Future Health Systems Innovations for equity January 12, 2009 Abuja, Nigeria

Why Future Health Systems? The Future Is Not What it Used to Be Alma Ata: Scarcity of health services & medicines State dominated health sectors Need for enhanced role of communities Poor are left behind Today: Marketized, pluralistic health systems Need to involve many institutions Health transitions Technology and information explosions Poor are still left behind

Alma Ata:

Scarcity of health services & medicines

State dominated health sectors

Need for enhanced role of communities

Poor are left behind

Today:

Marketized, pluralistic health systems

Need to involve many institutions

Health transitions

Technology and information explosions

Poor are still left behind

What’s New Today? Renewed interest in change in societies, need for collaboration, engage many stakeholders Recognition that new thinking is needed about how markets can work for public benefit Recognition that interventions in markets needed

Renewed interest in change in societies, need for collaboration, engage many stakeholders

Recognition that new thinking is needed about how markets can work for public benefit

Recognition that interventions in markets needed

Purpose of Future Health Systems Research Consortium To generate knowledge that shapes health systems to benefit the world's poor To translate today's commitments to global health and development into sustainable improvements in health and reductions in poverty

To generate knowledge that shapes health systems to benefit the world's poor

To translate today's commitments to global health and development into sustainable improvements in health and reductions in poverty

JHSPH, USA IDS, UK UI, Nigeria IPH, Uganda IIHMR, Afghanistan IIHMR, India CHEI, China ICDDR, B, Bangladesh Partners of FHS DFID (United Kingdom) Financing for 2005-2010

>85 articles, chapters, reports Synthesizing current thinking, developing new frameworks for health systems in rapidly changing societies, poverty & health linkages Understanding health markets faced by the poor Introducing new approaches to organizing, regulating, financing

>85 articles, chapters, reports

Synthesizing current thinking, developing new frameworks for health systems in rapidly changing societies, poverty & health linkages

Understanding health markets faced by the poor

Introducing new approaches to organizing, regulating, financing

New Frameworks for Understanding Market Systems in Health

FHS Multiplier Effects through Collaboration Uganda: Creating transformative College of Health Sciences oriented around improving health outcomes Makerere University with JHU “twinning” plus many stakeholders Gates Foundation financing China: Linking rural health insurance and social safety net systems CHEI with multiple government agencies, international academic institutions (IDS, JHU, etc.) Central, state, and county government financing

Uganda: Creating transformative College of Health Sciences oriented around improving health outcomes

Makerere University with JHU “twinning” plus many stakeholders

Gates Foundation financing

China: Linking rural health insurance and social safety net systems

CHEI with multiple government agencies, international academic institutions (IDS, JHU, etc.)

Central, state, and county government financing

More FHS Multiplier Effects through Collaboration Afghanistan: Creating new national system for delivering package of services and accountability through contracting with NGOs, 3 rd party performance assessments and public review, operational research around innovations in financing for results MOPH with Development Partners with JHU-IIHMR Government, World Bank, USAID, EU, ADB financing Bangladesh: Creating Centre for Chronic Diseases in Bangladesh ICDDRB partnership with 7 institutions Ovations Foundation and NIH financing

Afghanistan: Creating new national system for delivering package of services and accountability through contracting with NGOs, 3 rd party performance assessments and public review, operational research around innovations in financing for results

MOPH with Development Partners with JHU-IIHMR

Government, World Bank, USAID, EU, ADB financing

Bangladesh: Creating Centre for Chronic Diseases in Bangladesh

ICDDRB partnership with 7 institutions

Ovations Foundation and NIH financing

Foundations Laid in Nigeria FHS scoping studies on local health markets for anti-malarial treatment Many innovations and research on innovations in Nigeria

FHS scoping studies on local health markets for anti-malarial treatment

Many innovations and research on innovations in Nigeria

Challenge for this meeting: Can we gain from sharing experience and collaborating on innovations in health in Nigeria? Can we collectively create new collaborative interventions in health markets in Nigeria to benefit the poor?

Can we gain from sharing experience and collaborating on innovations in health in Nigeria?

Can we collectively create new collaborative interventions in health markets in Nigeria to benefit the poor?

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