Publications by authors named "M De Allegri"

Bangladesh completed a primary series of COVID-19 vaccinations for about 86 individuals per 100 population as of 5 July 2023. However, ensuring higher coverage in vulnerable areas is challenging. We report on the COVID-19 vaccine uptake and associated factors among adults in two vulnerable areas in Bangladesh.

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Introduction: The poorest in Burkina Faso face numerous barriers to healthcare access, including financial and geographic obstacles, as well as a high burden of chronic conditions and multimorbidity. This study estimates the average cost of providing curative outpatient consultations at first-level healthcare facilities to the poorest in Burkina Faso. It also estimates the budgetary impact of scaling up free access to these services nationwide.

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Article Synopsis
  • Achieving universal health coverage (UHC) in low-income countries, like Burkina Faso, faces challenges due to uncertainties; this study explores how policy learning can influence health financing outcomes.
  • The research employed qualitative methods to assess the presence and impact of different modes of policy learning, finding that while reflective learning was present, other crucial types were lacking, which hindered progress.
  • Despite initial setbacks in implementing strategic health purchasing, effective facilitation and conducive contexts allowed for some advancements, highlighting the need for comprehensive learning approaches in health policy efforts.
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  • This study developed a Sustainable Diet Index (SDI) to assess the sustainability of diets among adults in Ghana and Ghanaian migrants in Europe, focusing on factors like health, climate impact, cultural values, and cost.
  • Using data from 3,169 participants aged 25-70, the SDI ranged from 0 to 16 and utilized various dietary metrics, showing an overall mean SDI of 8.0.
  • Results indicated that higher SDI scores were linked to older age, female gender, non-smoking, and alcohol abstinence, with the highest SDI found in London (9.1), suggesting that living in Europe generally leads to more sustainable dietary practices compared to rural Ghana.
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Background: Access of all people to the healthcare they need, without financial hardship is the goal of Universal Health Coverage (UHC). As UHC initiatives expand, assessing the needs of vulnerable populations can reveal gaps in the system which may be covered by relevant policies. In this study we (i) identify the met and unmet primary healthcare needs of the poorest population of Khyber Pakhtunkhwa province (KP), Pakistan, and (ii) explore why the gaps exist.

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