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Welcome Introduction

Welcome Introduction. Catherine Connor Health Systems 20/20 Project. October 19, 2009. Rising global interest in Health System Strengthening. HOW to strengthen health systems? Very few strategies that everyone agrees on Except … .

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Welcome Introduction

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  1. Welcome Introduction Catherine Connor Health Systems 20/20 Project October 19, 2009

  2. Rising global interest in Health System Strengthening

  3. HOW to strengthen health systems? Very few strategies that everyone agrees on Except…. Broad consensus to shift from out-of-pocket household expenditures to some form of health insurance

  4. Out-of-pocket expenditures dominate health financing in Africa and Asia

  5. Reaching universal coverage takes time 100 YEARS - UK, Germany, most European countries 25 YEARS - Thailand and Korea – progress 1970s and still working 15 YEARS - Columbia, Chile, Brazil – progress in 1980s and still working YEARS

  6. Reaching universal coverage takes time

  7. What are we going to do in 5 days?

  8. Consider your Circle of InfluenceHow can a few people make a difference? Technical and political challenges CIRCLE OF INFLUENCE

  9. Strengthen your Circle of Influence! CIRCLE OF INFLUENCE What can I do about expanding health insurance in my country? How can I be proactive in order to expand my circle of influence?

  10. Feasibility of Insurance Design and Implementation Financing Pop coverage Benefits package Provider engage-ment Organi- zational structure Opera-tions Monitoring and Evaluation We will break health insurance down into 8 design elements Begin with country’s current context Review basic concepts Do exercises Learn lessons from other countries Look at various options

  11. Design elements are interdependent You will keep revisiting your ideas about how each design element would work best in your country

  12. We leave our dogma at the door Health insurance models and implementation must be tailored to each country • Different stages of implementing health insurance • Different economic and technical capacities • Different political and cultural contexts • Different institutions upon which to build

  13. A shared, realistic vision of country’s starting point for expanding health insurance A shared, realistic vision of how to move forward A shared understanding of political landscape for health insurance Action plan for YOU and your team Connection to experts who can help in the future You will not have a plan for the COUNTRY to expand health insurance – need broad stakeholder engagement by Friday, your team will have

  14. We want your feedback • Workshop – First time • Blueprint – First draft • Group exercises – First time Talk to your mentor/facilitator

  15. Why are we here?

  16. Thank you

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