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Innovations in Health Service Evaluation Techniques: Intro
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Innovations in Health Service Evaluation Techniques: Intro

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This session examines new evaluation techniques to improve our understanding of how well health interventions accomplish their objectives.

This session examines new evaluation techniques to improve our understanding of how well health interventions accomplish their objectives.

Published in: Education, Health & Medicine
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  • 1. Innovations in Health Service Evaluation Techniques GHEC Transcending Global Health Barriers: Education & Action UNIVERSITY OF WASHINGTON April 3 - 5, 2009
  • 2. Unprecedented rise in resources for improving health… 19 Billions 18 17 US NGOs 16 Other US Foundations 15 Gates Foundation European Commission 14 UN System 13 GAVI & GFATM Regional Development Banks 12 World Bank IDA & IBRD 11 Direct Bilateral ODA 10 9 8 7 6 5 4 3 2 1 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Development Assistance (Billions US$) for Health by Institution, 1990 - 2006 2
  • 3. …. proliferation of global goals, funders and initiatives Goals • 1978: Alma-Ata: Primary Health Care and Health for All • 1984: Universal childhood immunization by 1990 • 2000: Millennium Development Goals • 2003: 3 by 5 – 3 million people on antiretroviral drugs by 2005 • 2008: Malaria Elimination Private philanthropic organizations • 2000: Bill and Melinda Gates Foundation • 2006: Warren Buffet pledged additional US$30 to BMGF Global Health Initiatives • 2000: Global Alliance for Vaccines and Immunizations (GAVI) • 2002: Global Fund for Aids, Tuberculosis and Malaria (GFATM) • 2003: US President’s Emergency Plan for AIDS Relief (PEPFAR) • 2005: US President’s Malaria Initiative (PMI) • 2007: International Health Partnership (IHP+) 3
  • 4. …implementation of national health sector reforms 2001: Thailand Universal Coverage • 30 Baht Scheme 2003/04: Mexico Health Sector Reforms • System of Social Protection in Health including Seguro Popular 2005: Indian National Rural Health Mission • Health worker training and infrastructure development 4
  • 5. A host of questions for policy… and few answers… • How do levels and the distribution of population health across countries compare? • How do different health systems compare? • What progress is being made towards health goals? • How much of this progress can be attributed to specific initiatives (e.g. GAVI) or health sector reforms (e.g. Seguro Popular)? 5
  • 6. … increasing financial constrains • Increased focus on program results and demonstrated returns on investment • Greater pressure to cut funding for programs which are not effective or not cost effective 6
  • 7. …require new approaches to monitoring and evaluation • Development of new statistical methods • Adoption of solutions to known barriers in evaluation • Independent evaluations • Examination of health impacts of programs • Transparency and reproducibility of methods • Increased data collection and public access to primary data • Development of global standards incorporating these solutions 7

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