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From Health and Social Protection: Meeting the needs of the poor, 9-10 October 2008, www.povill.com
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Conference Health and social protection: Meeting the needs of the poor Vientiane [email protected]
Research to Policy
www.povill.com
.
Suggested topics for Health Systems Research
Financial and human resources -Community-based financing and national health insurance-Human resources for health at the district level and below-Human resource requirements at higher management levels
Organisation and delivery of health services
-Community involvement-Equitable, effective and efficient health care-Private sector and approaches to the organization of health services-Drug and diagnostic policies
Governance, stewardship, knowledge management
-Governance and accountability-Health information systems-Priority setting and evidence-informed policy making-Effective approaches for intersectoral engagement in health
Global influences Effects of global initiatives (GHI) on health systems
World Report on Knowledge for Better Health – WHO 2004
• Strengthen Health Systems• Health Systems Research
[email protected]://www.who.int/rpc/meetings/pub1/en/
.
Function/action-based view on health system
.
Health goals Health actions Health system functions
Enhancing responsiveness to the expectations
of population
Improving health
Ensuring fairness in financial
contribution
Respect for persons-Dignity-Confidentiality-Autonomy
Client orientation-Attention to health needs-Basic amenities (mainly in facilities)-Access to social support networks-Choice of providers
Improving average level of population
health
Alleviating health distribution inequalities
within population
Pooling financial
risks
Poor pay less than affluent
STEWARDSHIPSTEWARDSHIP FINANCINGFINANCING
SERVICE PROVISION
SERVICE PROVISION
RESOURCE GENERATION
RESOURCE GENERATION
Health Policy Models
.
• Rationalist
• Incrementalist (“muddling through”)
• Walt's “Stages” Model
1. Problem identification
2. Policy formulation
3. Policy implementation
4. Policy evaluation
Evidence
Research
Health care policy
System-adaptation
Implementation
Follow up
Feedback
(Muir Gray:2001)
”Translating”
Evidence
Action
Factors influencing the use of research evidence
(adapted from Rehnqvist)
The weak evidence that exist on policy makers use of evidence suggests that to increase use researchers should:• Have personal and close two-way communication with decision makers• Provide decision makers a brief summary with policy recommendations• Ensure that research is perceived as timely, relevant and of high quality• Include effectiveness data• Argue that research are relevant to the demands of policy makers and the community
Innvaer et al:2002