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From Global Health  to Publicly Oriented Local Health… Systems J.-P. Unger, senior lecturer Institute of Tropical Medicine, Antwerp, Belgium   First European Seminar on Global Health Organised by the European Commission Brussels, June the 27 th , 2011
Plan ,[object Object],[object Object],[object Object],[object Object],[object Object]
1. Conflicting concerns on global health definition ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A common North South concern ,[object Object],[object Object],[object Object],[object Object]
Total annual resources needed for AIDS  under disease specific organisation pattern  17th  March, 2011 European Parliament Funding gap
2. Contemporary  epidemiological and demographical global challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemiological challenges ,[object Object],[object Object],cases deaths CFR date SARS 8422 916 10,88 02.11-0307 H1N1 57000000 ± 15000 0,03    10.02 H5N1 561 328 58,47 03-11.06 Ebola 1280 940 73,44 97-07 MR-TB 440000 150000 34,09 each year Hospital acquired infections (USA only) 1700000 99000 5,82 2002
Demographic challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Failure to reach (the quite limited) MDGs ,[object Object],[object Object],[object Object],[object Object]
3. Why this failure to control diseases?  A negative feedback loop  ,[object Object],[object Object],[object Object],[object Object]
3. Demands on health systems to tackle global challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Consequence ,[object Object],[object Object],[object Object]
Indicators to assess health system strengthening and communicate on governance ,[object Object],[object Object],[object Object]
Such care should meet simple quality criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
4. Strategies to strengthen health systems in LMIC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Insurance universal coverage, a fashionable strategy….unlikely to work ,[object Object],[object Object]
What to do? ,[object Object],[object Object]
Financing: supply side financing doesn ’ t permit to only finance MOH services !! Taxes (or Bismarkian) National health fund MoH MoH services Not for profit private org. Commercial sector Individuals Social sector Demand-side financing
Promote a health sector with a social mission MoH private Disease control X Health care X
Promote a health sector with a social mission Mission Status Social Commercial MOH Care + Disease control Care  private Care + Disease control Care
What to do? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
17th  March, 2011 Addressing fragmentation Local health systems H Interinstitutional management of local health systems Interinstitutional, professional management and decentralised budgets
European Parliament Methods in health policy research, health care management and planning
5. Which role for the EU?  ,[object Object],[object Object],[object Object],[object Object],[object Object]
5. Which role for the EU? ,[object Object],[object Object],[object Object],[object Object]
17th  March, 2011 European Parliament THANK YOU DANK U DANKE SCHÖN ευχαριστώ GRAZIE DZIĘKUJĘ OBRIGADO GRACIAS MERCI

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From Global Health to Publicly Oriented Local Health Systems

  • 1. From Global Health to Publicly Oriented Local Health… Systems J.-P. Unger, senior lecturer Institute of Tropical Medicine, Antwerp, Belgium   First European Seminar on Global Health Organised by the European Commission Brussels, June the 27 th , 2011
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  • 5. Total annual resources needed for AIDS under disease specific organisation pattern 17th March, 2011 European Parliament Funding gap
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  • 18. Financing: supply side financing doesn ’ t permit to only finance MOH services !! Taxes (or Bismarkian) National health fund MoH MoH services Not for profit private org. Commercial sector Individuals Social sector Demand-side financing
  • 19. Promote a health sector with a social mission MoH private Disease control X Health care X
  • 20. Promote a health sector with a social mission Mission Status Social Commercial MOH Care + Disease control Care private Care + Disease control Care
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  • 22. 17th March, 2011 Addressing fragmentation Local health systems H Interinstitutional management of local health systems Interinstitutional, professional management and decentralised budgets
  • 23. European Parliament Methods in health policy research, health care management and planning
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  • 26. 17th March, 2011 European Parliament THANK YOU DANK U DANKE SCHÖN ευχαριστώ GRAZIE DZIĘKUJĘ OBRIGADO GRACIAS MERCI

Notes de l'éditeur

  1. You give a lot of weight to HIV-AIDS in your presentation!
  2. Polarizing??
  3. 1. Create or strengthen or create around existing MoH services