Where in USAID’s Health Systems Strengthening (HSS) Approach is the Community_Cavanaugh
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The document discusses USAID's approach to health systems strengthening (HSS) and how communities fit within that framework. It describes HSS as strategies to improve health system performance in order to sustainably improve health outcomes. The community is involved in several areas of the HSS framework, including leadership and governance, financing, information, human resources, medical products and technologies, and service delivery. At the outcomes level, a strengthened health system should provide financial protection, quality services, population coverage, and responsiveness for communities. Ultimately, effective health systems are aimed at ensuring mothers and children do not die from preventable causes.
Where in USAID’s Health Systems Strengthening (HSS) Approach is the Community_Cavanaugh
- 1. Karen Cavanaugh USAID 10-16-14 Where in USAID’s Health Systems Strengthening (HSS) Approach is the Community October 16, 2014 Karen Cavanaugh Director, Office of Health Systems USAID
- 2. Vision: USAID partners with countries to... Protect poor and underserved people From illness, death and extreme poverty By providing sustained, equitable access To essential high- quality services that are responsive to their needs without financial hardship Karen Cavanaugh USAID 10-16-14
- 3. Health Systems and Health Systems Strengthening Health system: all people, institutions, resources, and activities whose primary purpose is to promote, restore, and/or maintain health. They are complex and adaptive. Health systems strengthening: strategies, interventions and activities designed to sustainably improve health system performance. HSS Inputs, Processes, HSS Outcomes HSS Impact and Outputs Sustained improvements in health for EPCMD and AFG Improved health systems performance Financial Protection Essential Services Population Coverage Responsiveness Leadership & Governance Finance Information Health Workforce Medical Products, Vaccines & Technologies Service Delivery Private sector, eHealth, Prevention / Promotion UHC Karen Cavanaugh USAID 10-16-14
- 5. GHI Health Systems Strengthening Framework Health System Inputs and processes Health System Outputs Health System Outcomes Health Outcomes Karen Cavanaugh USAID 10-16-14
- 6. Strategic priorities for inter-related health system functions Governance & Leadership Finance Information Health Workforce Medical Products, Vaccines, & Technologies Service Delivery Karen Cavanaugh USAID 10-16-14
- 7. Priority Objectives 1. Create a culture of evidence-based decision making 2. Improve and increase uptake of major tools, e.g. DHS, NHA, iHRIS 3. Support improvements in countries’ health information systems vital for EPCMD and AFG Examples RHIS: Implemented Performance of Routine Information System Management (PRISM) framework and toolkit in 22 countries (16 EPCMD/AFG) mHealth: DHS is using tablets to collect data in 17 surveys, Illustrative Example for Information Vision: The collection, analysis, dissemination and use of timely and high quality information by the health system Karen Cavanaugh USAID 10-16-14
- 8. •Design policies, oversee implementation •Set terms of private sector engagement •Enforce accountability, transparency Leadership & Governance •Drive resource allocation through voting, taxes, purchasing decisions •Set social values underlying risk pooling •Enforce accountability, transparency Financing •Demand and use information for oversight •Generate and share information Information •Identify ,provide & support community workers •Partner with facility-based health workers for effective services •Provide feedback on health worker performance (recruit, supervise & pay) Human Resources •Buy and use medicines effectively •Promote vaccine coverage •Enforce accountability, transparency Medical products, vaccines, technology •Set standards for essential service package •Promote access & use of services •Provide prevention, promotion services locally Service delivery The Community in HSS Inputs and Processes Karen Cavanaugh USAID 10-16-14
- 9. •Community ensures system rewards good performance, sanctions poor performance •Public & private actors are held accountable for results Leadership & Governance •Locality has enough money to pay for community’s health needs. Risks are spread, costs are shared. •Health funds go to high quality, high impact services. Financing •People in community have timely, reliable , complete information. Information •Local health workforce provides quality services that satisfy patients without discrimination. Human Resources •Community residents have safe, effective, high quality medicines they need when and where they need them. Medical products, vaccines, technologies •Community residents can choose safe, quality services in public & private sector when needed. Service delivery The Community in HSS Outputs Karen Cavanaugh USAID 10-16-14
- 10. Where is the Community in HSS Outcomes? Karen Cavanaugh USAID 10-16-14 Financial protection: Community members use all needed services. No one in community becomes impoverished. Quality services: Community members get all needed prevention, promotion, treatment & care services delivered with high quality. Population coverage: Poor, marginalized, underserved, high priority community members of community get same services as rest of community. Responsiveness: Community members have choice, treated with dignity, confidentiality, autonomy, promptness, social support.
- 11. What health outcomes of effective health system performance mean for the community Mothers and children are no more likely to die than their counterparts in OECD countries. The next generation will live free from the threat of HIV/AIDS. Karen Cavanaugh USAID 10-16-14
- 12. Thank you! Karen Cavanaugh USAID 10-16-14