health systems based on primary health care in the eastern mediterranean n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Health Systems Based on Primary Health Care in the Eastern Mediterranean PowerPoint Presentation
Download Presentation
Health Systems Based on Primary Health Care in the Eastern Mediterranean

Loading in 2 Seconds...

play fullscreen
1 / 18

Health Systems Based on Primary Health Care in the Eastern Mediterranean - PowerPoint PPT Presentation


  • 125 Views
  • Uploaded on

Health Systems Based on Primary Health Care in the Eastern Mediterranean. Dr Sameen Siddiqi, Regional Adviser, WHO EMRO International Conference on Primary Health Care and Health Systems in Africa 28-30 April 2008, Ouagadougou, Burkina Faso. Regional Office of the Eastern Mediterranean.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Health Systems Based on Primary Health Care in the Eastern Mediterranean' - kevin-vargas


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
health systems based on primary health care in the eastern mediterranean

Health Systems Based on Primary Health Care in the Eastern Mediterranean

Dr Sameen Siddiqi, Regional Adviser, WHO EMRO

International Conference on Primary Health Care and Health Systems in Africa

28-30 April 2008,

Ouagadougou, Burkina Faso

Regional Office of the Eastern Mediterranean

emro s commitment to health systems based on primary health care
EMRO’s Commitment to Health Systems based on Primary Health Care
  • EM/RC53/R.8 (2006)
    • Role of Governments in Health Development
  • EM/RC51/R.7 (2004)
    • Health system priorities in the EMR: Challenges and strategic directions
  • EMR/RC50/R.12 (2003)
    • Primary health care: 25 years after Alma Ata
  • EM/RC48/R.3 (2001)
    • Health system development based on PHC
  • EM/RC/47/R.6 (2000)
    • Quality assurance and improvement in health systems with special reference to primary health care: a shared responsibility
  • EM/RC46/R.X (1999)
    • Regional Health for all Policy and Strategy for the 21st Century
community based initiatives basic development needs bdn approach
Community Based Initiatives: Basic Development Needs (BDN) Approach

Health cannot be achieved in isolation -many determinants are outside the domain of the health system.

BDN aims at achieving a better quality of life thru integrated socio-economic development and community involvement.

Promotes self-reliance through self -management and self-financing by the people .

Peoples-oriented strategy that offers vital support to intersectoral collaboration.

slide4

Community Based Initiatives in the Eastern Mediterranean

BDN

Healthy cities

Healthy villages

13

BDN

Healthy Cities

8

Healthy Villages

4

Women in Health & Development 18

primary health care country experiences
Primary Health Care: Country Experiences
  • ‘Velayat’ (District) Health System in Oman
    • Successful PHC based health system in the EMR
  • ‘Behvarz’ – CHW based PHC delivery system in Iran
    • Reconfigure PHC to tackle the changing epidemiologic and demographic challenges
  • National Program for PHC and FP in Pakistan
    • 100,000 government financed and organized female CHWs
  • Contracting out of PHC services in Afghanistan
    • PHC services financed by donors and provided by NGOs
slide7

Infant Mortality and Under 5 Mortality

Oman 1970-2006

200

181

150

100

118

50

11.0

10.25

//

//

//

//

0

1970

1975

1980

1985

1990

1991

1992

1993

1994

1995

1996

1997

1998

2000

2006

Infant Mortality Rate

Under 5 Mortality Rate

DGHA - MOH

health system based on phc initiatives in the eastern mediterranean region
Health System based on PHC Initiatives in the Eastern Mediterranean Region
  • Policy and systems research
    • Contracting out of health services
    • Trade in health services
    • Health system governance
    • Patient safety
    • Catastrophic health expenditure
    • Private health sector
  • In depth reviews and policy dialogue on health systems
  • Capacity Development in Health Systems
  • Regional Health System Observatory
contracting out of phc health services
Contracting out of PHC health services?
  • Should publicly financed PHC services be provided by the public sector or provided through contracting out to the private sector?
the challenge of governance of the health system
The challenge ofGovernance of the health system

Develop assessments tools and instruments

Piloted in several EMR countries

Delineate strategies for improving governance

Reform ministries of health

Pakistan

Strengthen legislative, regulatory capacities

Improve aid effectiveness

health system capacity development workshops for policymakers and who staff
Health System Capacity Development Workshops for Policymakers and WHO staff

Objectives:

Orient policymakers to contemporary issues in health systems

Develop capacity of WHO staff working in country and regional offices on health systems to engage in policy dialogue with governments

health systems reviews and policy dialogue with national governments
Health Systems Reviews and Policy Dialogue with national governments
  • Elements
    • Health system desk review
    • Country missions– all WHO levels
    • Engagement of development partners
    • Policy dialogue
    • Follow-up with specific proposals
  • During 2005-07
    • Afghanistan, Pakistan, Sudan, Syria, Yemen
health systems challenges in the emr
Health Systems Challenges in the EMR
  • HFA through PHC for all member states but not – “one size fit all” strategy
  • Update tools and methods for health system performance monitoring
  • Organizational challenges
    • Public-Private partnership
    • Strengthen district health system & making decentralization effective
    • Enhancing the role of MOH for ‘better health care’ to ‘ better health’
  • Working with disrupted health systems due to conflicts - Palestine, Iraq, Afghanistan, Sudan, Somalia
  • Investing in Strengthening Institutions in the EM Region
develop institutionalize tools for improving health system performance
Develop/institutionalize tools for improving health system performance
  • Evaluation and Assessment tools
    • Policy analysis tools (BOD, NHA, CEA, FFC, political mapping)
    • In-depth health system reviews
  • Enabling tools for improved management
    • Standard operational procedure
    • District team problem solving
    • Management effectiveness programs
    • Accreditation, re/licensing of staff and facilities
    • Carte Sanitaire
  • Empowering tools for communities
    • Basic Development Needs (BDN) Instruments
slide17

Celebrating the 30th Anniversary of PHC in the EMR - Qatar, 1-4 November 2008

  • ‘PHC: the Foundation for Health and Well-being’
  • Eight Themes
  • Innovative Primary Health Care;
  • Health and Wellness Promotion;
  • Community based Care;
  • Healthy Workplaces;
  • Mental Health;
  • Clinical Updates in Primary Care;
  • Primary Health Care for the Future;
  • Professional Development in Primary Health Care
approaches to health system development
Approaches to health system development

Thank you for your attention!