Session 3: Georgios Lyratzopoulos

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Georgios Lyratzopoulos: “The contribution of health services research to global NCD control: Case studies from Uganda and Egypt”

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Session 3: Georgios Lyratzopoulos

  1. 1. The contribution of health services research to global NCD control: Case studies from Uganda and Egypt Dr Georgios Lyratzopoulos M.D, FFPH, FRCP, MPH, DTM&H Clinical Senior Research Associate NIHR Post-Doctoral Fellow
  2. 2. Why health care matters <ul><li>Primary prevention does not always work </li></ul><ul><li>Health care increasingly preventive </li></ul><ul><ul><li>Vaccination (not only for infection) </li></ul></ul><ul><ul><li>Screening (not only for cancer) </li></ul></ul><ul><ul><li>Community based management of chronic disease </li></ul></ul>
  3. 3. Risk factor control (smoking, obesity, alcohol, infection, environmental) { { Cancer control: Reducing mortality Primary prevention / ↓ incidence (40% max) Improving survival (60%)
  4. 4. { Cancer control: Reducing mortality Improving survival Early treatment Early diagnosis
  5. 5. Globally, health services are dominated / characterised by: <ul><li>Hospital services (not primary care) </li></ul><ul><li>Specialist doctors (not GPs & nurses) </li></ul><ul><li>Lack of systematic improvement efforts </li></ul><ul><ul><li>No quality measurement / indicators </li></ul></ul><ul><ul><li>No quality assurance </li></ul></ul><ul><ul><li>No performance management </li></ul></ul>
  6. 6. Introducing the case studies <ul><li>Case study 1: Helping to develop a quality culture in Egypt’s primary care system (Dr Ahmed Aboulghate) </li></ul><ul><li>Case study 2: Helping to understand how to reduce mortality from cervical cancer in northern Uganda (Dr Amos Mwaka) </li></ul>

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