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Similar to Session 10 What have we learned so far ?
Session 10 What have we learned so far ?
- 1. Day 3: Whathave we learned so far? Cotonou, December 18 2015
- 2. Local health system:the dominant view Central level Local government Actors of other sectors Civil Society Group District office Hospital Health Centre Private providers Community Health Workers Verification agent Households
- 3. What it isactually Central level Local government Actors of other sectors Civil Society Group District office Hospital Health Centre Private providers Community Health Workers Verification agent Households Community groups
- 4. Collectively intelligent localhealth system Central level Local government Actors of other sectors Civil Society Group District office Hospital Health Centre Private providers Community Health Workers Verification agent Households Community groups
- 5. The solutions reviewedon days 1 & 2 Central level Local government Actors of other sectors Civil Society Group District office Hospital Health Centre Private providers Community Health Workers Verification agent Households DHIS2
- 6. The solutions reviewedon days 1 & 2 Central level Local government Actors of other sectors Civil Society Group District office Hospital Health Centre Private providers Community Health Workers Verification agent Households Community groups Open RBF
- 7. Central level Local government Actors of othersectors Civil Society Group District office Hospital Health Centre Private providers Community Health Workers Verification agent Households Open Clinic Telemedicine The solutions reviewed on days 1 & 2
- 8. Central level Local government Actors of othersectors Civil Society Group District office Hospital Health Centre Private providers Community Health Workers Verification agent Households DataSanté The solutions reviewed on days 1 & 2
- 9. Central level Local government Actors of othersectors Civil Society Group District office Hospital Health Centre Private providers Community Health Workers Verification agent Households Djantoli The solutions reviewed on days 1 & 2
- 10. Central level Local government Actors of othersectors Civil Society Group District office Hospital Health Centre Private providers Community Health Workers Verification agent Households mHealth India The solutions reviewed on days 1 & 2
- 11. Central level Local government Actors of othersectors Civil Society Group District office Hospital Health Centre Private providers Community Health Workers Verification agent Households mHealth India The solutions reviewed on days 1 & 2
- 12. Collectively intelligent LHS:3 principles? 1. Information and processes should empower LHS actors in their specific role 2. Information and processes enhances connections between actors, both within the LHS and with key actors outside the LHS 3. Information and processes empower actors in charge of the coordination of the LHS (including in the management of tensions and conflicts)
- 13. Weak points Central level Local government Actorsof other sectors Civil Society Group District office Hospital Health Centre Private providers Community Health Workers Verification agent Households Community groups
- 14. The empty hamburger Alot of attention at the top Growing attention at the bottom Not enough attention to the middle and the many ingredients that make the system effective!
- 15. Two emerging observationson ICT solutions 1. Solutions going to scale are those developed first for the needs of the central level. Main limit: They are not inclusive enough for LHS actors. 2. Solutions empowering health providers are those first developed for their specific needs. Main limit: none has scaled up (not inclusive enough of the central and district levels?). Yet, some are growing by horizontal diffusion (ex. Open Clinic).
- 16. An observation onactors • Those in local coordination position (mainly DMT, local governments) are under-using data. – Too many district teams are still under-achieving their 1987 mission (coordinate public & assimilated health facilities). – Even fewer are using data to steer other providers (2013 pluralistic vision). – Local governments are out-of-the info loop.
- 17. Key questions • Howto involve DMT (dashboards and beyond) and increase connections between LHS actors? • How to accelerate the diffusion / the scale up of solutions for: health providers (‘point of care’) and users.
- 18. An effective informationsolution – an emerging framework • Health System • People • Context Design, collect… Organize, analyse… Decide, act… Share, observe, improve… Technology