Presentation given by Dr Lo Veasnakiry at the 3rd Cambodian Health Researchers' Forum held at the National Institute of Public Health in Phnom Penh, 20th January 2017.
Najibullah Safi, MD, MSc. HPM presented on the history and current state of Afghanistan's health care system. He discussed key progress made in health indicators like immunization coverage and under-five mortality. However, challenges remain such as high stunting rates, poor quality of care in hospitals, and a high maternal mortality ratio. Moving forward, Afghanistan aims to implement an Integrated Package of Essential Health Services to address the triple burden of diseases. Principles of the way forward include prioritizing the poor, increasing community engagement, and raising domestic financing for health.
Over the past decade, consumers have been exposed to many new digital health technologies and their use in clinical care. These technologies have helped make health information more accessible, especially for underserved populations. Health workers and healthcare systems now use technology as a tool to reach and engage these groups for health education, disease prevention, and care management. Population health approaches aim to improve outcomes for entire groups and reduce disparities. These approaches consider social factors and engage multiple sectors. Incorporating technology into population health requires understanding that people should come first, and using technology to identify community strengths and tailor strategies based on community feedback.
The Nepal Health Sector Strategy (NHSS) 2015-2020 provides strategic guidance for the health sector over five years. Its goal is to improve health status through accountable and equitable health services. NHSS outlines nine outcomes, including rebuilding health systems and improving quality of care. It identifies key outputs needed to achieve each outcome, along with interventions, indicators, targets, data sources, and timelines to monitor progress in strengthening Nepal's health sector.
Effective implementation of national health strategy finalNajibullah Safi
The document outlines key actions for effective implementation of Afghanistan's national health strategy 2016-2020 to achieve universal health coverage. The actions include expanding health services coverage and packages, enhancing financial protection, improving coordination, strengthening accountability, increasing efficiency, and addressing cross-cutting issues such as capacity building and private sector regulation. The overall goal is to ensure all Afghans have access to needed health services without financial hardship.
Impact and cost effectivene of rotavirus vaccine introduction in afghanistanNajibullah Safi
This document provides a summary of a cost-effectiveness analysis of introducing rotavirus vaccination in Afghanistan. The analysis finds that vaccination would be highly cost-effective compared to no vaccination. It estimates that over 10 years, vaccination could avert over 1 million cases, 661,000 outpatient visits, 49,000 hospitalizations and nearly 12,000 deaths. The incremental cost per disability-adjusted life year averted is estimated to be $103-$59 depending on perspective, below Afghanistan's GDP per capita threshold for cost-effectiveness. Sensitivity analysis showed results were robust to varying parameters like disease burden and vaccine price. The document discusses limitations and next steps to support government adoption of vaccination.
Covid 19 pandemic control options in AfghanistanNajibullah Safi
The document discusses control options for the COVID-19 pandemic in Afghanistan. It provides context on the spread of the virus in Afghanistan and demographic information. It then outlines current control measures including surveillance, case management, laboratory testing, points of entry screening, and non-pharmaceutical interventions. Three potential future options are presented: 1) strengthening current measures and enforcing lockdown, 2) strengthening measures while gradually relaxing lockdown, and 3) strengthening measures while immediately ending lockdown. Each option is discussed in terms of its potential impacts on disease transmission and the economy.
This document outlines the Duterte administration's health agenda to achieve universal health coverage in the Philippines. The key goals are to:
1) Establish functional service delivery networks to ensure access to quality health services.
2) Attain and sustain universal health insurance to protect Filipinos from health-related financial risks.
3) Protect Filipinos from the triple burden of disease through guaranteed health services and community interventions.
Najibullah Safi, MD, MSc. HPM presented on the history and current state of Afghanistan's health care system. He discussed key progress made in health indicators like immunization coverage and under-five mortality. However, challenges remain such as high stunting rates, poor quality of care in hospitals, and a high maternal mortality ratio. Moving forward, Afghanistan aims to implement an Integrated Package of Essential Health Services to address the triple burden of diseases. Principles of the way forward include prioritizing the poor, increasing community engagement, and raising domestic financing for health.
Over the past decade, consumers have been exposed to many new digital health technologies and their use in clinical care. These technologies have helped make health information more accessible, especially for underserved populations. Health workers and healthcare systems now use technology as a tool to reach and engage these groups for health education, disease prevention, and care management. Population health approaches aim to improve outcomes for entire groups and reduce disparities. These approaches consider social factors and engage multiple sectors. Incorporating technology into population health requires understanding that people should come first, and using technology to identify community strengths and tailor strategies based on community feedback.
The Nepal Health Sector Strategy (NHSS) 2015-2020 provides strategic guidance for the health sector over five years. Its goal is to improve health status through accountable and equitable health services. NHSS outlines nine outcomes, including rebuilding health systems and improving quality of care. It identifies key outputs needed to achieve each outcome, along with interventions, indicators, targets, data sources, and timelines to monitor progress in strengthening Nepal's health sector.
Effective implementation of national health strategy finalNajibullah Safi
The document outlines key actions for effective implementation of Afghanistan's national health strategy 2016-2020 to achieve universal health coverage. The actions include expanding health services coverage and packages, enhancing financial protection, improving coordination, strengthening accountability, increasing efficiency, and addressing cross-cutting issues such as capacity building and private sector regulation. The overall goal is to ensure all Afghans have access to needed health services without financial hardship.
Impact and cost effectivene of rotavirus vaccine introduction in afghanistanNajibullah Safi
This document provides a summary of a cost-effectiveness analysis of introducing rotavirus vaccination in Afghanistan. The analysis finds that vaccination would be highly cost-effective compared to no vaccination. It estimates that over 10 years, vaccination could avert over 1 million cases, 661,000 outpatient visits, 49,000 hospitalizations and nearly 12,000 deaths. The incremental cost per disability-adjusted life year averted is estimated to be $103-$59 depending on perspective, below Afghanistan's GDP per capita threshold for cost-effectiveness. Sensitivity analysis showed results were robust to varying parameters like disease burden and vaccine price. The document discusses limitations and next steps to support government adoption of vaccination.
Covid 19 pandemic control options in AfghanistanNajibullah Safi
The document discusses control options for the COVID-19 pandemic in Afghanistan. It provides context on the spread of the virus in Afghanistan and demographic information. It then outlines current control measures including surveillance, case management, laboratory testing, points of entry screening, and non-pharmaceutical interventions. Three potential future options are presented: 1) strengthening current measures and enforcing lockdown, 2) strengthening measures while gradually relaxing lockdown, and 3) strengthening measures while immediately ending lockdown. Each option is discussed in terms of its potential impacts on disease transmission and the economy.
This document outlines the Duterte administration's health agenda to achieve universal health coverage in the Philippines. The key goals are to:
1) Establish functional service delivery networks to ensure access to quality health services.
2) Attain and sustain universal health insurance to protect Filipinos from health-related financial risks.
3) Protect Filipinos from the triple burden of disease through guaranteed health services and community interventions.
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.
The document discusses the rise of connected care in the U.S. healthcare system. Regulatory changes and new technologies are driving a shift towards a more connected and collaborative system focused on quality of care. Connected care aims to provide the right care at the right time and place through greater data sharing and care coordination between providers. Key technologies like electronic health records, mobile devices, analytics and cloud computing will enable connected care by facilitating access to patient information across settings. However, connected care also faces challenges in standardization, physician buy-in, and integrating fragmented systems.
This document discusses continuity of care and the continuum of care across different levels from community to tertiary facilities. It describes the roles and responsibilities at each level, including community health workers who provide home visits and support, health and wellness centers that provide basic services and referrals, and higher facilities like district hospitals that provide specialized care. Strong referral linkages and communication between different levels are important to ensure smooth transition of patients through the continuum of care.
The document summarizes the organization of health care delivery in the United States at the federal, state, and local levels. At the federal level, health care is overseen by the Department of Health and Human Services (HHS) which contains 11 operating divisions that focus on various health issues. States each operate their own health care departments and access services locally through private practices, clinics, and hospitals. The overall goal is to ensure all Americans have access to health care.
Community diagnosis is a tool used in Healthy Cities Projects to understand community health. It involves collecting both quantitative and qualitative data on health status, determinants of health, and potential for healthy city development. The process includes setting up a committee, defining the scope, collecting data through surveys and statistics, analyzing trends and comparisons, reaching diagnoses, and disseminating results through reports and presentations to influence policy. Conducting community diagnosis regularly allows Healthy Cities Projects to continuously improve public health.
This document provides an overview of Ayushman Bharat, India's national health protection scheme. It discusses the rationale for the scheme due to issues with access to healthcare and rising costs pushing families into poverty. The key components of Ayushman Bharat are the creation of 150,000 Health and Wellness Centers to deliver comprehensive primary healthcare and the Pradhan Mantri Jan Arogya Yojana, which provides health insurance coverage to poor families. The document outlines the initiatives, organization of primary healthcare services, and key features of Ayushman Bharat.
This document summarizes Thailand's response to the COVID-19 pandemic between September 2020 and November 2020. It covers preventing local transmission through measures like health communication, physical distancing, and testing. It also discusses ensuring infrastructure and workforce capacity, providing health services, financing coverage, governance, and multi-sectoral measures. The November 2020 update focuses on gradually lifting restrictions while maintaining preparedness for a potential second wave through ongoing surveillance, prevention, and rapid response systems.
This document provides an overview of population health management. It begins by describing the transformation from individual to population health management and identifies available models and best practices. The document then details effective tactics used to manage a population, such as risk stratification, predictive modeling, and targeted interventions. It concludes by listing available methods to measure program and intervention effectiveness.
Dear all
Please go through the slides if you want to know something about "Core competencies for public health informatics".
I think these slides will be useful for you.
The document discusses comprehensive primary health care (CPHC) through Ayushman Bharat - Health and Wellness Centers (AB-HWCs) in India. It notes that while health indicators have improved, the disease burden is shifting and out-of-pocket healthcare expenses remain high. The government has launched Ayushman Bharat to deliver preventative, promotive and comprehensive primary care through upgrading subcenters and primary health centers. The program aims to address the full disease burden, reduce expenses, and ensure continuum of care through a holistic primary healthcare approach based on principles like equitable access, community participation, appropriate resources and a multi-sectoral effort.
Ethiopia: Governing for Quality Improvement in the Context of UHCHFG Project
The government of Ethiopia launched the Health Sector Development Program (HSDP) in the 1990s. During the 2010 reform of the health sector, the Drug Administration and Control Agency was re-established to focus on regulating drugs and food, and expanded their scope by including the regulation of health facilities and personnel. They changed their name to the Ethiopian Food, Medicine and Healthcare Administration and Control Authority, and developed a list of minimum health facility requirements, regulating both public and private health facilities.
This review outlines the main organizational, financing, human resources and service delivery features of the health-care system. Although there has been implement in overall health outcomes since the 1990’s the current levels are still below average for the country’s Pacific neighbors. The remoteness of the many rural communities has hampered improvements in health services. This is one of the major challenges that the country faces in order to achieve SDG heath targets by 2030. This Hits highlights steps taken to overcome challenges especially in the face of epidemiological change in disease burden that is slowly taking place in the country.
M&E of HIV/AIDS and Health Programs in Nigeria: Our InnovationsMEASURE Evaluation
Samson Bamidele presented on MEASURE Evaluation's innovations in monitoring and evaluating HIV/AIDS and health programs in Nigeria. Key innovations included establishing a national health data archive, introducing a tool for joint data quality assessments, and strengthening monitoring and evaluation capacity through university partnerships and curriculum reviews. Next steps focused on continuing to build human capacity, conducting impact evaluations, and promoting a culture of data use and evidence-based decision making.
The document outlines six key public health functions:
1. Surveillance, analysis, and evaluation of population health status and environmental health problems.
2. Developing policies and plans to support individual and community health efforts to address identified problems.
3. Health promotion through education and preventive measures.
4. Disease prevention through high-risk and population-wide approaches at primary, secondary, and tertiary levels.
5. Developing effective health programs and facilities to protect health.
6. Evaluating public health policies, strategies, and facilities.
The document provides an overview of various national health programs in India, including:
1) The National Health Mission which aims to provide universal access to equitable and quality healthcare. It oversees various disease control programs.
2) Key disease specific programs like the National AIDS Control Program, National Leprosy Eradication Program, and Pulse Polio Immunization Program.
3) Other initiatives like the Rashtriya Kishor Swasthya Karyakram for adolescents, Mission Indradhanush for immunization, and the Affordable Medicines program.
This document outlines a health system development programme in Myanmar from 2006-2011. It had three main objectives: 1) Promote health systems research to improve performance; 2) Explore sustainable health financing mechanisms; 3) Expand international cooperation. The programme included three projects: 1) Health systems research; 2) Developing alternative financing; 3) International health cooperation. It identified strengths like disseminating research and developing tools, but also weaknesses like lack of funding and dissemination of findings. The programme aimed to address gaps in service delivery, coordination, and human resources to improve access to essential health services.
This document is the 2014 annual report on Nigeria's health sector response to HIV/AIDS. It summarizes progress on key interventions including HIV counseling and testing (HCT), prevention of mother-to-child transmission of HIV (PMTCT), and anti-retroviral therapy (ART). Nigeria has made progress in scaling up these services but still faces challenges in reducing new HIV infections, especially among children. The report analyzes data on service coverage and identifies gaps to help stakeholders better target their responses and work towards eliminating mother-to-child transmission of HIV by 2015.
OneHealth is a tool for medium-term strategic health planning at the national level in countries. It incorporates epidemiology impact models to demonstrate achievable health gains from integrated disease program and health systems planning. OneHealth was developed to enable integrated planning across partners, link disease programs to health systems strengthening, and incorporate costing into the planning process from the beginning. It brings together various stakeholders and allows for scenario analysis of alternative intervention packages, targets, and activities.
The document discusses health planning, including defining health planning, its purpose, health needs and demands, objectives and goals. It explains the planning cycle of planning, implementation, and evaluation. Key aspects of planning covered include analyzing the health situation, establishing objectives and goals, assessing resources, prioritizing, formulating the plan, programming and implementation, and evaluation. Monitoring and different types of evaluation are also defined. The document concludes by discussing India's National Health Policy of 2002 and its goals.
These challenges are not limited to:
Human resources challenge
Health services challenge
Organizational and management challenges
Health financing
Madical products.
The document provides an overview of comparative healthcare systems and their development. It discusses definitions of healthcare systems and how they are shaped by their operational environments. Key components of healthcare systems include service delivery, health workforce, health information, medical products/technologies, financing, and leadership/governance. The document outlines variables to consider when comparing systems, such as cost, outcomes/quality, and access to services. It provides frameworks for measuring system performance and lists factors that influence the expected outcomes of well-functioning systems.
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.
The document discusses the rise of connected care in the U.S. healthcare system. Regulatory changes and new technologies are driving a shift towards a more connected and collaborative system focused on quality of care. Connected care aims to provide the right care at the right time and place through greater data sharing and care coordination between providers. Key technologies like electronic health records, mobile devices, analytics and cloud computing will enable connected care by facilitating access to patient information across settings. However, connected care also faces challenges in standardization, physician buy-in, and integrating fragmented systems.
This document discusses continuity of care and the continuum of care across different levels from community to tertiary facilities. It describes the roles and responsibilities at each level, including community health workers who provide home visits and support, health and wellness centers that provide basic services and referrals, and higher facilities like district hospitals that provide specialized care. Strong referral linkages and communication between different levels are important to ensure smooth transition of patients through the continuum of care.
The document summarizes the organization of health care delivery in the United States at the federal, state, and local levels. At the federal level, health care is overseen by the Department of Health and Human Services (HHS) which contains 11 operating divisions that focus on various health issues. States each operate their own health care departments and access services locally through private practices, clinics, and hospitals. The overall goal is to ensure all Americans have access to health care.
Community diagnosis is a tool used in Healthy Cities Projects to understand community health. It involves collecting both quantitative and qualitative data on health status, determinants of health, and potential for healthy city development. The process includes setting up a committee, defining the scope, collecting data through surveys and statistics, analyzing trends and comparisons, reaching diagnoses, and disseminating results through reports and presentations to influence policy. Conducting community diagnosis regularly allows Healthy Cities Projects to continuously improve public health.
This document provides an overview of Ayushman Bharat, India's national health protection scheme. It discusses the rationale for the scheme due to issues with access to healthcare and rising costs pushing families into poverty. The key components of Ayushman Bharat are the creation of 150,000 Health and Wellness Centers to deliver comprehensive primary healthcare and the Pradhan Mantri Jan Arogya Yojana, which provides health insurance coverage to poor families. The document outlines the initiatives, organization of primary healthcare services, and key features of Ayushman Bharat.
This document summarizes Thailand's response to the COVID-19 pandemic between September 2020 and November 2020. It covers preventing local transmission through measures like health communication, physical distancing, and testing. It also discusses ensuring infrastructure and workforce capacity, providing health services, financing coverage, governance, and multi-sectoral measures. The November 2020 update focuses on gradually lifting restrictions while maintaining preparedness for a potential second wave through ongoing surveillance, prevention, and rapid response systems.
This document provides an overview of population health management. It begins by describing the transformation from individual to population health management and identifies available models and best practices. The document then details effective tactics used to manage a population, such as risk stratification, predictive modeling, and targeted interventions. It concludes by listing available methods to measure program and intervention effectiveness.
Dear all
Please go through the slides if you want to know something about "Core competencies for public health informatics".
I think these slides will be useful for you.
The document discusses comprehensive primary health care (CPHC) through Ayushman Bharat - Health and Wellness Centers (AB-HWCs) in India. It notes that while health indicators have improved, the disease burden is shifting and out-of-pocket healthcare expenses remain high. The government has launched Ayushman Bharat to deliver preventative, promotive and comprehensive primary care through upgrading subcenters and primary health centers. The program aims to address the full disease burden, reduce expenses, and ensure continuum of care through a holistic primary healthcare approach based on principles like equitable access, community participation, appropriate resources and a multi-sectoral effort.
Ethiopia: Governing for Quality Improvement in the Context of UHCHFG Project
The government of Ethiopia launched the Health Sector Development Program (HSDP) in the 1990s. During the 2010 reform of the health sector, the Drug Administration and Control Agency was re-established to focus on regulating drugs and food, and expanded their scope by including the regulation of health facilities and personnel. They changed their name to the Ethiopian Food, Medicine and Healthcare Administration and Control Authority, and developed a list of minimum health facility requirements, regulating both public and private health facilities.
This review outlines the main organizational, financing, human resources and service delivery features of the health-care system. Although there has been implement in overall health outcomes since the 1990’s the current levels are still below average for the country’s Pacific neighbors. The remoteness of the many rural communities has hampered improvements in health services. This is one of the major challenges that the country faces in order to achieve SDG heath targets by 2030. This Hits highlights steps taken to overcome challenges especially in the face of epidemiological change in disease burden that is slowly taking place in the country.
M&E of HIV/AIDS and Health Programs in Nigeria: Our InnovationsMEASURE Evaluation
Samson Bamidele presented on MEASURE Evaluation's innovations in monitoring and evaluating HIV/AIDS and health programs in Nigeria. Key innovations included establishing a national health data archive, introducing a tool for joint data quality assessments, and strengthening monitoring and evaluation capacity through university partnerships and curriculum reviews. Next steps focused on continuing to build human capacity, conducting impact evaluations, and promoting a culture of data use and evidence-based decision making.
The document outlines six key public health functions:
1. Surveillance, analysis, and evaluation of population health status and environmental health problems.
2. Developing policies and plans to support individual and community health efforts to address identified problems.
3. Health promotion through education and preventive measures.
4. Disease prevention through high-risk and population-wide approaches at primary, secondary, and tertiary levels.
5. Developing effective health programs and facilities to protect health.
6. Evaluating public health policies, strategies, and facilities.
The document provides an overview of various national health programs in India, including:
1) The National Health Mission which aims to provide universal access to equitable and quality healthcare. It oversees various disease control programs.
2) Key disease specific programs like the National AIDS Control Program, National Leprosy Eradication Program, and Pulse Polio Immunization Program.
3) Other initiatives like the Rashtriya Kishor Swasthya Karyakram for adolescents, Mission Indradhanush for immunization, and the Affordable Medicines program.
This document outlines a health system development programme in Myanmar from 2006-2011. It had three main objectives: 1) Promote health systems research to improve performance; 2) Explore sustainable health financing mechanisms; 3) Expand international cooperation. The programme included three projects: 1) Health systems research; 2) Developing alternative financing; 3) International health cooperation. It identified strengths like disseminating research and developing tools, but also weaknesses like lack of funding and dissemination of findings. The programme aimed to address gaps in service delivery, coordination, and human resources to improve access to essential health services.
This document is the 2014 annual report on Nigeria's health sector response to HIV/AIDS. It summarizes progress on key interventions including HIV counseling and testing (HCT), prevention of mother-to-child transmission of HIV (PMTCT), and anti-retroviral therapy (ART). Nigeria has made progress in scaling up these services but still faces challenges in reducing new HIV infections, especially among children. The report analyzes data on service coverage and identifies gaps to help stakeholders better target their responses and work towards eliminating mother-to-child transmission of HIV by 2015.
OneHealth is a tool for medium-term strategic health planning at the national level in countries. It incorporates epidemiology impact models to demonstrate achievable health gains from integrated disease program and health systems planning. OneHealth was developed to enable integrated planning across partners, link disease programs to health systems strengthening, and incorporate costing into the planning process from the beginning. It brings together various stakeholders and allows for scenario analysis of alternative intervention packages, targets, and activities.
The document discusses health planning, including defining health planning, its purpose, health needs and demands, objectives and goals. It explains the planning cycle of planning, implementation, and evaluation. Key aspects of planning covered include analyzing the health situation, establishing objectives and goals, assessing resources, prioritizing, formulating the plan, programming and implementation, and evaluation. Monitoring and different types of evaluation are also defined. The document concludes by discussing India's National Health Policy of 2002 and its goals.
These challenges are not limited to:
Human resources challenge
Health services challenge
Organizational and management challenges
Health financing
Madical products.
The document provides an overview of comparative healthcare systems and their development. It discusses definitions of healthcare systems and how they are shaped by their operational environments. Key components of healthcare systems include service delivery, health workforce, health information, medical products/technologies, financing, and leadership/governance. The document outlines variables to consider when comparing systems, such as cost, outcomes/quality, and access to services. It provides frameworks for measuring system performance and lists factors that influence the expected outcomes of well-functioning systems.
The document provides an overview of public health nursing in the Philippines. It discusses the country's health imperatives, including goals to eradicate poverty and diseases. Public health evolved alongside the development of the Department of Health, the government agency responsible for citizens' health. The Health Sector Reform Agenda aims to improve health outcomes through reforms to financing, regulation, service delivery, and governance. Public health nursing combines nursing skills with public health to promote community health. The Philippine health system includes both public and private sectors working towards the goal of equitable and quality health care for all.
The document summarizes the agenda and discussion topics for a listening session on developing a Health IT Strategic Framework. The session aimed to get input on key topics like creating a learning health system using health IT, defining meaningful use of EHRs, necessary policies and infrastructure, and ensuring patient privacy and security. The document outlines goals, principles and objectives for each topic to guide the discussion.
Lect 1.b THE BUILDING BLOCKS OF A HEALTH SYSTEM - notes pp.pptxAYONELSON
The document discusses the six building blocks of a health system according to the WHO framework: service delivery, health workforce, health information, medical products and technologies, health financing, and leadership/governance. These building blocks constitute the essential functions of a health system and must be strong to achieve goals of improved health, responsiveness, social/financial risk protection, and efficiency. Uganda employs this framework to strengthen its health system through programs focused on these building blocks at district and national levels.
The Important Role of Population Health Management in Enhancing Healthcare | ...Enterprise Wired
Benefits of Population Health Management: 1. Improved Health Outcomes 2. Cost-Efficiency 3. Enhanced Patient Experience 4. Health Equity and Accessibility
The document outlines the WHO's approach to strengthening health systems through six building blocks: service delivery, health workforce, information, medical products/vaccines/technologies, financing, and leadership/governance. For each building block, the document identifies priorities and actions needed to achieve objectives such as making services accessible and equitable, developing a well-performing health workforce, establishing national health information systems, ensuring access to essential medical products, developing sustainable financing mechanisms, and strengthening health sector policies and regulatory frameworks. The document provides a framework to guide WHO's work with countries in assessing health system needs and gaps.
The National Health Policy 2017 aims to raise public health expenditure to 2.5% of GDP to provide comprehensive primary health care through 'Health and Wellness Centers'. It envisions a larger package of assured primary care that includes services for non-communicable diseases, geriatrics, mental health, and palliative care. The policy also looks to improve regulatory standards for quality healthcare and reform regulatory systems to promote domestic manufacturing of drugs and devices as well as medical education.
Operational Research (OR) in Public Health.docxMostaque Ahmed
Operational research (OR) applies analytical methods to address complex public health challenges and improve decision-making. OR involves techniques like mathematical modeling, decision analysis, and cost-effectiveness analysis. It has been used to optimize disease control strategies, strengthen health systems, and inform health policies. While OR has led to improved health outcomes and more effective programs, challenges remain around data availability, interdisciplinary collaboration, and building capacity in low-resource settings.
The document outlines six building blocks of a health system:
1) Service delivery - Providing integrated health services based on population need through various methods of care delivery.
2) Health workforce - All people involved in improving health, both paid and unpaid workers across public and private sectors.
3) Health information systems - Producing, analyzing, disseminating, and using reliable health data on determinants, system performance, and health status.
4) Access to essential medical products and technologies - Ensuring quality, safety, efficacy and cost-effectiveness of medical products like vaccines through policies, standards, procurement and rational use.
The document provides an overview of different frameworks for conceptualizing health systems. It describes the World Health Organization's definition of a health system as including all organizations, people, and actions aimed at promoting, restoring, or maintaining health. It also outlines WHO's six building blocks of a health system: service delivery, health workforce, information, medical products/vaccines/technology, financing, and governance. Additionally, it summarizes key components of health systems from the perspectives of the World Bank, including financing, payment, organization of service delivery, regulation, persuasion, politics, ethics, and values.
The National Health Policy 2017 aims to achieve the highest level of health and well-being for all Indians through preventive and promotive healthcare. Key goals include attaining universal health coverage, improving quality of care, reducing costs, and lowering rates of maternal and child mortality. The policy focuses on increasing investment in health, strengthening primary care services, addressing non-communicable and infectious diseases, expanding health infrastructure and the healthcare workforce, and aligning the private sector with public health objectives. It outlines specific targets to be achieved by 2025 related to life expectancy, mortality rates, disease burdens, health system coverage and performance, and health system strengthening.
The National Health Policy 2017 aims to achieve the highest level of health and well-being for all Indians through preventive and promotive healthcare. Key goals include attaining universal health coverage, reducing catastrophic health expenditures, and increasing public health spending to 2.5% of GDP. The policy emphasizes preventive care, inter-sectoral coordination to address social determinants of health, and expanding primary healthcare services. It also aims to strengthen regulation of private healthcare and ensure its alignment with public health objectives. Specific targets are outlined to reduce mortality, disease burden, and improve health system performance by 2025.
Dr. Salma Burton's presentation outlines the six key building blocks of an effective health system: 1) service delivery, 2) health workforce, 3) health information systems, 4) medical products/vaccines/technologies, 5) health financing, and 6) governance. Each building block plays an important role in ensuring people have access to safe, effective, and quality health services. Strong coordination across these areas is needed to develop an integrated system that meets population health needs.
Dr. Salma Burton's presentation outlines the six key building blocks of an effective health system: 1) service delivery, 2) health workforce, 3) health information systems, 4) medical products/vaccines/technologies, 5) health financing, and 6) governance. Each building block plays an important role in ensuring people have access to safe, effective, and quality health services. Strong leadership and coordination across these areas through a systems thinking approach can help improve overall population health outcomes.
This document outlines the six main building blocks of a health system:
1. Service delivery - Providing integrated, safe, and quality health services to populations through various means such as in homes, communities, workplaces, and health facilities.
2. Health workforce - All individuals involved in improving health, including providers, managers, support workers, paid and unpaid workers in both public and private sectors. The density of the health workforce is strongly correlated with health outcomes.
3. Health information systems - Systems that ensure the production, analysis, dissemination and use of reliable health information on determinants, system performance, and health status to detect and contain public health threats.
4. Medical products, vaccines and technologies - Ens
Population Health Management PresentationCANorfolk
The document discusses population health management (PHM) and its role in supporting integrated care systems (ICS) in the UK. Key points:
- ICSs will be established everywhere by 2021 to integrate primary/specialist care, physical/mental health, and health/social care.
- PHM solutions will help ICSs understand health needs and match NHS services accordingly through data analysis.
- PHM aims to improve population health through proactive, data-driven care that prevents illness and reduces health inequalities.
Function , Core competencies and scope of public healthsirjana Tiwari
The document discusses the core competencies and scope of public health. It outlines seven core competencies - biostatistics, environmental health sciences, epidemiology, health policy and management, social and behavioral sciences, critical thinking, and problem solving. It also discusses emerging competencies like evidence-based approaches, public health systems, planning/management, policy, leadership, communication, and inter-professional practice. Additionally, the document outlines the broad scope of public health, covering areas like infectious and chronic disease prevention, mental health, bioterrorism, demography, environmental health, health financing, and addressing social determinants of health.
Vision 2030 is Kenya's development plan to transform the country into a middle-income nation by 2030. Regarding health, it aims to improve access to healthcare, promote preventative measures, strengthen infrastructure, and empower professionals. The plan recognizes that community health significantly impacts development by creating a productive workforce and reducing disease burden. Strategies to achieve these goals include educational campaigns, policies to address social determinants of health, and using technology to improve care delivery and data analysis.
Similar to HSP3 strategic priority NIPH jan_20_2017 - lo veasnakiry (20)
A presentation entitled 'Exploratory review of financial autonomy at primary care level', given by Professor Sophie Witter at the 6th Meeting of the Montreux Collaborative Conference
This document discusses the link between gender and health financing. It notes that while equity analysis in health financing has traditionally focused on socioeconomic status and location, the area of examining gender is less researched. It highlights some examples of questions around how gender impacts revenue raising, risk pooling, purchasing of health programs, and resource allocation. It also discusses vulnerabilities women and girls face in many settings. The document advocates for more gender-sensitive health financing policies that promote universal health coverage and equitable access to care.
Presentation given by Sophie Witter & Christabel Abewe at the 2023 IHEA conference. It was entitled 'Financial protection in Uganda: Reflections from an HFPM assessment'
A presentation given at HSR2022 by Professor Sophie Witter. It looks at:
* What is the evidence on the role of governance for health system strengthening?
* What are the particular challenges for FCAS health systems?
* What is our state of knowledge on governance specifically?
* What are the priorities in relation to governance of the private sector in FCAS?
Presentation given by Professor Sophie Witter at the 5th Meeting of the Montreux Collaborative on Fiscal Space, Public Financial Management and Health Financing in November 2021
The comparative agility of the community health worker cadre in fragile & con...ReBUILD for Resilience
In this presentation Joanna Raven explores the comparative agility of the community health worker cadres in four fragile & conflict-affected contexts - Lebanon, Myanmar, Nepal and Sierra Leone.
Health system strengthening evidence review – A summary of the 2021 updateReBUILD for Resilience
A presentation given by Professor Sophie Witter to the UK government's Foreign, Commonwealth & Development Office. This summarises a 2021 review of a health systems strengthening evidence review originally undertaken for the office in 2019.
Paying for performance to improve the delivery of health interventions in LMICsReBUILD for Resilience
This presentation from Sophie Witter & Karin Diaconu of Queen Margaret University, UK outlines the findings from a Cochrane review undertaken by the team on paying for performance to improve the delivery of health interventions in low and middle-income countries.
Performance-based financing presentation to the Health Financing AcceleratorReBUILD for Resilience
1) The document reviews evidence on the effectiveness of performance-based financing (PBF) and direct facility financing (DFF) approaches.
2) The Cochrane review found that PBF generally improved utilization and quality of targeted health services, but results were mixed for non-targeted indicators. Impacts on health outcomes were also mixed.
3) Evidence on DFF was limited but other reviews found prospective payment mechanisms like capitation can reduce costs while maintaining service utilization and quality of care.
Presentation from Professor Sophie Witter at the Institute of Development Studies' learning session 'Health financing priorities in the time of Covid-19?'
Health system strengthening in LMICs and fragile states – what and how?ReBUILD for Resilience
Health system strengthening in low and middle income countries aims to improve health outcomes through strengthening the core functions and building blocks of health systems. Effective interventions strengthen governance, develop human resources, improve health facilities, and deliver high quality services. The evidence shows that multi-component interventions which reinforce each other across building blocks are most effective when designed and implemented through sustained political commitment, community engagement, capacity building, and iterative learning and adaptation to local contexts.
Health system strengthening – what is it, how should we assess it, and does i...ReBUILD for Resilience
This presentation was given to the UK's Department for International Development on 30th July 2019.
Comprehensive reviews of health system strengthening interventions are rare, partly because of lack of clarity on definitions of the term but also the potentially huge scale of the evidence. In our talk, we will reflect on the process of undertaking such an evidence review for DFID recently (attached again), drawing out suggestions on definitions of HSS and approaches to assessment, as well as summarising some key conclusions from the current evidence base. Most HSS interventions have theories of change relating to specific system blocks, but more work is needed on capturing their spill-over effects and their contribution to meeting over-arching health system process goals. We will make some initial suggestions about such goals, to reflect the features that characterise a ‘strong health system’. We will highlight current findings on ‘what works’ but also that these are just indicative, given the limitations and biases in what has been studied and how, and argue that there is need to re-think evaluation methods for HSS beyond finite interventions and narrow outcomes. Clearer concepts, frameworks and methods can support more coherent HSS investment.
Understanding Iraq’s BHSP: Examining the Domestic and External Politics of Po...ReBUILD for Resilience
Presented by Goran Abdulla Sabir Zangana, Health Policy Research Organisation, Iraq.
Part of a session - 'Context, gender, and sustainability in introducing and scaling-up essential health care packages in fragile and crisis-affected countries' - at the Fifth Global Symposium for Health Systems Research in October 2018. The essential package of health services is a mechanism for expanding equitable coverage of primary health care and essential hospital services in countries recovering from conflict. The session explored the evidence-base on such healthcare packages in different contexts and prioritized areas for strengthening research.
Presented by Ghassan Karem.
Part of a session - 'Context, gender, and sustainability in introducing and scaling-up essential health care packages in fragile and crisis-affected countries' - at the Fifth Global Symposium for Health Systems Research in October 2018. The essential package of health services is a mechanism for expanding equitable coverage of primary health care and essential hospital services in countries recovering from conflict. The session explored the evidence-base on such healthcare packages in different contexts and prioritized areas for strengthening research.
Context, gender and sustainability in introducing and scaling-up essential he...ReBUILD for Resilience
Presented by Egbert Sondorp of KIT Royal Tropical Institute, Netherlands.
Part of a session - 'Context, gender and sustainability in introducing and scaling-up essential health care packages in fragile and crisis-affected countries' - at the Fifth Global Symposium for Health Systems Research in October 2018. The essential package of health services is a mechanism for expanding equitable coverage of primary health care and essential hospital services in countries recovering from conflict. The session explored the evidence-base on such healthcare packages in different contexts and prioritized areas for strengthening research.
Gender and Essential Packages of Health Services: Exploring the Evidence BaseReBUILD for Resilience
Presented by Val Percival of Norman Paterson School of International Affairs, Carleton University, Canada.
Part of a session - 'Context, gender, and sustainability in introducing and scaling-up essential health care packages in fragile and crisis-affected countries' - at the Fifth Global Symposium for Health Systems Research in October 2018. The essential package of health services is a mechanism for expanding equitable coverage of primary health care and essential hospital services in countries recovering from conflict. The session explores the evidence-base on such healthcare packages in different contexts and prioritizes areas for strengthening research.
The changing health care needs of communities and health systems responses in...ReBUILD for Resilience
Presentation given by Tim Martineau as part of a Satellite Session at the Fifth Global Symposium on Health Systems Research on 9th October 2018: 'No longer invisible - finally bridging the divide between health care, social and societal engagement to build systems for health', organised by CORE Group and Save the Children.
The changing health care needs of communities and health system responses in ...ReBUILD for Resilience
The document discusses the changing health care needs of communities and health systems responses in fragile settings. It notes that decisions made early post-conflict can shape long-term health system development. It also discusses effects of conflict on communities and health service provision, including increased female-headed households, loss of assets, and reduced access to employment and community support. For formal health workers, the document notes targeting during conflict and resilience of some staff, while others face rejection in communities. It also discusses challenges for informal health workers like reduced opportunities for women and inadequate supplies. For institutions, it discusses disruption of existing systems and poor coordination between new agencies.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
2. further
promoting
equitable health
outcomes across
the population.
Sustaining and further
improving access and
coverage achieved with a
renewed focus on
improving quality
to reduce the gap in
distribution of improved
quality health services
(provinces vs. districts,
rural vs. urban)
Increasing
financial risk
protection across
the population to
reduce financial
hardship in accessing
health care, when
needed
1
2
STRATEGIC
OUTCOME
3. Potential Priority Areas for Actions
Specific health needs of the population
• Reproductive, maternal, newborn, child health (including
immunization), and nutrition;
• HIV/AIDS, Tuberculosis, Malaria, Dengue, Hepatitis, emerging &
re-emerging infectious diseases, Neglected Tropical Diseases
(TNDs) including helminthiasis and leprosy;
• Non-communicable diseases (diabetes, hypertension, cancers,
chronic respiratory infection, mental health & substance use,
blindness prevention and control, vision and hearing impairment,
disability, elderly care;
• Risks factors to and social determinants of health-- tobacco &
alcohol, food safety, hygiene and sanitation facilities; and
• Impact on human health caused by environmental health risks
(pollutions), disaster preparedness & response, road accidents &
injuries; and of climate changes.
4. Potential Priority Areas for Actions
Health system performance
Patient-centered, equity-focused and gender-sensitivity health service
delivery;
Quality assurance: quality improvement initiatives towards accreditation
of health care accreditation, safeguarding quality and efficacy of
pharmaceutical products at affordable cost;
Health security: core capacity development to meet International Health
Regulations’ requirements, effective disease surveillance and response
system, and public health emergency preparedness and response;
Behavioral Change and communication, both health providers and
consumers; promoting clients s’ and providers’ rights and practices of
healthy lifestyle;
Substantial increase in the level of funding from stable sources of
funding, along with increase in efficiency, securing value for money, and
promoting mutual accountability for development assistance results;
5. Potential Priority Areas for Actions
Health system performance
Social health protection coverage and financial risk protection including
social insurance development for inform sector population;
Stronger education and training system; competency-based education
and training; accreditation of education and training institutions;
Equitable distribution of competent and well-motivated health
personnel with skill mix, and strengthening personnel management
practices;
Appropriate basic resources infrastructures (medical equipment and
technologies, sanitation and hygiene facilities, and application IC in
health service delivery, teaching, management of information system);
6. Potential Priority Areas for Actions
Health system performance
Effective laboratory & blood transfusion services to support efficient
and effective health service delivery, with special focus on quality
management and control systems;
Stronger national health information and effective performance
monitoring and generated evidences to inform policy decision
making through demand-driven health research agenda;
Legislation and regulation reinforcement (health professionals and
health providers, both public and private, and regulatory capacity
building and institutional development;
Effective multi-sectoral responses to health and health related issues,
including effective public-private partnership;
National accountability mechanisms for regular monitoring and review
of progress, with a broad range of stakeholders (including community,
local administrations, NGOs, private sector…)
7. Strategic objectives
1. The population have access (including access to medicines) to comprehensive,
affordable, quality, safe and effective quality health services at public and private
health facilities.
2. Stable and sustained financing of healthcare services with increased financial risk
protection when accessing healthcare services;
3. The health system will have adequate number of well-trained, competent and
appropriate skill mix, well-motivated health personnel with professional ethics.
4. Public health facilities are adequately supplied with medicines, health commodities,
medical material, with effective essential supportive services;
5. Public health facilities have appropriate basic infrastructure, advanced medical
equipment and technology and a network of Information & Technology;
6. Ensure availability and use of high quality, accurate and timely health and health–
related data/information, and promote health research; and
7. Develop institutional capacity at all levels, with special focus on leadership and
management competency, regulation and strengthen local accountability in health.
8. Health Information System
The main purpose of HIS development is to
ensure availability of relevant, timely, high
quality health and health related data and
information for evidence-based policy
formulation, decision-making, management and
planning, disease surveillance and response
system, and performance monitoring and
evaluation, thereby contributing to improved
health service delivery.
9. STRATEGIC AREA: HIS
Strategic Objective 6. High quality, accurate and timely health and
health–related data/information is available and used, with promoting
sound health research.
Strategy 26-30
26. Develop and implement legal tools and protocols for health
information management.
27. Increase the quality, reliability and validity of health and health
related data and information.
28. Improve institutional capacity on data management, especially at
facilities and district level on data compilation, analysis,
interpretation, reporting, dissemination and use.
29. Enhance the national disease surveillance and response systems,
including public health emergency and disease reporting system.
30. Strengthen monitoring and evaluation system and promote health
research.
10. Health Information System
30
Strengthen monitoring and evaluation system and promote health research.
Outcome: Stronger M&E system and better use of research findings
• Perform routine and continuous monitoring of plan implementation at required
intervals by using the HSP3 Indicators Framework for M&E at different level of the
health system.
• Strengthen the use of the national M&E system, processes and tools to reduce
multiple monitoring systems in the health sector, especially at operational level.
• Enhance mutual accountability by the Ministry of Health and Development Partners to
track progress of development cooperation towards the development results.
• Establish governance structures with clearly defined roles and functions to
advice, oversee and coordinate health research system, while promoting the use
of research findings for policy dialogue and formulation.
• Develop and regularly update a health research agenda to coordinate and
complement research activities.