Health financing reform and progress towards universal health coverage in low- income countries.Health financing reform and progress towards universal health coverage in low- income countries

• Project/Area Number: 17J06005
• Research Category: Grant-in-Aid for JSPS Fellows
• Allocation Type: Single-year Grants
• Section: 国内
• Research Field: Hygiene and public health
• Research Institution: The University of Tokyo
• Principal Investigator: Rahman Md. Shafiur 東京大学, 大学院医学系研究科, 特別研究員(DC1)
• Project Period (FY): 2017-04-26 – 2020-03-31
• Project Status: Completed (Fiscal Year 2019)
• Budget Amount: ¥2,500,000 (Direct Cost: ¥2,500,000); Fiscal Year 2019: ¥800,000 (Direct Cost: ¥800,000); Fiscal Year 2018: ¥800,000 (Direct Cost: ¥800,000); Fiscal Year 2017: ¥900,000 (Direct Cost: ¥900,000)
• Keywords: UHC / Access to health care / health financing / Bayesian models / SDG / access to health care

Outline of Annual Research Achievements

Progress towards Universal health coverage (UHC) is not comprehensively assessed in low- and lower-middle income countries (LMICs) yet. The present study estimated recent trends in UHC health service indicators and quantified the probability of achieving UHC target by 2030 for LMICs of Asia and Sub-Saharan Africa (SSA). Additionally, this study evaluated the impact of increasing investment in health and health workforce on maternal health services and identified the potential determinants of access to maternal health services.

The data analysis of the project is complete. One manuscript has been prepared and another manuscript is currently being prepared. The findings were presented in the Conference of Japan Epidemiological Association in Kyoto (February 2020).

Research Progress Status

令和元年度が最終年度であるため、記入しない。

Strategy for Future Research Activity

令和元年度が最終年度であるため、記入しない。

Research Products

• [Journal Article] Disease-specific out-of-pocket healthcare expenditure in urban Bangladesh: A Bayesian analysis (2020)
  • Author(s): Md. Mahfuzur Rahman, Cherri Zhang, Khin Thet Swe, Md. Shafiur Rahman, Md. Rashedul Islam, Md. Kamrujjaman, Papia Sultana, Md. Zakiul Hassan, Md. Shahinul Alam, Md. Mizanur Rahman
  • Journal Title: PLoS ONE Volume: 15(1) Issue: 1 Pages: e0227565-e0227565
  • DOI: 10.1371/journal.pone.0227565
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Reducing childhood malnutrition in Bangladesh: the importance of addressing socio-economic inequalities (2020)
  • Author(s): Md Rashedul Islam, Md Shafiur Rahman, Md Mahfuzur Rahman, Shuhei Nomura, Angela de Silva, Pulani Lanerolle, Jenny Jung, Md Mizanur Rahman
  • Journal Title: Public health nutrition Volume: 23(1) Issue: 1 Pages: 72-82
  • DOI: 10.1017/s136898001900140x
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] Association of BMI, smoking and alcohol with multiple myeloma mortality in Asians: a pooled analysis of more than 800,000 participants in the Asia Cohort Consortium (2019)
  • Author(s): Tomotaka Ugai, Hidemi Ito, Isao Oze, Eiko Saito, Md Shafiur Rahman, Paolo Boffetta, Prakash C Gupta et al.
  • Journal Title: Cancer Epidemiology and Prevention Biomarkers Volume: 28(11) Issue: 11 Pages: 1861-1867
  • DOI: 10.1158/1055-9965.epi-19-0389
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] Association between educational level and total and cause-specific mortality: a pooled analysis of over 694 000 individuals in the Asia Cohort Consortium (2019)
  • Author(s): Yang, Keming, Ying Zhang, Eiko Saito, Md Shafiur Rahman, Prakash Chandra Gupta, Norie Sawada, Akiko Tamakoshi et al.
  • Journal Title: BMJ Open Volume: 9(8) Issue: 8 Pages: e026225-e026225
  • DOI: 10.1136/bmjopen-2018-026225
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Effects of maternal haemoglobin levels on mother and child health in different WHO regions of the world: a systematic review and meta-analysis (2019)
  • Author(s): Jenny Jung, Md. Mizanur Rahman, Md. Shafiur Rahman, Khin Thet Swe, Md. Rashedul Islam, Md. Obaidur Rahman, Shamima Akter
  • Journal Title: Annals of the New York Academy of Sciences Volume: 1450(1) Issue: 1 Pages: 69-82
  • DOI: 10.1111/nyas.14112
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Trends and projections of universal health coverage indicators in Ghana, 1995-2030: A national and subnational study (2019)
  • Author(s): Zhang Cherri、Rahman Md. Shafiur、Rahman Md. Mizanur、Yawson Alfred E.、Shibuya Kenji
  • Journal Title: PLOS ONE Volume: 14 Issue: 5 Pages: e0209126-e0209126
  • DOI: 10.1371/journal.pone.0209126
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Progress towards universal health coverage in Myanmar: class FormattedString { value: a national and subnational assessment } (2018)
  • Author(s): Su Myat Han, Md Mizanur Rahman, Md Shafiur Rahman, Khin Thet Swe, Matthew Palmer, Haruka Sakamoto, Shuhei Nomura, Kenji Shibuya
  • Journal Title: The Lancet Global Health Volume: 6 Issue: 9 Pages: e989-e997
  • DOI: 10.1016/s2214-109x(18)30318-8
  • URL: https://localhost/en/publications/17b92de8-453e-49c1-b2c0-8572a90d9b2f
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Cost and economic burden of illness over 15 years in Nepal: A comparative analysis (2018)
  • Author(s): Khin Thet Swe, Md. Mizanur Rahman, Md. Shafiur Rahman, Eiko Saito, Sarah K. Abe, Stuart Gilmour, Kenji Shibuya
  • Journal Title: PLOS ONE Volume: 13 Issue: 4 Pages: e0194564-e0194564
  • DOI: 10.1371/journal.pone.0194564
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Tobacco Smoking and Mortality in Asia: A Pooled Meta-analysis (2018)
  • Author(s): Yang JJ, Yu D, Wen W, Shu XO, Saito E, Rahman S, et al.
  • Journal Title: JAMA Netw Open Volume: 2(3) Issue: 3 Pages: e191474-e191474
  • DOI: 10.1001/jamanetworkopen.2019.1474
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Trends in, and projections of, indicators of universal health coverage in Bangladesh, 1995–2030: a Bayesian analysis of population-based household data (2018)
  • Author(s): Md Shafiur Rahman, Md Mizanur Rahman, Stuart Gilmour, Khin Thet Swe, Sarah Krull Abe, Kenji Shibuya
  • Journal Title: The Lancet Global Health Volume: 6 Issue: 1 Pages: e84-e94
  • DOI: 10.1016/s2214-109x(17)30413-8
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Association of leisure-time physical activity with total and cause-specific mortality: a pooled analysis of nearly a half million adults in the Asia Cohort Consortium (2018)
  • Author(s): Liu Y, Shu XO, Wen W, Saito E, Rahman MS, Tsugane S, Tamakoshi A, Xiang YB, Yuan JM, Gao YT, Tsuji I, Kanemura S, Nagata C, Shin MH, Pan WH, Koh WP, Sawada N, Cai H, Li HL, Tomata Y, Sugawara Y, Wada K, Ahn YO, Yoo KY, Ashan H, Chia KS, Boffetta P, Inoue M, Kang D, Potter JD, Zheng W
  • Journal Title: Int J Epidemiol Volume: － Issue: 3 Pages: 771-779
  • DOI: 10.1093/ije/dyy024
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] Progress toward universal health coverage: A comparative analysis in 5 South Asian countries (2017)
  • Author(s): Md Mizanur Rahman, Anup Karan, Md Shafiur Rahman, Alexander Parsons, Sarah Krull Abe, Ver Bilano, Rabia Awan, Stuart Gilmour, Kenji Shibuya
  • Journal Title: JAMA Internal Medicine Volume: 177 Issue: 9 Pages: 1297
  • DOI: 10.1001/jamainternmed.2017.3133
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] Inequalities in financial risk protection in Bangladesh: an assessment of universal health coverage (2017)
  • Author(s): Md. Rashedul Islam, Md. Shafiur Rahman, Zobida Islam, Cherri Zhang, Papia Sultana, Md. Mizanur Rahman
  • Journal Title: International Journal for Equity in Health Volume: 16(59) Issue: 1 Pages: 1-8
  • DOI: 10.1186/s12939-017-0556-4
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Presentation] Socioeconomic inequality in access to maternal and child health services in Asia and Africa (2020)
  • Author(s): Md. Shafiur Rahman
  • Organizer: The 30th Annual Scientific Meeting of the Japan Epidemiological Association
  • Int'l Joint Research
• [Remarks] Md. Shafiur Rahman
  • URL: http://www.ghp.m.u-tokyo.ac.jp/profile/researchers/srahman/
• [Remarks] Md. Shafiur Rahman
  • URL: http://www.ghp.m.u-tokyo.ac.jp/profile/students/srahman/
• [Funded Workshop] Introduction to Bayesian Statistics using BUGS, Institute of Public Health, Cambridge University (25 Oct 2017 to 26 Oct 2017) (2017)