This article examined how technical advisors working within Senegal’s Ministry of Health supported the implementation of health reforms over two years. It found that working closely with government teams helped improve coordination, maintain progress, and address problems as they arose. The article argues that technical support should go beyond producing reports and plans to … [Read more...] about Why embedded technical assistance builds stronger health systems: Lessons from Senegal
Healthcare policy
Political economy as strategy: Lessons from Rwanda’s community-based health insurance reforms
This study examined how Rwanda reformed its community-based health insurance scheme in 2020–2021 after facing ongoing financial difficulties despite covering a large share of the population. The reforms aimed to make the scheme more financially sustainable while improving the benefits available to members. The government placed greater responsibility for funding decisions … [Read more...] about Political economy as strategy: Lessons from Rwanda’s community-based health insurance reforms
Are community health programmes always benign? Community health worker perceptions and the social construction of users in Brazil’s primary healthcare policy
This study sought to examine how CHWs, while working as links between doctors, nurses, and vulnerable groups, participate in the social construction of citizens in the implementation of Brazil’s primary healthcare policy. The study shows that perceptions of CHWs about vulnerability and agency of health system users, such as judgments about the socioeconomic, cultural and moral … [Read more...] about Are community health programmes always benign? Community health worker perceptions and the social construction of users in Brazil’s primary healthcare policy