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The r4d programme

The study is part of the r4d programme under the “Inclusive Social Protection for Chronic Health Problems (ISPCHP)” project. The r4d programme, or the Swiss Programme for Research on Global Issues for Development, is a programme that aims to help solve global problems in the least developed, low- and middle-income countries, through research.

The ISPCHP project’s key aims are:

  1. To assess the impact of chronic illness on (a) healthcare use and expenditures (across different settings); (b) work capacity and productivity (in informal economies); (c) socioeconomic outcomes (such as poverty, human capital investments, etc.); (d) health and mortality (such as disease progression, disability and death)
  2. To evaluate the role of access to (existing) diagnosis and treatment programs for improving the above outcomes using (quasi-) experimental study designs a full income approach for selected conditions in different study sites

THE ISPCHP is implemented by a consortium of research institutions comprised by the International Institute for Population Science (India), IMFR-LEAD (India), Invest in Knowledge (Malawi), and the Institute for Health Policy (Sri Lanka). The University of Lausanne is the overall coordinator of the project.


The project has two phases. The first one spanned from the inception of the project in 2016 to the conclusion of 2018. The second phase started in 2019.

  • Phase 1 (2016-2018)

Phase 1 is mainly consisted of the finalization of the study design,  preparation and implementation of interventions and presentation of the preliminary results of the survey.

  • Phase 2 (2019–)

The second phase of the project involves the analysis of data and disseminations of results. The team has presented in the 2019 World Health Congress of the International Health Economics Association in July.