Health systems Development Interventions

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Health systems Development Interventions

  1. 1. Improve survival Information for decision-making Essential drug supply & logistics Health financing & resource allocation Leadership & governance Improved equity Reduced social costs Improve efficiency …that alter the climate of demand for services , Enhanced Health Service Delivery and Utilization Extend availability of services and technologies Health workforce size, composition & training Improve quality of services Increase access to care and technologies …generate system outcomes… Integrated service components Enabling sub-system inputs… …impact on health behavior, and …. A Health Systems Development Framework
  2. 2. Improve survival Information for decision-making Essential drug supply & logistics Health financing & resource allocation Leadership & governance Improved equity Reduced social costs Improved efficiency …that alter the climate of demand for services , Enhanced Health Service Utilization Enhanced access to services and technologies Health workforce size, composition & training Improved quality of services Extended range of services and technologies …generate system outcomes… Integrated service components Enabling sub-system inputs… …impact on health behavior, and …. Health Systems Development Interventions
  3. 3. Information for decision-making Essential drug supply & logistics Leadership & governance Integrated service components Health Systems Development Interventions What are the changes in service activities & content? (e.g.. Kangaroo mother, maternal health care, access to preventive health technologies etc) Health financing and planning Enabling sub-system inputs… •Train frontline workers to provide evidence-based maternal and neonatal health services that are currently not being provided. •Implement interventions that are proven to reduce under-five mortality by increasing the capacity of providers at community, sub-district, and district-level service points. •Coordinate community and clinic-based activities to standardize access to anti-malarial preventive measures and therapeutic regimes. Health workforce size, composition & training
  4. 4. Information for decision-making Essential drug supply & logistics Leadership & governance Health Systems Development Interventions Health financing and planning Enabling sub-system inputs… •Convene peer exchanges in GEHIP districts that have been slow to implement Community-based Health Planning and Services (CHPS) •Train district managers and other key personnel in the critical components of effective CHPS implementation and financing so that they have the skills to spur additional development investment and the grassroots demand. •Strengthen referral systems to reduce maternal and perinatal mortality. Changes in workforce inputs (investment in staff, staff composition, and in-service training on essential services to address gaps in service delivery)Health workforce size, composition & training Integrated service components
  5. 5. Essential drug supply & logistics Leadership & governance Health Systems Development Interventions Health financing and planning Enabling sub-system inputs… •Strengthen planning capabilities below the district level with mobile technology. •MoTeCH - ease information capture for community-based healthcare workers and provide supportive information feedback at all staff levels. What are changes in HMIS procedures for data capture, data content, feedback, visualization, and data access at each level (MoTeCH)? Integrated service components Health workforce size, composition & training Information for decision-making
  6. 6. Easing information capture for community-based healthcare workers and provide supportive information feedback
  7. 7. Information for decision-making Leadership & governance Health Systems Development Interventions Health financing and planning Enabling sub-system inputs… •Strengthen the operation of the essential medicine distribution system in Ghana. •The Ghana Essential Medicines Initiative (GEMI) - tools for monitoring stock flow at each level of the service system. Integrated service components What are changes in the logistics and supply system for essential drugs and equipment ( at each level of the system)? Health workforce size, composition & training Essential drug supply & logistics
  8. 8. Information for decision-making Essential drug supply & logistics Leadership & governance Health Systems Development Interventions Enabling sub-system inputs… •Adapt Tanzania’s PlanRep tool for allocating healthcare resources according to burden of disease to facilitate rational healthcare planning and decision-making at the district level. •District Health Planning, Analysis, and Reporting Tool (DiHPART) Integrated service components Health workforce size, composition & training What are changes in the resource base and capacities to plan resource allocation ? (example: PLANREP + supplemental Cedis in Ghana) Health financing and planning
  9. 9. Information for decision-making Essential drug supply & logistics Health Systems Development Interventions Health financing and planning Enabling sub-system inputs… •Improve health system leadership by developing a public health leadership program that forges linkages between public health universities and the country’s healthcare programs and system. Integrated service components Health workforce size, composition & training Leadership & governance What are changes in leadership capabilities at each level in the system?
  10. 10. Community Health Officers Supervisors, Disease Control Officers, Nutrition, etc. Registered nurses, midwives District Directors & Health Management Team members GEHIP will add modules for an integrated health systems development team training Peer Leadership Training District Health Profiling Information for Decision-making
  11. 11. Summary… • By conducting programming that corresponds with each of these components for HSD, the project will improve the quality and coverage of community-based healthcare • Ultimate goal is to improve survival rates in the areas of focus • Ensuring the sustainability through the development of fully functional health care systems.
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