Future Health Systems: Innovations for Equity
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Future Health Systems: Innovations for Equity

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This presentation was given at the Future Health Systems Meeting in Abuja in January 2009.

This presentation was given at the Future Health Systems Meeting in Abuja in January 2009.

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Future Health Systems: Innovations for Equity Future Health Systems: Innovations for Equity Presentation Transcript

  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • Foundations Laid 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?
  • www.futurehealthsystems.org