Grant: DRA: Canada Impact+ Research Training Awards - Doctoral

"RESEARCH AIM: To investigate how transactional health financing models reshape decision-making, accountability, and access to care in low- and middle-income country health systems. PRIMARY RESEARCH QUESTION: How do transactional health financing models influence decision-making and accountability in LMIC health systems, and what distributional consequences do these changes have for access to PHC? RESEARCH OBJECTIVES: To develop a typology of transactional health financing models, documenting their emergence and distinguishing them from traditional approaches in terms of ideology, financing instruments, accountability mechanisms, and political conditionality. To examine how political and professional elites within recipient countries perceive, negotiate, and operationalize transactional financing models, and how these models influence decision-making authority and accountability within health systems. To assess whether transactional financing models are associated with changes in access PHC, and how these changes are distributed across different segments of the population"