Health Sector Trends and Priority Services Framing the Issues卫生部门发展趋势和优先服务框架问题.pptVIP

Health Sector Reform and Priority Services: Options for USAID Engagement ANE/EE SOTA October 9, 2002 What Is Health Reform (HSR) Most USAID Countries In the ANE/EE Region Are Engaged in HSR Questions to Consider Why are countries pursuing health sector reform? What types of reforms are countries pursuing? What are USAID’s options? Why Are Countries Pursuing Health Sector Reform? Expectations of citizens and patients Political requirements Macroeconomic realities Epidemiologic, and demographic pressures Distribution of Public Health Expenditures Poorest quintile has the lowest expenditure for public health Higher expenditures in richest quintiles reflects more use of public services by richer households. Inequitable Distribution of Public Health Resources What Reforms Are Countries Pursuing? Financing Resource Mobilization (e.g. insurance schemes, user fees) Resource Allocation (e.g. provider payment mechanisms) Organizational Change System structure (e.g. decentralization, MOH stewardship) Service delivery (e.g. patient-centered care, integrated care) Policy Change Priority Setting (e.g. public/private roles, benefit packages) Legislative Change Regulatory Change (e.g. accountability) Consumer Participation Patient involvement and responsibility (e.g. quality improvements, health promotion) Community participation What Are USAID Options Focus on Priority Services in the Reform Context Build Capacity to Deliver Priority Services Tap Into Universe of Information to Support Program Priorities Progress Against Indicator Morocco NHA: Resources Provided to Maternal Care USAID Options For Using Reform Agenda Focus on priority services in the reform context Build capacity to deliver priority services in integrated systems Tap into universe of information to support and monitor reform priorities The PHRplus Project is funded by U.S. Agency for International Development and implemented by: Abt Associates Inc. and partners, Development Associates, Inc.; Emory Universi