines in Africa: an historical political economy overview

非洲制药：历史政治经济概述