SlideShare une entreprise Scribd logo
1  sur  13
Télécharger pour lire hors ligne
better systems, better health




                          Health Systems Strengthening
                          in the DRC

                                    Better Health Systems: Strategies that Work
                                    Presentation Series at the Global Health Council


                                    Fred Rosensweig
                                    February 7, 2012


Abt Associates Inc.
In collaboration with:
I Aga Khan Foundation I Bitrán y Asociados
I BRAC University I Broad Branch Associates
I Deloitte Consulting, LLP I Forum One Communications
I RTI International I Training Resources Group
I Tulane University’s School of Public Health
Overview of Health Systems 20/20’s
Activities in DRC


   Program facts: 4 years and $7.3m
   Goals
    1) Strengthen policymaking and inform strategies in
       health financing aimed at increasing access to
       services
    2) Build sustainable institutional capacity of key
       national entities in management and coordination
       to enhance their effectiveness
Health Systems 20/20 Program

 Health financing
  - National Health Accounts – including WASH
    subaccount
  - Development of performance-based financing
    policy (PBF) and initial support for roll-out
  - Evaluation of Mutual Health Organization
    experience
  - Sub-recipient assessment for Global Fund grant
Health Systems 20/20 Program

 Capacity-building
  - Institutional Strengthening of Kinshasa School of
     Public Health (KSPH)
   - Strengthening of management and coordination
     capacity of HIV/AIDS Office (PNLS), Nutrition
     and Family Planning Offices in MOH
Health Systems Strengthening in the DRC
Health Systems Strengthening in the DRC
Challenges

           Challenge                           Consequences
Weak institutional capacity           •   No accountability
                                      •   Limited follow through
                                      •   Poorly paid staff
                                      •   Poor working conditions
Dependency on donor funding           • Limited government resources
                                      • Strongly influenced by donor
                                        priorities
Lack of qualified local consultants   • Best people leave to work for
                                        development partners
Personal economic security            • Everyone is in survival or rent-
                                        seeking mode
                                      • Lack of concern for the greater
                                        good
Coping with these Challenges

 Weak institutional capacity
  - Identify and work in partnership with strong
     leadership
   - Build management capacity over time (no short-
     term fix)
   - Make tangible improvements in working conditions
   - Find ways to motivate staff
Coping (cont.)

 Dependency on donor funding
  - Leverage other donors’ funding
  - Plan based on available resources
  - Develop capacity to attract and mobilize resources
 Finding qualified local consultants
  - Use a mix of local staff and resident expats
Coping (cont.)

 Personal economic security
  - Create incentives so all benefit
  - Use existing incentives (e.g, per diems for
   residential meetings)
  - Reward performance (PBF)
How these HSS Interventions
Reduce Fragility

 KSPH is an enabling institution that trains public
  health leaders and carries out the analyses that
  inform HSS and health policy decisions
 PNLS has a stewardship role in development and
  oversight of HIV/AIDS programs
 By highlighting lack of resources, poor government
  commitments, and lack of support at provincial level,
  NHA provides information for improving state
  legitimacy
Reducing Fragility

 Strengthening NHA unit in MOH has attracted other
  donors and enhanced its role
 Large-scale PBF system provides incentives to
  achieve results and improve service delivery
better systems, better health




                          Thank you

                                    www.HealthSystems2020.org




Abt Associates Inc.
In collaboration with:
I Aga Khan Foundation I Bitrán y Asociados
I BRAC University I Broad Branch Associates
I Deloitte Consulting, LLP I Forum One Communications
I RTI International I Training Resources Group
I Tulane University’s School of Public Health

Contenu connexe

Tendances

Session ii community partnerships developing the latino workforce pipeline
Session ii community partnerships developing the latino workforce pipelineSession ii community partnerships developing the latino workforce pipeline
Session ii community partnerships developing the latino workforce pipelineSea Mar Community Health Centers
 
CAA and Neighbourhood Management
CAA and Neighbourhood ManagementCAA and Neighbourhood Management
CAA and Neighbourhood ManagementShared Intelligence
 
Violence Against Women and Girls: A Compendium of Monitoring and Evaluation I...
Violence Against Women and Girls: A Compendium of Monitoring and Evaluation I...Violence Against Women and Girls: A Compendium of Monitoring and Evaluation I...
Violence Against Women and Girls: A Compendium of Monitoring and Evaluation I...MEASURE Evaluation
 
Lesotho Decentralization experience by Lebohang Mothae, CHALe
Lesotho Decentralization experience by Lebohang Mothae, CHALeLesotho Decentralization experience by Lebohang Mothae, CHALe
Lesotho Decentralization experience by Lebohang Mothae, CHALeachapkenya
 
CHW national update Iphi meeting 1 14-14
CHW national update Iphi meeting 1 14-14CHW national update Iphi meeting 1 14-14
CHW national update Iphi meeting 1 14-14Carl Rush
 
CEGA's Contribution in Open Economic Governance in South Africa
CEGA's Contribution in Open Economic Governance in South AfricaCEGA's Contribution in Open Economic Governance in South Africa
CEGA's Contribution in Open Economic Governance in South Africaopengovpartnership
 
Public Consulting Group Expert Employee - Brian Howells
Public Consulting Group Expert Employee - Brian HowellsPublic Consulting Group Expert Employee - Brian Howells
Public Consulting Group Expert Employee - Brian HowellsPublic Consulting Group
 
D Millar Resume 8.26.11
D  Millar Resume 8.26.11D  Millar Resume 8.26.11
D Millar Resume 8.26.11debrajmillar
 
Children's Services Council of Broward County, Systemic Model of Prevention
Children's Services Council of Broward County, Systemic Model of PreventionChildren's Services Council of Broward County, Systemic Model of Prevention
Children's Services Council of Broward County, Systemic Model of Preventioncscbroward
 
2014-15-Annual-Report LeadingAge WI
2014-15-Annual-Report LeadingAge WI2014-15-Annual-Report LeadingAge WI
2014-15-Annual-Report LeadingAge WIMari Beth Borek
 
Public / NGO, Private Partnership in Eyebanking
Public / NGO, Private Partnership in EyebankingPublic / NGO, Private Partnership in Eyebanking
Public / NGO, Private Partnership in EyebankingEBAI
 
Driving Health Equity into Action at a Community Level
Driving Health Equity into Action at a Community Level Driving Health Equity into Action at a Community Level
Driving Health Equity into Action at a Community Level Wellesley Institute
 
Understanding the concept of risk pooling
Understanding the concept of risk poolingUnderstanding the concept of risk pooling
Understanding the concept of risk poolingHFG Project
 
CSHGP Operations Research Findings_David Hintch_5.8.14
CSHGP Operations Research Findings_David Hintch_5.8.14CSHGP Operations Research Findings_David Hintch_5.8.14
CSHGP Operations Research Findings_David Hintch_5.8.14CORE Group
 
Social Equity Audit
Social Equity AuditSocial Equity Audit
Social Equity AuditOpenSpace
 
Oluchi Bassey: State Led Approaches for FP Demand Generation_Lessons Learnt f...
Oluchi Bassey: State Led Approaches for FP Demand Generation_Lessons Learnt f...Oluchi Bassey: State Led Approaches for FP Demand Generation_Lessons Learnt f...
Oluchi Bassey: State Led Approaches for FP Demand Generation_Lessons Learnt f...GetItTogetherNG
 
Accountability, Health Governance, and Health Systems: Uncovering the Linkages
Accountability, Health Governance, and Health Systems: Uncovering the LinkagesAccountability, Health Governance, and Health Systems: Uncovering the Linkages
Accountability, Health Governance, and Health Systems: Uncovering the LinkagesHFG Project
 

Tendances (20)

Session ii community partnerships developing the latino workforce pipeline
Session ii community partnerships developing the latino workforce pipelineSession ii community partnerships developing the latino workforce pipeline
Session ii community partnerships developing the latino workforce pipeline
 
Infiltrating the Mainstream - the Queensland Experience
Infiltrating the Mainstream - the Queensland ExperienceInfiltrating the Mainstream - the Queensland Experience
Infiltrating the Mainstream - the Queensland Experience
 
CAA and Neighbourhood Management
CAA and Neighbourhood ManagementCAA and Neighbourhood Management
CAA and Neighbourhood Management
 
Violence Against Women and Girls: A Compendium of Monitoring and Evaluation I...
Violence Against Women and Girls: A Compendium of Monitoring and Evaluation I...Violence Against Women and Girls: A Compendium of Monitoring and Evaluation I...
Violence Against Women and Girls: A Compendium of Monitoring and Evaluation I...
 
Lesotho Decentralization experience by Lebohang Mothae, CHALe
Lesotho Decentralization experience by Lebohang Mothae, CHALeLesotho Decentralization experience by Lebohang Mothae, CHALe
Lesotho Decentralization experience by Lebohang Mothae, CHALe
 
Inception2
Inception2Inception2
Inception2
 
CHW national update Iphi meeting 1 14-14
CHW national update Iphi meeting 1 14-14CHW national update Iphi meeting 1 14-14
CHW national update Iphi meeting 1 14-14
 
CEGA's Contribution in Open Economic Governance in South Africa
CEGA's Contribution in Open Economic Governance in South AfricaCEGA's Contribution in Open Economic Governance in South Africa
CEGA's Contribution in Open Economic Governance in South Africa
 
Public Consulting Group Expert Employee - Brian Howells
Public Consulting Group Expert Employee - Brian HowellsPublic Consulting Group Expert Employee - Brian Howells
Public Consulting Group Expert Employee - Brian Howells
 
D Millar Resume 8.26.11
D  Millar Resume 8.26.11D  Millar Resume 8.26.11
D Millar Resume 8.26.11
 
Children's Services Council of Broward County, Systemic Model of Prevention
Children's Services Council of Broward County, Systemic Model of PreventionChildren's Services Council of Broward County, Systemic Model of Prevention
Children's Services Council of Broward County, Systemic Model of Prevention
 
2014-15-Annual-Report LeadingAge WI
2014-15-Annual-Report LeadingAge WI2014-15-Annual-Report LeadingAge WI
2014-15-Annual-Report LeadingAge WI
 
Public / NGO, Private Partnership in Eyebanking
Public / NGO, Private Partnership in EyebankingPublic / NGO, Private Partnership in Eyebanking
Public / NGO, Private Partnership in Eyebanking
 
Driving Health Equity into Action at a Community Level
Driving Health Equity into Action at a Community Level Driving Health Equity into Action at a Community Level
Driving Health Equity into Action at a Community Level
 
Understanding the concept of risk pooling
Understanding the concept of risk poolingUnderstanding the concept of risk pooling
Understanding the concept of risk pooling
 
CSHGP Operations Research Findings_David Hintch_5.8.14
CSHGP Operations Research Findings_David Hintch_5.8.14CSHGP Operations Research Findings_David Hintch_5.8.14
CSHGP Operations Research Findings_David Hintch_5.8.14
 
Social Equity Audit
Social Equity AuditSocial Equity Audit
Social Equity Audit
 
Efrem Hassen - PACT, Ethiopia
Efrem Hassen - PACT, EthiopiaEfrem Hassen - PACT, Ethiopia
Efrem Hassen - PACT, Ethiopia
 
Oluchi Bassey: State Led Approaches for FP Demand Generation_Lessons Learnt f...
Oluchi Bassey: State Led Approaches for FP Demand Generation_Lessons Learnt f...Oluchi Bassey: State Led Approaches for FP Demand Generation_Lessons Learnt f...
Oluchi Bassey: State Led Approaches for FP Demand Generation_Lessons Learnt f...
 
Accountability, Health Governance, and Health Systems: Uncovering the Linkages
Accountability, Health Governance, and Health Systems: Uncovering the LinkagesAccountability, Health Governance, and Health Systems: Uncovering the Linkages
Accountability, Health Governance, and Health Systems: Uncovering the Linkages
 

Similaire à Health Systems Strengthening in the DRC

Lessons Learned from Health Financing Reform in Liberia
Lessons Learned from Health Financing Reform in LiberiaLessons Learned from Health Financing Reform in Liberia
Lessons Learned from Health Financing Reform in LiberiaHealth Systems 20/20
 
Leveraging Expertise: A Multi-Stakeholder Partnership Approach to Strengtheni...
Leveraging Expertise: A Multi-Stakeholder Partnership Approach to Strengtheni...Leveraging Expertise: A Multi-Stakeholder Partnership Approach to Strengtheni...
Leveraging Expertise: A Multi-Stakeholder Partnership Approach to Strengtheni...CORE Group
 
APHA2011 How to Focus Your Training and Professional Development Efforts to I...
APHA2011 How to Focus Your Training and Professional Development Efforts to I...APHA2011 How to Focus Your Training and Professional Development Efforts to I...
APHA2011 How to Focus Your Training and Professional Development Efforts to I...PublicHealthFoundation
 
Community Health Worker Models: A focus on Sustainability MIKE PARK
Community Health Worker Models: A focus on Sustainability MIKE PARKCommunity Health Worker Models: A focus on Sustainability MIKE PARK
Community Health Worker Models: A focus on Sustainability MIKE PARKCORE Group
 
Comprehensive Approach to Building Afghanistan Health Economics & Finance Dir...
Comprehensive Approach to Building Afghanistan Health Economics & Finance Dir...Comprehensive Approach to Building Afghanistan Health Economics & Finance Dir...
Comprehensive Approach to Building Afghanistan Health Economics & Finance Dir...Health Systems 20/20
 
Lessons Learned in Organizational Capacity Building under Health Systems 20/20
Lessons Learned in Organizational Capacity Building under Health Systems 20/20 Lessons Learned in Organizational Capacity Building under Health Systems 20/20
Lessons Learned in Organizational Capacity Building under Health Systems 20/20 Health Systems 20/20
 
Improving Our Capacity to Develop Capacity in Health_Dr. Leonardo Cubillos Tu...
Improving Our Capacity to Develop Capacity in Health_Dr. Leonardo Cubillos Tu...Improving Our Capacity to Develop Capacity in Health_Dr. Leonardo Cubillos Tu...
Improving Our Capacity to Develop Capacity in Health_Dr. Leonardo Cubillos Tu...CORE Group
 
The Role of Governance in Improving Access to Health Services for the Most Ma...
The Role of Governance in Improving Access to Health Services for the Most Ma...The Role of Governance in Improving Access to Health Services for the Most Ma...
The Role of Governance in Improving Access to Health Services for the Most Ma...HFG Project
 
Bringing Operations Research to Life_Akogbeto_Riese_5.2.12
Bringing Operations Research to Life_Akogbeto_Riese_5.2.12Bringing Operations Research to Life_Akogbeto_Riese_5.2.12
Bringing Operations Research to Life_Akogbeto_Riese_5.2.12CORE Group
 
Sustainability and Health Systems Strengthening: What Have We Learned?
Sustainability and Health Systems Strengthening: What Have We Learned?Sustainability and Health Systems Strengthening: What Have We Learned?
Sustainability and Health Systems Strengthening: What Have We Learned?MEASURE Evaluation
 
Exploring the Institutional Arrangements for Linking Health Financing to th...
  Exploring the Institutional Arrangements for Linking Health Financing to th...  Exploring the Institutional Arrangements for Linking Health Financing to th...
Exploring the Institutional Arrangements for Linking Health Financing to th...HFG Project
 
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...CHC Connecticut
 
Training the Next Generation within Primary Care
Training the Next Generation within Primary CareTraining the Next Generation within Primary Care
Training the Next Generation within Primary CareCHC Connecticut
 
HFG Mali Final Country Report
HFG Mali Final Country ReportHFG Mali Final Country Report
HFG Mali Final Country ReportHFG Project
 
UNICEF Improving Child Right's Coordination
UNICEF Improving Child Right's CoordinationUNICEF Improving Child Right's Coordination
UNICEF Improving Child Right's CoordinationLakewalk Media
 
Tsuma sustainability
Tsuma sustainabilityTsuma sustainability
Tsuma sustainabilityCORE Group
 
DRM for Health Workshop Key Takeaways, Day 1
DRM for Health Workshop Key Takeaways, Day 1DRM for Health Workshop Key Takeaways, Day 1
DRM for Health Workshop Key Takeaways, Day 1HFG Project
 

Similaire à Health Systems Strengthening in the DRC (20)

Lessons Learned from Health Financing Reform in Liberia
Lessons Learned from Health Financing Reform in LiberiaLessons Learned from Health Financing Reform in Liberia
Lessons Learned from Health Financing Reform in Liberia
 
Leveraging Expertise: A Multi-Stakeholder Partnership Approach to Strengtheni...
Leveraging Expertise: A Multi-Stakeholder Partnership Approach to Strengtheni...Leveraging Expertise: A Multi-Stakeholder Partnership Approach to Strengtheni...
Leveraging Expertise: A Multi-Stakeholder Partnership Approach to Strengtheni...
 
APHA2011 How to Focus Your Training and Professional Development Efforts to I...
APHA2011 How to Focus Your Training and Professional Development Efforts to I...APHA2011 How to Focus Your Training and Professional Development Efforts to I...
APHA2011 How to Focus Your Training and Professional Development Efforts to I...
 
Community Health Worker Models: A focus on Sustainability MIKE PARK
Community Health Worker Models: A focus on Sustainability MIKE PARKCommunity Health Worker Models: A focus on Sustainability MIKE PARK
Community Health Worker Models: A focus on Sustainability MIKE PARK
 
Comprehensive Approach to Building Afghanistan Health Economics & Finance Dir...
Comprehensive Approach to Building Afghanistan Health Economics & Finance Dir...Comprehensive Approach to Building Afghanistan Health Economics & Finance Dir...
Comprehensive Approach to Building Afghanistan Health Economics & Finance Dir...
 
Lessons Learned in Organizational Capacity Building under Health Systems 20/20
Lessons Learned in Organizational Capacity Building under Health Systems 20/20 Lessons Learned in Organizational Capacity Building under Health Systems 20/20
Lessons Learned in Organizational Capacity Building under Health Systems 20/20
 
Improving Our Capacity to Develop Capacity in Health_Dr. Leonardo Cubillos Tu...
Improving Our Capacity to Develop Capacity in Health_Dr. Leonardo Cubillos Tu...Improving Our Capacity to Develop Capacity in Health_Dr. Leonardo Cubillos Tu...
Improving Our Capacity to Develop Capacity in Health_Dr. Leonardo Cubillos Tu...
 
The Role of Governance in Improving Access to Health Services for the Most Ma...
The Role of Governance in Improving Access to Health Services for the Most Ma...The Role of Governance in Improving Access to Health Services for the Most Ma...
The Role of Governance in Improving Access to Health Services for the Most Ma...
 
Bringing Operations Research to Life_Akogbeto_Riese_5.2.12
Bringing Operations Research to Life_Akogbeto_Riese_5.2.12Bringing Operations Research to Life_Akogbeto_Riese_5.2.12
Bringing Operations Research to Life_Akogbeto_Riese_5.2.12
 
Sustainability and Health Systems Strengthening: What Have We Learned?
Sustainability and Health Systems Strengthening: What Have We Learned?Sustainability and Health Systems Strengthening: What Have We Learned?
Sustainability and Health Systems Strengthening: What Have We Learned?
 
North Dakota State of Wellness
North Dakota State of WellnessNorth Dakota State of Wellness
North Dakota State of Wellness
 
Exploring the Institutional Arrangements for Linking Health Financing to th...
  Exploring the Institutional Arrangements for Linking Health Financing to th...  Exploring the Institutional Arrangements for Linking Health Financing to th...
Exploring the Institutional Arrangements for Linking Health Financing to th...
 
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...
 
Training the Next Generation within Primary Care
Training the Next Generation within Primary CareTraining the Next Generation within Primary Care
Training the Next Generation within Primary Care
 
HFG Mali Final Country Report
HFG Mali Final Country ReportHFG Mali Final Country Report
HFG Mali Final Country Report
 
UNICEF Improving Child Right's Coordination
UNICEF Improving Child Right's CoordinationUNICEF Improving Child Right's Coordination
UNICEF Improving Child Right's Coordination
 
Tsuma sustainability
Tsuma sustainabilityTsuma sustainability
Tsuma sustainability
 
CCIH 2015 Juli Hedrick Breakout 4C
CCIH 2015 Juli Hedrick Breakout 4CCCIH 2015 Juli Hedrick Breakout 4C
CCIH 2015 Juli Hedrick Breakout 4C
 
ICFP 2016 Karen Sichinga ACHAP
ICFP 2016 Karen Sichinga ACHAPICFP 2016 Karen Sichinga ACHAP
ICFP 2016 Karen Sichinga ACHAP
 
DRM for Health Workshop Key Takeaways, Day 1
DRM for Health Workshop Key Takeaways, Day 1DRM for Health Workshop Key Takeaways, Day 1
DRM for Health Workshop Key Takeaways, Day 1
 

Plus de Health Systems 20/20

Eastern Caribbean Health Systems Assessment
Eastern Caribbean Health Systems AssessmentEastern Caribbean Health Systems Assessment
Eastern Caribbean Health Systems AssessmentHealth Systems 20/20
 
Setting the Stage for Health Systems Strengthening: What We Have Learned from...
Setting the Stage for Health Systems Strengthening: What We Have Learned from...Setting the Stage for Health Systems Strengthening: What We Have Learned from...
Setting the Stage for Health Systems Strengthening: What We Have Learned from...Health Systems 20/20
 
NHA Production Tool: Streamlining the NHA Estimation Process
NHA Production Tool: Streamlining the NHA Estimation Process NHA Production Tool: Streamlining the NHA Estimation Process
NHA Production Tool: Streamlining the NHA Estimation Process Health Systems 20/20
 
Health Systems Strengthening in Fragile and Conflict-affected States: Introdu...
Health Systems Strengthening in Fragile and Conflict-affected States: Introdu...Health Systems Strengthening in Fragile and Conflict-affected States: Introdu...
Health Systems Strengthening in Fragile and Conflict-affected States: Introdu...Health Systems 20/20
 
Tackling the Decline in HIV Resources: Lessons Learned from HAPSAT
Tackling the Decline in HIV Resources: Lessons Learned from HAPSATTackling the Decline in HIV Resources: Lessons Learned from HAPSAT
Tackling the Decline in HIV Resources: Lessons Learned from HAPSATHealth Systems 20/20
 
A "Cube" View of Health Systems Strengthening
A "Cube" View of Health Systems StrengtheningA "Cube" View of Health Systems Strengthening
A "Cube" View of Health Systems StrengtheningHealth Systems 20/20
 
Strengthening Health Systems: From Global to Local
Strengthening Health Systems: From Global to LocalStrengthening Health Systems: From Global to Local
Strengthening Health Systems: From Global to LocalHealth Systems 20/20
 
Strengthening Health Systems Through Research, Education, and Action
Strengthening Health Systems Through Research, Education, and ActionStrengthening Health Systems Through Research, Education, and Action
Strengthening Health Systems Through Research, Education, and ActionHealth Systems 20/20
 
Strengthening Health Systems: Moving beyond Supporting the Health System
Strengthening Health Systems: Moving beyond Supporting the Health SystemStrengthening Health Systems: Moving beyond Supporting the Health System
Strengthening Health Systems: Moving beyond Supporting the Health SystemHealth Systems 20/20
 
What is Different in Different Approaches to Health Systems Strengthening?: A...
What is Different in Different Approaches to Health Systems Strengthening?: A...What is Different in Different Approaches to Health Systems Strengthening?: A...
What is Different in Different Approaches to Health Systems Strengthening?: A...Health Systems 20/20
 
Health Systems Strengthening Programs/Approaches: Experience from Ethiopia
Health Systems Strengthening Programs/Approaches: Experience from EthiopiaHealth Systems Strengthening Programs/Approaches: Experience from Ethiopia
Health Systems Strengthening Programs/Approaches: Experience from EthiopiaHealth Systems 20/20
 
Development and Application of a Workforce Planning Model in Egypt
Development and Application of a Workforce Planning Model in EgyptDevelopment and Application of a Workforce Planning Model in Egypt
Development and Application of a Workforce Planning Model in EgyptHealth Systems 20/20
 
Results of Brokering Regional PPPs-- more than just money
Results of Brokering Regional PPPs-- more than just moneyResults of Brokering Regional PPPs-- more than just money
Results of Brokering Regional PPPs-- more than just moneyHealth Systems 20/20
 
National Health Accounts: What do they Reveal in Cote d'Ivoire?
National Health Accounts: What do they Reveal in Cote d'Ivoire?National Health Accounts: What do they Reveal in Cote d'Ivoire?
National Health Accounts: What do they Reveal in Cote d'Ivoire?Health Systems 20/20
 
Expanding Orphans and Vulnerable Children Support in Haiti: Improving the Def...
Expanding Orphans and Vulnerable Children Support in Haiti: Improving the Def...Expanding Orphans and Vulnerable Children Support in Haiti: Improving the Def...
Expanding Orphans and Vulnerable Children Support in Haiti: Improving the Def...Health Systems 20/20
 
Targeting Priorities: costing the Trinidad & Tabago National Strategic Plan f...
Targeting Priorities: costing the Trinidad & Tabago National Strategic Plan f...Targeting Priorities: costing the Trinidad & Tabago National Strategic Plan f...
Targeting Priorities: costing the Trinidad & Tabago National Strategic Plan f...Health Systems 20/20
 
Untangling Intrinsic Motivation of Health Workers in Uganda and Malawi
Untangling Intrinsic Motivation of Health Workers in Uganda and MalawiUntangling Intrinsic Motivation of Health Workers in Uganda and Malawi
Untangling Intrinsic Motivation of Health Workers in Uganda and MalawiHealth Systems 20/20
 
The Health Insurance Organization of Egypt: Utilization and Case Management
The Health Insurance Organization of Egypt: Utilization and Case ManagementThe Health Insurance Organization of Egypt: Utilization and Case Management
The Health Insurance Organization of Egypt: Utilization and Case ManagementHealth Systems 20/20
 

Plus de Health Systems 20/20 (20)

National Health Accounts in Egypt
National Health Accounts in EgyptNational Health Accounts in Egypt
National Health Accounts in Egypt
 
Eastern Caribbean Health Systems Assessment
Eastern Caribbean Health Systems AssessmentEastern Caribbean Health Systems Assessment
Eastern Caribbean Health Systems Assessment
 
Setting the Stage for Health Systems Strengthening: What We Have Learned from...
Setting the Stage for Health Systems Strengthening: What We Have Learned from...Setting the Stage for Health Systems Strengthening: What We Have Learned from...
Setting the Stage for Health Systems Strengthening: What We Have Learned from...
 
NHA Production Tool: Streamlining the NHA Estimation Process
NHA Production Tool: Streamlining the NHA Estimation Process NHA Production Tool: Streamlining the NHA Estimation Process
NHA Production Tool: Streamlining the NHA Estimation Process
 
Health Systems Strengthening in Fragile and Conflict-affected States: Introdu...
Health Systems Strengthening in Fragile and Conflict-affected States: Introdu...Health Systems Strengthening in Fragile and Conflict-affected States: Introdu...
Health Systems Strengthening in Fragile and Conflict-affected States: Introdu...
 
Tackling the Decline in HIV Resources: Lessons Learned from HAPSAT
Tackling the Decline in HIV Resources: Lessons Learned from HAPSATTackling the Decline in HIV Resources: Lessons Learned from HAPSAT
Tackling the Decline in HIV Resources: Lessons Learned from HAPSAT
 
A "Cube" View of Health Systems Strengthening
A "Cube" View of Health Systems StrengtheningA "Cube" View of Health Systems Strengthening
A "Cube" View of Health Systems Strengthening
 
Health Systems 2020 Overview 2011
Health  Systems 2020 Overview 2011Health  Systems 2020 Overview 2011
Health Systems 2020 Overview 2011
 
Strengthening Health Systems: From Global to Local
Strengthening Health Systems: From Global to LocalStrengthening Health Systems: From Global to Local
Strengthening Health Systems: From Global to Local
 
Strengthening Health Systems Through Research, Education, and Action
Strengthening Health Systems Through Research, Education, and ActionStrengthening Health Systems Through Research, Education, and Action
Strengthening Health Systems Through Research, Education, and Action
 
Strengthening Health Systems: Moving beyond Supporting the Health System
Strengthening Health Systems: Moving beyond Supporting the Health SystemStrengthening Health Systems: Moving beyond Supporting the Health System
Strengthening Health Systems: Moving beyond Supporting the Health System
 
What is Different in Different Approaches to Health Systems Strengthening?: A...
What is Different in Different Approaches to Health Systems Strengthening?: A...What is Different in Different Approaches to Health Systems Strengthening?: A...
What is Different in Different Approaches to Health Systems Strengthening?: A...
 
Health Systems Strengthening Programs/Approaches: Experience from Ethiopia
Health Systems Strengthening Programs/Approaches: Experience from EthiopiaHealth Systems Strengthening Programs/Approaches: Experience from Ethiopia
Health Systems Strengthening Programs/Approaches: Experience from Ethiopia
 
Development and Application of a Workforce Planning Model in Egypt
Development and Application of a Workforce Planning Model in EgyptDevelopment and Application of a Workforce Planning Model in Egypt
Development and Application of a Workforce Planning Model in Egypt
 
Results of Brokering Regional PPPs-- more than just money
Results of Brokering Regional PPPs-- more than just moneyResults of Brokering Regional PPPs-- more than just money
Results of Brokering Regional PPPs-- more than just money
 
National Health Accounts: What do they Reveal in Cote d'Ivoire?
National Health Accounts: What do they Reveal in Cote d'Ivoire?National Health Accounts: What do they Reveal in Cote d'Ivoire?
National Health Accounts: What do they Reveal in Cote d'Ivoire?
 
Expanding Orphans and Vulnerable Children Support in Haiti: Improving the Def...
Expanding Orphans and Vulnerable Children Support in Haiti: Improving the Def...Expanding Orphans and Vulnerable Children Support in Haiti: Improving the Def...
Expanding Orphans and Vulnerable Children Support in Haiti: Improving the Def...
 
Targeting Priorities: costing the Trinidad & Tabago National Strategic Plan f...
Targeting Priorities: costing the Trinidad & Tabago National Strategic Plan f...Targeting Priorities: costing the Trinidad & Tabago National Strategic Plan f...
Targeting Priorities: costing the Trinidad & Tabago National Strategic Plan f...
 
Untangling Intrinsic Motivation of Health Workers in Uganda and Malawi
Untangling Intrinsic Motivation of Health Workers in Uganda and MalawiUntangling Intrinsic Motivation of Health Workers in Uganda and Malawi
Untangling Intrinsic Motivation of Health Workers in Uganda and Malawi
 
The Health Insurance Organization of Egypt: Utilization and Case Management
The Health Insurance Organization of Egypt: Utilization and Case ManagementThe Health Insurance Organization of Egypt: Utilization and Case Management
The Health Insurance Organization of Egypt: Utilization and Case Management
 

Dernier

Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectiondrhanifmohdali
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdfHongBiThi1
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.pptRamDBawankar1
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentsaileshpanda05
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyMedicoseAcademics
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...Shubhanshu Gaurav
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets barmohitRahangdale
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxNaveenkumar267201
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.aarjukhadka22
 
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfSGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfHongBiThi1
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)kishan singh tomar
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdfHongBiThi1
 

Dernier (20)

Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissection
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
 
American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing student
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before Pregnancy
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets bar
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
 
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfSGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
 

Health Systems Strengthening in the DRC

  • 1. better systems, better health Health Systems Strengthening in the DRC Better Health Systems: Strategies that Work Presentation Series at the Global Health Council Fred Rosensweig February 7, 2012 Abt Associates Inc. In collaboration with: I Aga Khan Foundation I Bitrán y Asociados I BRAC University I Broad Branch Associates I Deloitte Consulting, LLP I Forum One Communications I RTI International I Training Resources Group I Tulane University’s School of Public Health
  • 2. Overview of Health Systems 20/20’s Activities in DRC  Program facts: 4 years and $7.3m  Goals 1) Strengthen policymaking and inform strategies in health financing aimed at increasing access to services 2) Build sustainable institutional capacity of key national entities in management and coordination to enhance their effectiveness
  • 3. Health Systems 20/20 Program  Health financing - National Health Accounts – including WASH subaccount - Development of performance-based financing policy (PBF) and initial support for roll-out - Evaluation of Mutual Health Organization experience - Sub-recipient assessment for Global Fund grant
  • 4. Health Systems 20/20 Program  Capacity-building - Institutional Strengthening of Kinshasa School of Public Health (KSPH) - Strengthening of management and coordination capacity of HIV/AIDS Office (PNLS), Nutrition and Family Planning Offices in MOH
  • 7. Challenges Challenge Consequences Weak institutional capacity • No accountability • Limited follow through • Poorly paid staff • Poor working conditions Dependency on donor funding • Limited government resources • Strongly influenced by donor priorities Lack of qualified local consultants • Best people leave to work for development partners Personal economic security • Everyone is in survival or rent- seeking mode • Lack of concern for the greater good
  • 8. Coping with these Challenges  Weak institutional capacity - Identify and work in partnership with strong leadership - Build management capacity over time (no short- term fix) - Make tangible improvements in working conditions - Find ways to motivate staff
  • 9. Coping (cont.)  Dependency on donor funding - Leverage other donors’ funding - Plan based on available resources - Develop capacity to attract and mobilize resources  Finding qualified local consultants - Use a mix of local staff and resident expats
  • 10. Coping (cont.)  Personal economic security - Create incentives so all benefit - Use existing incentives (e.g, per diems for residential meetings) - Reward performance (PBF)
  • 11. How these HSS Interventions Reduce Fragility  KSPH is an enabling institution that trains public health leaders and carries out the analyses that inform HSS and health policy decisions  PNLS has a stewardship role in development and oversight of HIV/AIDS programs  By highlighting lack of resources, poor government commitments, and lack of support at provincial level, NHA provides information for improving state legitimacy
  • 12. Reducing Fragility  Strengthening NHA unit in MOH has attracted other donors and enhanced its role  Large-scale PBF system provides incentives to achieve results and improve service delivery
  • 13. better systems, better health Thank you www.HealthSystems2020.org Abt Associates Inc. In collaboration with: I Aga Khan Foundation I Bitrán y Asociados I BRAC University I Broad Branch Associates I Deloitte Consulting, LLP I Forum One Communications I RTI International I Training Resources Group I Tulane University’s School of Public Health