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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.

Published in: Health & Medicine, Business
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Future Health Systems: Innovations for Equity

  1. 1. Future Health Systems Innovations for equity January 12, 2009 Abuja, Nigeria
  2. 2. Why Future Health Systems? The Future Is Not What it Used to Be <ul><li>Alma Ata: </li></ul><ul><ul><li>Scarcity of health services & medicines </li></ul></ul><ul><ul><li>State dominated health sectors </li></ul></ul><ul><ul><li>Need for enhanced role of communities </li></ul></ul><ul><ul><li>Poor are left behind </li></ul></ul><ul><li>Today: </li></ul><ul><ul><li>Marketized, pluralistic health systems </li></ul></ul><ul><ul><li>Need to involve many institutions </li></ul></ul><ul><ul><li>Health transitions </li></ul></ul><ul><ul><li>Technology and information explosions </li></ul></ul><ul><ul><li>Poor are still left behind </li></ul></ul>
  3. 3. What’s New Today? <ul><li>Renewed interest in change in societies, need for collaboration, engage many stakeholders </li></ul><ul><li>Recognition that new thinking is needed about how markets can work for public benefit </li></ul><ul><li>Recognition that interventions in markets needed </li></ul>
  4. 4. Purpose of Future Health Systems Research Consortium <ul><li>To generate knowledge that shapes health systems to benefit the world's poor </li></ul><ul><li>To translate today's commitments to global health and development into sustainable improvements in health and reductions in poverty </li></ul>
  5. 5. 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
  6. 6.
  7. 7. <ul><li>>85 articles, chapters, reports </li></ul><ul><li>Synthesizing current thinking, developing new frameworks for health systems in rapidly changing societies, poverty & health linkages </li></ul><ul><li>Understanding health markets faced by the poor </li></ul><ul><li>Introducing new approaches to organizing, regulating, financing </li></ul>
  8. 8. New Frameworks for Understanding Market Systems in Health
  9. 9. FHS Multiplier Effects through Collaboration <ul><li>Uganda: Creating transformative College of Health Sciences oriented around improving health outcomes </li></ul><ul><ul><li>Makerere University with JHU “twinning” plus many stakeholders </li></ul></ul><ul><ul><li>Gates Foundation financing </li></ul></ul><ul><li>China: Linking rural health insurance and social safety net systems </li></ul><ul><ul><li>CHEI with multiple government agencies, international academic institutions (IDS, JHU, etc.) </li></ul></ul><ul><ul><li>Central, state, and county government financing </li></ul></ul>
  10. 10. More FHS Multiplier Effects through Collaboration <ul><li>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 </li></ul><ul><ul><li>MOPH with Development Partners with JHU-IIHMR </li></ul></ul><ul><ul><li>Government, World Bank, USAID, EU, ADB financing </li></ul></ul><ul><li>Bangladesh: Creating Centre for Chronic Diseases in Bangladesh </li></ul><ul><ul><li>ICDDRB partnership with 7 institutions </li></ul></ul><ul><ul><li>Ovations Foundation and NIH financing </li></ul></ul>
  11. 11. Foundations Laid in Nigeria <ul><li>FHS scoping studies on local health markets for anti-malarial treatment </li></ul><ul><li>Many innovations and research on innovations in Nigeria </li></ul>
  12. 12. Challenge for this meeting: <ul><li>Can we gain from sharing experience and collaborating on innovations in health in Nigeria? </li></ul><ul><li>Can we collectively create new collaborative interventions in health markets in Nigeria to benefit the poor? </li></ul>
  13. 13.