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Strengthening Health Systems Moving Beyond Supporting the Health System. Ann Lion Health Systems 20/20 Project Director, Abt Associates. Global Health Council Satellite Session Health Systems Strengthening: What is Everyone Doing? June 13, 2011. Goal of this presentation.

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strengthening health systems moving beyond supporting the health system

Strengthening Health SystemsMoving Beyond Supporting the Health System

Ann Lion

Health Systems 20/20 Project Director, Abt Associates

Global Health Council Satellite Session

Health Systems Strengthening:

What is Everyone Doing?

June 13, 2011

goal of this presentation
Goal of this presentation
  • Clarify existing HSS definition
    • Supporting vs. strengthening health systems
  • Propose criteriato distinguish what activities are HSS interventions (support vs. strengthen)
    • Scope
    • Longevity
    • Approach
what is health system strengthening
What is health system strengthening?
  • Strengthening health systems goes beyond supporting the system
    • Supporting focuses on filling gaps to produce better short-term outcomes
    • Strengthening is about making the system function better in the long term
what is not health system strengthening
What is not health system strengthening
  • Most common misunderstanding of HSS is that it is any activity that supports a HS building block
    • Focus tends to be on increasing inputs
    • Often covers only one HS block or disease area
    • Tends to be short-term solution
  • Misconception of HSS often leads to investment in activities that, in effect, only support the system temporarily but posture as HSS
the 3 dimensions of health systems
The 3 dimensions of health systems

1)Health system building blocks

2)Program/disease areas

3)Performance drivers

  • Inputs
  • Policies and regulations
  • Organizational structures
  • Behaviors of HS actors
the 3 dimensions of health systems1
The 3 dimensions of health systems
  • But focus on performance driver tends to be on inputs, while the remaining drivers are often overlooked by HSS programs
how to design hss interventions
How to design HSS interventions?
  • There is no “menu” of HSS interventions
    • Design will be affected by a number of factors specific to country context and system constraints
  • A health system strengthening intervention should:
    • Include all 3 dimensions shown in the HS cube illustration
    • Affect more than one program/disease area
    • Address country-specific constraints
guidance for identifying hss interventions
Guidance for identifying HSS interventions

Is it Health System Strengthening?

  • Does the intervention have cross-cutting benefits beyond a single disease?
  • Does the intervention address policy and organizational constraints or strengthen relationships between the building blocks?
  • Will the intervention produce long-term systemic impact beyond the term of the project?
  • Is the intervention tailored to country-specific constraints and opportunities with clearly defined roles for country institutions?
acknowledgements
Acknowledgements
  • Grace Chee**
  • Nancy Pielemeier
  • Catherine Connor
  • Mark McEuen
  • Sheila O’Dougherty
  • Hong Wang

** lead drafter

  • SlaveaChankova
  • Joe Kutzin
  • Marty Makinen
  • David Evans
  • Tahgreed Adams
  • AbdoYazbeck
thank you

Thank you

www.HealthSystems2020.org

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