The research on “Maximizing Positive Synergies” project (MPS) engaged an ad hoc alliance of researchers from many countries and disciplines grouped in 3 consortia: Academic; Civil society; and Implementers.
Led by the GHD Project, the academic consortium comprised 15 of the world’s leading universities and institutions spanning all 6 of the WHO’s global regions. More than 75 individual researchers have contributed, and the consortium has generated case study evidence from more than 20 countries.
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
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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
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
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9. WHO Positive Synergies Research Questions How do GHI-funded programmes interact with health systems in varied country contexts?
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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?
34. WHO Positive Synergies Promise Global Network of implementers, advocates and researchers Global Health Initiatives Country Health Systems Knowledge Generation & Dissemination Improved Health
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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
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
25 countries in Africa, Latin America, Asia constitute “varied contexts”
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
Before and after GHI involvement
This is Louise Ivers’s facility assessment tool, in use in Haiti