presentation: who-wpro health policy and financing

8/16/2019 PRESENTATION: WHO-WPRO Health Policy and Financing

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Health Policy and FinancingWHO Regional Office of the Western Pacific

Ke Xu

Coordinator

Health Policy and Financing

May 23, 2016. ADB

Disclaimer: The views expressed in this paper/presentation are the views of the author and do not necessarily reflect the views or policies

of the Asian Development Bank (ADB), or its Board of Governors, or the governments they represent. ADB does not guarantee theaccuracy of the data included in this paper and accepts no responsibility for any consequence of their use. Terminology used may not

necessarily be consistent with ADB official terms.



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Structure of the discussion

Health system governance and financing in the overall healthsystem development

Guiding strategy for country support:

–UHC: Moving towards Better Health (Regional Action Framework)

Priority technical areas

Discussion

–Technical areas

– Priority counties

– Collaborations



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Health Policy and Financing

Mission: Support Member States to progress faster towards UHCthrough strengthening of health systems governance and financing



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Action framework

UHC: moving towards better health

H e a

l t h s y s t e m

a t t r i b u t e s

SUSTAINABILITY

AND RESILIENCE

QUALITY

EFFICIENCY

EQUITY

ACCOUNTABILITY

Adopted at the 66th RCM in October 2015 (WPR/R66.R2)



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What are the main features of the framework?

Purpose: help countries to accelerate progress towards UHCwith the focus on actions

– Draws on global and regional experiences with input from Member

States, experts and development partners.

– To be applicable to health systems at various stages of development

– Encompasses individual and population level services, and

incorporating health system building blocks

Takes a comprehensive view and whole-of-system approach

Provides guidance to Member States to diagnose the rootcause of the problems and to develop country-specific road

maps and choose a group of interconnected actions for UHC



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1. Quality Action Domains

1.1 Regulations and regulatory environmenta. Enforce workforce regulation

b. Strengthen national regulatory authorities for medicines and technologies

c. Adopt service standards for health facilities and infrastructure

d. Legislate to protect patient rights

1.2 Effective, responsive individual & population-based services

a. Build and maintain a competent workforce and multi-disciplinary teams

b. Implement evidence-informed protocols & interventions individual & population levels

c. Use individual and population-level health information for health improvement

1.3 Individual, family and community engagement

a. Improve health literacy and capacity for health decision-making

b. Adopt systematic approach to monitor patient experience for service improvement

c. Empower patients and families through self-efficacy and peer-support groups



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2. Efficiency Action Domains

2.1 Health system architecture to meet population needsa. Define the core service packages and delineate the roles of health institutions at different levels

b. Make more resources available for public health, primary-level services and disadvantagedpopulation groups

c. Guide non-state service providers for public health

2.2 Incentives for appropriate provision and use of services

a. Use provider payment mechanisms and other incentives to foster appropriate behaviour

b. Leverage price and benefit package design to encourage provision of desired services andavoid unnecessary use of services

c. Improve management and rational use of medicines and health technologies

2.3 Managerial effectiveness and efficiency

a. Encourage all providers to be efficient through managed autonomyb. Improve overall management capacity and skills to meet requirements in the changing

environment

c. Strengthen information systems and effective use of information and communicationstechnologies (ICT)



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3. Equity Action Domains

3.1 Financial protectiona. Reduce financial and non-financial barriers to access

b. Strengthen appropriate connections between health financing

and other social protection schemes

3.2 Service coverage and accessa. Improve equitable access to services

b. Catalyse appropriate demand for services

3.3 Non-discrimination

a. Foster respectful care

b. Provide legal protection

c. Create opportunities for vulnerable groups to have a voice



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4. Accountability Action Domains

4.1 Government leadership and rule of law for healtha. Set the vision for health sector development and ensure sufficient resources for health

b. Strengthen the rule of law and regulatory institutions

c. Build leadership and management capacities

4.2 Partnerships for public policy

a. Secure intersectoral collaboration across government

b. Work with non-state partners on shared interests for health

c. Empower communities to participate in decisions and actions that affect them

4.3 Transparent monitoring and evaluation

a. Develop efficient health information systems and streamline information flowsb. Facilitate open access to information

c. Strengthen institutional capacity for health policy and systems research and translationof evidence into policy



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5. Sustainability and Resilience

Action Domains

5.1 Public health preparednessa. Strengthen capability to detect and respond to diseases or conditions with the

potential to become a major public health concern or emergency

b. Develop cross-sectoral partnerships and plans for disaster risk management

c. Devise and test business continuity plans

5.2 Community capacitya. Enhance community capacity for disease management and health promotion

b. Promote community participation and readiness for disaster risk management

5.3 Health system adaptability and sustainability

a. Develop foresight capabilitiesb. Leverage resources for health through cross-programme and inter-institutional

linkages

c. Institutionalize participatory governance



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Monitoring progress on UHC

Regional framework for monitoring UHC aligned

with SDGs and Global Reference List of 100 Core

Health Indicators

National framework based on national priorities,

population needs, and contextual factors

Monitoring UHC at local, national, regional, and

global levels and from different perspectives

Taking into consideration of tracking progress andimprove performance



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Broader context in the region

Rapid aging process, changes in disease pattern (NCD),emerging pandemics, and natural disasters

Decentralization (deconcentration, delegation, devolution and

privatization)

Multisector involvement, diverse needs for health services,

and risk factors control Globalization and regional cooperation

– International regulations (conventions)

– Health security and public health functions

– Medicines (pharmaceutical issues)

– Health services (non-tradable to tradable)

medical tourism and workforce migration

Economic growth and high expectation for health services



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Priority technical areas

Health system governance (legislation

and regulation, decentralization, accountability)

Country specific UHC roadmap and implementation

Health financing system design: revenue collection,

pooling, resource allocation and purchasing

Domestic financing and public financial management

Resource tracking and monitoring of UHC



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Discussions

Commonly interested technical areas

Commonly interested in specific countries

Collaborations at regional and country levels

presentation: who-wpro health policy and financing

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