Browsing by Author "Evans, Timothy G."

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[ASCON XIII] : Science to accelerate universal health coverage ; abstract book [of the] 13th Annual Scientific Conference, 14-17 March 2011, ICDDR,B, Dhaka, Bangladesh / Alejandro Cravioto, Timothy G. Evans, Abbas Bhuiya, M. Shamsul Islam Khan, M.A. Rahim, Graham Judd editors
(Dhaka: ICDDR,B, 2011, 2011) Cravioto, Alejandro; Evans, Timothy G.; Bhuiya, Abbas; Khan, M. Shamsul Islam; Judd, Graham
Barriers to participation in BRAC RDP
(BRAC Research and Evaluation Division (RED), 1995-11) Evans, Timothy G.; Mohammed, Rafi; Adams, Alayne M.; Chowdhury, Mushtaque
As part of the BRAC RDP Impact Assessment Study (lAS), a participatory wealth ranking exercise stratified households into four socio-economic groups: groups 1 and 2 being wellendowed with land, assets and generally without survival worries; group 3 households having marginal land holdings, minimal assets and resources devoted exclusively to survival; and finally a "4th group" in which household viability is threatened by poverty, ill-health and other adversities. Although both 3rd and 4th group households are eligible to participate in BRAC RDP, concern about the accessibility of the Programme to the destitute "4th group" along with a general ignorance about the characteristics of this group, provided the rationale for this study. Its purposes are: 1. to establish the prevalence of household poverty in rural Bangladesh and the rate of BRAC RDP participation; 2. to elicit the circumstances which inhibit the "4th group" from participating in BRAC RDP; and 3. to identify changes in the structure of RDP, or the need for new initiatives, to improve their well-being. In August through to October 1994, a field survey was undertaken in five well-established, good functioning RDP Area Offices (AOs). Ten percent of the Village Organizations (VOs) in each of these AOs were selected for the sample (78 VOs in 55 villages). Key informants enumerated all households in the sample villages, and, employing Rapid Rural Appraisal (RRA), ranked them into 3 wealth groups: 1. wealthy households; 2. poor households: and 3. very poor households ( 11,805). In each village, 30 households were selected for interview--! 0 RDP members. I 0 eligible non-members, 5 former members, and 5 ineligible or non-target group (NTG) households. Structured questionnaires containing sections on household composition, health, past crises. socio- economic status and BRAC membership were administered to 1637 households.
Retaining doctors in rural Bangladesh: A policy analysis
(International Journal of Health Policy and Management, 2018-09) Joarder, Taufique; Rawal, Lal B.; Ahmed, Syed Masud; Uddin, Aftab; Evans, Timothy G.
Background Retaining doctors in rural areas is a challenge in Bangladesh. In this study, we analyzed three rural retention policies: career development programs, compulsory services, and schools outside major cities – in terms of context, contents, actors, and processes. Methods Series of group discussions between policy-makers and researchers prompted the selection of policy areas, which were analyzed using the policy triangle framework. We conducted document and literature reviews (1971-2013), key informant interviews (KIIs) with relevant policy elites (n = 11), and stakeholder analysis/position-mapping. Results In policy-1, we found, applicants with relevant expertise were not leveraged in recruitment, promotions were often late and contingent on post-graduation. Career tracks were porous and unplanned: people without necessary expertise or experience were deployed to high positions by lateral migration from unrelated career tracks or ministries, as opposed to vertical promotion. Promotions were often politically motivated. In policy-2, females were not ensured to stay with their spouse in rural areas, health bureaucrats working at district and sub-district levels relaxed their monitoring for personal gain or political pressure. Impractical rural posts were allegedly created to graft money from applicants in exchange for recruitment assurance. Compulsory service was often waived for political affiliates. In policy-3, we found an absence of clear policy documents obligating establishment of medical colleges in rural areas. These were established based on political consideration (public sector) or profit motives (private sector). Conclusion Four cross-cutting themes were identified: lack of proper systems or policies, vested interest or corruption, undue political influence, and imbalanced power and position of some stakeholders. Based on findings, we recommend, in policy-1, applicants with relevant expertise to be recruited; recruitment should be quick, customized, and transparent; career tracks (General Health Service, Medical Teaching, Health Administration) must be clearly defined, distinct, and respected. In policy-2, facilities must be ensured prior to postings, female doctors should be prioritized to stay with the spouse, field bureaucrats should receive non-practising allowance in exchange of strict monitoring, and no political interference in compulsory service is assured. In policy-3, specific policy guidelines should be developed to establish rural medical colleges. Political commitment is a key to rural retention of doctors.
The growing movement for universal health coverage
(© 2011 The Lancet, 5/25/2011) Latko, Brian; Temporão, José Gomes; Frenk, Julio; Evans, Timothy G.; Chen, Lincoln C.; Pablos-Mendez, Ariel; Lagomarsino, Gina; Ferranti, David De
The growing movement for universal health coverage
(© 2011 The Lancet, 5/25/2011) Latko, Brian; Temporão, José Gomes; Frenk, Julio; Evans, Timothy G.; Chen, Lincoln C.; Pablos-Mendez, Ariel; Lagomarsino, Gina; Ferranti, David De