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

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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