Person:
Haazen, Dominic
Author Name Variants
Fields of Specialization
health financing; health systems management; health management information systems; emergency medical services
Degrees
Departments
Health, Nutrition and Population, Africa Region, World Bank
Externally Hosted Work
Contact Information
Last updated
January 31, 2023
Biography
Dominic S. Haazen is a Lead Health Policy Specialist with the Africa region, where he is responsible for managing the Bank’s health program in Tanzania and assisting other countries as an expert in the areas of health financing, health system management, health information systems/e-Health, and emergency medical services. He has worked in close to 50 countries, and has had field assignments in Dar es Salaam, Tanzania (2008-2011), and Riga, Latvia (2002-2004). Prior to joining the Bank in 1998, he worked as a private consultant in the areas of health financing, health planning, and operational reviews of health providers, and held senior positions in the B.C. (Canada) Ministry of Health, including CFO/CIO of the division responsible for funding hospitals and long-term care, and CEO of the British Columbia Ambulance Service (a province-wide emergency medical services provider). He holds B.Sc. (Mathematics/Computer Science) and MPA degrees and is a Certified Management Accountant.
Publication Search Results
1 - 5 of 5
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Publication
HIV/AIDS in Southeastern Europe : Case Studies from Bulgaria, Croatia, and Romania
(Washington, DC: World Bank, 2003-05)In June 2002, the countries of Southeastern Europe (SEE) recommitted themselves to scale up action on the prevention and treatment of Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS). Given the rapid increase in the rate of HIV infection in Eastern Europe in general, and the generally similar risk conditions for low HIV prevalence SEE populations, this commitment is timely in terms of preventing a more widespread epidemic. It should also be recognized by the World Bank as a call to action to support these countries through the application of its comparative advantage in both lending and non-lending activities. The purpose of this paper is to review the current status of the AIDS epidemics in three countries of the Sub-region (Bulgaria, Croatia, and Romania - which constitute the ECC05 Country Department of the World Bank), to evaluate the approaches and strategies currently being used in each country, and to make recommendations both for government strategies and for the Bank's current and potential future involvement in relation to these strategies. The current low levels of HIV infection in SEE present a challenge in gaining recognition of the potential impact of HIV/AIDS on health systems, social structures, and individuals. Moreover, the approach to HIV/AIDS in SEE is complicated by relatively high levels of stigma against vulnerable groups (intravenous drug users [IDU], commercial sex workers [CSW], ethnic minorities such as the Roma, mobile populations, and men who have sex with men [MSM]). -
Publication
Gabon Civil Registration and Vital Statistics and Unique Identification Number Systems for Universal Health Coverage: A Case Study
(World Bank, Washington, DC, 2019-08)Gabon’s national health insurance program (Caisse National d’Assurance Maladie et de Garantie Sociale [CNAMGS]) coupled with medical coverage financing for the poorest has helped advance achievement of universal health coverage. In 1975, the National Social Security Fund (NSSF) was created in Gabon to guarantee the social protection of the population and enable financial contributions according to means, and benefits according to needs. In 2007, reforms of Gabon’s health financing system were instituted, including implementation of compulsory health insurance schemes through the CNAMGS. The responsibilities of the NSSF were transferred to the CNAMGS, which provides medical, maternity, and miscellaneous insurance and retirement pensions to insured persons and their dependents. In 2008, Gabon introduced an innovatively financed fund dedicated to the poor that extended health protection to economically disadvantaged Gabonese. The fund is managed by the same public institution that manages the private and public national health insurance schemes, enabling the poorest to have greater access to health services and better financial protection against health risks. The CNAMGS assigns an identification number to each insured individual, although this number does not have all the characteristics of a unique identification number (UIN). The assignment of a UIN at birth would allow linkage of the civil registration, vital statistics, and national identification systems, facilitating coordination between sectors and enabling individuals’ greater access to and efficiency in using services. Gabon is working to strengthen its national health information system (NHIS), to improve health system planning, resource management, and quality of care. By connecting all actors in the health system through information and communication technologies, the integrated NHIS will allow the sharing of health information, statistical data, and human and material resources. -
Publication
Developing an HMIS Architecture Framework to Support a National Health Care eHealth Strategy Reform: A Case Study from Morocco
(Taylor and Francis, 2017-01-31)An increasing number of low- and middle-income countries are receiving significant investments to implement health reform strategies featuring a health management information system (HMIS) as a fundamental eHealth intervention. We present the case of Morocco's first step toward the implementation of a national HMIS: the “urbanization” of its health information systems—an information architecture methodology designed to leverage existing capacity while ensuring sustainability of the new HMIS. We report on this process and share lessons learned, applicable to similar countries involved in HMIS interventions, including involving all stakeholders from inception to rollout, encouraging local ownership of the new HMIS, fostering active data usage among users, and leveraging existing personnel rotation policies when developing adoption strategies and facilitating capacity building efforts. -
Publication
Making Health Financing Work for Poor People in Tanzania
(World Bank, 2012-02-13)This policy note is designed to support the development of the health financing strategy in Tanzania. It is directed at decision makers in the areas of health and social policy as well as the Ministry of Finance, which will play a crucial role in integrating the financial implications of this note into the overall fiscal situation in Tanzania. It is also hoped that this note will stimulate debate among interested stakeholders on the best funding modalities for health and the most appropriate ways to integrate those modalities. On the basis of the data and options described in this policy note, the World Bank will work with authorities and other interested stakeholders to develop a financing program to support the needed reforms in these sectors. This policy note provides background information, cross-country examples, and policy options, which can all be incorporated into the development of a comprehensive health financing strategy. It also provides a framework for looking at the various elements of the health financing system, and it explores the financial, economic, and health system implications of a number of the options. -
Publication
Sub-National Analysis of Systematic Differences in Health Status and the Access to and Funding of Health Services: An Example from Comoros
(World Bank, Washington, DC, 2016-11)This report analyzes the available data to determine if there are systemic differences in the access to and funding of health services in different sub-regions of Comoros, and to link these to variations in the socioeconomic status of residents in these sub-regions. It focuses on a number of key questions that are analyzed at the sub-national level, including: the effect of out-of-pocket payments on household financial well-being; whether out-of-pocket payments for health are progressive or regressive; whether ill health is more concentrated among the poor; whether the poor use health services less than the rich; and the major sources of financing for the health system in Comoros. It introduces a specific analysis of pockets of poverty - the five sub-regions with the highest level of poverty headcount (more than 50 percent) - comparing their characteristics to those of the remaining sub-regions. These pockets of poverty appear to have generally lower utilization of health services, poorer health outcomes in some areas (although not on aggregate measures which bears further analysis), and lower levels of health spending, especially from the public sector. Aside from the conclusions and potential policy implications for Comoros, it may be useful to apply this type of analysis in other countries.