Monday, January 14, 2008

[EQ] The Global Challenge of Health Systems

 

The Global Challenge of Health Systems - Summary of Pocantico Discussions


Pocantico II - New York, USA - September 20–21, 2007
The Rockefeller Foundation


Available online as PDF file [50p.] at: http://www.rockfound.org/library/0907pocantico_brochure.pdf

 

Surveillance systems and the threat of new pandemics. With the ongoing threat of new diseases— and the impact of globalization and travel

in accelerating the spread of such diseases—the group agreed it was important to help build country capacity in health surveillance and rapid

response, particularly in the regional epicenters of emerging pandemics, as well as to increase linkages between animal and human health.


New competencies for public health professionals. The group recognized the need to update cadres of leaders and health workers facing

new paradigms in complex health systems, identified new dimensions for the work of public health professionals, and suggested more

experiential learning in Schools of Public Health Schools on new area—from traditional epidemiology to the financing and management of

health services and the social determinants of health.

 

Access and distribution of health products and technologies. The group agreed that, without a good grasp of supply chain management,

there was a risk of an “innovation pileup” in the next 5 to 10 years as the Public/Private Partnerships’ initiatives in research and development

bear fruit, and discussed how to ensure that health systems can best get those innovations to the target populations and on the need to build

on a fuller understanding of what has worked effectively in the past.

 

eHealth—the use of information technology to strengthen health systems. In this frontier area, the group discussed ways that IT could improve

health services and public health in the developing world, where wireless connectivity is increasing and there is little legacy system fragmentation.

Participants called for an overall architecture of information and a set of “open standards” to ensure that such systems can quickly and effectively

be deployed and scaled, and for new capabilities and partnerships to support eHealth in the developing world.

 

The role of the private sector in developing country health systems. The private sector is a major component of health care systems throughout the developing world—in many developing countries 80 percent of health care delivery is provided by the private sector—yet it has been neglected in global health and policy thinking. The group discussed the need for a better understanding of the dimensions of, and the challenges and opportunities to engage the private

sector on expanding access to care, improving training and quality, and exploring new risk-pooling mechanisms in poor countries (i.e. health insurance).

 

 

Content:

 

INTRODUCTION - Ariel Pablos-Méndez, Managing Director, The Rockefeller Foundation


THE GLOBAL CHALLENGE OF HEALTH SYSTEMS: SUMMARY OF POCANTICO DISCUSSIONS


- Overall Trends in Global Health

- Pandemic Threats and Public Health Surveillance

- Defining the Required Competencies for Public Health Professionals

- Ensuring Access to Technologies and Social Innovations

- Using Information Technology to Improve Health Care Delivery and Health Systems—eHealth

- Leveraging the Private Sector

- Looking for Leadership

APPENDICES

 

 

Participants

Tara Acharya, The Rockefeller Foundation

Seth Berkley, International AIDS Vaccine Initiative (IAVI)

Jo Ivey Boufford, New York Academy of Medicine

Karl Brown, The Rockefeller Foundation

Charlanne Burke, The Rockefeller Foundation

Paulo Buss, FIOCRUZ

Lincoln Chen, China Medical Board

Nils Daulaire, Global Health Council

Neil de Crescenzo, Oracle Corporation

David de Ferranti, The Brookings Institution, Global Health Financing Initiative

Christopher J. Elias, PATH

Tim Evans, World Health Organization (WHO)

Harvey V. Fineberg, Institute of Medicine (IOM) of The National Academies

Julio Frenk, Ministry of Health

Laurie Garrett, Council on Foreign Affairs

Margaret A. Hamburg, Nuclear Threat Initiative/Global Health and Security Initiative

Jim Yong Kim, Harvard Medical School/Harvard School of Public Health

Robert M. Kolodner, United States Department of Health and Human Services

S. Yunkap Kwankam, World Health Organization (WHO) EIP/KMS

Asha-Rose Migiro, United Nations

Anne Mills, London School of Hygiene and Tropical Medicine

Arnon A. Mishkin, Mitchell Madison Group

Robert Orr, United Nations

Ariel Pablos-Méndez, The Rockefeller Foundation

Joy Phumaphi, World Bank

K. Srinath Reddy, Public Health Foundation of India

Judith Rodin, The Rockefeller Foundation

Mirta Roses Periago, Pan American Health Organization, Regional Office of the WHO

John W. Rowe, Columbia University

Sally Stansfield, Health Metrics Network, WHO

Mark J. Walport, Wellcome Trust

Suwit Wibulpolprasert, WHO/Thailand Ministry of Public Health

 

 


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