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LAC Health Sector Reform Initiative

LAC Health Sector Reform Initiative. USAID PHN Officers SOTA Miami, Fl March 14, 2001. How LAC HSR Emerged. 1994 Summit of the Americas 1995 Special meeting on health reform USAID and PAHO resource commitments. Priority Issues for Reform Agenda (USAID Perspective). Health

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LAC Health Sector Reform Initiative

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  1. LAC Health Sector Reform Initiative USAID PHN Officers SOTA Miami, Fl March 14, 2001

  2. How LAC HSR Emerged • 1994 Summit of the Americas • 1995 Special meeting on health reform • USAID and PAHO resource commitments

  3. Priority Issues for Reform Agenda (USAID Perspective) Health poor for level of spending Donors are major players Public spending inadequate Health poor for level of income

  4. Framework: Strategic Objective More effective delivery of sustainable country health sector reform • Designed to increase equitable access to high quality, efficiently delivered basic health services • In-country capability to assess health sector problems, and to design, implement and monitor reforms

  5. Framework: Intermediate Results • I: Methodologies and tools applied • II: Information and experience gathered and disseminated • III: Reform processes and outcomes monitored and feedback provided • IV: Opportunities & means to share experience and advice among countries established

  6. Initiative Partners • DDM/Harvard • PHR/Abt. Associates • HPSS/Abt. Associates • FPMD/MSH • MLD/MSH • PAHO

  7. Bolivia Brazil Dominican Republic Ecuador El Salvador Guatemala Honduras Jamaica Mexico Nicaragua Paraguay Peru Haiti Thirteen Countries

  8. Papers & Primers NGO Role in Health Reform Policy Public Sector Contracting of NGOs Provider Payment Policy Series Comparative Analysis of Social Insurance Mechanisms Colombian Hospital Reform Case Study Equity in Health Sector Reform Tools Guideline for Health Sector Analysis Framework for Development of Social Insurance Policy Toolkit & Training Materials Targeting Methodologies Decentralization Planning Accomplishments: Methodologies and Tools

  9. Accomplishments: Monitoring Health Sector Reform • Indicator framework developed - equity, efficiency, quality, financial sustainability & community participation • Framework applied in 11 of 13 target countries and 24 countries total in the region

  10. Accomplishments:Sharing Experiences • 400 contacts registered in data base • Regional workshops - political process, public-NGO partnerships, social insurance • Regional forums on research • “Research to policy,” Salvador, Bahia May 2000 • “Maximizing the use of health systems research in health sector reform,” Los Angeles, June 2000

  11. Accomplishments:Information Dissemination • 89,000 + website visits 5/2000 - 2/2001 • Reaching estimated 10,000 - 30,000 users Hits 2/98 - 1/99 by Target Country

  12. Planned Activities 2001 • Finalization and dissemination tools and papers • Costa Rica Study Tour • Collaboration with WB Flagship course (LAC) • Launch of NHA web site • Collaboration with WBI on distance learning • Regional forum(s) on health reform • TAG meeting 3/2001

  13. How can missions get involved? • Nominate participants for workshops and study tours • Fund participants • Share materials • Web Site: • http://www.americas.health-sector-reform.org

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