Synopsis: Impact of Health Systems Strengthening on HealthHFG Project
Leaders in low- and middle-income countries (LMICs) require timely and compelling evidence about how to strengthen their health systems to improve the health and well-being of their citizens. Yet, evidence on how to strengthen health system performance to achieve sustainable health improvements at scale, particularly toward Ending Preventable Child and Maternal Deaths (EPCMD), fostering an AIDS-Free Generation (AFG), and Protecting Communities against Infectious Diseases (PCID) is limited. The evidence that does exist is scattered, insufficiently analyzed, and not widely disseminated. Without evidence, decision-makers lack a sound basis for investing scarce health funds in health systems strengthening (HSS) in an environment of competing investment options.
USAID is committed to advancing the evidence base on HSS and this commissioned report clearly demonstrates that HSS can improve health in LMICs.
This report, based on a review of systematic reviews of the effects on health of HSS, presents a significant body of evidence linking HSS interventions to measureable impact on health for vulnerable people in LMICs. Making decisions on who delivers health services and where and how these services are organized is important to achieve priority health goals such as EPCMD, AFG, and PCID. The findings of this report document the value of investing in HSS.
Referring physicians constitute a unique source of information on how hospitals can grow their business. M.D. Anderson’s innovative “dashboard” feedback-and-response system gives new influence to these doctors, illuminates a path to increased physician satisfaction, and suggests that to get better, it pays to get smarter.
Synopsis: Impact of Health Systems Strengthening on HealthHFG Project
Leaders in low- and middle-income countries (LMICs) require timely and compelling evidence about how to strengthen their health systems to improve the health and well-being of their citizens. Yet, evidence on how to strengthen health system performance to achieve sustainable health improvements at scale, particularly toward Ending Preventable Child and Maternal Deaths (EPCMD), fostering an AIDS-Free Generation (AFG), and Protecting Communities against Infectious Diseases (PCID) is limited. The evidence that does exist is scattered, insufficiently analyzed, and not widely disseminated. Without evidence, decision-makers lack a sound basis for investing scarce health funds in health systems strengthening (HSS) in an environment of competing investment options.
USAID is committed to advancing the evidence base on HSS and this commissioned report clearly demonstrates that HSS can improve health in LMICs.
This report, based on a review of systematic reviews of the effects on health of HSS, presents a significant body of evidence linking HSS interventions to measureable impact on health for vulnerable people in LMICs. Making decisions on who delivers health services and where and how these services are organized is important to achieve priority health goals such as EPCMD, AFG, and PCID. The findings of this report document the value of investing in HSS.
Referring physicians constitute a unique source of information on how hospitals can grow their business. M.D. Anderson’s innovative “dashboard” feedback-and-response system gives new influence to these doctors, illuminates a path to increased physician satisfaction, and suggests that to get better, it pays to get smarter.
Global Medical Cures™ | Treatment of Overactive Bladder in Women- EVIDENCE RE...Global Medical Cures™
Global Medical Cures™ | Treatment of Overactive Bladder in Women- EVIDENCE REPORT
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Poster: A Framework to Understand How Health Can Contribute to the Assessment...Ben Harris-Roxas
Poster prepared for WHO Health Impact Assessment (HIA) Conference:
Urban development and extractive industries - What can HIA offer?
http://www.who.int/hia/conference/en/index.html
David Prior: driving improvements in the quality of care across the systemThe King's Fund
David Prior, Chair, Care Quality Commission, explains how clinicians, providers, commissioners and service users all have a role in regulation. He highlights the new responsibilities of the CQC and how they can help to support integrated care in England.
HXR 2016: FAST TRACK: Prove It: The role of Evidence and Insights in Health I...HxRefactored
Health intervention design is a comprehensive process that is aiming to solve multifactorial problems. How to identify these factors and approach them? How to decide who will be the best target audience for the intervention? Where would these evidence and insights come from? During this session you will learn what are the must-haves of a health intervention, what are the most common pitfalls that can ruin your intervention and how you can enhance your health intervention design using insights from research.
TickiT: an eHealth solution to the "Don't Ask, Don't Tell" face to face clini...YTH
The University of British Colombia's Sandy Whitehouse describes the youth friendly mobile platform designed for a clinical setting to help youth communicate issues about their life with their provider. Presented at YTH Live 2014 session "Youth and the Clinical Encounter."
Global Medical Cures™ | Treatment of Overactive Bladder in Women- EVIDENCE RE...Global Medical Cures™
Global Medical Cures™ | Treatment of Overactive Bladder in Women- EVIDENCE REPORT
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Poster: A Framework to Understand How Health Can Contribute to the Assessment...Ben Harris-Roxas
Poster prepared for WHO Health Impact Assessment (HIA) Conference:
Urban development and extractive industries - What can HIA offer?
http://www.who.int/hia/conference/en/index.html
David Prior: driving improvements in the quality of care across the systemThe King's Fund
David Prior, Chair, Care Quality Commission, explains how clinicians, providers, commissioners and service users all have a role in regulation. He highlights the new responsibilities of the CQC and how they can help to support integrated care in England.
HXR 2016: FAST TRACK: Prove It: The role of Evidence and Insights in Health I...HxRefactored
Health intervention design is a comprehensive process that is aiming to solve multifactorial problems. How to identify these factors and approach them? How to decide who will be the best target audience for the intervention? Where would these evidence and insights come from? During this session you will learn what are the must-haves of a health intervention, what are the most common pitfalls that can ruin your intervention and how you can enhance your health intervention design using insights from research.
TickiT: an eHealth solution to the "Don't Ask, Don't Tell" face to face clini...YTH
The University of British Colombia's Sandy Whitehouse describes the youth friendly mobile platform designed for a clinical setting to help youth communicate issues about their life with their provider. Presented at YTH Live 2014 session "Youth and the Clinical Encounter."
BioMed CentralBMC Health Services ResearchssOpen AcceDebChantellPantoja184
BioMed CentralBMC Health Services Research
ss
Open AcceDebate
From theory to practice: improving the impact of health services
research
Kevin Brazil*1, Elizabeth Ozer2, Michelle M Cloutier3, Robert Levine4 and
Daniel Stryer5
Address: 1Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University and St. Joseph's Health System
Research Network, Hamilton, ON, Canada, 2Department of Pediatrics/Adolescent Medicine, University of California, San Francisco, CA, USA,
3Department of Pediatrics, University of Connecticut Health Center and Connecticut. Children's Medical Center, Hartford, CT, USA,
4Occupational and Preventive Medicine, Meharry Medical College, Nashville, TN, USA and 5Center for Outcomes and Effectiveness Research,
Agency for Healthcare Research and Quality, Rockville, MD, USA
Email: Kevin Brazil* - [email protected]; Elizabeth Ozer - [email protected]; Michelle M Cloutier - [email protected];
Robert Levine - [email protected]; Daniel Stryer - [email protected]
* Corresponding author
Abstract
Background: While significant strides have been made in health research, the incorporation of
research evidence into healthcare decision-making has been marginal. The purpose of this paper is
to provide an overview of how the utility of health services research can be improved through the
use of theory. Integrating theory into health services research can improve research methodology
and encourage stronger collaboration with decision-makers.
Discussion: Recognizing the importance of theory calls for new expectations in the practice of
health services research. These include: the formation of interdisciplinary research teams;
broadening the training for those who will practice health services research; and supportive
organizational conditions that promote collaboration between researchers and decision makers.
Further, funding bodies can provide a significant role in guiding and supporting the use of theory in
the practice of health services research.
Summary: Institutions and researchers should incorporate the use of theory if health services
research is to fulfill its potential for improving the delivery of health care.
Background
While significant strides have been made in medical
research over the past several decades, many research
results considered important by researchers and expert
committees are not being used by health care practition-
ers. While the value of health services research must be
judged by its validity, its utility cannot be taken for
granted. There has been an assumption that when
research information is available it will be accessed,
appraised and then applied [1]. However, knowledge of a
research-based recommendation is by itself insufficient to
ensure its adoption. While the value of research evidence
as a basis for decision making in health care is well estab-
lished, the incorporation of such evidence into decision-
making remains inconsistent [2].
The gap betw ...
Jim Warren
National Institute for Health Innovation (NIHI)
The University of Auckland
The presentation was accompanied by this video:
http://www.youtube.com/watch?v=jbvmGqmIxXY
Gender Difference in Response to Preventative Health Careiowafoodandfitness
Luther College Students prepared the following community assessments as part of their Psychology of Health and Illness class in the Fall Semester 2008.
Pathways to Scaling up Health Services in Complex Adaptive SystemsIDS
This presentation by Ligia Paina & David Peters was given as part of a Future Health System Consortium session at the Global Symposium on Health Systems Research. It is part of our Beyond Scaling Up stream of work.
Evidence-Informed Public Health Decisions Made Easier: Take it one Step at a ...Health Evidence™
An afternoon workshop - held in partnership with the National Collaborating Centre for Methods and Tools - at the Ontario Public Health Convention April 7, 2011
Knowledge transfer, and evidence informed health policy-minster's meetingDr Ghaiath Hussein
A presentation given to the highest executive body in the Federal Ministry of Health in Sudan, which led to the adoption of a new evidence-based policy.
The research on “Maximizing Positive Synergies” project (MPS) engaged an ad hoc alliance of researchers from many countries and disciplines grouped in 3 consortia: Academic; Civil society; and Implementers.
Led by the GHD Project, the academic consortium comprised 15 of the world’s leading universities and institutions spanning all 6 of the WHO’s global regions. More than 75 individual researchers have contributed, and the consortium has generated case study evidence from more than 20 countries.
A presentation from Kent’s Local HealthWatch Development Group covering the perspectives of the NHS, Centre for Public Scrutiny and local authority. This is a useful planning tool for local healthwatch groups.
Evidence for Public Health Decision MakingVineetha K
The presentation gives an overview of evidence based public health with emphasis on the seven steps of EBPH Framework. It also includes the data sources to search for evidence and relevant articles explaining the current trend in decision making. One of the sources of the presentation is from EBPH training series by Rocky Mountain foundation. The link is provided in the end slide. Do contact me if you need any help with the resources.
Online discussions with classmates are fruitful: Fostering postgraduate colla...Ben Harris-Roxas
Heywood, A., & Harris-Roxas, B. (2020, November 19). “Online discussions with classmates are fruitful”: Fostering postgraduate collaborative learning using an assessable asynchronous peer-led discussion forum. UNSW 2020 Learning and Teaching Forum – “Learning without limits: Leading the change”, Sydney.
Use of translation apps and websites in health care settingsBen Harris-Roxas
The convenience and immediacy of translation apps is appealing, however this needs to be balanced against the need for quality translation. This study provides the amongst the first empirical evidence internationally on the extent and nature of the use of translation apps in health care settings. The findings may inform guideline development and policy responses.
Use of translation apps and websites in health care settingsBen Harris-Roxas
Ben Harris-Roxas,1,2 Lisa Woodland,3,1 Joanne Corcoran,3 Jane Lloyd,1,4 Mark Harris,1 Rachael Kearns,1,2 Iqbal Hasan1
Australasian Association for Academic Primary Health Care ConferenceAdelaide, 12-13 July 2019
Facilitating Practioner Networks: Do weblogs have a role in promoting collabo...Ben Harris-Roxas
Poster for the IAIA conference in Stavanger in 2006. The information seems dated now, but blogs were still a relatively new platform back then.
The blog is still going strong:
http://healthimpactassessment.blogspot.com
Health Impact Assessment of the Northern Territory Emergency ResponseBen Harris-Roxas
Presentation for Sydney West Area Health Service Forum and Panel Discussion.
Wednewsday 28 April 2010
"Challenges, Opportunities and Successes of Implementing Aboriginal Population Health Programs in Sydney West Area Health Service"
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
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).
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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.
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.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
Impact Evaluation of Three Health Equity Impact Assessments
1. Impact Evaluation of Three Health Equity Impact Assessments B Harris-Roxas, P Bazeley, L Kemp Centre for Health Equity Training, Research and Evaluation (CHETRE) Part of the UNSW Research Centre for Primary Health Care and Equity Sydney, Australia
10. Parameters Decision-making processes Decision-makers Type of HIA Broader Context Inputs Proposal Capacity and experience Resources Time Organisational arrangements Process Procedural fidelity Involvement of decision-makers and stakeholders Transparency Trade-offs Review Proximal Impacts Informing decisions Changing decisions and implementation Changes in health determinants Predictive efficacy Achieving goals Distal Impacts Understanding Participatory learning Influencing other activities Engagement Perception of HIA Values, Purpose and Goals
11. Parameters Decision-making processes Decision-makers Type of HIA Broader Context Inputs Proposal Capacity and experience Resources Time Organisational arrangements Process Procedural fidelity Involvement of decision-makers and stakeholders Transparency Trade-offs Review Proximal Impacts Informing decisions Changing decisions and implementation Changes in health determinants Predictive efficacy Achieving goals Distal Impacts Understanding Participatory learning Influencing other activities Engagement Perception of HIA Values, Purpose and Goals
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Editor's Notes
HEIA is being increasingly promoted as a mechanism to prevent and redress health inequities, notably in the WHO Commission on the Social Determinants of Health final report.
but little is known about its effectiveness and under which circumstances it is most useful.
This study looked at the impact of three HEIAs on decision-making and implementation.
The HEAIs were rapid and conducted on health sector plans.
The impact evaluations were conducted between 18 and 24 months after the HEIAs were completed.
Data came from narrative interviews and document analysis.
Analysis was conducted using Colaizzi's analytic appriach.
The HEIAs did change decision-making and implementation in all three cases, but these changes were hard to attribute solely to the HEIA.
This conceptual framework shows the factors that are important to look at in evaluating HIAs.
And this shows the factors that we can see in these three HEIAs, in terms of both direct and indirect changes and the factors that determine those changes.
All three HEIAs identified potential health inequity impacts that had not been previously considered in planning.
We also found that it was hard for people to recognise that their understanding of potential health equity impacts had changed,
For example "I’m not convinced that [the HEIA] made people do things differently, because I think that they probably, should’ve, would’ve, hopefully would’ve, done those things anyway."
To paraphrase Dick Cheney, we may be dealing with thing we don’t know we didn't know?
There was not necessarily consensus about the purpose of doing of doing the HEIA,
For example, "We didn’t have a shared understanding of why we were undertaking it. Our purposes were probably different from [the other group's] purposes, and maybe that’s where they don’t work, but if you have two differing purposes, unless you can fully appreciate what those two different purposes are, maybe it doesn’t work out as well as it could."
My observation (and this is not the purpose of this study), having done several impact evaluations now of HIAs and HEIAs, is that there is more explicit conflict and discomfort about values in HEIAs, which may be expected due to the more explicit examination of the values underpinning a proposal. This requires further investigation.