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Goran Panel Goran

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From Health and Social Protection: Meeting the needs of the poor, 9-10 October 2008, www.povill.com

From Health and Social Protection: Meeting the needs of the poor, 9-10 October 2008, www.povill.com

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Goran Panel Goran Goran Panel Goran Presentation Transcript

  • Conference Health and social protection: Meeting the needs of the poor Vientiane 2008 [email_address] Research to Policy www.povill.com
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  • . View slide
  • Suggested topics for Health Systems Research Financial and human resources
    • Community-based financing and national health insurance
    • Human resources for health at the district level and below
    • Human resource requirements at higher management levels
    Organisation and delivery of health services
    • Community involvement
    • Equitable, effective and efficient health care
    • Private sector and approaches to the organization of health services
    • Drug and diagnostic policies
    Governance, stewardship, knowledge management
    • Governance and accountability
    • Health information systems
    • Priority setting and evidence-informed policy making
    • Effective approaches for intersectoral engagement in health
    Global influences Effects of global initiatives (GHI) on health systems View slide
  • World Report on Knowledge for Better Health – WHO 2004
    • Strengthen Health Systems
    • Health Systems Research
    • [email_address]
    • http://www.who.int/rpc/meetings/pub1/en/
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  • Function/action-based view on health system . Health goals Health actions Health system functions Enhancing responsiveness to the expectations of population Improving health Ensuring fairness in financial contribution
    • Respect for persons
    • Dignity
    • Confidentiality
    • Autonomy
    • Client orientation
    • Attention to health needs
    • Basic amenities (mainly in facilities)
    • Access to social support networks
    • Choice of providers
    Improving average level of population health Alleviating health distribution inequalities within population Pooling financial risks Poor pay less than affluent STEWARDSHIP FINANCING SERVICE PROVISION RESOURCE GENERATION
  • Health Policy Models .
    • Rationalist
    • Incrementalist (“muddling through”)
    • Walt's “Stages” Model
    • Problem identification
    • Policy formulation
    • Policy implementation
    • Policy evaluation
  • Eviden ce Research Health care policy System- adaptation Implement ation Follow up Feedback (Muir Gray:2001)
  • ” Translating” Evidence Action Factors influencing the use of research evidence (adapted from Rehnqvist)
  • The weak evidence that exist on policy makers use of evidence suggests that to increase use researchers should:
    • Have personal and close two-way communication with decision makers
    • Provide decision makers a brief summary with policy recommendations
    • Ensure that research is perceived as timely, relevant and of high quality
    • Include effectiveness data
    • Argue that research are relevant to the demands of policy makers and the community
    Innvaer et al:2002
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