David Collins

David Collins
Boston University | BU · School of Public Health

FCA, MA

About

119
Publications
27,853
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
677
Citations
Citations since 2017
21 Research Items
430 Citations
2017201820192020202120222023020406080100
2017201820192020202120222023020406080100
2017201820192020202120222023020406080100
2017201820192020202120222023020406080100
Introduction
David Collins is an Adjunct Associate Professor at Boston University School of Public Health. David is also an independent consultant who develops and uses health care costing tools and conducts research and capacity-building in health planning, evaluation and economics.
Additional affiliations
July 1988 - September 2020
Management Sciences for Health
Position
  • Economist
Description
  • I provided technical assistance and training to governments and organizations in health care financing and economics.
Education
July 1982 - June 1983
University of East Anglia
Field of study
  • Rural Development
January 1958 - June 1964
Institute of Chartered Accountants of England and Wales
Field of study
  • Accountancy, auditing and company law

Publications

Publications (119)
Article
Full-text available
The Basic Package of Health Services (BPHS) is the basis for primary health care in Afghanistan and should be accessible to all citizens. Most of these health services have been provided by nongovernmental organizations with support from donors. Studies before 2018 found that utilization and quality of services were lower than they should be, partl...
Article
Full-text available
Background The intermittent administration of seasonal malaria chemoprevention (SMC) is recommended to prevent malaria among children aged 3–59 months in areas of the Sahel subregion in Africa. However, the cost-effectiveness and cost savings of SMC have not previously been evaluated in large-scale studies. Methods We did a cost-effectiveness and...
Article
Full-text available
Background Seasonal malaria chemoprevention (SMC) aims to prevent malaria in children during the high malaria transmission season. The Achieving Catalytic Expansion of SMC in the Sahel (ACCESS-SMC) project sought to remove barriers to the scale-up of SMC in seven countries in 2015 and 2016. We evaluated the project, including coverage, effectivenes...
Article
Full-text available
SETTING: The Philippines has a population of over 90 million people and is one of the 22 highest TB burden countries in the world. OBJECTIVE: To understand the economic cost of non-adherence to TB medicines due to loss to follow up and stock-outs in the Philippines. DESIGN: Data were collected on the economic costs of non-adherence to TB medicine...
Chapter
Full-text available
The following sections are included: An overview of likely productivity issues can be obtained by comparing resources needed with resources actually used. Too few resources are likely to result in poor quality of care (e.g., medicine shortages and resultant out-of-pocket costs for patients who have to buy the missing medicines in the private sector...
Technical Report
Full-text available
This study provides the cost of implementing the Boma Health Initiative to provide a basic package of community health services and sets out an investment case to be used for advocacy. The study was funded by UNICEF with support from the Government of Canada and was carried out in conjunction with the Ministry of Health of South Sudan. The report c...
Article
Full-text available
Multigram drug depot systems for extended drug release could transform our capacity to effectively treat patients across a myriad of diseases. For example, tuberculosis (TB) requires multimonth courses of daily multigram doses for treatment. To address the challenge of prolonged dosing for regimens requiring multigram drug dosing, we developed a ga...
Technical Report
Full-text available
Study conducted for UNICEF. Report can be obtained from UNICEF or from Management Sciences for Health (communications@msh.org or fintools@msh.org).
Article
Setting: Ethiopia has a high prevalence of tuberculosis (TB) and is one of the countries with the highest burden of multidrug-resistant TB (MDR-TB). Objective: To understand the costs that patients incur in obtaining diagnosis and treatment for MDR-TB. Design: In March 2013, interviews were conducted with 169 MDR-TB patients at three hospitals...
Technical Report
Full-text available
Study conducted for USAID. A copy of the report can be obtained from Management Sciences for Health by writing to communications@msh.org or fintools@msh.org
Technical Report
Full-text available
This study was carried out for UNICEF. The report can obtained from UNICEF or from Management Sciences for Health (communications@msh.org or fintools@msh.org). A technical brief can be found at https://www.msh.org/resources/scaling-up-community-health-in-madagascar-prioritization-and-costing-of-the-health-service A French language version of the...
Technical Report
Full-text available
This study was carried out for UNICEF. The report can be obtained from UNICEF or from Management Sciences for Health (contact communications@msh.org or fintools@msh.org). A technical brief can be found at https://www.msh.org/resources/scaling-up-community-health-in-madagascar-prioritization-and-costing-of-the-health-service. A French language vers...
Article
Full-text available
Setting: Indonesia has a high prevalence of tuberculosis (TB) and is one of the 22 countries with the highest TB burdens in the world. Objective: To understand the economic burden of TB in Indonesia. Design: TB data for 2015 were combined with cost data using a simple type of cost-benefit analysis in a decision tree model to show the economic...
Technical Report
Full-text available
Study carried out for UNICEF by Management Sciences for Health. Report available for UNICEF or Management Sciences for Health - https://www.msh.org/resources/modelling-the-cost-of-community-health-services-in-malawi-the-results-of-piloting-a-new
Technical Report
Full-text available
Study conducted for the Health Cluster - Turkey Hub funded by the World Health Organization. Report can be found at https://www.msh.org/resources/the-cost-of-an-essential-health-service-package-for-northern-syria or by writing to communications@msh.org or fintools@msh.org
Technical Report
Full-text available
This study was carried out by the SIAPS Program led by Management Sciences for Health with support from USAID. A copy of the report can be obtained from Management Sciences for Health (communications@msh.org or fintools@msh.org) and can be downloaded from https://www.msh.org/resources/economic-cost-of-non-adherence-to-tb-medicines-resulting-from-st...
Article
Full-text available
Background One of the main goals of the post-2015 global tuberculosis (TB) strategy is that no families affected by TB face catastrophic costs. We revised an existing TB patient cost measurement tool to specifically also measure multi-drug resistant (MDR) TB patients’ costs and applied it in Ethiopia, Indonesia and Kazakhstan. Methods Through struc...
Technical Report
Full-text available
Study conducted by Management Sciences for Health for UNICEF. Report can be obtained from UNICEF or Management Sciences for Health - https://www.msh.org/resources/modelling-the-cost-of-community-health-services-in-sierra-leone-the-results-of-piloting-a?keywords=&field_resource_type%5B0%5D=Report&system%5B0%5D=88&page=1
Technical Report
Full-text available
Study conducted for Save the Children Canada. A copy of the report can be obtained from Save the Children, Canada or from Management Sciences for Health (communications@msh.org or fintools@msh.org).
Article
Full-text available
Background: There is uncertainty about the contribution that social support interventions (SSI) can have in mitigating the personal, social and economic costs of tuberculosis (TB) treatment on patients, and improving treatment outcomes. Objective: To identify psycho-emotional (PE) and socio-economic (SE) interventions provided to TB patients and...
Data
The effects of social support on treatment success in non-randomized cohort studies. (PNG)
Data
Risk of bias assessment–Cochrane collaborations tool for randomized controlled trials. (DOCX)
Data
Risk of bias assessment–New-castle Ottawa scale for non-randomized studies. (DOCX)
Data
Full text search strategy per database. (DOCX)
Data
The effects of social support on unsuccessful treatment outcomes in Case-control studies. (PNG)
Data
Risk of bias assessment–New-castle Ottawa scale for case-control studies. (DOCX)
Data
The effects of social support on unsuccessful treatment outcomes in non-randomized cohort studies. (PNG)
Technical Report
Full-text available
Rwanda’s Community-Based Health Insurance (CBHI) scheme has been recognized internationally for its success – particularly in terms of expanding coverage from less than 7 percent percent of the CBHI target population in 2003 to 74 percent in 2013. From 2012 to 2015, Management Sciences for Health and the University of Rwanda-College of Medicine and...
Technical Report
This study was conducted by the SIAPS Program led by Management Sciences for Health with support from USAID. The report can be obtained from Management Sciences for Health (communications@msh.org or fintools@msh.org) or found at https://www.msh.org/resources/the-economic-cost-of-non-adherence-to-tb-medicines-resulting-from-stock-outs-and-loss-to
Technical Report
Full-text available
Calculating the cost of scaling up family planning services in Zambia
Technical Report
Full-text available
In August 2014, Ukana West Ward II, with assistance from the local and Akwa Ibom state governments and the National Health Insurance Scheme (NHIS), launched a Community-Based Health Insurance (CBHI) pilot scheme. As part of the technical assistance provided by the USAID-funded Program to Build Leadership and Accountability in Nigeria's Health Syste...
Technical Report
Full-text available
In support of the Bill and Melinda Gates Foundation’s (BMGF) Treatment of the Sick Child Initiative, Management Sciences for Health used USAID’s iCCM Costing and Financing Tool to estimate the costs and impact of iCCM implementation and scale-up in two states of Nigeria: Kebbi and Benue. At the time of the study, a EU/UNICEF led partnership on supp...
Technical Report
Full-text available
Integrated community case management (iCCM) is considered to be an effective strategy for expanding the treatment of diarrhea, pneumonia, and malaria, which are the leading causes of child mortality and result in nearly 44 percent of deaths worldwide in child under five years old. Despite the success of this strategy in several low-income countries...
Technical Report
Full-text available
This study reflects an analysis of the TB treatment targets needed to achieve the goal of eradicating TB in Indonesia over the next 25 years, the resources needed to achieve those targets and the possible sources of financing. The conclusion of the analysis is that significant additional investment will be needed in Indonesia over the next 7 years...
Technical Report
Full-text available
Integrated community case management (iCCM), the delivery of timely and low-cost interventions at the community level by community health workers (CHWs), is an effective strategy for expanding access for the treatment of diarrhea, pneumonia, and malaria, which are the leading causes of child mortality and result in nearly 44% of deaths worldwide in...
Technical Report
Full-text available
Smoking is a major issue in Indonesia and has a significant impact on health. It is a major contributor to tuberculosis, resulting in morbidity and mortality and placing a huge economic burden on patients, families and society in general. Taxes on the production and sale of tobacco products are in place but could do more to discourage smoking. Thes...
Technical Report
Full-text available
Integrated community case management (iCCM) is considered to be an effective strategy for expanding the treatment of diarrhea, pneumonia, and malaria, which are the leading causes of child mortality and result in nearly 44% of deaths worldwide in children under five years old. Despite the success of this strategy in several low-income countries, iC...
Technical Report
Full-text available
Integrated community case management (iCCM) is considered to be an effective strategy for expanding the treatment of diarrhea, pneumonia, and malaria, which are the leading causes of child mortality and result in nearly 44% of deaths worldwide in children under five years old. Despite the success of this strategy in several low-income countries, iC...
Technical Report
Full-text available
Integrated community case management (iCCM) is considered to be an effective strategy for expanding the treatment of diarrhea, pneumonia, and malaria, which are the leading causes of child mortality and result in nearly 44% of deaths worldwide in children under five years old. Despite the success of this strategy in several low-income countries, iC...
Technical Report
Full-text available
Integrated community case management (iCCM) is considered to be an effective strategy for expanding the treatment of diarrhea, pneumonia, and malaria, which are the leading causes of child mortality and result in nearly 44% of deaths worldwide in children under five years old. Despite the success of this strategy in several low-income countries, iC...
Article
Full-text available
Integrated community case management (iCCM) can be an effective strategy for expanding the provision of diarrhea, pneumonia, and malaria services to children under 5 years old but there are concerns in some countries about the corresponding cost and impact. This paper presents and compares findings from a multi-country analysis of iCCM program cost...
Technical Report
Full-text available
Tuberculosis (TB) patients face many psychological, social and economic problems that complicate treatment and care. This may lead to decreasing adherence to prescribed treatment regimens and poorer clinical outcomes, including higher loss-to-follow-up, relapse and mortality rates. Multi drug resistant (MDR) TB patients are at even higher risk of p...
Technical Report
With the concurrent challenges of increasing need for antiretroviral therapy (ART) and decreasing donor funding, many concerns have arisen about countries’ capacity to raise domestic financing to cover the costs. These financing challenges are being experienced, albeit to different degrees, throughout the 33 PEPFAR-supported countries, of which 13...
Technical Report
Although tuberculosis (TB) diagnosis and treatment are free in most high TB-burden countries, TB patients face costs due to charges for health services, costs for transport, accommodation, nutrition and suffer lost income due to inability to work. These costs are expected to be higher for patients with multidrug resistant (MDR) TB than for other TB...
Technical Report
Ethiopia has a high prevalence of tuberculosis (TB) and is one of the 22 highest TB burden countries in the world. It is also one of the countries where many people who develop TB every year do not get treated. One of the reasons why infected people delay or do not seek diagnosis and treatment is economic access – the cost to patients and their fam...
Technical Report
Full-text available
Understanding the economic burden to society from a disease like TB is important as it can be used as evidence when advocating for greater investment. This report describes the development of a tool to estimate the economic burden of TB in Indonesia and the results stemming from its use. The development and use of the tool was requested by the Dire...
Technical Report
Full-text available
Based on Primary Health Care approaches, the Ministry of Health (Myanmar) had formulated four yearly People’s Health Plans from 1978 to 1990, followed by the National Health Plans from 1991-1992 to 2006-2011. These plans have been formulated within the framework of National Development Plans for the corresponding period. The National Health Plan (2...
Technical Report
Full-text available
In many countries tuberculosis (TB) control programs are scaling-up the detection and treatment of TB cases to reduce the burden on patients, their families and society. This will result in significantly increased costs over the next few years until prevalence begins to fall. At the same time, donor funding is reducing in some of these countries an...
Technical Report
Full-text available
Indonesia has made great strides in expanding tuberculosis (TB) control over the last few years, with significant assistance from donors, such as the Global Fund. While there are presently substantial external funds for the Human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS), TB and Malaria health programs, these are likely...
Technical Report
Full-text available
Some countries have made great strides in expanding Tuberculosis (TB) control over the last few years, with significant assistance from donors, such as the Global Fund (GF) for Acquired Immune Deficiency Syndrome (AIDS), TB and Malaria. While there is still substantial donor funding for TB programs, these funds are expected to diminish in countries...
Technical Report
Full-text available
Indonesia has made great strides in expanding Tuberculosis (TB) control over the last few years, with significant assistance from donors, such as the Global Fund against Acquired Immune Deficiency Syndrome (AIDS), TB and Malaria (GFATM) and the United States Agency for International Development (USAID). While there are presently substantial externa...
Technical Report
Full-text available
Indonesia has made great strides in expanding Tuberculosis (TB) control over the last few years, with significant assistance from donors, such as the Global Fund against Acquired Immune Deficiency Syndrome (AIDS), TB and Malaria (GFATM) and the United States Agency for International Development (USAID). While there are presently substantial externa...
Article
Background An important element of reaching universal health coverage is having a defined package of basic primary-care services that are easily accessible to all people. This is not often the case, however. Facilities are often under-resourced, especially in rural areas, and people often have to travel far to reach them. As a result, services are...
Article
Background For universal health coverage to be successful, services must be accessible to all people and should be provided in the most cost-effective ways. A key approach to addressing both these challenges is that of community-based services, which are provided closer to where people live and are deemed to be more affordable and sustainable throu...
Technical Report
Full-text available
Integrated community case management (iCCM) has proven to be an effective strategy for expanding the provision of diarrhea, pneumonia, and malaria services and has been accepted as a key approach to meet Millennium Development Goal 4 on reducing child mortality by international donors and developing countries. Furthermore, it is a pivotal strategy...
Technical Report
Full-text available
Integrated community case management (iCCM) has proven to be an effective strategy for expanding the treatment of diarrhea, pneumonia, and malaria, which are the leading causes of child mortality and result in nearly 44% of deaths worldwide in children under five years old. Through the Translating Research into Action (TRAction) project, funded by...
Technical Report
Full-text available
An international workshop was held in Indonesia in April, 2013, to share experiences of several Asian countries on sustainable financing for TB, AIDS and Malaria control programs. Many important topics were raised, including the roles of government, financing through government budgets and/or insurance, the need for information on costs, the import...
Technical Report
Full-text available
This report describes recommended actions for the National Tuberculosis Control Program (NTP) to consider in developing its Exit Strategy implementation plan. It also describes a set of recommended technical assistance and training activities aimed at supporting the NTP in this process. These recommended actions and activities were based on documen...
Technical Report
Full-text available
The Rwandan Ministry of Health, in collaboration with the USAID-funded Integrated Health Systems Strengthening Project (IHSSP), carried out a study to determine the costs of providing hospital services. The results of the costing were intended for use in re-designing insurance reimbursement mechanisms and levels. The results can also be used for ot...
Technical Report
Full-text available
The Rwandan Ministry of Health, in collaboration with the USAID-funded Integrated Health Systems Strengthening Project (IHSSP), carried out a study to determine the costs of providing health centre services. The results of the costing were intended for use in re-designing insurance reimbursement mechanisms and levels. The results can also be used f...