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ACCESS Health International hosted a Joint Learning Workshop on Universal Health Coverage in February, 2010. Representatives from Ghana, India, Indonesia, Philippines, Thailand and Vietnam convened to learn from each other on how to manage challenges with universal health coverage. The meeting was a collaboration between Atlantic Philanthropies, the Bill & Melinda Gates Foundation, GTZ, the International Labour Organization, the Providing for Health (P4H) Initiative, the Results for Development Institute, the Rockefeller Foundation, and the World Bank. Please visit www.jointlearningworkshop.org for more information
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This session was hosted by Norway India Partnership Initiative,
the National Institute of Health and Family Welfare and ACCESS Health.
The aim was to engage leading experts and practitioners from different
states in India to discuss and propose how government contracting
can improve child survival.
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The International Health Economics Association (IHEA) held the 7th World
Congress on Health Economics in Beijing on July 12-15, 2009. Health economists
from all over the world met to share recent research and discuss issues ranging
from affects of single interventions in hospitals to the role of health
economists.
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William Hsiao from Harvard School of Public Health summarized the challenges for
health economists with three points. The three challenges can furthermore
represent three outcomes of IHEA 2009:
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Conceptualized strategic components of a health system
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Explained why a health system perform better or worse than others
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Provided recommendations for actionable policy changes
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Download our summary
The summary is done by Sofi Bergkvist from the ACCESS Health International
who presented at a pre-meeting on the Role of the Private Sector in
Healthcare Delivery. This summary covers a fraction of all the topics discussed at the conference and focus on seminars in financing of health care, the role of the private sector in health care delivery and quality of care.
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The Rockefeller Foundation chaired the session Improving Health Outcomes in Mixed Public-Private Health Systems at the research symposium at the Global Health Council in Washington DC.
The ACCESS Health International presented a study of the Health Sector Reform in Andhra Pradesh.
The panel presented new research on strategies to harness the resources of the private health sector by creating effective frameworks for improved public-private collaboration with the goal
of attaining better performing “mixed” health systems. More specifically, presenters focused on ways for key stakeholders (e.g. national governments, donors and international institutions)
to support the development of models that recognize opportunities to harness the private health sector, while mitigating the serious risks that can occur when the private sector operates unregulated.
This research was completed by the technical partners of the Rockefeller Foundation’s Transforming Health Systems (THS) initiative.
The ACCESS Health International presented initiatives under the Health Sector Reform in Andhra Pradesh with a major social protection scheme, purchasing of healthcare services and a reform program for improved management.
Challenges with implementation and opportunities for support was also presented.
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The World Economic Forum's initiative on New Models in Healthcare Delivery hosted a
private meeting in association with the Latin America regional meeting.
The ACCESS Health International presented the work performed in India with identification and documentation of innovation in healthcare delivery with an aim to
facilitate knowledge transfer and support implementation of best practices. One example was how efficient school health programs developed in India can be implemented in schools in Latin America.
The strategy of the initiative on New Models in Healthcare Delivery builds upon the initial Delivery Models research discussions presented at the World Economic Forum on India, November 2008, the
Healthcare Governors Meeting, Annual Meeting in Davos 2009 and the meeting on New Models in Healthcare Delivery held at the World Economic Forum on Latin America, April 2009.
At the Healthcare Governors Meeting Dr. Dzau from Duke University Health Systems and Jean-Michel Halfon, Emerging Markets, Pfizer the urgency and rationale of this topic.
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Healthcare is already global but the challenges are somewhat different between the developed and developing countries.
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Healthcare spending is approaching a negative tipping point. The current model of high-cost and reimbursement-driven healthcare in developed countries is not sustainable.
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Poor access to healthcare for the majority of the population in developing countries. This adversely affects the well-being of these populations,
stunts their economic growth, and limits markets accessible to healthcare products.
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Strengthening innovative health systems contributes to
improving the health of the world’s underserved; but it could also help grow new markets for
healthcare products in these developing economies.
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Developed market systems can learn from emerging market innovations. Doing more with less and possibly disrupting entrenched delivery systems in the process.
The World Economic Forum meeting on Latin America narrowed down areas for further work and recognized that identifying and documenting health care delivery models
is necessary while there is a need to find an effective mechanism to transfer information to inspiration and knowledge for implementation of models if best practices
are to spread. This conclusion was based on experiences from Vera Cordeiro, Founder of Renascer. They are willing to train people from other countries, have developed
manuals and implementation strategies for replication in English and have been recognized internationally for the effective and innovative delivery model. Despite the
tools for replication and a broad international network, has the model only been brought to the United States and still not to any of the emerging markets where the model is needed.
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Providing adequate health care to its people is among India’s major challenges.
Despite significant progress since independence, the magnitude of India’s health
care burden is significant. Juxtaposed with the challenge of poverty, India’s burden
of disease has a devastating effect on human development. The human, financial and
infrastructure resources available to tackle the needs of health care fall well short
of the challenge. The shortfall in medical services is especially large in India’s
rural hinterland. The situation is however not without hope. Pockets of excellence
in health care have emerged in response to a confluence of factors; high need,
exceptional medical skill, proximity to high technology and a culture of social
entrepreneurism. These pockets of excellence, such as Aravind eye care, Care Hospitals,
Narayana Hrudayalaya and Jaipur Foot in artificial limbs, have attained the quality, volume, cost and access thresholds demanded by the magnitude of India’s needs.
The “Social Entrepreneurism in Health care in India; Leadership Conference on Best Practices” conference was organized in New Delhi on November 19-20, 2005 to bring together the entrepreneurs behind the identified pockets of excellence. The conference was sponsored by the William A Haseltine Foundation for Medical Sciences and the Arts, The Lind Family Trust, The Aspen Institute and The Global Business Coalition on HIV?AIDS. Assembled was a group of over 30 social entrepreneurs representing diversity in backgrounds, specialties, settings, delivery models and geographies.
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Social Entrepreneurism in Healthcare in India (2005)
The Report summarizes the major lessons from the Conference and documents some of the presented models.
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In the aftermath of the Conference in 2005, the William A Haseltine Foundation
for Medical Sciences and the Arts and the Lind Family Trust organized a panel
was organized at Aspen Ideas Festival 2006 on the topic Sustainable and Effective
Social Health care: India's Social Entrepreneurs. Successful cases were explored
and the costs in health care were discussed.
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