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The Cross Border Health Integrated Partnership Program (CB-HIPP) in Africa


  • Mobile, vulnerable populations lack access to health care in cross-border areas.
  • Abt helped strengthen services and financial access at select EAC cross-border sites.
  • Abt research led to a report on considerations for defining a health benefit package in the EAC.
The Challenge

PEPFAR/USAID funded the Cross-Border Health Integrated Partnership Project (CB-HIPP) to help extend integrated health services in border areas and along select inland transport corridor sites in East Africa.

CB-HIPP supported the provision of integrated services for HIV and AIDS; sexual and reproductive health; tuberculosis; maternal, newborn and child health; and nutrition. The project focused on assisting vulnerable populations, including people living with HIV, women of reproductive age, mothers and their children, youth who were not in school and mobile vulnerable populations, such as truck drivers and fisherfolk.

The Approach

As a sub-contractor to FHI 360, Abt supported the CB-HIPP team by providing expertise, thought leadership and organizational resources to achieve outcomes in Result Area Two. This segment of the project addressed alternative health financing models identified, implemented and tested to strengthen the long-term sustainability of networked health and HIV and AIDS service delivery.

The Results

Abt completed a number of activities to achieve Results Area Two, including:

  • A regulatory analysis of access and financing of HIV and AIDS services in East Africa.
  • Facility capacity assessments at cross-border sites in Kenya, Uganda, Rwanda and Tanzania, which identified priority areas for technical assistance.
  • A multi-country comparison of health care services costs at cross-border locations in Kenya, Rwanda, Uganda and Tanzania.
  • A study on the ability and willingness to pay for health insurance and save for health expenses among cross-border populaitons in East Africa.
  • An actuarial analysis looking at the pricing of a portable benefit package.
  • A comparison of TB standards of diagnosis and treatment across East African Community (EAC) countries. 

Abt used results from the above works to provide a report on considerations for defining a regional health benefit package in the EAC.
All of the above studies as well as a number of policy briefs are available here.

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