Monitoring The Building Blocks Of Health Systems

When working with countries to measure and compare health systems functioning, it is important to strike a good balance between avoiding blueprints that do not allow for country contexts and specificities while also encouraging a degree of standardization that enables comparisons within and between countries as well as over time. Standardized indicators allow comparisons between countries and can help mutual learning, including the identification of bottlenecks and the sharing of lessons learned. This handbook does not attempt to cover all components of the health system or deal with the various monitoring and evaluation frameworks. Instead, it is structured around the WHO framework that describes health systems in terms of six core components or "building blocks": service delivery, health workforce, health information systems, medical products, vaccines and technologies, financing and leadership/governance. The selection of indicators was guided by the need to detect change and show progress in health systems strengthening. Indicators relate to both the level and distribution of inputs and outputs. While the focus is on low- and middle-income countries, experiences from high-income countries are also used to guide the development of measurement systems. Each section has proposed core indicators that all countries are encouraged to collect, plus a wider set of indicators that users can choose or modify as needed. It is anticipated that the core indicators will enable the production of country "dashboards" that contain the instruments by which health systems trends can be regularly monitored and compared. Countries should integrate new indicators with existing indicators of their health sector and statistical strategies and plans. Health systems monitoring should also be seen in the context of the indicators' impact on access to priority health services and their contribution to reaching the Millennium Development Goals (MDGs). The handbook is divided into six sections, each of which covers one health system component or building block and is set out along the following lines: -introduction to the component and related indicators; -description of possible sources of information and available measurement strategies; -proposed "core indicators", supplemented, where necessary, by additional indicators that may be used depending on the country health system attributes and needs.

Ensuring a robust and resilient health system involves policy actions which need to be implemented based on the best available evidence. This requires health systems to be monitored regularly to build on their strengths and to overcome any apparent shortcomings. In order to assist in that process, this volume, a collaboration between the World Health Organization and the European Observatory on Health Systems and Policies, presents a new framework to support monitoring of health system performance, with a focus on detailed conceptual links between health system functions and overall system goals. This HSPA framework for Universal Health Coverage thus represents a comprehensive attempt to address fundamental questions regarding regular assessment of health systems, including health system boundaries, component elements and outcomes. In this book, each of the health system function chapters outlines the purpose of the function, the sub-functions that enable it to carry out the key activities necessary to fulfil its purpose, as well as the assessment areas and proposed indicative measures to evaluate how well a system performs. The framework will thus assist policy-makers in understanding possible origins or impact of poor performance on a particular health system outcome, triggering more in-depth analysis.

The package of health system resilience indicators serves as a dedicated resource to measure and monitor health system resilience in routine operations as well as in the context of disruptive shocks and stressors. This work addresses an identified gap in measurement and monitoring of health system resilience. It complements the Health Systems Resilience Toolkit and supports implementation of the recommendations in WHO’s position paper on building health system resilience for UHC and health security. The package aims to support countries to progressively build their capacities to measure, monitor and build health system resilience from national to subnational levels covering health facilities and other service delivery platforms. It emphasizes an integrated approach to health system strengthening underpinned by essential public health functions, encompassing health emergency preparedness. It includes: - guidance on how to utilize and adapt the health system resilience indicators, including a step-by-step guide - a suite of recommended health system resilience indicators with technical specifications - supplementary indicators of relevance to health system resilience The primary target audience for this package is national and subnational health authorities (including planners and managers) and service providers, as well as local, regional, and global technical organizations and partners working on health system strengthening, including WHO, United Nations country teams, donors, nongovernment organizations, development and humanitarian agencies, and other health-related technical agencies.

The Health Systems for Health Security (HSforHS) Framework guides developing capacities for International Health Regulations (IHR), and components in health systems and other sectors that work in synergy to meet the demands imposed by health emergencies. HSforHS offers an innovative and country-focused approach that builds on the lessons learned from recent health emergencies, including the COVID-19 Pandemic. The HSforHS Framework complements existing concepts and tools that support capacity-building for global health security. The HSforHS Framework is structured to: Support stakeholders to better understand what Health Systems for Health Security entails, Delineate the essential components of health systems and other sectors that play an important role in health security, Explain how countries can define, prioritize and monitor the actions and investments in health security, health systems and other sectors that can support multisectoral and multidisciplinary management of health emergencies, Help partners and donors better support countries in strengthening their health security capacities, and Highlight challenges related to the implementation of the HSforHS Framework.

This seventh book in the series of Success in Academic Surgery look to sustain the field and facilitate the next generation of leaders in Academic Global Surgery. It brings together a catalogue of current knowledge, needs, and pathways to a career in the field. Academic Global Surgery involves educational, research and clinical collaborations between academic humanitarian surgeons in high-income countries (HIC), their low and middle-income country (LMIC) partners and their respective academic institutions. The goal of these collaborations is improving understanding of surgical disease, and increasing access to and capacity for surgical care in resource-poor regions. In the last few years, the rapid exchange of ideas through social media and other technologies has combined with an increasing appreciation of worldwide health disparities to put the issue of global health at the forefront of our consciousness. Although traditionally neglected within public health initiatives, surgical disease is now recognized as a major contributor to death and disability worldwide, while surgical therapy in resource-poor areas is increasingly being shown to be cost-effective. In response to this growing recognition, what began as mission trips and short-term clinical volunteerism in the developing world has evolved into a burgeoning new field with a broader scope. While the tremendous recent interest from medical students and residents in Globa l Surgery has stimulated an exponential growth of interest in this field, current surgical literature has highlighted the need for further development and delineation of this new discipline within academic surgery.

This unique introduction to the essentials of global health has been constructed by medical students from all over the world through the help of Medsin (now Students for Global Health) and the International Federation of Medical Students’ Association (IFMSA). The global student and trainee author team, recruited and guided initially by Drs Dan and Felicity Knights (themselves students and officers of Medsin when work commenced), identified the key areas to be covered. Then the book they put together was edited by two experts in the field: Mr B Sethia and Professor Parveen Kumar. Royalties raised from this book go to a grant fund for student global health projects. Written by medical students and junior doctors from Students for Global Health and the International Federation of Medical Students’ Association (IFMSA). Edited by two experts in the field, Mr B Sethia and Professor Parveen Kumar. Royalties go to a grant fund for student global health projects.

The importance of health systems has been reinforced by the commitment of Low- and Middle-Income Countries (L&MICs) to pursue the targets of Universal Health Coverage, Health Security, and to achieve Health-related Sustainable Development Goals. The COVID-19 pandemic has further exposed the fragility of health systems in countries of all income groups. Authored by international experts across five continents, this book demonstrates how health systems can be strengthened in L&MICs by unravelling their complexities and by offering a comprehensive overview of fundamental concepts, performance assessment approaches and improvement strategies to address health system challenges in L&MICs. Centred on evidence and advocacy this unique resource on health systems in L&MICs will benefit a wide range of audiences including, readers engaged in public health practice, educational programs and research initiatives; faculties of public health and population sciences; policymakers, managers and health professionals working for governments, civil society organizations and development agencies in health.