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Findings of the  Academic Consortium Andrew L Ellner M.D., M.Sc. Global Health Delivery Project Brigham and Women’s Hospital Harvard Medical School
The Question ,[object Object],[object Object],[object Object],[object Object]
WHO Positive Synergies Initiative ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Academic Consortium Agence Nationale de Recherche sur le Sida (ANRS) Center for Global Development Dakar University Teaching Hospital George Washington University Harvard University Heartfile, Pakistan Imperial College, London Institute of Tropical Medicine, Antwerp Kenyatta University Public Health Foundation of India Royal College of Surgeons, Ireland The AIDS Support Organization (TASO) University of Buéa University of Pretoria University of the Western Cape
Academic Consortium Timeline Summer 2008 Fall 2008 Winter 2008-2009 Spring 2009 Summer 2009 May 29-30:   First Consultation, Geneva August 5:   Second Consultation, Mexico City Oct 2-3:   Third Consultation, Geneva Nov - Feb   Primary  Data Collection Mar 26-27:   Fourth Consultation, Geneva April 23-24:   Implementers Consortium Mtg, Thailand
WHO Health Systems Building Blocks
Conceptual Framework Adapted from: WHO six building blocks and RA Atun et al, 2006 Health Outcomes Fairness of  Financing Responsiveness GHI investment Health workforce   Governance Monitoring and Evaluation Health Technologies D E L I V E R Y  Private expenditure Government expenditure Financing Other external expenditure Epidemiological Political Demographic Environmental Technological Social Economic Legal Communities/Civil Society
Pathways to Impact Health Outcomes Fairness of  Financing Responsiveness GHI investment Health workforce   Governance M & E Technologies D E L I V E R Y   Private expenditure Government expenditure Financing Other external expenditure CSO/Communities
Types of Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object]
WHO Positive Synergies   Research Questions How do GHI-funded programmes interact with health systems in varied country contexts?
WHO Positive Synergies Methods ,[object Object],[object Object],Institutions National AIDS Control Council WHO PEPFAR Global Fund for AIDS, Malaria, and Tuberculosis USAID CDC UNAIDS AAR Private Healthcare National Newspaper Ministry of Health Treasury Department Family Health International Aidspan GFATM watchdog Ministry of Public Health and Sanitation AIDS NGO Consortium
WHO Positive Synergies  Research Questions How do different health system designs and specific implementation strategies influence the coverage of targeted and non-targeted interventions?
WHO Positive Synergies Methods Facility Assessment Tool
Findings ,[object Object],[object Object],[object Object]
Mixed Methods Country Cases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Variability ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Variability ,[object Object],[object Object],[object Object],[object Object]
Consistency ,[object Object],[object Object],[object Object]
Action Areas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],WHO Positive Synergies   Challenges
Implications for Action ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implications for Research ,[object Object],[object Object],[object Object],[object Object],[object Object]
Implications for Research ,[object Object],[object Object],[object Object],[object Object],[object Object]
Implications for Research ,[object Object],[object Object]
WHO Positive Synergies   Promise Global Network  of implementers, advocates and researchers Global Health Initiatives Country Health Systems Knowledge Generation & Dissemination Improved Health
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank you It is not a case of either or: we do not have this option… it is about making sure that all available resources produce the maximum possible benefits in improving the lives & well-beings of our people. -Dr. Carissa Etienne Assistant Director-General Health Systems & Services World Health Organization

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WHO Maximizing Positive Synergies: Academic Consortium

  • 1. Findings of the Academic Consortium Andrew L Ellner M.D., M.Sc. Global Health Delivery Project Brigham and Women’s Hospital Harvard Medical School
  • 2.
  • 3.
  • 4. Academic Consortium Timeline Summer 2008 Fall 2008 Winter 2008-2009 Spring 2009 Summer 2009 May 29-30: First Consultation, Geneva August 5: Second Consultation, Mexico City Oct 2-3: Third Consultation, Geneva Nov - Feb Primary Data Collection Mar 26-27: Fourth Consultation, Geneva April 23-24: Implementers Consortium Mtg, Thailand
  • 5. WHO Health Systems Building Blocks
  • 6. Conceptual Framework Adapted from: WHO six building blocks and RA Atun et al, 2006 Health Outcomes Fairness of Financing Responsiveness GHI investment Health workforce Governance Monitoring and Evaluation Health Technologies D E L I V E R Y Private expenditure Government expenditure Financing Other external expenditure Epidemiological Political Demographic Environmental Technological Social Economic Legal Communities/Civil Society
  • 7. Pathways to Impact Health Outcomes Fairness of Financing Responsiveness GHI investment Health workforce Governance M & E Technologies D E L I V E R Y Private expenditure Government expenditure Financing Other external expenditure CSO/Communities
  • 8.
  • 9. WHO Positive Synergies Research Questions How do GHI-funded programmes interact with health systems in varied country contexts?
  • 10.
  • 11. WHO Positive Synergies Research Questions How do different health system designs and specific implementation strategies influence the coverage of targeted and non-targeted interventions?
  • 12. WHO Positive Synergies Methods Facility Assessment Tool
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34. WHO Positive Synergies Promise Global Network of implementers, advocates and researchers Global Health Initiatives Country Health Systems Knowledge Generation & Dissemination Improved Health
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40. Thank you It is not a case of either or: we do not have this option… it is about making sure that all available resources produce the maximum possible benefits in improving the lives & well-beings of our people. -Dr. Carissa Etienne Assistant Director-General Health Systems & Services World Health Organization

Editor's Notes

  1. This is a preliminary framework created from the WHO Six Building Blocks and Prof Rifat Atun’s health systems framework. The main purpose of the framework as presented here is to organize the different work streams for this project. We acknowledge this framework has a number of limitations and we understand that there will be considerable debate about what a health system framework would look like. We hope that through this project and our research we can move towards a more refined, normative framework for health systems design. REMINDER: 1. Health Care Infrastructure, laboratory services, and commodity supply chain fall under delivery
  2. 25 countries in Africa, Latin America, Asia constitute “varied contexts”
  3. This is a list of some of the main actors we’ve interviewed in one of our countries for the WHO project In almost all cases, we interviewed the executive directors, heads, and key actors within each of these institutions
  4. Before and after GHI involvement
  5. This is Louise Ivers’s facility assessment tool, in use in Haiti