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Recommendations on Maximizing the Positive Synergies from the interactions between Health Systems Strengthening and disease specific Global Health Initiatives
Suwit WibulpolprasertSalif Samake
Co-chairsImplementer Consortium
Maximizing Positive Synergies
The aim
- How can disease specific Global Health Initiatives and Country Health Systems optimize their interactions to achieve their common goal of improving health outcomes?
- How can Health Systems be strengthened to support the achievements of disease specific GHIs targets
The road to the recommendations
– Establishment of the Implementers Consortium September 2008
– Academic and Civil Society consortia's workAugust 2008 – June 2009
– ConsultationsNovember 2008 – June 2009
– Implementers Consortium Meeting January, April and May 2009
– High Level Dialogue in Venice 22-23 June 2009
– Finalized recommendations and advocacy
The recommendations
– Be Very Bold
– Set Enumerable targets
– Enhance National leadership
– Improve Evidence – Communities Engagements
“VENICE” Recommendations
Be Very Bold
- Reduce ‘self’ towards ‘love’, ‘trust’ and ‘solidarity’ – disease specific GHIs and HSS
- More ‘health’ investment – Development partners and governments; both on disease specific GHIs and HSS
- More cost-effective investment – PHC based HSS
Set Enumerable Targets for HSS
- Agreement on indicators for each
building block of the HS – HRH, service delivery, financing, governance, health information, supply management, etc.
- Set Enumerable targets including targets on community engagement
- Make national health information systems strong enough to inform the progresses of the agreed targets
Enhance National leadership
- Sustainable National leadership:
- leadership
- HP/HS research and policy formulation
- Management and implementation capacity
- Participatory, Accountable and Transparent Governing structures – all level
- Focus on single consolidated National Health Development Plan – ‘3 Ones’ or IHP++++ or etc
Improve evidence
- Assess situation formulate a national development plan on HIS based on HMN framework, and also on the HSR, based on multi-sectoral involvement.
- Concrete and adequate investment to build long term sustainable national capacity on HIS and HSR
- Link the evidences to the set targets and the policy decision processes
Communities Engagement – at all levels
- Capacity building of community and civil society organizations – the right ones not the opportunists
- Engage them in the governing structures at all levels
- Decentralization and ownership by communities
Implementing the recommendations
International partners
- Shared accountability on their prior commitments
- Stop fighting and competition and move towards ‘co-petition’ - harmonization among partners based on ‘trust’ based relationship
- Needs assessment and agreement on comparative advantages
-
Implementing the recommendations
National policy makers
- build up strong and sustainable leadership to be able to deliver their commitments
- Increased domestic health funding – 15% of national public spending on health - Supportive policy environment and accountability
Implementing the recommendations
Programme managers
- Building sustainable management capacity
- Coordinated and unified response among programmes, GHIs and HSS
- Create common monitoring systems
Implementing the recommendations
Communities
- Drive ambitious HSS agenda
- Expand role of communities in health service delivery – ‘brain’, ‘bark’ and ‘Bite’
- Engagement in the governing structures at all levels.
Implementing the recommendations
Researchers
- Be a comprehensive ‘brain’ to HSS and GHIs
- Define and cost a long term HS research agenda
- Develop rigours methods to investigate interactions between HS and GHIs
Thank you