The Ethiopian Government is moving aggressively to expand access to oxygen, especially to drive down maternal and child deaths. Learn how the Clinton Health Access Initiative is supporting this critical effort.
Public health system development in Latvia; Iveta Pudule , Centre of Health Economics
Anita Villerusa, Rigas Stradins’ University, The Centre of Health Economics, 25.08.2011 Turku, 10th Nordic Public Health Conference
Lessons in the Integration of CMAM & IMCI Activities_Whitney_5.12.11CORE Group
Acute malnutrition is present all over the Democratic Republic of Congo, with causes related to both structural and contextual factors. Coverage of nutrition programs is currently poor. The document discusses opportunities to scale up the Community Management of Acute Malnutrition (CMAM) approach in DRC through collaboration between the Ministry of Health, Action Contre la Faim (ACF), and communities. ACF's strategy involves supporting management and implementation at local, provincial, and central levels through various capacity building and material support activities. Challenges that still need addressing include short funding cycles and bottlenecks in the supply of ready-to-use therapeutic food.
The document describes OpenTele, an open source home health monitoring platform developed by Silverbullet for the Danish healthcare system. It addresses existing problems with remote monitoring systems by keeping things simple, scalable, and affordable. OpenTele uses workflows and questionnaires to collect both automatic and manual patient measurements. It has a web portal for clinicians and an app for patients. The platform is designed to support large-scale deployments and integrate with other systems. Over 2000 Danish patients currently use OpenTele, and the company aims to achieve CE medical device certification by mid-2015.
The document discusses New Zealand's Health IT Programme from 2015-2020. The program aims to create a uniform, standards-based health information environment for New Zealanders. It focuses on 4 key areas: 1) establishing a single longitudinal electronic health record, 2) creating a common digital hospital blueprint, 3) designing an IT prevention platform, and 4) using data to support health and social investments. The next steps are to design implementation plans over the next 6-9 months and benchmark hospital EMR maturity in 2016. The goals are to improve the customer and clinician experience, support prevention, and increase efficiency and productivity across the health sector.
Dr Caroline Brown, Programme Manager, Influenza and Other Respiratory Pathogens, Thomas Hofmann, IHR Area Coordinator, Communicable Diseases and Health Security
Public health system development in Latvia; Iveta Pudule , Centre of Health Economics
Anita Villerusa, Rigas Stradins’ University, The Centre of Health Economics, 25.08.2011 Turku, 10th Nordic Public Health Conference
Lessons in the Integration of CMAM & IMCI Activities_Whitney_5.12.11CORE Group
Acute malnutrition is present all over the Democratic Republic of Congo, with causes related to both structural and contextual factors. Coverage of nutrition programs is currently poor. The document discusses opportunities to scale up the Community Management of Acute Malnutrition (CMAM) approach in DRC through collaboration between the Ministry of Health, Action Contre la Faim (ACF), and communities. ACF's strategy involves supporting management and implementation at local, provincial, and central levels through various capacity building and material support activities. Challenges that still need addressing include short funding cycles and bottlenecks in the supply of ready-to-use therapeutic food.
The document describes OpenTele, an open source home health monitoring platform developed by Silverbullet for the Danish healthcare system. It addresses existing problems with remote monitoring systems by keeping things simple, scalable, and affordable. OpenTele uses workflows and questionnaires to collect both automatic and manual patient measurements. It has a web portal for clinicians and an app for patients. The platform is designed to support large-scale deployments and integrate with other systems. Over 2000 Danish patients currently use OpenTele, and the company aims to achieve CE medical device certification by mid-2015.
The document discusses New Zealand's Health IT Programme from 2015-2020. The program aims to create a uniform, standards-based health information environment for New Zealanders. It focuses on 4 key areas: 1) establishing a single longitudinal electronic health record, 2) creating a common digital hospital blueprint, 3) designing an IT prevention platform, and 4) using data to support health and social investments. The next steps are to design implementation plans over the next 6-9 months and benchmark hospital EMR maturity in 2016. The goals are to improve the customer and clinician experience, support prevention, and increase efficiency and productivity across the health sector.
Dr Caroline Brown, Programme Manager, Influenza and Other Respiratory Pathogens, Thomas Hofmann, IHR Area Coordinator, Communicable Diseases and Health Security
This document is the NHS Atlas of Variation in Healthcare for People with Diabetes from May 2012. It summarizes that in 2010/11 there were over 2.4 million people in England diagnosed with diabetes, which is estimated to rise to over 3.8 million by 2020. It also discusses that treating diabetes is costly, with prescribing costs rising over 40% from 2005/06 to 2010/11. Additionally, it notes that many people with diabetes do not receive all recommended care processes and over 30% do not meet treatment targets for blood sugar and blood pressure levels.
The WHO Health Emergencies Programme in the European Region focuses on several priority areas:
1) Country health emergency preparedness and International Health Regulations core capacity building.
2) Health emergency information and risk assessment through 24/7 monitoring and early detection of public health events.
3) Emergency operations management for graded health emergencies and coordination of partner responses.
4) Infectious hazard management including prevention and control strategies for high-threat pathogens.
The Programme operates through core services and is working to ensure countries have the capacities for all-hazards health emergency risk management.
Prepared and presented for guest lecturing at Binus International Program, Jakarta, December 2018.
This presentation discuss about how to minimize project risks by avoiding big bang approach, and by fail early and fail fast.
Strategic directions for the health sector response to viral hepatitis include:
1) Improving surveillance and estimates of disease burden to focus action.
2) Defining essential intervention packages and setting national targets for coverage.
3) Addressing barriers like stigma to make hepatitis services accessible for all populations.
4) Building political commitment and innovative funding approaches for sustainable financing.
5) Prioritizing hepatitis research and rapidly translating findings into practice.
The action plan aims to halt transmission of hepatitis and ensure treatment access for all by 2030.
Presentation from the 3rd Joint Meeting of the Antimicrobial Resistance and Healthcare-Associated Infections (ARHAI) Networks, organised by the European Centre of Disease Prevention and Control - Stockholm, 11-13 February 2015
The document outlines an action plan for the health sector response to HIV in Europe with the vision of ending the AIDS epidemic as a public health threat by 2030. It identifies five strategic directions: (1) using data to guide focused services, (2) prioritizing prevention and treatment interventions, (3) delivering equitable services based on human rights, (4) financing a sustainable response, and (5) stimulating innovation. Fast-track actions are outlined under each strategic direction to strengthen coordination, expand testing and treatment, eliminate transmission, and transition to domestic financing. The draft resolution calls on countries to review strategies, strengthen prevention, ensure commitment and financing, and monitor implementation of the plan.
Presented by Oleg Chestnov, Assistant Director-General for Noncommunicable Diseases and Mental Health, WHO, at the 64th session of the WHO Regional Committee for Europe.
Barbara Cunningham, Deputy Director, Office of Pollution Prevention and Toxics, U.S. Environmental Protection Agency (U.S. EPA) and Chair of the SMOC Working Group of the Commission for Environmental Cooperation speaks at the Chemicals Management Forum in San Antonio, Texas, on May 15, 2012. More information at http://www.cec.org/chemicals2012
This document summarizes Ireland's national strategy for cancer control from 2015-2025. It outlines challenges such as low cancer survival rates compared to other European countries. Solutions proposed include centralizing specialist cancer services, expanding medical oncology nationwide, and developing a molecular diagnostics strategy. Key goals are to reduce cancer incidence and mortality through prevention, screening, and state-of-the-art treatment. The national cancer control program will focus on quality data, research, and addressing gaps in clinical staffing over the next ten years.
This document proposes publishing Ireland's hospital waiting lists in an open data format. It currently outlines:
1) Hospital waiting lists are published monthly as PDFs on the National Treatment Purchase Fund website in a closed format.
2) Publishing in an open data format would make the data machine-readable, with an open license, allowing others to easily import, analyze, and build graphs from the data.
3) The benefits of open data include increased transparency around waiting times, and reducing costs while increasing the value of the data for decision makers and the public.
4) Strategic actions proposed include having the NTPF Board adopt an open data policy, setting up an innovation forum, and having the HSE publish an open
Presentation of the Integrated eDiagnostic Approach (IeDA - http://ieda-project.org) during the 9th European Congress on Tropical Medicine and International Health (ECTMIH 2015) in Basel, Switzerland.
IeDA is a strategy aiming at strengthening health systems with the use of mobile technology, the appropriate use of data and targeted supervisions.
The four health systems of the United Kingdom: how do they compare?The Health Foundation
The document compares the four health systems of the United Kingdom and finds that while all have improved performance over 20 years, with Scotland showing improvements linked to targets and sanctions, the performance gap between England and others has narrowed. Spending has increased across all countries but slowed due to austerity. England performs marginally better on some indicators like mortality rates, but Scotland and Wales have seen waiting times rise since 2010. The North East of England has benefited from higher health spending and seen improvements in outcomes exceeding Scotland's gains over the same period.
Sabin SIF country ownership case studies IX.15Mike McQuestion
The document summarizes two case studies about addressing immunization financing challenges. In Uganda, legislation was passed after legislators organized exchanges and formed an immunization forum. This led to increased budgets and health worker hiring. In the Democratic Republic of Congo, monitoring budgets revealed cash hoarding. A parliamentary forum advocated for increased budgets, which rose with support from organizations. Both cases show the importance of legislation, advocacy, and oversight for sustainable immunization financing.
The EU Clinical Trials Directive implemented in 2004 had a negative impact on clinical trials in Europe, with applications decreasing 25% and administrative costs increasing 98% while delays rose 90%. To address these issues, the European Commission proposed a new EU Regulation in 2014 to simplify and harmonize rules for multi-country trials, streamline reporting requirements, and establish a more proportionate regulatory regime. The new EU Clinical Trials Regulation entered into force in 2016 and aims to speed up the launch of new clinical trials.
Indian Pharma Industry- Government of India’s initiativespharmacampus
The Indian government has taken several initiatives to develop the pharmaceutical industry and improve healthcare access in India. The Pharma Vision 2020 aims to make India a global drug discovery hub. Approval times for new facilities have been reduced and a single-window clearance system established. FDI norms have been relaxed and digital tracking of drug sales implemented. Mega bulk drug parks are being established to reduce raw material imports. The national budget increased health funding and various programs support research, women's health, and biotechnology development. The objective is for India to become self-sufficient in drug production while maintaining quality and accessibility.
The document discusses the Meaningful Use program which provides incentive payments to healthcare providers who demonstrate meaningful use of electronic health records (EHRs). Some key details include:
- Over $22.6 billion has been paid out through the program as of 2014.
- Providers can receive up to $24,000 total if they begin participating by July 2014 and complete all stages of meaningful use by 2016. Penalties will apply to those who do not participate starting in 2015.
- In 2014, over 16,000 optometrists and 11,000 ophthalmologists participated, receiving a total of $219 million and $167 million respectively. The top three states for payments were California, Texas, and Florida
- Activity based funding is a system used internationally to link healthcare funding to patient activity and counter inflationary incentives, emerging in the 1970s-2000s in countries like France, Germany, and the UK.
- It is used to clarify the connection between funding and healthcare activity levels and to link payment to efficiency and quality.
- While it is partially effective, price adjustments and supplementary payments are still sometimes needed, and not all parts of healthcare systems have adopted it.
- Qatar's emerging healthcare system shares similarities with countries like Ireland and is exploring adopting activity based funding models to support its national health strategy of developing comprehensive, high quality, and affordable services through needs-based and activity-funded healthcare planning.
Mirjam Maeusezahl: Joint External Evaluations (JEE) – Country experiences: Sw...THL
The document discusses Switzerland's participation in the Joint External Evaluation (JEE) conducted by the World Health Organization. It provides details on Switzerland's implementation of the International Health Regulations, the timeline and milestones of the JEE process, and lessons learned. Key results showed room for improvement in antimicrobial resistance detection and response as well as strengthening surveillance systems for zoonotic diseases. Switzerland adapted the WHO National Action Plan template to monitor progress in addressing JEE recommendations internally.
The document summarizes progress made under Ireland's National Action Plan on Antimicrobial Resistance 2017-2020 (iNAP 1) and outlines plans for iNAP 2. It discusses successes in areas like surveillance, guidelines and awareness campaigns. It also notes challenges from COVID-19, which led to delays in developing iNAP 2. Resources have been substantially invested in 2018-2021 to support iNAP 1 goals and respond to COVID-19, including new IPC staff across healthcare settings. Stakeholder engagement for iNAP 2 will begin following scoping of ongoing activities and lessons from COVID-19.
This document is the NHS Atlas of Variation in Healthcare for People with Diabetes from May 2012. It summarizes that in 2010/11 there were over 2.4 million people in England diagnosed with diabetes, which is estimated to rise to over 3.8 million by 2020. It also discusses that treating diabetes is costly, with prescribing costs rising over 40% from 2005/06 to 2010/11. Additionally, it notes that many people with diabetes do not receive all recommended care processes and over 30% do not meet treatment targets for blood sugar and blood pressure levels.
The WHO Health Emergencies Programme in the European Region focuses on several priority areas:
1) Country health emergency preparedness and International Health Regulations core capacity building.
2) Health emergency information and risk assessment through 24/7 monitoring and early detection of public health events.
3) Emergency operations management for graded health emergencies and coordination of partner responses.
4) Infectious hazard management including prevention and control strategies for high-threat pathogens.
The Programme operates through core services and is working to ensure countries have the capacities for all-hazards health emergency risk management.
Prepared and presented for guest lecturing at Binus International Program, Jakarta, December 2018.
This presentation discuss about how to minimize project risks by avoiding big bang approach, and by fail early and fail fast.
Strategic directions for the health sector response to viral hepatitis include:
1) Improving surveillance and estimates of disease burden to focus action.
2) Defining essential intervention packages and setting national targets for coverage.
3) Addressing barriers like stigma to make hepatitis services accessible for all populations.
4) Building political commitment and innovative funding approaches for sustainable financing.
5) Prioritizing hepatitis research and rapidly translating findings into practice.
The action plan aims to halt transmission of hepatitis and ensure treatment access for all by 2030.
Presentation from the 3rd Joint Meeting of the Antimicrobial Resistance and Healthcare-Associated Infections (ARHAI) Networks, organised by the European Centre of Disease Prevention and Control - Stockholm, 11-13 February 2015
The document outlines an action plan for the health sector response to HIV in Europe with the vision of ending the AIDS epidemic as a public health threat by 2030. It identifies five strategic directions: (1) using data to guide focused services, (2) prioritizing prevention and treatment interventions, (3) delivering equitable services based on human rights, (4) financing a sustainable response, and (5) stimulating innovation. Fast-track actions are outlined under each strategic direction to strengthen coordination, expand testing and treatment, eliminate transmission, and transition to domestic financing. The draft resolution calls on countries to review strategies, strengthen prevention, ensure commitment and financing, and monitor implementation of the plan.
Presented by Oleg Chestnov, Assistant Director-General for Noncommunicable Diseases and Mental Health, WHO, at the 64th session of the WHO Regional Committee for Europe.
Barbara Cunningham, Deputy Director, Office of Pollution Prevention and Toxics, U.S. Environmental Protection Agency (U.S. EPA) and Chair of the SMOC Working Group of the Commission for Environmental Cooperation speaks at the Chemicals Management Forum in San Antonio, Texas, on May 15, 2012. More information at http://www.cec.org/chemicals2012
This document summarizes Ireland's national strategy for cancer control from 2015-2025. It outlines challenges such as low cancer survival rates compared to other European countries. Solutions proposed include centralizing specialist cancer services, expanding medical oncology nationwide, and developing a molecular diagnostics strategy. Key goals are to reduce cancer incidence and mortality through prevention, screening, and state-of-the-art treatment. The national cancer control program will focus on quality data, research, and addressing gaps in clinical staffing over the next ten years.
This document proposes publishing Ireland's hospital waiting lists in an open data format. It currently outlines:
1) Hospital waiting lists are published monthly as PDFs on the National Treatment Purchase Fund website in a closed format.
2) Publishing in an open data format would make the data machine-readable, with an open license, allowing others to easily import, analyze, and build graphs from the data.
3) The benefits of open data include increased transparency around waiting times, and reducing costs while increasing the value of the data for decision makers and the public.
4) Strategic actions proposed include having the NTPF Board adopt an open data policy, setting up an innovation forum, and having the HSE publish an open
Presentation of the Integrated eDiagnostic Approach (IeDA - http://ieda-project.org) during the 9th European Congress on Tropical Medicine and International Health (ECTMIH 2015) in Basel, Switzerland.
IeDA is a strategy aiming at strengthening health systems with the use of mobile technology, the appropriate use of data and targeted supervisions.
The four health systems of the United Kingdom: how do they compare?The Health Foundation
The document compares the four health systems of the United Kingdom and finds that while all have improved performance over 20 years, with Scotland showing improvements linked to targets and sanctions, the performance gap between England and others has narrowed. Spending has increased across all countries but slowed due to austerity. England performs marginally better on some indicators like mortality rates, but Scotland and Wales have seen waiting times rise since 2010. The North East of England has benefited from higher health spending and seen improvements in outcomes exceeding Scotland's gains over the same period.
Sabin SIF country ownership case studies IX.15Mike McQuestion
The document summarizes two case studies about addressing immunization financing challenges. In Uganda, legislation was passed after legislators organized exchanges and formed an immunization forum. This led to increased budgets and health worker hiring. In the Democratic Republic of Congo, monitoring budgets revealed cash hoarding. A parliamentary forum advocated for increased budgets, which rose with support from organizations. Both cases show the importance of legislation, advocacy, and oversight for sustainable immunization financing.
The EU Clinical Trials Directive implemented in 2004 had a negative impact on clinical trials in Europe, with applications decreasing 25% and administrative costs increasing 98% while delays rose 90%. To address these issues, the European Commission proposed a new EU Regulation in 2014 to simplify and harmonize rules for multi-country trials, streamline reporting requirements, and establish a more proportionate regulatory regime. The new EU Clinical Trials Regulation entered into force in 2016 and aims to speed up the launch of new clinical trials.
Indian Pharma Industry- Government of India’s initiativespharmacampus
The Indian government has taken several initiatives to develop the pharmaceutical industry and improve healthcare access in India. The Pharma Vision 2020 aims to make India a global drug discovery hub. Approval times for new facilities have been reduced and a single-window clearance system established. FDI norms have been relaxed and digital tracking of drug sales implemented. Mega bulk drug parks are being established to reduce raw material imports. The national budget increased health funding and various programs support research, women's health, and biotechnology development. The objective is for India to become self-sufficient in drug production while maintaining quality and accessibility.
The document discusses the Meaningful Use program which provides incentive payments to healthcare providers who demonstrate meaningful use of electronic health records (EHRs). Some key details include:
- Over $22.6 billion has been paid out through the program as of 2014.
- Providers can receive up to $24,000 total if they begin participating by July 2014 and complete all stages of meaningful use by 2016. Penalties will apply to those who do not participate starting in 2015.
- In 2014, over 16,000 optometrists and 11,000 ophthalmologists participated, receiving a total of $219 million and $167 million respectively. The top three states for payments were California, Texas, and Florida
- Activity based funding is a system used internationally to link healthcare funding to patient activity and counter inflationary incentives, emerging in the 1970s-2000s in countries like France, Germany, and the UK.
- It is used to clarify the connection between funding and healthcare activity levels and to link payment to efficiency and quality.
- While it is partially effective, price adjustments and supplementary payments are still sometimes needed, and not all parts of healthcare systems have adopted it.
- Qatar's emerging healthcare system shares similarities with countries like Ireland and is exploring adopting activity based funding models to support its national health strategy of developing comprehensive, high quality, and affordable services through needs-based and activity-funded healthcare planning.
Mirjam Maeusezahl: Joint External Evaluations (JEE) – Country experiences: Sw...THL
The document discusses Switzerland's participation in the Joint External Evaluation (JEE) conducted by the World Health Organization. It provides details on Switzerland's implementation of the International Health Regulations, the timeline and milestones of the JEE process, and lessons learned. Key results showed room for improvement in antimicrobial resistance detection and response as well as strengthening surveillance systems for zoonotic diseases. Switzerland adapted the WHO National Action Plan template to monitor progress in addressing JEE recommendations internally.
The document summarizes progress made under Ireland's National Action Plan on Antimicrobial Resistance 2017-2020 (iNAP 1) and outlines plans for iNAP 2. It discusses successes in areas like surveillance, guidelines and awareness campaigns. It also notes challenges from COVID-19, which led to delays in developing iNAP 2. Resources have been substantially invested in 2018-2021 to support iNAP 1 goals and respond to COVID-19, including new IPC staff across healthcare settings. Stakeholder engagement for iNAP 2 will begin following scoping of ongoing activities and lessons from COVID-19.
10.10 infection prevention and control ruth mayNHS England
Ruth May provides an update on efforts to reduce healthcare associated gram-negative bloodstream infections (GNBSI) in the UK by 50% by 2021. Key achievements include developing an improvement resource hub, expanding mandatory surveillance, and engaging over 1000 healthcare professionals. Challenges include reducing infections outside hospitals and improving risk factor data collection. Upcoming initiatives include a urinary tract infection collaborative and an executive masterclass on E. coli and UTIs. Continued progress requires coordinated action across health and social care to implement evidence-based practices.
NHS Improvement AMS Workshop London 5th May4 All of Us
Hosted by both NHS Improvement and Public Health England, this workshop, intended for NHS staff involved with antimicrobial stewardship activities within primary care; commissioning organisations; acute, community and mental health care provider organisations.
1. Learn about what is new in 2016-17 – AMR CQUIN & Quality Premium; PHE Fingertips; Behavioural strategies for AMR
2. Sharing success – learn about what worked well
3. Discuss what this means for your local health economy
4. Start planning local AMR networks – what might these look like? How to get started
The document summarizes progress on health in Uzbekistan between 2016-2020 under the UNDAF. Key achievements include reducing tuberculosis cases and mortality, adopting WHO guidelines on HIV/AIDS treatment, strengthening immunization programs, ratifying the WHO Framework Convention on Tobacco Control, and decreasing maternal and infant mortality rates. It outlines priorities for 2018-2020 such as strengthening health systems, integrating SDG monitoring, and addressing communicable and non-communicable diseases. Actual UN agency spending on health totaled $4.9 million from 2016-2017.
Lao PDR_Session 3_Key findings and analysis_final.pptxTickThongdeuane1
This document summarizes healthcare waste management in Lao PDR. It finds that while awareness and training are provided, adherence and compliance need improvement. National policies and plans exist but budgets are insufficient. Practical guidance is available but not fully implemented. Technology availability is limited, with autoclaves only in 58% of district hospitals. Recommendations include expanded training, updated guidelines, and providing autoclaves and wastewater treatment to more facilities. Benchmarking against the Gavi maturity model shows Lao PDR scoring highest in policies and lowest in budget and technology, with an overall score of 2.3 out of 5.
The document provides a commercial update for May 2016, including:
- Updates on programmes like sustainability and transformation partnerships, vanguards, and the Five Year Forward View.
- Information on changes to procurement regulations and the standard NHS contract for 2016/17.
- New features like "Our Insights" focusing on myths around competitive dialogue and submitting compliant tenders.
- Sections with commissioner updates, provider updates, and notices about procurement and contracts.
The document provides a commercial update for May 2016, including:
- STPs will require local health systems to collaborate on 5-year plans to improve quality, finances, and population health.
- Vanguards are sharing learning through podcasts on integrated care models.
- The Better Care Fund is being implemented for 2016/17 to further integrate health and social care.
- Capitation payments may be implemented in 2017 to support new care models.
- Emerging digital technologies may transform health and care delivery.
A benefits case study describing how national stakeholders have used HSCIC's immunisation statistics to help drive improvements in immunisation services and inform decisions when managing disease outbreaks
This document provides updates on several antenatal screening programs in the UK, including fetal anomaly screening, infectious disease screening, sickle cell and thalassemia screening, and implementation of non-invasive prenatal testing. Key points discussed include completion of regional workshops on ultrasound screening, rollout of new screening tests for twins and revisions to online training modules. Plans are outlined to streamline data collection, improve timeliness of sickle cell and thalassemia screening, and conduct public engagement activities to increase early testing rates.
The document discusses South Africa's PMTCT (prevention of mother-to-child transmission) programme. It notes that around 300,000 mothers need treatment each year, with transmission rates currently around 11% and a goal of reducing to 5% by 2011. Coverage of testing and treatment through public primary health facilities has reached 95%. Key players in PMTCT implementation include the government, donors, civil society organizations, and the private sector.
FPAN was established in 1959 and is a major provider of family planning services in Nepal. It aims to provide sexual and reproductive health services to marginalized communities. The internship report summarizes the managerial aspects and programs of FPAN's Kaski branch. It finds that the branch provides various family planning methods and sexual health services. A mini-action project assessed client satisfaction with family planning services and found opportunities to improve quality of care.
UHC and Benefits Package Design - Afghanistan expereince.pptxNajibullah Safi
The document summarizes Afghanistan's experience transitioning from the Basic Package of Health Services (BPHS) and Essential Package of Hospital Services (EPHS) to a new Integrated Package of Essential Health Services (IPEHS). It describes the process of developing the IPEHS through expert committees and working groups. The IPEHS was officially launched in 2019 but implementation has faced challenges due to political instability, lack of government recognition, and dependency on donor funding. Key lessons highlight the need for inclusive stakeholder engagement, political commitment beyond just the Ministry of Public Health, and capacity building to support the transition to the new package.
The document summarizes the presentation made to the Joint Budget Committee on medium-term sector and departmental policy priorities and the medium-term budget policy statement for 2008/09. It outlines 8 health sector priorities, including strengthening health programs, improving health facilities, developing health information systems, and strengthening human resources for health. It then provides updates on progress made towards objectives, such as increasing immunization coverage, expanding access to HIV treatment, and developing plans and legislation around the national health insurance system. Key challenges are also mentioned, such as inadequate health information infrastructure and personnel shortages.
This document discusses global health security challenges and progress in Pakistan. It outlines the emergence of infectious diseases due to globalization, and increasing threats from deliberate biological attacks. The International Health Regulations (IHR) were established in 2005 to help countries address these issues. Pakistan conducted a Joint External Evaluation in 2016 to assess its progress in building IHR core capacities across prevention, detection, response and other areas. While progress has been made establishing coordination mechanisms and surveillance systems, challenges remain around multi-sectoral coordination, implementing a national action plan, and developing uniform standards across areas like food safety and antimicrobial resistance. Active involvement of security agencies is also needed given implications for security and the economy.
The document summarizes Portugal's experience with the International Classification for Nursing Practice (ICNP). It discusses Portugal's endorsement of ICNP as the standard nursing terminology, and outlines strategies used to translate, validate, disseminate, and implement ICNP in Portugal. This included establishing a working group, collaborating with various stakeholders, conducting translation and validation studies, and surveying use of ICNP in Portuguese healthcare institutions. The results indicate ICNP is being used to document nursing care by over 30 institutions in Portugal.
Assessment Of RMNCH Functionality In Health Facilities in Osun State, NigeriaHFG Project
This document summarizes an assessment of reproductive, maternal, newborn and child health functionality in health facilities in Osun State, Nigeria. It was conducted by Abt Associates in collaboration with other organizations as part of the USAID Health Finance and Governance Project. The assessment aimed to determine service delivery readiness in primary health centers for the Basic Health Care Provision Fund pilot. Key findings included inadequate health facility infrastructure, shortages of health workers and equipment, and gaps in administrative and referral systems. The results provide baseline data on capacity for implementing health financing reforms in Osun State under the National Health Act.
Covid 19 continuation of essential health servicesNajibullah Safi
This document discusses strategies for sustaining non-COVID-19 essential health services in Afghanistan during the COVID-19 pandemic. It notes that health service utilization has decreased and some providers have been affected by COVID-19. WHO recommended 10 strategic actions including prioritizing essential services, optimizing service delivery, maintaining health workforce and supplies, and strengthening communication and monitoring. Afghanistan established coordination committees and continued providing basic health services while adapting delivery and establishing separate fever clinics. Monitoring was increased and digital platforms expanded to support essential service delivery during the pandemic. The impact on services was mixed but the response provided opportunities to strengthen capacity.
Surveillance of healthcare associated infectionsTHL
This document discusses the role of nurses in healthcare-associated infection (HAI) surveillance in Finland. It describes how HAI surveillance is conducted nationally through several programs coordinated by the Finnish Hospital Infection Program. Nurses, particularly infection control nurses, play a key role in HAI data collection, reporting, and feedback. They work with link nurses and other staff to identify HAI cases using standardized protocols. The data are used to monitor HAI rates and prevent infections by informing guidelines. Nurses receive training to build their competencies in infection control and HAI surveillance.
Similar to Global Oxygen Access: The Ethiopian Story, Habtamu Seyoum (CHAI) (20)
What do we really know about the interaction between breastmilk and the infant microbiome? Research shows that the newborn gut microbiome — the trillions of bacteria that live within the intestinal tract of newborns — plays a critical role in proper immune and metabolic development as well as meeting the newborn’s nutritional needs. Disruption of the newborn gut microbiome can cause both acute and chronic health consequences. Based on novel discoveries of the unique partnership between mammalian milk and B. infantis, Evolve has pioneered a microbiome-based approach to solving newborn gut dysbiosis.
Introduction to the "Bridge" - a new breastfeeding support tool Leith Greenslade
The Bridge team introduces their new product, the Bridge, which is designed to simplify at-breast supplementation for parents struggling with breastfeeding. The Bridge allows milk or supplement to be delivered to the baby's mouth while at the breast, providing stimulation to increase milk supply and keeping the baby interested. The team believes the Bridge can help resolve many breastfeeding issues so parents can get their baby back to exclusively breastfeeding. They have already had success helping over 400 families and are looking to expand use of the Bridge through partnerships and further research.
"The Own Mother's Milk (OMM) Economic Value Calculator": A New Tool to Save L...Leith Greenslade
Tricia Johnson, Professor of Health Systems Management at Rush University and a health economist, shows how the
“Own Mother's Milk (OMM) Economic Value Calculator" can help hospitals calculate reductions in morbidities and associated cost savings from increasing the dose of mother’s milk among very low birth weight infants (<1,500g) in NICUs.
“Own Mother's Milk (OMM) Economic Value Calculator": increasing access to hum...Leith Greenslade
Paula Meier, a Professor of Pediatrics and Nursing at Rush University, is a clinician and researcher specializing in own mother's milk for vulnerable infants and optimal lactation care for their mothers, and an expert in the dose-response relationship of own mother's milk and various health outcomes. Here she presents a new tool, the “Own Mother's Milk (OMM) Economic Value Calculator", that enables hospitals to calculate the reductions in morbidities and associated cost savings by increasing the dose of mother’s milk among very low birth weight infants (<1,500g) in NICUs.
Launch of Resource Toolkit for Establishing and Integrating Human Milk BanksLeith Greenslade
Ensuring equitable access to human milk for all infants has the potential to save countless lives, especially vulnerable neonates, such as those born low-birthweight or premature. Yet many do not have access to their own mother’s milk in the first critical hours or days of life. PATH has developed “Strengthening Human Milk Banking: A Resource Toolkit for Establishing and Integrating Human Milk Banks” as a compendium of standards to advance access to human milk for all babies. This toolkit is comprised of 11 separate core documents and accompanying materials—including templates, standards, and tools—to guide critical steps for establishing human milk banking as an integrated component within breastfeeding support and neonatal care, with in-depth focus on readiness, quality assurance, operations, auditing, training, monitoring and evaluation, and communications. These tools are intended to be utilized as a cohesive package, with embedded links throughout to orient and guide users to relevant resources. This toolkit, in its entirety, is freely available and globally accessible. The content was developed to be adaptable to local context requirements to maximize effectiveness and reach. Click here to view the materials
https://www.path.org/programs/maternal-newborn-child-health-and-nutrition/strengthening-human-milk-banking-resource-toolkit/
Challenges in Breastfeeding and Breastmilk Feeding in NICUs in IndiaLeith Greenslade
Little is known about rates of breastfeeding and breastmilk feeding in NICUs in low and middle income settings. Access Health International has joined forces with three tertiary referral hospitals in the states of Maharashtra, Andhra Pradesh and Karnataka in India to document newborn nutrition in their NICUs. The results are important and make a strong case for more investment in this neglected area of child nutrition.
Innovations in Breastfeeding and Breastmilk Feeding in the NICULeith Greenslade
Can "Lactation Scorecards" drive up low rates of breastmilk feeding in NICUs? Low rates of breastfeeding and breastmilk feeding among sick and vulnerable newborns contribute to low survival rates and poor development outcomes. Medela has developed a new tool that enables NICUs to set new targets and measure their performance - The NICU Lactation Care Scorecard.
"Food for Thought: an Independent Assessment of the International Code of Mar...Leith Greenslade
Angela Evans, author of an independent assessment of the WHO Code of Marketing of Breast-milk Substitutes, presents her findings and major recommendations to the Breastfeeding Innovations Team, March 28th, 2018. The report suggests ways in which the Code can be strengthened as an effective public policy instrument in the service of the Sustainable Development Goals relating to child health and nutrition.
A New Tool for Collecting Colostrum: Jules ShermanLeith Greenslade
Colostrum is baby's critical first food, filled with highly-concentrated nutrients and antibodies to protect against disease.
For the babies who cannot breastfeed, new tools are needed to collect the colostrum from mother's breast and store it so it can be fed to baby. Jules Sherman has created a new two-part system for colostrum collection called the Primo-Lacto®, composed of a breast pump adapter and hand expression funnel. Learn more about how it works and the plans to make it available for wide use.
Breastfeeding & AI: could an Alexa Answer Bot increase breastfeeding rates?Leith Greenslade
AI is set to transform many healthcare experiences, but what about breastfeeding? Could AI be used to dramatically improve the breastfeeding support experience and reduce the costs of lactation support? The team at Breastfeeding Help@Home explores the potential development of an Alexa Answer Bot to provide 24/7 at-home access to lactation support at extremely low cost.
Why is it so hard to reduce household air pollution among the very poor?Leith Greenslade
What cooking technologies can deliver lasting reductions in exposure to household air pollution among the very poor? This is THE question. Learn more from four experts, including Neil Schluger and Darby Jack (Columbia University), Alison Lee (Icahn School of Medicine Mt Sinai) and Joshua Rosenthal (NIH), on the latest research and the most promising technologies, especially the new efforts to reroute government fuel subsidies from the middle class to the very poor (e.g. India Give it Up Campaign for LPG).
What if it was much easier to distribute, store and give antibiotics to sick children? In low resource settings where pediatric formulations of antibiotics are rare, this could mean the difference between life and death? Learn more about four promising innovations including: peanut-butter infused amoxicillin that is easy to swallow, tastes good and also treats malnutrition (from Sangwei Lu at U Cal Berkeley); an amoxicillin suppository (from Catherine Tuleu and Sara Hanning at UC London); oil-based amoxicillin (from Connie Louw at Gateway Health Institute); and amoxicillin that you squeeze out of a tube like toothpaste (from Chenjie Xu at Nanyang Technical University). Who said there was no innovation in antibiotics?
Economics of Human Milk in Very Low Birth Weight InfantsLeith Greenslade
The cost of providing support in US hospitals for mothers of very low birth weight newborns to initiate and maintain lactation are dwarfed by the benefits to babies and the hospitals, according to a growing body of research by Rush University academics. Their work also details the various costs to initiating and maintaining lactation in NICUs.
Making NICUs Breastfeeding-Friendly: Meena JoshiLeith Greenslade
India is home to the world's largest number of preterm births and deaths. Ensuring all sick and vulnerable babies have access to breastmilk in the days and weeks after they are born is critical to keeping these babies alive. But as leading research group AIIMS discovered in its own hospital, a minority of NICU babies were being fed breastmilk. Meena Joshi describes how they turned that situation around.
Growing the Number of Quality Human Milk Banks: Kimberly Amundson Leith Greenslade
Human milk banks should be as common as blood banks because they deliver a lifesaving "medicine" to sick and vulnerable newborns - breastmilk. But in high, middle and low income countries the opposite is too often the case. Kimberly Amundson is part of a team at PATH who are working hard to stimulate the development of quality human milk banks in low resource settings by releasing guidance to the groups who will build and operate them.
Breastfeeding Sick and Vulnerable Newborns, Why Invest in Research?: Mary Ren...Leith Greenslade
Leading expert Professor Mary Renfrew laments the lack of quality research to better understand the impact of breastfeeding on sick and vulnerable newborns in health facilities and proposes a way forward.
New Training Guide to Help Babies with Special Needs to Breastfeed: MAITSLeith Greenslade
Babies born with congenital anomalies, birth trauma complications, preterm and low birth weight can struggle to breastfeed. This new training guide aims to teach healthcare workers how to help mothers of special needs babies to breastfeed. Breastmilk can be vital for these more vulnerable babies but without extra support these babies too often miss out.
The Health & Economic Value of Breastmilk for Preterm Babies: MedelaLeith Greenslade
New research in the UK and Germany has found substantial health benefits and cost savings when more infants in NICUs are fed breastmilk. Health benefits include reductions in NEC, SIDS and ear infections which, in turn, save the health system tens of millions. The research, sponsored by Medela, finds that the benefits of breastmilk in the NICU have been "systematically underestimated".
The world's first public-private partnership to increase access to pulse oximetry and oxygen at scale was launched at the Clinton Global Initiative in September 2016. Fifteen organizations from representing government, business and civil society joined forces to support the Government of Ethiopia's national roadmap to scale-up access to pulse oximetry and oxygen in health facilities, with a special focus on reducing deaths in pregnancy, childbirth and childhood. The Ethiopian oxygen access model is a potential blueprint for other governments struggling with high burdens of maternal and child deaths.
Human Milk Bank Hazard Analysis Plan: Trainee WorkbookLeith Greenslade
In the absence of global guidelines and standards for human milk banking, the need for quality assurance planning is critical and needed at the local level. This new toolkit from PATH will help ensure that hazards are identified, eliminated, minimized, or monitored, and proactively checked for the optimal safe distribution of donor human milk. This training workbook will help local human milk bank teams at the national, regional, and hospital levels determine that their human milk banks are operating safely and effectively.
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About CentiUP - Product Information Slide.pdfCentiUP
A heightened child formula, with the trio of Nano Calcium, HMO, and DHA mixed in the golden ratio, combined with NANO technology to help nourish the body deeply and comprehensively, helps children increase height, boost brain power, and improve the immune system and overall well-being.
Cyclothymia Test: Diagnosing, Symptoms, Treatment, and Impact | The Lifescien...The Lifesciences Magazine
The cyclothymia test is a pivotal tool in the diagnostic process. It helps clinicians assess the presence and severity of symptoms associated with cyclothymia.
Health Tech Market Intelligence Prelim Questions -Gokul Rangarajan
The Ultimate Guide to Setting up Market Research in Health Tech part -1
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
This lays foundation of scoping research project what are the
Before embarking on a research project, especially one aimed at scoping and defining parameters like the one described for health tech IT, several crucial considerations should be addressed. Here’s a comprehensive guide covering key aspects to ensure a well-structured and successful research initiative:
1. Define Research Objectives and Scope
Clear Objectives: Define specific goals such as understanding market needs, identifying new opportunities, assessing risks, or refining pricing strategies.
Scope Definition: Clearly outline the boundaries of the research in terms of geographical focus, target demographics (e.g., age, socio-economic status), and industry sectors (e.g., healthcare IT).
3. Review Existing Literature and Resources
Literature Review: Conduct a thorough review of existing research, market reports, and relevant literature to build foundational knowledge.
Gap Analysis: Identify gaps in existing knowledge or areas where further exploration is needed.
4. Select Research Methodology and Tools
Methodological Approach: Choose appropriate research methods such as surveys, interviews, focus groups, or data analytics.
Tools and Resources: Select tools like Google Forms for surveys, analytics platforms (e.g., SimilarWeb, Statista), and expert consultations.
5. Ethical Considerations and Compliance
Ethical Approval: Ensure compliance with ethical guidelines for research involving human subjects.
Data Privacy: Implement measures to protect participant confidentiality and adhere to data protection regulations (e.g., GDPR, HIPAA).
6. Budget and Resource Allocation
Resource Planning: Allocate resources including time, budget, and personnel required for each phase of the research.
Contingency Planning: Anticipate and plan for unforeseen challenges or adjustments to the research plan.
7. Develop Research Instruments
Survey Design: Create well-structured surveys using tools like Google Forms to gather quantitative data.
Interview and Focus Group Guides: Prepare detailed scripts and discussion points for qualitative data collection.
8. Sampling Strategy
Sampling Design: Define the sampling frame, size, and method (e.g., random sampling, stratified sampling) to ensure representation of target demographics.
Participant Recruitment: Plan recruitment strategies to reach and engage the intended participant groups effectively.
9. Data Collection and Analysis Plan
Data Collection: Implement methods for data gathering, ensuring consistency and validity.
Analysis Techniques: Decide on analytical approaches (e.g., statistical
Test bank advanced health assessment and differential diagnosis essentials fo...rightmanforbloodline
Test bank advanced health assessment and differential diagnosis essentials for clinical practice 1st edition myrick.
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Test bank advanced health assessment and differential diagnosis essentials for clinical practice 1st edition myrick.
2. Pneumonia and other newborn issues are the major drivers
of child mortality in Ethiopia
The Federal Ministry of Health (FMOH)
developed a National Newborn and Child
Survival Strategy (2015/16 to 2019/20)
o Targeted reductions in child mortality:
o Strategy is expected to prevent deaths
of 415,688 under Five and 210,234
neonates by 2020
o Oxygen management is a vital
component of combatting pneumonia-
related issues for newborns and under
five
Pneumonia (18%)
Asphyxia (14%)
Prematurity (11%)
Newborn infection (9%)
Diarrhea (9%)
2
Metric 2015 (current) 2020 (target)
>5 Mortality 59 29
IMR 51 20
NMR 28 11
Causes of Child Mortality
3. Ability to detect and treat hypoxemia in neonates & children is
critical but there are presently significant limitations in Ethiopia
Issue/Key indicator Facility %**
Proportion of health facilities that have O2 consumption and
stock monitoring mechanism
Health Centre 3%
Hospital 26%
Proportion of health facilities have trained biomedical
engineers/technicians to perform O2 equipment maintenance
Health Centre 0%
Hospital 41%
Proportion of facilities that think there are enough re-filling
sources to meet needs
Health Centre 9%
Hospital 47%
Availability of fully functional O2 device
Health Centre 2%
Hospital (IPD) 62%
HCWs trained on O2 therapy or have SOPs/job aids on O2 use
Health Centre 0%
Hospital 14%
Functional pulse oximeter available
Health Centre 0%
Hospital (IPD) 45%
3Source: CHAI/FMOH/PFSA baseline survey Dec 2015
4. • O2 equipment, pulse oximeters, and
related supplies listed in national
equipment and emergency medicines list
• Pulse oximeters and O2 concentrators
available at hospital level only
• Health centers have been supplied with
O2 cylinders in the last 3 years but
functionality has been significantly low
• One functional public O2 plant with two
more plants currently under construction
• However, no clear policies and
implementation tools in place to
prioritize oxygen management and pulse
oximetry on a national scale
All health centers in the country
(~3,800) to be equipped with oxygen
concentrators by 2019
All health centers to start using pulse
oximetry by the end of 2018
All health posts (~17,000) to be
equipped with appropriate pulse
oximetry by 2020
Comprehensive implementation of
pulse oximetry and oxygen
management at all hospitals (~800) by
the end of 2018
Construction and operationalization of
O2 plants in at least 13 referral hospitals
by 2020
Existing initiatives specific to O2/POx
Ambitious targets in the current
national oxygen roadmap
4
FMOH recently developed an ambitious roadmap for the national
scale-up of oxygen management that builds upon existing initiatives
5. 5
The road map has targeted six key implementation areas that
require coordinated support from all stakeholders
Provide policy basis
and decision support
to health facilities to
scale up oxygen
supply
Set up and roll out
supply and logistics
chain systems for
oxygen supply
Ensure sustainable
supplies for hypoxemia
diagnostics and related
consumables
Establish a mechanism
for maintenance of
oxygen equipment and
supply of spare parts
Institute a system of
building capacity of
HCWs on utilization of
oxygen
Increasing sustainable
funding to support
oxygen supply
systems
1 2 3
4 5 6
6. While detail implementation plan and specific areas of support are
refined, FMOH will most likely need support from IPs and donors
around below gaps:
– Human resource training, mentoring and SS
• Training/sensitization on utilization
• Training/sensitization on program management
• Biomedical engineering /maintenance training
• FMOH encourages integrations into existing systems
– Establishing systems and capacity for distribution and
refilling
– Sustainable systems and capacity for maintenance
– Market shaping around O2 devices including O2 plants
– Financing for technology procurement/establishment