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Eastern Mediterranean Regional Health Systems Observatory

Eastern Mediterranean Regional Health Systems Observatory. Dr. Humayun Rizwan Health Policy and Planning, WHO EMRO Capacity development workshop on Health System Development for country and Regional office staff Alexandria 20 to 24 May 2007. Outline.

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Eastern Mediterranean Regional Health Systems Observatory

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  1. Eastern Mediterranean Regional Health Systems Observatory Dr. Humayun Rizwan Health Policy and Planning, WHO EMRO Capacity development workshop on Health System Development for country and Regional office staff Alexandria 20 to 24 May 2007

  2. Outline • Presentation (15 min) • Purpose and objectives • Roles and functions • Outputs and deliverables • Issues and challenges • Demonstration of website (15 min)

  3. Objectives Develop health system profiles Establish a database for information on health systems Document and monitor research on key health system issues Publish and share the findings with stakeholders Set up a Region-wide network of researchers and policy analysts Purpose & Objectives Promote evidence-based health policy-making by providing relevant and comparative information about health systems and reforms

  4. Roles & Functions • To provide up-to-date, quality information on national health systems, their performance and reforms, for use by policy makers • To provide a foundation for comparative analytic work on specific health system issues

  5. Roles & Functions • Descriptive:Easily accessible database and profiles • Analytical:Lessons from successes and failures to assist policy makers • Prescriptive:Recommendations for action • Monitoring:Aspects that can be improved • Capacity building:Develop partnerships and share knowledge across the region

  6. Products & Outputs • Health System Profiles • Health system data base • Research studies on health system functions and performance • Interactive website of EMR HSO • Network of partners and centres

  7. Health system profiles • Country-specific reports • Description and analysis of health systems and reforms • Developed on a common template (Glossary, Guide) • Produced by public health experts from countries using various sources; • Country information systems • National survey reports • Reports of National and international agencies • Interviews with stakeholders

  8. Health system profiles Areas covered • Socioeconomic & geopolitical mapping • Health status and demographics • Health system organization • Governance & Oversight • Health care financing and expenditure • Human resources • Health service delivery • Health system reform

  9. Health system profiles • 21 profiles developed on a common template • After review and editing, sent back to countries for feedback & endorsement • Good response from countries • All profiles approved… technically • Independent review of the profiles

  10. Infant mortality rate Health System Database • Computerized source of statistics • Selected health system indicators • Comparable over time and across countries • Temporal: 1990-2005 • Spatial: 22 countries of EMR • Selected data by rural/urban and by gender • Several health system indicators with scant data

  11. Health system database • Features of database: • Tabular and graphic display • Both static and dynamic reports (for advanced users) • Flexibility to change display, filter by country, year or indicator • Option to export and save data in excel • Display on map (GIS functionality) • Sources of data: • Demographic and health indicators for the countries of the Eastern Mediterranean region • World Health reports • Sources from countries/MOH • Working group formed to ensure accuracy of data (also working to fill in the gaps)

  12. Research and publications • A searchable database for health system research in the region • Country and regional studies undertaken by EMR • Technical and policy papers presented at Regional Committees • Reports of consultancies, programs and health sector initiatives

  13. Other Regional Observatories • PAHO-The Latin America and Caribbean Regional Health Sector Reform Initiative (LACHSR) • Funded by USAID • Uses a participatory approach, working with key decision makers to build their capacity to address health sector problems and to design, implement and monitor reforms. • EURO- European Observatory on Health Systems and Policies • Established in partnership with European Governments and different organizations • Health systems in transition country profiles • Research and publications on key public health topics

  14. EnablingFactors • Commitment and support by senior management • Regional Director’s Development Funds • Good collaboration between PHP, EST and KMS Units • Establishment of working group to review health system database • Interest of MOHs in system profiles and desire to establish national observatories

  15. Challenges • Improve reliability, validity and timeliness of information • Regular updating of profiles, expanding database • Need for continuous IT support • Full time person dedicated to work on EMRHSO • Establishment of National Observatories • Country interest and commitment, regional capacity • Resources to sustain the initiative • Support for EMR HSO in next JPRM • Mobilize resources at regional level

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