iiinova — where your digital self keeps evolving

Health Systems and Reform Journal @hsrjournal.bsky.social · 21/09/2026

Can direct facility financing fix primary care's funding and stockout problems? In this commentary, Peter Binyaruka, Douglas Ndeki, Raymond Kiwesa, Regina Joseph, and Bakari Salum reflect on two complementary reforms Tanzania scaled nationally in 2017/18. 🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 08/09/2026

Can better coordination of non-state health providers help fragile states move toward universal health coverage? This commentary by Augustus Osborne, Abdirasak Sharif Ali, and Umaru Sesay makes the case for rethinking who steers health care in fragile and conflict-affected settings. 🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 10/08/2026

Can reforming how public money flows help a country move toward universal health coverage? In this article, Mita Choudhury and Nitya Chutani examine India's Single Nodal Agency (SNA) reform, introduced in 2021 to strengthen budget execution under Centrally Sponsored Schemes🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 27/07/2026

In this editorial, Michael R. Reich examines El Servicio Universal de Salud (SUS), the reform announced by President Claudia Sheinbaum in April 2026 🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 18/07/2026

📢 Health Systems & Reform has launched an open discussion and Article Collection on the theme of "Health Systems Research for a New Era: Foundations, Frontiers, Futures.”🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 25/06/2026

Why does Sri Lanka, a country with strong health service coverage, still see only 1 in 5 adults with diabetes achieving glycemic control? This study by Ravindra P. Rannan-Eliya and colleagues explores this question using national survey data🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 16/06/2026

How can countries make fair decisions about which health services to fund, especially when resources are limited? A study led by Omar Mwalim, Sanaa Said, Subira Suleiman, and colleagues explores this question through Zanzibar’s health system.👇

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Health Systems and Reform Journal @hsrjournal.bsky.social · 25/05/2026

Does legal status improve health access for migrants? In 2021, Colombia implemented the ETPMV policy, granting 10-year legal status to Venezuelan migrants. Diana M. Bowser, Priya Agarwal-Harding, Brielle Ruscitti, Donald S. Shepard, and Arturo Harker Roa examine its impact on health access🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 18/05/2026

Do pro-competition health reforms always improve patient outcomes? Research from China's Sichuan province by Zixuan Peng, Audrey Laporte, Xiaolin Wei, Jay Pan & Peter C. Coyte challenges this assumption🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 04/05/2026

Diabetes is a growing public health challenge in Nigeria, yet many face barriers to proper care. What needs to change? 🧵👇

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Health Systems and Reform Journal @hsrjournal.bsky.social · 28/04/2026

Can a 19th-century medical debate reshape how we tackle Type 2 diabetes today? This commentary by Abdo S. Yazbeck revisits the Pasteur vs. Béchamp debate to argue for a shift in how we approach non-communicable diseases🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 18/04/2026

What happens when hospitals repeatedly overtreat patients and regulators run out of tools to stop them? In this article, Jiayi Jiang and Mushiyi Yang analyse China's landmark civil public interest litigation case against overtreatment in Hubei Province🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 31/03/2026

What will it take for nations to move from rivalry to collaboration? Harvey V. Fineberg identifies seven global mega-challenges that no single nation can solve alone, and argues that science, education, and health offer the most powerful pathways forward🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 22/03/2026

What ethical principles should guide our relationship with the planet? A new commentary by Michael R. Reich explores this question 🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 14/03/2026

In this commentary, Ashley Fox, Victoria Y. Fan, Heeun Kim, and Minah Kang introduce the concept of Trust Continuum to explain how different levels of trust affect compliance with public health measures. These are some key challenges and policy recommendations highlighted by the authors🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 06/03/2026

Why Aren’t Fixed-Dose Combinations (FDCs) Widely Used for Hypertension in Kenya? This study by Adrianna Murphy and colleagues explores why FDCs, proven to improve hypertension management, are underutilized in Kenya’s public health system👇

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Health Systems and Reform Journal @hsrjournal.bsky.social · 21/02/2026

How can global collaboration reshape diabetes care? Alon Rasooly, Orly Manor, Ruitai Shao, Moriah E. Ellen, and Nadav Davidovitch analyze how countries exchange knowledge to improve diabetes care quality. Their findings offer practical solutions for tackling global disparities🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 13/02/2026

How can health systems worldwide better address the escalating burden of Type 2 diabetes? In this editorial, Pablo Villalobos Dintrans, Abdo S. Yazbeck, Barbara McPake, and Michael R. Reich introduce the Collection “Diabetes in Health Systems: Towards More Effective and Equitable Responses.”🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 06/02/2026

How much do supervision, autonomy, and management practices actually matter for primary healthcare performance? A new study by Brittany Hagedorn, Benjamin Loevinsohn, and Oluwole Odutolu provides quantitative evidence from nearly 1,000 facilities in Nigeria🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 30/01/2026

Why are health systems failing people with Type 2 diabetes? In their recent article Abdo Yazbeck, Son Nam Nguyen, and Maria Luisa Escobar examine how health systems worldwide have struggled to prevent, diagnose, and manage Type 2 diabetes over the past 50 years🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 19/01/2026

Expanding social health insurance to the informal sector is critical for progress toward universal health coverage, but it remains one of the hardest policy challenges in LMICs. In Zambia, over 70% of the workforce is informal, making coverage expansion essential but complex🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 12/01/2026

Why do financing and resource constraints continue to limit progress toward universal health coverage in the Philippines? Recent qualitative research points to weaknesses across health financing functions as key barriers🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 18/12/2025

How did Indigenous leadership shape a major medicines funding decision in Aotearoa New Zealand? A 2021 policy change introduced ethnicity-based eligibility for new diabetes medicines, marking a significant shift in how equity is addressed within a universal health system🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 10/12/2025

How has health technology assessment (HTA) evolved in China, and what has shaped its role in health policy? This article by Wudong Guo and colleagues offers a useful overview🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 01/12/2025

How can countries build the institutional foundations needed for fair, transparent, and evidence-informed decisions as they expand their universal health coverage systems? In this article, Juhwan Oh and colleagues trace South Korea's two-decade journey to institutionalize HTA 🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 24/11/2025

In this commentary, Budi Hidayat analyzed the current state of health technology supply landscape in Indonesia as well as the impact of HTA studies on priority-setting decisions. These are some key insights about the present challenges and future directions🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 17/11/2025

The Health Intervention and Technology Assessment Program (HITAP) in Thailand has been recognized as a leading HTA research unit located in a LMIC. These are fifteen lessons, based on fifteen years of experience, shared by Yot Teerawattananon and colleagues🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 13/11/2025

Health Technology Assessment (HTA) is resulting in cost-effective and evidence-based decision-making processes within PM-JAY in India! These are some examples presented in a research article by Shankar Prinja, Yashika Chugh, Nidhi Gupta and Vipul Aggarwal🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 10/11/2025

How can a Health Technology Assessment organization be created? Victoria Y. Fan, Abha Mehndiratta, Jubilee Ahazie, Javier Guzman, Shankar Prinja, T. Sundararaman, and Soumya Swaminathan share insights based on the experience of India's national HTA agency🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 08/11/2025

Discover the key phases of health technology assessment institutionalization in Ghana, as outlined in recent research by Augustina Koduah, Jessica Anim Boadi, Joycelyn Naa Korkoi Azeez, Brian Adu Asare, Saviour Yevutsey, Martha Gyansa-Lutterodt, and Justice Nonvignon 🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 03/11/2025

How can governments make smarter decisions about where to invest limited health budgets? David Wilson and Marelize Görgens from the World Bank explore how mathematical modeling can help countries get more health for every dollar spent🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 30/10/2025

Health Benefits Packages (HBP) have been a key policy instrument for improving #UHC. Discover the research by Marcela Brun, Johnattan Garcia Ruiz, Javier Guzman on Colombia’s evolution in this field! 🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 28/10/2025

Why do diabetes and NCDs remain chronically underfunded in many countries, even when effective solutions exist? This study focused on Ghana by Leonard Baatiema, Kristen Danforth, David A. Watkins, Joana Ansong, Adwoa Twumwaah Twum-Barimah, and Bruno Meessen reveals the barriers blocking progress🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 15/10/2025

What can countries do to address the global rise of type 2 diabetes when existing market and government responses have fallen short? In their new commentary, Agnes L. Soucat, Sylvestre Gaudin, and Abdo S. Yazbeck explore this question through the lens of the WHO’s Common Goods for Health framework🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 12/10/2025

What are the main factors that influence the institutionalization of HTA at the macro-level across all countries globally? In this scoping review Rahab Mbau, Anna Vassall, Lucy Gilson, and Edwine Barasa found some interesting answers🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 08/10/2025

Developing a clear process for topic identification, selection, and prioritization (TISP) is key when institutionalizing HTA. These are three key institutional aspects of TISP identified by Elizabeth Peacocke, Lieke Fleur Heupink, Aparna Ananthakrishnan & Katrine B. Frønsdal🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 03/10/2025

How can Health Technology Assessment (HTA) and Health Benefit Package (HBP) be integrated to achieve #UHC in low- and middle-income countries? In this commentary, Ole F. Norheim & David A. Watkins offer some insights🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 30/09/2025

Prioritizing health interventions is a major challenge for health systems. Pete Baker and colleagues discuss the international Decision Support Initiative (iDSI), a platform aimed to catalyze progress on Evidence-Informed Priority-Setting (EIPS) in LMICs🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 27/09/2025

Discover how AI can revolutionize health systems in low and middle-income countries in this article authored by África Periáñez, Ana Fernández Del Río, Ivan Nazarov, Enric Jané, Moiz Hassan, Aditya Rastogi and Dexian Tang🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 18/09/2025

In 2021 India launched the Ayushman Bharat Digital Mission (ABDM) to strengthen the digital health ecosystem. Udaya Shankar Mishra, Suryakant Yadav, and William Joe made an assessment of the progress of this ambitious initiative🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 16/09/2025

In their latest article, Terence C. Cheng and Winnie Yip explore the transformative impact of internet telemedicine on China's healthcare landscape!🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 09/09/2025

In this article, Miwako Hosoda investigates how digitalized peer support is transforming patient-provider relationships in Japan🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 04/09/2025

How did digital training innovations keep global health services connected during COVID-19? In this study, Caroline Benski, Aya Goto, Abéline Hantavololona, and team explore two fascinating cases of cross-border training🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 02/09/2025

In this study, Hwa-Young Lee, Minji Ju, Minah Kang, Heejung Lee, Juho Choi, and Juhwan Oh explored South Korea's innovative Smart O2O Digital Health Care Model, a program designed to tackle chronic disease in rural Pyeongchang-gun through digital intervention🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 28/08/2025

In this article, Friday Okonofua and colleagues explored how women, health providers, and civil society organizations utilized a mobile phone-based tool designed to help report and address gender-based violence (GBV). The findings offer valuable insights for those working on GBV prevention🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 26/08/2025

How effective is Maharashtra's digitized ambulance service? Research by Ahana Sarkar, Vipul Parmar, Arnab Jana and Sujata Saunik analyzes the implementation of Emergency Medical Services (EMS) across the Indian state. Here are the key findings 🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 21/08/2025

Explore the digital transformation of health product supply chains in low- and middle-income countries! Prashant Yadav analyzed the impact of digital technologies on availability, affordability, and adoption of health products🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 14/08/2025

During the COVID-19 pandemic, the mortality rate among infected residents in assisted living facilities was 21.2%, sharply contrasting with the 2.5% observed in the wider population. How can long-term care facilities be better prepared for future emergencies?🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 12/08/2025

In their article, Yann Tapsoba, Amna Silim, Kingsley Addai Frimpong, assessed the statistical relationship between public financial management (PFM) quality and health outcomes, with a focus on LMICs in sub-Saharan Africa (SSA). These are some of their key findings🧵

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Health Systems and Reform Journal @hsrjournal.bsky.social · 08/08/2025

What was the role of community mental health (CMH) systems and services during the #COVID-19 pandemic? What were the key dynamics observed within CMH systems during this time? And what factors influenced the quality of their services? Find out here🧵

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