Akaki Zoidze

Akaki Zoidze
Curatio International Foundation | CIF · Research

MD

About

36
Publications
6,728
Reads
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393
Citations
Additional affiliations
September 1994 - January 2017
Curatio International Foundation
Position
  • Lead Researcher
Education
August 1996 - August 1997
Columbia University
Field of study
  • Public Administration (Health Policy)
September 1985 - July 1991
Tbilisi State Medical University
Field of study
  • Medicine

Publications

Publications (36)
Article
Full-text available
Objectives: In the post–COVID-19 world, when the adequacy of public health workforce education is being critically re-evaluated, this study undertakes a historical analysis of how the educational and scientific field of public health developed during and after the fall of the Soviet Union in 1991. The study intends to historically contextualize pub...
Article
Objectives: We examine how health policy and systems research (HPSR) is produced and funded in 14 post-Soviet states to inform possible strategies to improve the supply and quality of research and advance evidence-based health policy making in these states. Study type: Mixed methods. Methods: Using mixed methods - secondary data analysis, desk...
Article
Full-text available
Objectives This paper presents the iterative process of participatory multistakeholder engagement that informed the development of a new national tuberculosis (TB) policy in Georgia, and the lessons learnt. Methods Guided by realist evaluation methods, a multistakeholder dialogue was organised to elicit stakeholders’ assumptions on challenges and p...
Article
Full-text available
There are still many unknowns and unanswered questions regarding the novel coronavirus and how it managed to inflict so much damage around the globe. However, enough time passed, and enough evidence accumulated for analysis and deliberations on the preliminary lessons learned from the global pandemic response. In some countries, the contagion sprea...
Article
Full-text available
Background: Tuberculosis is one of the greatest global health concerns and disease management is challenging particularly in low- and middle-income countries. Despite improvements in addressing this epidemic in Georgia, tuberculosis remains a significant public health concern due to sub-optimal patient management. Low remuneration for specialists,...
Conference Paper
Full-text available
The following presentation presented at Realist2017 conference describes insights of using Realist Evaluation approach at the stage of Programme Theory elicitation for Results4TB project in Georgia. The project aims to design and evaluate provider results-based financing for tuberculosis care in Georgia through combining realist evaluation, cost an...
Article
Full-text available
Background The healthcare financing reforms initiated by the Government of Georgia in 2007 have positively affected inpatient service utilisation and enhanced financial protection, especially for the poor, but they have failed to facilitate outpatient service use among chronic patients. Non-communicable diseases significantly affect Georgia’s agein...
Article
Full-text available
Results-Based Financing (RBF) has been integrated into the national health care financing system of Armenia covering all Primary Health Care (PHC) facilities in the country. The RBF program contributed to a substantial increase in the utilization of PHC services and improved provider performance. Based on document and literature review and key info...
Conference Paper
An individual abstract presented at HSR2016 describes a small internet survey findings among health care managers and providers in Georgia. In the absence of good monitoring and evaluation tools for Universal Health Coverage (UHC) program, Curatio International Foundation designed an Internet survey “Health System Barometer” to gauge the opinions o...
Conference Paper
Full-text available
The following abstract presented at HSR2016 describes small Internet survey findings among health care managers and providers in Georgia. In the absence of good monitoring and evaluation tools for Universal Health Coverage (UHC) program, Curatio International Foundation designed an Internet survey “Health System Barometer” to gauge the opinions of...
Conference Paper
Full-text available
The identification of barriers and bottlenecks and their timely removal or reduction, are pre-requisites for implementing effective public health interventions. The evaluation aimed to document progress in reducing under-5 and infant mortality and morbidity and to generate lessons and inform UNICEF programmes. The evaluation was based on the Theory...
Conference Paper
Full-text available
The evaluation assessed how Bosnia & Herzegovina (BiH) and Albania transitioned away from Gavi support and what was the impact on sustainability of National Immunization Programs. Gavi’s graduation policy did not exist at the time when the countries funding ended. The evaluations were conducted in BiH (2014) and Albania (2015). Mix method approach...
Presentation
Full-text available
The following abstract presented at HSR2016 describes small Internet survey findings among health care managers and providers in Georgia. In the absence of good monitoring and evaluation tools for Universal Health Coverage (UHC) program, Curatio International Foundation designed an Internet survey “Health System Barometer” to gauge the opinions of...
Technical Report
Full-text available
Curatio International Foundation conducted the evaluation study and assessed financial and programmatic sustainability through an in-depth analysis of Albania’s experiences and immunization programme performance before, during and after the conclusion of Gavi’s support period to the country. The evaluation also identified factors contributing to t...
Article
Full-text available
The objective of this article is to assess the impact of the new health financing reform in Georgia—‘medical insurance for the poor (MIP)’—which uses private insurance companies and delivers state-subsidized health benefits to the poorest groups of the Georgian population. Methods To evaluate the reform we looked at access to health care services...
Article
Full-text available
Background In 2007 the Georgian government introduced a full state-subsidized Medical Insurance Program for the Poor (MIP) to provide better financial protection and improved access for socially and financially disadvantaged citizens. Studies evaluating MIP have noted its positive impact on financial protection, but find only a marginal impact on i...
Article
Full-text available
The present study focuses on the program “Medical Insurance for the Poor (MIP)” in Georgia. Under this program, the government purchased coverage from private insurance companies for vulnerable households identified through a means testing system, targeting up to 23% of the total population. The benefit package included outpatient and inpatient ser...
Article
Full-text available
The inconclusive global evidence on advantages or disadvantages of private for-profit intermediaries in provision of an insurance coverage for the population and its poorest segments through public funds along with near absence of comprehensive reviews of such experiences in low and lower -middle income countries and potential shortcomings and emer...
Conference Paper
Full-text available
Research Objective: The purpose of this study was to look at population level impact of the Government’s health financing reforms initiated in 2006/07 and aimed at providing state subsidized private health insurance to the extremely poor - Medical Insurance Program (MIP). Methodology: Quazi experimental pre-post design was used examining national...
Article
Full-text available
One of the most common barriers to improving immunization coverage rates is human resources and its management. In the Republic of Georgia, a country where widespread health care reforms have taken place over the last decade, an intervention was recently implemented to strengthen performance of immunization programs. A range of measures were taken...
Article
Full-text available
To quantify extent of catastrophic household health expenditures, determine factors influencing it and estimate Fairness in Financial Contribution (FFC) index in Georgia to establish the baseline for expected reforms and contribute to the design and fine-tuning of the major reforms in health care financing initiated by the government mid-2007. The...
Article
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SINCE THE EARLY 1990s, SOME 32 COUNTRIES IN ASIA, CENTRAL AND EASTERN EUROPE, AND THE FORMER SOVIET UNION1 – REPRESENTING ALMOST A QUARTER OF THE WORLD'S POPULATION – HAVE BEEN MAKING THE TRANSITION FROM A CENTRALLY PLANNED TO A MARKET-BASED ECONOMY. WHILE THESE COUNTRIES ARE DIVERSE IN TERMS OF GEOGRAPHY, WEALTH, HISTORY, CULTURE, POPULATION AND N...
Article
Full-text available
To identify demographic and socio-economic factors that are associated with household expenditure on tobacco in Azerbaijan, Georgia, Kazakhstan, Kyrgyzstan, Russian Federation, and Tajikistan. Secondary analysis of the data available through the World Bank Living Standards Monitoring Survey conducted in aforementioned countries in 1995-2000. The ro...
Article
Full-text available
The transition resulting from the break-up of the Soviet Union significantly affected the health care systems and population health status in the newly independent States. The available body of evidence suggests that contraction of public resources resulting from economic slowdown has led to the proliferation of out-of-pocket payments and private s...
Article
Full-text available
Georgia has excess hospital sector capacity inherited from the old Soviet era. Recent economic problems and decreased public health care expenditures down to 1 USD per capita forced the Georgian Government to embark on ambitious health sector reform since 1995. Reforming the hospital sector was an intrinsic part of the process. This paper describes...
Article
Full-text available
To analyze hospital financing and delivery of inpatient services, financial requirements of the hospitals, and their ability to meet these requirements were determined. Data on financial performance of 41 hospitals were collected using a standardized questionnaire. Patient survey, group discussions with hospital administrators, and interviews with...
Book
Full-text available
A variety of payment methods are used for financing hospital care in the country of Georgia: fee for service, per diem, and a variation of diagnosis-related groups, the latter method being the dominant one. During the past three years of health reform, major difficulties in the macro-financing of the health system, a decreased ability of the popula...

Projects

Projects (4)
Project
4-year research project launched in March, 2017 aims to design a provider incentive payment scheme for improved Tuberculosis care in Georgia and evaluate its costs, mechanisms of effect and impact. The research will seek to answer the following research questions: (1) What is the impact of provider Results-Based Financing (RBF) on patients adherence to TB treatment and treatment outcomes of both Drug-Susceptible and Drug Resistant TB patients in Georgia? (2) Is the RBF intervention cost-effective? (3) How does it work, for whom and in which conditions? (4) How should RBF be modified to optimize national roll-out for this and possibly other health services?
Archived project
This project accumulates research around health care financing reforms in Georgia