03 Dr Somanje H Sahara   Health Systems Responses
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03 Dr Somanje H Sahara Health Systems Responses Presentation Transcript

  • 1. WHO Regional Office for Africa Heath system responses and need for changed multisectoral approaches to improve the health of migrants 5TH AFRICAN CONFERENCE ON SOCIAL ASPECTS OF HIV/AIDS RESEARCH Gallagher Estate, Midrand, South Africa 30 November- 3 December 2009 Dr. H. Somanje MO/HPS/DSD/AFRO 5th AFRICAN CONFERENCE ON SOCIAL ASPECTS OF HIV/AIDS RESEARCH 2009.
  • 2. Outline WHO Regional Office for Africa Background Health Systems challenges related to migration Health system responses and expected outcomes Needed multisectoral changes The primary health care framework for change Conclusion 5th AFRICAN CONFERENCE ON SOCIAL ASPECTS OF HIV/AIDS RESEARCH 2009.
  • 3. Background WHO Regional Office for Africa The number of migrants in all forms is increasing in Africa about 2% of Africa’s population – increasing health service needs In 2008, there emerged a number paradigm shifting documents The final report of the WHO commission on Social determinants of health The Ouagadougou Declaration on Primary Health Care and Health Systems The 2008 World Health Report on Primary Health Care – Now More Than Ever World Health Assembly Resolution 61.17 on the Health of Migrants All the above documents emphasize on the enjoyment of health services as a human right by all regardless of whether they are migrants or not Migrants still face a lot of challenges related to access and utilisation of health services 5th AFRICAN CONFERENCE ON SOCIAL ASPECTS OF HIV/AIDS RESEARCH 2009.
  • 4. HEALTH SYSTEMS CHALLENGES RELATED TO MIGRATION WHO Regional Office for Africa Health outcomes can be influenced by the multiple dimensions of migration Legal status Employment opportunities Social exclusion Some groups of migrants experience increased health risks Legal status, Employment opportunities, Social exclusion Internally displaced Health needs of migrants are not fully considered in the framework of the broader agenda on migration and development Inadequate data on migrants’ health and their access to health care to substantiate evidence-based policies Inadequate focus on utilisation of health services as a human right when promoting social inclusion 5th AFRICAN CONFERENCE ON SOCIAL ASPECTS OF HIV/AIDS RESEARCH 2009.
  • 5. Health system responses WHO Regional Office for Africa All organisations, people and actions whose primary intention is to promote, restore and maintain health 5th AFRICAN CONFERENCE ON SOCIAL ASPECTS OF HIV/AIDS RESEARCH 2009.
  • 6. HEALTH SYSTEMS BUILDING BLOCKS AND THEIR OUTCOMES SYSTEM BUILDING BLOCKS OVERALL GOALS / OUTCOMES IMPROVED HEALTH ACCESS (level and equity) COVER AGE RESPONSIVENESS SOCIAL AND FINANCIAL RISK PROTECTION QUALITY SAFETY IMPROVED EFFICIENCY
  • 7. The six building blocks and their priority areas BUILDING BLOCK PRIORITY AREAS SERVICE DELIVERY Packages, Delivery models, Infrastructure, Management, Safety & quality and Demand for care HEALTH National workforce policies and Investment WORKFORCE plans; Advocacy; Norms, standards and Data INFORMATION Facility and population based information & surveillance systems; Global standards, tools MEDICAL Norms, standards, policies; Reliable PRODUCTS, procurement; Equitable access; Quality VACCINES & TECHNOLOGIES FINANCING National health financing policies; Tools and data on health expenditures; Costing LEADERSHIP/ Health sector policies; Harmonization and GOVERNANCE alignment; Oversight and regulation
  • 8. Ouagadougou Declaration Priority Areas WHO Regional Office for Africa 5th AFRICAN CONFERENCE ON SOCIAL ASPECTS OF HIV/AIDS RESEARCH 2009.
  • 9. Needed Multisectoral Changes 1/2 WHO Regional Office for Africa • Is there need for change? Albert Einstein The problems we face today cannot be solved at the same level of thinking we were at when we created them Mahatma Ghandi The difference between what we are doing and what we are capable of doing would solve most of the worlds problems Stephen Covey We cannot continue what we are currently doing and expect different results 5th AFRICAN CONFERENCE ON SOCIAL ASPECTS OF HIV/AIDS RESEARCH 2009.
  • 10. Needed Multisectoral Changes 2/2 WHO Regional Office for Africa • Critical sectors include those responsible for: conditions of their legal status, employment housing, education, occupational health, nutrition and food security, environmental conditions and access to water and sanitation • Adopt the primary health care framework in ensuring universal coverage, people centeredness in all policies, planning, implementation and inclusive leadership • However, partners need to be coordinated to support countries in a harmonised and aligned manner 5th AFRICAN CONFERENCE ON SOCIAL ASPECTS OF HIV/AIDS RESEARCH 2009.
  • 11. Framework for implementing the Changes WHO Regional Office for Africa Adopt the primary health care framework in ensuring • universal coverage reforms, • people centeredness reforms • inclusive leadership reforms • an all government public policy 5th AFRICAN CONFERENCE ON SOCIAL ASPECTS OF HIV/AIDS RESEARCH 2009.
  • 12. Linkages - PHC Reforms & Ouagadougou Declaration WHO Regional Office for Africa Co tio n mm Healt a uni h ticip gies ty o Servi ar olo g P n alt h Hea wners ce de n l n ity ech nci r He Res lth in hip & ivery a o ear form par mu lth T Fin es f ch t om ea alth urc for ation, icipat C H e hea i on H eso lth R man Hu n Le ipatio ad ers artic ent d P lopm He hip a i n p a deve Re alth nd e rsh alth ng Co sea inf Gov wn r he anci mm rch orm er O un for atio nanc n ity ip fo Fin ity e mu ersh ealth ow heal n m Co artn H ne th P rsh ip 5th AFRICAN CONFERENCE ON SOCIAL ASPECTS OF HIV/AIDS RESEARCH 2009.
  • 13. Three ways of moving towards universal coverage
  • 14. Primary care as a hub of coordination WHO Regional Office for Africa 5th AFRICAN CONFERENCE ON SOCIAL ASPECTS OF HIV/AIDS RESEARCH 2009.
  • 15. Effective Community Involvement -huge cost savings
  • 16. Conclusion WHO Regional Office for Africa Legislation to minimise the discrimination of migrants in accessing their health and other social needs Equitable allocation of resources during the budget sessions to all social sectors: health, agriculture, education, water, communication, energy, infrastructure development etc Ensuring community involvement in implementation of the Primary Health Care reforms based on an all government approach Dee Hock: “The problem is never to get new innovative thoughts into your mind, but how to get the old ones out” 5th AFRICAN CONFERENCE ON SOCIAL ASPECTS OF HIV/AIDS RESEARCH 2009.
  • 17. WHO Regional Office for Africa Thank You 5th AFRICAN CONFERENCE ON SOCIAL ASPECTS OF HIV/AIDS RESEARCH 2009.