Organization, activities and role of HEU in health sector capacity building of Bangladesh Md. Hafizur Rahman Director, Health Economics Unit Ministry of Health and Family Welfare
Background• Health Economics Unit (HEU) was established in 1994 as a project under the fourth population and health project (FPHP)• HEU started its journey with the support of the then Overseas Development Administration (ODA), now department for International Development (DFID) of UK.• It was aimed at developing an overall health economics capacity in the country so that it can facilitate to ensure delivery of cost-effective health care services, efficiently through providing policy guidance to the Government.• However, to fill up the knowledge gap by the academicians in 1998 IHE was established and HEU and IHE were in same OP.
Present status of HEU Since 2011 it has been transferred to revenue budget . Now it is a unit of the Ministry of Health and Family Welfare headed by one Director General . It is within the organogram of ministry. Health economics , Financing and GNSP is one of the 32 OPs of the ministry. Two components-a. Health Economics and b. Gender, NGO and Stakeholders Participation.
Major activities of HEU Policy Advice Capacity building Conducting Research Dissemination workshops
Policy advice Policy paper/Policy input So far 32 Policy Briefs preparedConduct research from HEU Disseminate research Findings
Contd…….• Sometimes HEU provides technical input as per requirements made by the ministry.-for example : HEU is now working on RAF
Research• HEU mainly conducts evidence based research related to health economics and health financing issues.• Research studies are conducted in house and also commissioned to external research organizations.• Number of research papers and Research Notes so far prepared by HEU are 49 and 21 accordingly.• HEU has also another branch that deals Gender, NGO, Stakeholders and Participation.
Research Trend87 7654 No of Research3 32 2 21 10 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012
Capacity building• It provides training for the GOB officials on health economics and GNSP issues.• Every year about 150-160 participants from MOHFW, DGHS, DGFP, ERD, PLANNING COMMISSION, IMED and NIPORT receive training from HEU .• The trainings cover economic evaluation in health care, costing procedure, health care financing, research methodology, expenditure tracking, gender and equity issues etc.
Trend of Training121086 Local Training Foreign Training420 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012
Constraints• Don’t know about available resources• No specific mechanism has been developed to pool the resources• Insufficient managerial capacity to utilize the available resources.• Health Economics might be still is an alien term-----
Way Out Explore resource pooling options Strengthening networking Build institutional memory Explore the opportunities and make them functional to the best use of the available resources Capacity development as a continuous process 3 strong Cs ( Coordination, communication and cooperation) are needed.
Health economics: the science of optimism?• Health economics: “the cheerful face of the dismal science”• Two certainties in life: death and taxes• Health economics is concerned with – Caring death with efficient health care – Reducing taxes by using good measurement and management of costs and outcomes data• Health economists should be creative agents concerned with improving population health at least cost