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Presentation by Dr. Sally Stansfield
 

Presentation by Dr. Sally Stansfield

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  • Another global public good is the result of research, when shared. But there is also a “market failure” to direct R&D to solve the biggest health problems. We therefore have what is called the 10/90 gap. Of the $70 billion spent every year on medical research, less than 10% is devoted to the diseases that cause 90% of global illness and death.
  • Only 16 of the 1396 drugs registered by the FDA in the last 25 years were for the problems that disproportionately affect the developing world. Markets fail to develop or deliver products to those who have little disposable income.  If we wait for markets to solve these problems we’ll be waiting for eons that would make Peter Ward’s astrobiological processes look instantaneous. Governments must manage the incentives to encourage more innovation to address the diseases of the poor.
  • Pays for itself in 3 to 5 years (IOM)
  • Some of us may be motivated to act by fear for our health security; others by the recognition that our own economic future depends on having healthy and productive societies to trade with; still others are motivated by by moral outrage at the inequities. The reason for action doesn’t matter. But the potential for impact is enormous. Think globally, act globally, and deliver results!

Presentation by Dr. Sally Stansfield Presentation by Dr. Sally Stansfield Presentation Transcript

  • 4 th International RHINO Workshop Guanajuato, 8-12 March 2010 www.healthmetricsnetwork.org
  • Achievements to Date
    • HMN Framework: Global Accepted Standard for Country HIS strengthening (WHA Resolution).
    • More than 85 countries using the Framwork and tools
    • Global Fund, World Bank, US CDC, US PEPFAR have adopted the Framework for use.
    • US$458 million contributed for country HIS strengthening efforts.
    • Growing community of experts in place in countries and regions.
    • Need more "evidence that evidence matters".
  • Three Big Things
    • RHIS drives HSS
    • Architecture matters
    • The "business case" for RHIS
  • Make HSS Happen: RHIS is the Driver
  • Service Delivery Health Workforce Information Medicines, Vaccines & Technologies Financing Leadership & Governance Saving Lives & Saving Money
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  • Potential "Quick Wins"
    • Performance summaries for facilities/units
    • League tables
    • Alerts warn of flagging performance
    • Exception reports for dangerous or doubtful data
    • Supervisory guides for personnel
    • Individual health profiles and instructions given to patients
    • Checklists for providers and managers
    • Accounting to local governors and citizens
    • Publishing performance data in newspapers, or on local radio
  • Architecture Matters: Systems Need to Work Together
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  • Service Delivery Health Workforce Information Medicines, Vaccines & Technologies Financing Leadership & Governance Saving Lives & Saving Money
  • Health Workforce Medicines, Vaccines & Technologies Financing Saving Lives & Saving Money Process : Information enables production of quality services HSS Value Chain
  • Data Use for HSS
    • National planning
      • Health sector review
      • Forecasting
      • Human resource planning
    • Surveillance
    • District management
    • Facility management
    • Service quality improvement
    • Community service management
    • Monitoring and accountability
  • HIS Data Sources Census Census Population Surveys Resource Records Service Records Individual Records Civil Registration Population-based Facility-based
  • Integration of data sources District Health Management
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  • The Business Case for HIS: Show You Changed the Game
  • Health Workforce Medicines, Vaccines & Technologies Financing Saving Lives & Saving Money Process : Information enables production of quality services HSS Value Chain
  • Information: Saving money, saving lives
    • Bolivia: A quality improvement program used information system data to triple appropriate utilization of hospital services
    • South Africa: Information system for improving pharmaceutical management increased access to essential drugs (39% reduction in stock-outs)
  • Information: Saving money, saving lives (con’t)
    • Mali: Enrolling children in an immunization information system increased vaccination coverage and reduced the cost of immunizing each child by nearly 50% ($2.79 to $1.47 per child)
    • Tanzania: Cost-effectiveness information improved allocation of resources, achieving a more than 40% reduction in infant and child mortality over 3 yrs with just an 18% increase in investment
  • Three Big Things
    • RHIS drives HSS
    • Architecture matters
    • The "business case" for RHIS
    • It’s not because countries are poor that they cannot afford good health information. It’s because they are poor that they cannot afford to be without it.
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