Donald S. Shepard Schneider Institute for Health Policy

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Biography - International Applications

In international applications of cost-effectiveness analysis, he developed a manual for the World Health Organization on determining and interpreting the costs of hospital services. In other international studies in cost-effectiveness analysis, he led an evaluation of the contribution of urban volunteers to improving the health of a low-income community in Cali, Colombia. He advised the World Health Organization and the Institute of Medicine of the National Academy of Sciences on the use of cost-effectiveness analysis to set priorities for the development and improvement of children's vaccines for developing countries, and was elected to the Board of Councilors of the Pediatric Dengue Vaccine Initiative. He also assisted the Government of Botswana to develop and evaluate cost-effective models of home care for persons with AIDS. Dr. Shepard co-authored Analysis of Hospital Costs and a book for the World Health Organization on cost-effectiveness analysis in primary health care.

In international applications of health financing, Prof. Shepard is advising the governments of Jamaica and Côte d'Ivoire (Ivory Coast) on the design of programs of health insurance, and is assisting the Government of Samoa to examine health financing broadly. He analyzed the expenditures and financing of AIDS prevention and treatment in five countries around the world. He also led studies of health insurance systems, user fees, and privatizing health services in the countries of Barbados, Colombia, Jamaica, Madagascar, Rwanda, and Zaire.

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