Pay-for-Performance in Tuberculosis Control (Part 1)

Brown Bag Discussion (Zoom)

June 1, 230-4pm Manila Time

Context:

1. the pandemic has accelerated digital transformation in the health sector with telehealth, mobile banking, QR codes for vaccination cards, remote learning, and moves towards smart cities providing an ecosystem of technologies (albeit fragmented)

2. PhilHealth, DOH, and HMOs have been striving towards improved cost-effectiveness through Universal Health Care with some experiments in outcome-based incentives

3. USAID TB projects have been trying to improve outcomes through technical optimization, but leverage in terms of medium-term impact/outcome-based financing is limited

4. The Problem Driven Iterative Adaptation methodology cultivates the emergence of new institutional arrangements through a series of prototypes and iterations

Objectives:

1. advance the discourse and design work on health Pay-for-Performance mechanisms with an initial focus on TB

2. engage stakeholders and possible funders for a TB pay-for-performance mechanism

3. co-create revenue models for the participants in the TB value-chains and other stakeholders

Part 1 - Calabarzon TB Pay-for-Performance Scenario: Ecosystem Mapping for a CALABARZON Pay for Performance in TB in relation to USAID's Journey to Self Reliance

Objectives:

Identify national and subnational institutions and financing arrangements that influence TB outcomes
Explore national and provincial TB End Game scenarios in terms of donor- and post-grant scaleup and sustainability
Map out health and financing ecosystem that determine TB outcomes

Dr.KM Magtubo

Ignite Impact Fund

Dr.KM Magtubo is a physician, researcher, startup founder and health innovation consultant. At Ignite, KM helps direct the fund’s activities in the health and medical space. She was a Doctor-to-the Barrio under the Department of Health before joining the UP National Telehealth Center, where she focused on digital health and telemedicine. She is an alumna of the UK Royal Academy of Engineering Leaders in Innovation Fellowship and a recipient of their Frontiers of Engineering for Development Seed Fund for work she did with the University of Oxford. In 2020, she joined the International Mentor Pool of Oxentia Ltd., Oxford’s global innovation consultancy. KM obtained her Doctor of Medicine degree from the University of the Philippines, and her master’s degree in public management from the Development Academy of the Philippines. She received training from the Asian Institute of Management for science and technology entrepreneurship and the University of Oxford for technology commercialization.

Dr.Jason Alacapa

CEO - Innovation for Community Health

Dr. Jason Alacapa currently leads the implementation of innovative health systems WHO STOP TB Partnership (TB REACH) Project which adopts a sustainable social enterprise hub-and-spoke model in public health in the Philippines. Dr. Alacapa completed his Master of Public Health in Economic Evaluation and Master of Health Management at the University of New South Wales.

Program

1.Welcome Remarks

2. Overview of TB Pay-for-performance Concepts

3. National and Subnational Financing Structures influencing TB Outcomes

4. TB Governance and Financing: An MHO’s perspective

5. Economics of Prevention: Development Economics Perspective

6. Discussion

7. Summary and Synthesis

Part 2 - Investable Impact Interventions: Value Chains and Selection Criteria (click here)

Part 3 - Prototyping with 1000 Clients in CALABARZON: Opportunities and Constraints (click here)

References:

Tuberculosis Social Impact Bond White Paper by Instiglio, 2012 (click here)

USAID Journey to Self Reliance https://medium.com/usaid-2030/how-the-journey-to-self-reliance-is-changing-the-way-usaid-works-3074c58f2f2f

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