Sumit Kane
KIT Health, Royal Tropical Institute, Amsterdam, The Netherlands | Gokhale Institute of Politics and Economics, Pune, India
[ 1 ] - Erosion of Trust in the Medical Profession in India: Time for Doctors to Act
In India, over the last decade, a series of stewardship failures in the health system, particularly in the medical profession, have led to a massive erosion of trust in these institutions. In many low- and middle-income countries (LMICs), the situation is similar and has reached crisis proportions; this crisis requires urgent attention. This paper draws on the insights from the recent developme...
[ 2 ] - The Health Policy Process in Vietnam: Going Beyond Kingdon’s Multiple Streams Theory; Comment on “Shaping the Health Policy Agenda: The Case of Safe Motherhood Policy in Vietnam”
This commentary reflects upon the article along three broad lines. It reflects on the theoretical choices and omissions, particularly highlighting why it is important to adapt the multiple streams framework (MSF) when applying it in a socio-political context like Vietnam’s. The commentary also reflects upon the analytical threads tackled by Ha et al; for instance, it highlights the opportunitie...
[ 3 ] - Policy Options to Reduce Fragmentation in the Pooling of Health Insurance Funds in Iran
There are fragmentations in Iran’s health insurance system. Multiple health insurance funds exist, without adequate provisions for transfer or redistribution of cross subsidy among them. Multiple risk pools, including several private secondary insurance schemes, have resulted in a tiered health insurance system with inequitable benefit packages for different segments of the population. Also fra...
[ 4 ] - Coming Full Circle: How Health Worker Motivation and Performance in Results-Based Financing Arrangements Hinges on Strong and Adaptive Health Systems
Background This paper presents findings from a study which sought to understand why health workers working under the results-based financing (RBF) arrangements in Zimbabwe reported being satisfied with the improvements in working conditions and compensation, but paradoxically reported lower motivation levels compared to those not working under RBF arrangements. Methods...