Assessment of BRAC Health Security Programme (bHSP)

The James P Grant School of Public Health, BRAC University (JPGSPH), in collaboration with BRAC, is endeavouring to generate empirical evidence by assessing BRAC’s health security programme (bHSP). JPGSPH looked into the experience of BRAC programmers and policymakers who influence bHSP relating to the beneficiaries’ pattern of health service utilisation and effect over the existing health system in the programme area. The aim of this research is to:

• Measure the contribution of bHSP towards the reduction of out-of-pocket health related expenditures.
• Assess the pattern of health service utilisation behaviour among bHSP beneficiaries compared to non-beneficiaries.
• Explore the perception and experience regarding BRAC’s health security programme among beneficiaries and non-beneficiaries, BRAC programme staffs, and health care providers.
• Explore how different BRAC programmes are promoting bHSP.

This ultimately helped BRAC to contextualise the programme into a user-friendly and effective risk pooling mechanism. The study commenced in January 2015 and will conclude by August 2016. For this project, JPGSPH utilised an innovative approach of both quantitative and qualitative paradigms.

To bring out the programme implementation context, perception and experience from both the supply and demand side, an extensive qualitative approach was applied. In addition, to quantify the role of this health security programme towards the reduction of out-of-pocket health expenditures, an elaborative survey among bHSP beneficiaries and non-beneficiaries was implemented between March - April 2015. From the quantitative survey JPGSPH investigated the correlation of health events, health seeking behaviour, health care utilisation and the cost of care for bHSP beneficiaries and non-beneficiaries.

Qualitative data from the beneficiaries and non-beneficiaries was collected to assess the knowledge, motivation and challenges that they face while participating in a newly introduced health financing model. To assess the weaknesses and strengths of bHSP, the project looked into the perception and experience of the beneficiaries while assessing the healthcare services from the designated providers. To ensure inclusivity of the qualitative assessment, the project collected the narrative of the healthcare providers which provided vital information regarding the programme’s implementation.

Our development partners include the following:
• Rockefeller Foundation (Donor)
• Ayesha Abed Foundation

The findings of this study will be disseminated during the Prince Mahidol Award Conference in January 2016.