Making Quality Healthcare Affordable to Low Income GroupsIDS
This is a presentation on the Hygeia Community Health Plan Model that was given to a meeting hosted by Future Health Systems in Abuja in January 2009 www.futurehealthsystems.org.
Sustainability and transition - Nicolas Cantau, The Global FundOECD Governance
This presentation was made by Nicolas Cantau, The Global Fund, at the 2nd Health Systems Joint Network Meeting for Central, Eastern and Southeastern European Countries held in Tallinn, Estonia, on 1-2 December 2016
HEALTH SITUATION The population of the country has incr.docxAASTHA76
HEALTH SITUATION
The population of the country has increased by 45.8% in the past 25 years, reaching 29.9 million in
2015. It is estimated that 17.5% of the population lives in rural settings (2012), 17.2% of the
population is between the ages of 15 and 24 years (2015) and life expectancy at birth is 76 years
(2012). The literacy rate for youth (15 to 24 years) is 99.2%, for total adults 94.4% (2013), and for
adult females 91.4% (2012).
The burden of disease (2012) attributable to communicable diseases is 12.6%, noncommunicable
diseases 78.0% and injuries 9.4%. The share of out-of-pocket expenditure was 19.8% in 2013 and
the health workforce density is 26.5 physicians and 53.73 nu rses and midwives per 10 000
population (2014).
HEALTH POLICIES AND SYSTEMS
The National Transformation Program 2020 identifies interventions for health system
strengthening, health promotion and control of noncommunicable diseases, control of
communicable diseases, health security, and improving partnerships for health development. In
addition, the National Transformation Program 2020 aims to improve the planning, production
and management of the health workforce. It has also prioritized the growing private sector with a
focus on better regulation and public–private sector partnerships. Promoting health in all policies
and greater intersectoral collaboration at national and subnational levels have been identified as
national priorities for the current planning cycle. Decentralization needs strengthening and the
strategy has identified mechanisms for empowering the subnational level. Capacity-building and
greater investments are other interventions outlined in the National Transformation Program
2020. The strategy also includes the strengthening of the monitoring and evaluation of national
health plans, using a user-friendly set of indicators. The health system is largely funded through
the government budget, which is mainly financed by oil revenues. However, due to the drop in oil
revenues, there is a risk that the decrease in national revenues will adversely affect national
expenditure on health. Identifying alternative sources of funding such as cost -sharing and
premium payments or implementation of health insurance is therefore advised. In addition, the
private sector needs to introduce some sort of social insurance.
The Ministry of Health provides primary health care services through a network of health care
centres, hospitals and primary health care facilities. The network of health infrastructure has
improved the access of populations in remote areas to health services and a referral system
provides curative care for all members of society from the level of general practitioners and family
physicians at centres to advanced specialist curative services in general and specialist hospitals.
New national policies and strategies for primary health care have been developed that are patient
centred and fo.
Making Quality Healthcare Affordable to Low Income GroupsIDS
This is a presentation on the Hygeia Community Health Plan Model that was given to a meeting hosted by Future Health Systems in Abuja in January 2009 www.futurehealthsystems.org.
Sustainability and transition - Nicolas Cantau, The Global FundOECD Governance
This presentation was made by Nicolas Cantau, The Global Fund, at the 2nd Health Systems Joint Network Meeting for Central, Eastern and Southeastern European Countries held in Tallinn, Estonia, on 1-2 December 2016
HEALTH SITUATION The population of the country has incr.docxAASTHA76
HEALTH SITUATION
The population of the country has increased by 45.8% in the past 25 years, reaching 29.9 million in
2015. It is estimated that 17.5% of the population lives in rural settings (2012), 17.2% of the
population is between the ages of 15 and 24 years (2015) and life expectancy at birth is 76 years
(2012). The literacy rate for youth (15 to 24 years) is 99.2%, for total adults 94.4% (2013), and for
adult females 91.4% (2012).
The burden of disease (2012) attributable to communicable diseases is 12.6%, noncommunicable
diseases 78.0% and injuries 9.4%. The share of out-of-pocket expenditure was 19.8% in 2013 and
the health workforce density is 26.5 physicians and 53.73 nu rses and midwives per 10 000
population (2014).
HEALTH POLICIES AND SYSTEMS
The National Transformation Program 2020 identifies interventions for health system
strengthening, health promotion and control of noncommunicable diseases, control of
communicable diseases, health security, and improving partnerships for health development. In
addition, the National Transformation Program 2020 aims to improve the planning, production
and management of the health workforce. It has also prioritized the growing private sector with a
focus on better regulation and public–private sector partnerships. Promoting health in all policies
and greater intersectoral collaboration at national and subnational levels have been identified as
national priorities for the current planning cycle. Decentralization needs strengthening and the
strategy has identified mechanisms for empowering the subnational level. Capacity-building and
greater investments are other interventions outlined in the National Transformation Program
2020. The strategy also includes the strengthening of the monitoring and evaluation of national
health plans, using a user-friendly set of indicators. The health system is largely funded through
the government budget, which is mainly financed by oil revenues. However, due to the drop in oil
revenues, there is a risk that the decrease in national revenues will adversely affect national
expenditure on health. Identifying alternative sources of funding such as cost -sharing and
premium payments or implementation of health insurance is therefore advised. In addition, the
private sector needs to introduce some sort of social insurance.
The Ministry of Health provides primary health care services through a network of health care
centres, hospitals and primary health care facilities. The network of health infrastructure has
improved the access of populations in remote areas to health services and a referral system
provides curative care for all members of society from the level of general practitioners and family
physicians at centres to advanced specialist curative services in general and specialist hospitals.
New national policies and strategies for primary health care have been developed that are patient
centred and fo.
Why Data-Driven Healthcare Is the Best Defense Against COVID-19Health Catalyst
COVID-19 has given data-driven healthcare the opportunity to prove its value on the national and global stages. Health systems, researchers, and policymakers have leveraged data to drive critical decisions from short-term emergency response to long-term recovery planning.
Five areas of pandemic response and recovery stand out for their robust use of data and measurable impact on the course of the outbreak and the individuals and frontline providers at its center:
Scaling the hospital command center to pandemic proportions.
Meeting patient surge demands on hospital capacity.
Controlling disease spread.
Fueling global research.
Responding to financial strain.
Universal health coverage (UHC) means that all people receive the quality, essential health services they need, without being exposed to financial hardship.
A significant number of countries, at all levels of development, are embracing the goal of UHC as the right thing to do for their citizens. It is a powerful social equalizer and contributes to social cohesion and stability. Every country has the potential to improve the performance of its health system in the main dimensions of UHC: coverage of quality services and financial protection for all. Priorities, strategies and implementation plans for UHC will differ from one country to another.
Moving towards UHC is a dynamic, continuous process that requires changes in response to shifting demographic, epidemiological and technological trends, as well as people’s expectations. But in all cases, countries need to integrate regular monitoring of progress towards targets into their plans.
In May 2014, the World Health Organization and the World Bank jointly launched a monitoring framework for UHC, based on broad consultation of experts from around the world. The framework focuses on indicators and targets for service coverage – including promotion, prevention, treatment, rehabilitation and palliation – and financial protection for all. This report provides the first global assessment of the current situation and aims to show how progress towards UHC can be measured.
A majority of countries are already generating credible, comparable data on both health service and financial protection coverage. Nevertheless, there are data blind spots on key public health concerns such as the effective treatment of noncommunicable diseases, the quality of health services and coverage among the most disadvantaged populations within countries.
UHC is a critical component of the new Sustainable Development Goals (SDGs) which include a specific health goal: “Ensure healthy lives and promote wellbeing for all at all ages”. Within this health goal, a specific target for UHC has been proposed: “Achieve UHC, including financial risk protection, access to quality essential health care services and access to safe, effective, quality and affordable essential medicines and vaccines for all”. In this context, the opportunity exists to unite global health and the fight against poverty through action that is focussed on clear goals. Supporting the right to health and ending extreme poverty can both be pursued through universal health coverage.
The purpose of this presentation is to equip audiences with the ability to:
Define universal health coverage (UHC) and understand the basic tenets of UHC
Identify how UHC fits in USAID’s health and poverty reduction strategies
Effectively communicate to country stakeholders how USAID can support a country’s progress towards UHC
Identify relevant UHC resources within the Office of Health Systems and USAID
The presentation is part of the “UHC Toolkit” and accompanies Universal Health Coverage: An Annotated Bibliography, and Universal Health Coverage: Frequently Asked Questions.
Claudia Llanten, MD, MPH of CMMB describes the importance of immunization in protecting the health of children and adults and how CMMB partners with other organizations to deliver vaccines at the CCIH 2018 conference.
Maximizing the Impact Of Global Fund Investments by Improving the Health of W...theglobalfight
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COVID-19 has given data-driven healthcare the opportunity to prove its value on the national and global stages. Health systems, researchers, and policymakers have leveraged data to drive critical decisions from short-term emergency response to long-term recovery planning.
Five areas of pandemic response and recovery stand out for their robust use of data and measurable impact on the course of the outbreak and the individuals and frontline providers at its center:
Scaling the hospital command center to pandemic proportions.
Meeting patient surge demands on hospital capacity.
Controlling disease spread.
Fueling global research.
Responding to financial strain.
Universal health coverage (UHC) means that all people receive the quality, essential health services they need, without being exposed to financial hardship.
A significant number of countries, at all levels of development, are embracing the goal of UHC as the right thing to do for their citizens. It is a powerful social equalizer and contributes to social cohesion and stability. Every country has the potential to improve the performance of its health system in the main dimensions of UHC: coverage of quality services and financial protection for all. Priorities, strategies and implementation plans for UHC will differ from one country to another.
Moving towards UHC is a dynamic, continuous process that requires changes in response to shifting demographic, epidemiological and technological trends, as well as people’s expectations. But in all cases, countries need to integrate regular monitoring of progress towards targets into their plans.
In May 2014, the World Health Organization and the World Bank jointly launched a monitoring framework for UHC, based on broad consultation of experts from around the world. The framework focuses on indicators and targets for service coverage – including promotion, prevention, treatment, rehabilitation and palliation – and financial protection for all. This report provides the first global assessment of the current situation and aims to show how progress towards UHC can be measured.
A majority of countries are already generating credible, comparable data on both health service and financial protection coverage. Nevertheless, there are data blind spots on key public health concerns such as the effective treatment of noncommunicable diseases, the quality of health services and coverage among the most disadvantaged populations within countries.
UHC is a critical component of the new Sustainable Development Goals (SDGs) which include a specific health goal: “Ensure healthy lives and promote wellbeing for all at all ages”. Within this health goal, a specific target for UHC has been proposed: “Achieve UHC, including financial risk protection, access to quality essential health care services and access to safe, effective, quality and affordable essential medicines and vaccines for all”. In this context, the opportunity exists to unite global health and the fight against poverty through action that is focussed on clear goals. Supporting the right to health and ending extreme poverty can both be pursued through universal health coverage.
The purpose of this presentation is to equip audiences with the ability to:
Define universal health coverage (UHC) and understand the basic tenets of UHC
Identify how UHC fits in USAID’s health and poverty reduction strategies
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Accelerating the prevention, control and elimination of communicable diseases through integration: optimizing support from Gavi and the Global Fund
1. 1
Accelerating progress on
communicable diseases
through optimizing
support from the Global
Fund and Gavi
Director, UHC/Department of Communicable Diseases
Dr Yvan Hutin
2. 2
Vaccination outreach
Can we accelerate progress towards the SDG targets for
communicable diseases?
Gavi and Global Fund allow scaled up activities…
2020
estimate
2030
SDG
target
Relative
coverage
gap
Incidence
excess
DPT3 coverage (%) 81 90 -10% -
TB incidence per 100 000 112 58 - 93%
HIV incidence per 1000 0.06 0.025 - 140%
Malaria incidence per 1000* 11 0.93 - 1104%
* Among at risk population
Impregnated
bed nets
distribution
…yetwearerunningoutof time
toclosethegaponSDGtargets
3. Objective:
Optimize return on investments from Global Fund and Gavi
3
Global Fund and Gavi grants in Region,
2000-2019: A substantial investment
Gavi: 2.4 billion
Global Fund: 2.2 billion
Can Member States do things
differently in collaboration with
WHO, Gavi and the Global Fund?
Seize the opportunity of new Global
Fund and Gavi strategies
Reduce inequities though people-
centred approaches
Collaborate as per the Global Action
Plan
4. 4
Analysis for a health system approach
Communicable diseases programmes
Health systems
1. Governance 2. Financing
3. Service
delivery
4. Health
workforce
5. Access
to commodities
6. Health
information
system
5. 5
What are the missed opportunities
to do more with what we have?
Separate plans and insufficient coordination
Insufficient domestic financing and fragmentation
Narrow programme- or project-based approaches
Specific in-service training and financial incentives
- Limited understanding of labour market
Missed opportunities to apply best practices
Fragmented data systems
7. What if everything started with
the national health strategy?
7
1. Governance
Allow the national health vision to
direct contributions
Integrate governance under Ministry
of Health
Harmonizing the work of coordinating
mechanisms and committees to align
programmes with the national strategy
8. 8
2. Financing
What if we mitigate consequences of excessive
earmarking?
Increase domestic public financing
Improve cross-programmatic
efficiencies
Consolidating contributions
from donors and lenders in the
national health account to
address fragmentation
9. 9
3. Service delivery
What if we switch from a
programme-focus to a person-focus?
Include interventions in essential packages
Use integrated PHC for UHC, people-
centred approaches to increase coverage,
starting with underserved/vulnerable
communities
Integrating outreach to package more
antigens and interventions with COVID-19
vaccination campaigns
10. 10
4. Health workforce
What if we go beyond siloed
training and incentives?
Comprehensive human resources for health
(HRH) approaches
Policies for health care workers:
Attract, build capacity and retain
Building a cadre of mid-level managers to
integrate supportive supervision in the field
11. 11
5. Commodities
What if we replicate international
good practices in countries?
Develop integrated capacity for
procurement
and supply chain management
Ensuring quality at low prices:
• International tenders, pooled procurement
• Pre-qualification
• Optimized supply chain management
12. 12
6. Health
information systems
What if we used data for decision-
making in more programmes and
services?
Consolidate data systems used for
surveillance,
monitoring and evaluation
Integrating data systems electronically to
replace paper-based registers
13. 13
We have a clear way
forward to make it happen
Annex 1
• Country outcomes – recommended actions presented so far
• WHO contributions to facilitate these country outcomes
• Baseline and target indicators
Engaging the Global Fund and Gavi
Costed implementation plan
14. 14
Call for action:
A system-wide,
health for all by
all approach
THANK YOU – MERCI - شكرا
Driven by the national health sector strategy
De-fragment and integrate services and functions
Reach the unreached and vulnerable, reduce
inequities, achieve the SDGs