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42
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Introduction
Lela Sulaberidze joined Curatio Interanational Foundation in 2014 as a junior researcher. Her research interests are Health Policy and Systems Research, Health Financing, Program Evaluation.
Skills and Expertise
Additional affiliations
January 2014 - present
Education
October 2011 - March 2013
September 2007 - June 2011
Publications
Publications (42)
Private providers play an important role in health systems in low-and middle-income countries. In many such contexts, markets are characterized by a high number of relatively small private facilities. The potential risks from highly concentrated healthcare markets are well-researched, and feature in the “Theories of Harm” investigated by competitio...
While progress has been achieved increasing population coverage with different schemes for UHC commensurate improvements in financial protection have not been observed as OOPs remain high and catastrophic spending rates increased between 2000 and 2017. The session discussed potential reasons for the failure of financial protection and debated polic...
Results of the Realist Evaluation component of the five-year research investigating the impact, mechanisms of effect and costs of the provider incentive payment scheme for Tuberculosis care in Georgia. The research is a collaboration of Curatio International Foundation (Georgia), Queen Margaret University (UK), London School of Hygiene and Tropical...
Background:
The decade between the ages of 14 and 25 is a particularly vulnerable period for the development of mental health problems, especially of common mental disorders. Mental health and psychosocial prevention and support services for young people in the Republic of Georgia have been extremely limited, leaving a wide treatment and care gap....
Background
Numbers of psychiatric beds (general, forensic, and residential) and prison populations have been considered to be indicators of institutionalisation of people with mental illnesses. The present study aimed to assess changes of those indicators across Central Eastern Europe and Central Asia (CEECA) over the last three decades to capture...
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...
Background: Numbers of psychiatric beds (general, forensic, and residential) and prison populations have been considered to be indicators of institutionalization. The present study aimed to assess changes of those indicators across Central Eastern Europe and Central Asia (CEECA) over the last three decades to capture how care has developed during t...
Georgia PHC profile was prepared based on Primary Health Care Vital Signs framework developed by the Primary Health Care Performance Initiative (PHCPI). PHCPI is a partnership dedicated to transform the global state of primary health care through three interconnected areas of work: Measurement, Improvement, and Engagement.
Georgia Primary Health C...
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,...
Introduction: In the era of declining development assistance for health, transitioning externally funded programs to government becomes a priority for donors. However, the process requires a careful approach not only to preserve the public health gains that have already been achieved but also to expand on them. In the Eastern Europe and Central Asi...
ABSTRACT
Introduction: In the era of declining development assistance for health, transitioning externally funded programs to governments becomes a priority for donors. However, the process requires a careful approach not only to preserve the public health gains that have already been achieved but also to expand on them. In the Eastern Europe and...
Health System Barometer survey represents experts' evaluation of processes and changes taking place in the Georgian health sector.
“Georgian Health System Barometer” is based on evaluations of health system specialists and health providers. Every 6-months up to 150 survey respondents evaluate ongoing processes in the health sector using 30 minute...
Hepatitis C virus (HCV) infection is a significant public health concern worldwide. Georgia is among the countries with a high burden of HCV infection. People who inject drugs (PWID) have the highest burden of infection in Georgia. In 2015, the Government of Georgia, with partners’ support, initiated one of the world’s first Hepatitis C Elimination...
Introduction
In 2016, Georgian researchers and policymakers were developing a policy to improve the performance of the national tuberculosis (TB) control programme. The research programme ‘Designing and Evaluating Provider Results-Based Financing for Tuberculosis Care in Georgia: Understanding Costs, Mechanisms of Effect and Impact (Results4TB)’ wa...
The following abstract presented at the 5th Global Symposium of Health Systems Research (HSR2018) describes existing and anticipated challenges of the Global Fund transition process on uninterrupted supply of quality TB drugs and diagnostics in Eastern Europe and Central Asia region, where countries are expecting to graduate from donor support on o...
Health System Barometer survey represents experts' evaluation of processes and changes taking place in the Georgian health sector.
“Georgian Health System Barometer” is based on evaluations of health system specialists and health providers. Every 6-months up to 150 survey respondents evaluate ongoing processes in the health sector using 30 minute...
Health System Barometer survey represents experts' evaluation of processes and changes taking place in the Georgian health sector.
“Georgian Health System Barometer” is based on evaluations of health system specialists and health providers. Every 6-months up to 150 survey respondents evaluate ongoing processes in the health sector using 30 minute...
![Table 1 Theoretical framework of economic barriers [11]](publication/323149879/figure/tbl2/AS:613918049329171@1523380877388/Theoretical-framework-of-economic-barriers-11_Q320.jpg)
![Fig. 1 Total Health expenditure as percentage of GDP (1995-2014) [12]](publication/323149879/figure/fig1/AS:613918049325058@1523380877266/Total-Health-expenditure-as-percentage-of-GDP-1995-2014-12_Q320.jpg)
![Fig. 2 Total health expenditure, PPP$ per capita (1995-2014) [12]](publication/323149879/figure/fig2/AS:613918049320972@1523380877288/Total-health-expenditure-PPP-per-capita-1995-2014-12_Q320.jpg)
Background:
Whilst there is recognition that the global burden of disease associated with mental health disorders is significant, the economic resources available, especially in Low and Middle Income Countries, are particularly scarce. Identifying the economic (system) and financial (individual) barriers to delivering mental health services and as...
Introduction:
In Georgia as in most Eastern European countries, injecting drug use remains one of the leading transmission modes of HIV infection. This paper aims to identify HIV prevalence and risk determinants among people who inject drugs (PWID).
Methodology:
A cross -sectional, anonymous bio-behavioral survey of PWID was conducted in seven c...
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...
Health System Barometer survey represents experts' evaluation of processes and changes taking place in the Georgian health sector.
“Georgian Health System Barometer” is based on evaluations of health system specialists and health providers. Every 6-months up to 150 survey respondents evaluate ongoing processes in the health sector using 30 minute...
Health System Barometer survey represents experts' evaluation of processes and changes taking place in the Georgian health sector.
“Georgian Health System Barometer” is based on evaluations of health system specialists and health providers. Every 6-months up to 150 survey respondents evaluate ongoing processes in the health sector using 30 minute...
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...
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...
Health System Barometer survey represents experts' evaluation of processes and changes taking place in the Georgian health sector.
“Georgian Health System Barometer” is based on evaluations of health system specialists and health providers. Every 6-months up to 150 survey respondents evaluate ongoing processes in the health sector using 30 minute...
The poster describes key methodological challenges emerged during population size estimation studies’ fieldwork while using an innovative method - Network-based capture-recapture (NCRC). This method proposed by Dombrowski was introduced among methamphetamine users in the USA in 2012. The NCRC was first time applied in Georgia among Men who have Sex...
Health System Barometer survey represents experts' evaluation of processes and changes taking place in the Georgian health sector.
“Georgian Health System Barometer” is based on evaluations of health system specialists and health providers. Every 6-months up to 150 survey respondents evaluate ongoing processes in the health sector using 30 minute...
![Table 4. MSM population size estimates in EECA countries [22–31].](profile/George-Gotsadze/publication/292674140/figure/fig4/AS:341488732000260@1458428666216/MSM-population-size-estimates-in-EECA-countries-22-31_Q320.jpg)
Introduction:
An accurate estimation of the population size of men who have sex with men (MSM) is critical to the success of HIV program planning and to monitoring of the response to epidemic as a whole, but is quite often missing. In this study, our aim was to estimate the population size of MSM in Tbilisi, Georgia and compare it with other estim...
The current study describes the most recent wave of Bio-Behavioral Surveillance (BBS) Survey among prisoner population in Georgia, that has been conducted since 2008. The study aims to measure HIV prevalence among prisoners, monitor their risk behavior and generate evidence for advocacy and policy-making.
The study used a Simple Random Sampling Me...
The current study describes the most recent wave of Bio-Behavioral Surveillance (BBS) Survey surveys among Men who have Sex with Men (MSM) in Georgia the study has been implemented since 2007. The study aims to measure HIV prevalence among MSMs and also was looking at HCV and STI (Syphilis) prevalence.
The study used a cross-sectional design and r...
The current study describes the most recent wave of BBS surveys among People Who Inject Drugs (PWIDs) in Georgia. Bio-BBS surveys among PWIDs has been conducted since 2002. The aim of this study is to measure HIV prevalence among PWIDs, monitor risk behaviors among these group and generate evidence for advocacy and policy-making.
The study used a c...
Georgia is among the countries with low HIV/AIDS prevalence but with a high potential for the
development of a widespread epidemic. From the early years of epidemic injecting drug use was the
main route of HIV transmission, however, for the last two years heterosexual transmission is
prevailing. During the last two years heterosexual transmission w...
Executive summary
Background and objectives
Estimates of the number of people at risk for HIV infection, including men who have sex with men
(MSM), are crucial for prevention, treatment and care planning. The Georgia Population Size
Estimation of MSM is the second study of its kind (the first one conducted in 2010) to estimate the
size of this popu...
Executive Summary:
Background and objectives
Georgia is among the countries with low HIV/AIDS prevalence, but with a high potential for the
development of a widespread epidemic. From the early years of epidemic injecting drug use was the
main route of HIV transmission, however, for the last two years heterosexual transmission is
prevailing. During...
In 2014 Curatio International Foundation conducted a study on financial barriers of the mental health system. The study employed qualitative research methods, as well as literature review and secondary data analysis.
The document presents main barriers existing at the different levels of the system creating access problems to adequate and quality s...
Questions
Question (1)
We have conducted population size estimation study among KAP (key affected population) using different methods. So we have got various estimates, although with overlapping acceptable intervals. Then we hypothesized the median of the various estimates could be the most plausible size estimate. It has also been suggested to use an average. How do we reassure, was it the best decision in our case?
