Health Equity: 02/20/09

Friday, February 20, 2009

[EQ] The Young Professionals Program for the Millennium Development Goals

The Young Professionals Program for the Millennium Development Goals (YPP/MDGs)

Pan American Health Organization, Regional Office of the World Health Organization, PAHO/WHO with the support of
the Canadian International Development Agency (CIDA).

Deadline to apply: March 4^th 2009

Website: http://devserver.paho.org/rvl/index.php?option=com_content&task=blogcategory&id=336&Itemid=214

English link: http://devserver.paho.org/rvl/index.php?option=com_docman&task=doc_download&gid=5&Itemid=

French link: http://devserver.paho.org/rvl/index.php?option=com_docman&task=doc_download&gid=6&Itemid=

Over a period of three months, participants will receive:

· a one week specialized training at PAHO/WHO HQ in Washington, D.C.,

· participants will be selected to work in a vulnerable community either in Bolivia, Costa Rica, Cuba, Ecuador, El Salvador, Guatemala, Nicaragua, Panama, Paraguay, or Peru,

· at the end participants will return to Washington, D.C. to present a final report.

An Information session will be available as an Online/virtual session Via Elluminate:

Monday February 23rd @ 4:00 pm EST

Link to participate: https://sas.elluminate.com/m.jnlp?sid=1110&password=M.F61D8139DDAB187DDC47FB1F04901E

Requirements:

• Be Canadian citizen or landed immigrant or a citizen from a PAHO Member State (up to 35 years)

• Have some experience in local development and genuine interest in international development issues

• Be bilingual - English – Spanish- (due to the nature of the program fluency in spoken and written Spanish is essential)

• Hold a university degree in the field of public health, development studies, communications, economics,
Latin American studies, international relations, anthropology or other social science or public health related fields

• Be knowledgeable of Latin America’s socio-economic, cultural conditions, political environment and cultures

Applicants should be able to participate in video interviews between the 1st and the 6th of March 2008,

Please forward this email and attachment to all possible candidates, faculties, alumni associations, and relevant list servers.

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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues. [DD/ KMC Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
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PAHO/WHO Website: http://66.101.212.219/equity/

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[EQ] Link to recording session Web conference: M&E Better evidence, better polices, better development results

Recording session to today’s Knowledge Sharing Event
Via web conferencing (Elluminate) Link:

https://sas.elluminate.com/site/external/jwsdetect/playback.jnlp?psid=2009-02-20.0445.M.EBE965B2CC7F87547426E17E6BA9E9.vcr

**110 participants from all over the world – map below **

Book Presentation

COUNTRY-LED MONITORING AND EVALUATION SYSTEMS

Better evidence, better polices, better development results

Web session Organized by UNICEF CEE/CIS, and Pan American Health Organization PAHO/WHO

Friday, February 20^th, 2009

Power point presentation PPT file web link:

http://www.ceecis.org/remf/Segone_Country_LedME.ppt

This conference presented the above mentioned UNICEF book. Its content could enable the sharing of good practices and lessons learned among Governments on designing and implementing national and local M&E systems. Editor and contributors will share their perspectives.

“……In supporting countries to uphold and protect the rights of children and women and to achieve the Millennium Development Goals, we recognize the importance of using evidence to shape policy and practice, both internationally and in specific country contexts.

Unfortunately, we have to acknowledge that the reality is often far removed from the lofty ideals of international agreements. So much evaluation work, especially in developing countries, is still donor-driven and designed to meet the needs of outside agencies. The change that is needed is a paradigmatic one if monitoring and evaluation are truly to inform national policy making processes. It will require a change of attitude and behaviour as well as the building of capacity at many levels….” Finbar O’Brien, Director Evaluation Office UNICEF Headquarters

Map: Participants: 110 -- 20 February 2009 – Connections 163

Agenda

Welcome by. Rosina Salerno, PAHO/WHO Internal Oversight and Evaluation services
– session moderator

Book Editor

Enhancing evidence-based policy making through country-led monitoring and evaluation systems.

Marco Segone, Regional chief, monitoring and evaluation, UNICEF Regional office for CEE/CIS

http://www.unicef.org/ceecis/resources_10597.html

Other Contributors

Why country-led M&E system?

Oumoul Khayri Ba Tall, President, IOCE INTERNATIONAL ORGANISATION FOR COOPERATION IN EVALUATION
http://www.ioce.net/

Dennis Jobin, Vice President, IDEAS http://www.ideas-int.org/

Country-led monitoring and evaluation systems
Better evidence, better policies, better development results

UNICEF, in partnership with the World Bank, UN Economic Commission for Europe, IDEAS
(International Development Evaluation Association),
IOCE (International organization for Cooperation in Evaluation), DevInfo and MICS - Multiple Indicator Cluster Surveys

Available online as PDF file [322p.] at: http://www.ceecis.org/remf/Country-ledMEsystems.pdf

Part 1 only (2.5 Mb) --- Part 2 only (2.5 Mb) –

Website: http://www.unicef.org/ceecis/resources_10597.html

Contents

Prefaces:

Finbar O’Brien, Director, Evaluation Office, UNICEF Headquarters

Ray Rist, President, International Development Evaluation Association (IDEAS)

Oumoul Khayri Ba Tall, President, International Organization for the Cooperation in Evaluation (IOCE)

Editorial:

Marco Segone, Senior Regional Advisor, Monitoring and Evaluation, UNICEF Regional Office for CEE/CIS,
and former Vice President,

International Organization for the Cooperation in Evaluation (IOCE)

Part 1

Why country-led monitoring and evaluation systems?

Enhancing evidence-based policy making through country-led monitoring and evaluation systems.

Evaluating development. Is the country the right unit of account?

Robert Picciotto, Visiting Professor, King’s College, London and former Director General, Evaluation, the World Bank

The strategic intent. Understanding strategic intent is the key to successful country-led monitoring and evaluation systems.

Jean Serge Quesnel, Professor at the United Nations System

Staff College, Adjunct Professor at Carleton University and Professeur

Associé at the École Nationale d’Administration Publique of Quebec

Supporting partner country ownership and capacity in development evaluation. The OECD DAC evaluation network.

Hans Lundgren, Head of Evaluation Section, Development Co-operation Directorate,
OECD Megan Kennedy, Consultant, OECD

Country-led evaluations. Learning from experience.

Osvaldo Feinstein, Professor at the Master in Evaluation, Complutense University, Madrid, and
former Manager, Operations Evaluation Department, the World Bank

Country-led impact evaluation. A survey of development practitioners.

Marie-Hélène Adrien, President, Universalia, and former President, IDEAS

Denis Jobin, Vice President, IDEAS, and Manager, Evaluation Unit, National Crime Prevention Center, Public Safety, Canada

Country-led monitoring and evaluation systems

Better evidence, better policies, better development results The role of national, regional and
international evaluation organizations in strengthening country-led monitoring and evaluation systems.

Oumoul Khayri Ba Tall, President,International Organization for Cooperation in Evaluation (IOCE)

Bringing statistics to citizens: a “must” to build democracy in the XXI century

Enrico Giovannini, Chief Statistician, OECD

Proactive is the magic word.

Petteri Baer, Regional Advisor, Statistical Division,

UN Economic Commission for Europe

Part 2

Good practices in country-led monitoring and evaluation systems

Building monitoring and evaluation systems to improve government performance.

Keith Mackay, Evaluation Capacity Development Coordinator, Independent Evaluation Group, the World Bank

Getting the logic right. How a strong theory of change supports programmes which work!

Jody Zall Kusek, Lead Coordinator of Global HIV/AIDS Monitoring and Evaluation Group, the World Bank

Ray C. Rist, Advisor, the World Bank, and President, International Development Evaluation Association (IDEAS)

RealWorld Evaluation: conducting evaluations under budget, time, data and political constraints

Michael Bamberger, Independent consultant

Jim Rugh, Independent international program evaluator

Strengthening country data collection systems.

The role of the Multiple Indicator Cluster Surveys

Marco Segone, Senior Regional Advisor, Monitoring and Evaluation UNICEF CEE/CIS

George Sakvarelidze, Monitoring and Evaluation Specialist UNICEF CEE/CIS

Daniel Vadnais, Data Dissemination Specialist UNICEF Headquarters

Strengthening country data dissemination systems.

Good practices in using DevInfo

Nicolas Pron, DevInfo Global Administrator, UNICEF Headquarters

Kris Oswalt, Executive Director, DevInfo Support Group

Marco Segone, Senior Regional Advisor, Monitoring and Evaluation, UNICEF CEE/CIS

George Sakvarelidze, Monitoring and Evaluation Specialist, UNICEF CEE/CIS

Country-led monitoring and evaluation systems

Better evidence, better policies, better development results

Making data meaningful. Writing stories about numbers*.

UNECE, Statistical Dissemination and Communication, Conference of European Statisticians

Annexes

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[EQ] Trade, TRIPS, and pharmaceuticals

Trade, TRIPS, and pharmaceuticals

Prof Richard D Smith, Prof Carlos Correa, Cecilia Oh

Health Policy Unit, Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK

(Prof R D Smith PhD); Centre for Interdisciplinary Studies on Industrial Property and Economics Law, University of Buenos Aires, Buenos Aires, Argentina (Prof C Correa PhD);

and UNDP Regional Centre, Colombo, Sri Lanka (C Oh PhD

Lancet, Volume 373, Issue 9664, Pages 684 - 691, 21 February 2009

Summary: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(08)61779-1/abstract [Subscription required]

“…..The World Trade Organization's Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) set global minimum standards for the protection of intellectual property, substantially increasing and expanding intellectual-property rights, and generated clear gains for the pharmaceutical industry and the developed world.

The question of whether TRIPS generates gains for developing countries, in the form of increased exports, is addressed in this paper through consideration of the importance of pharmaceuticals in health-care trade, outlining the essential requirements, implications, and issues related to TRIPS, and TRIPS-plus, in which increased restrictions are imposed as part of bilateral free-trade agreements. TRIPS has not generated substantial gains for developing countries, but has further increased pharmaceutical trade in developed countries.

The unequal trade between developed and developing countries (ie, exporting and importing high-value patented drugs, respectively) raises the issue of access to medicines, which is exacerbated by TRIPS-plus provisions, although many countries have not even enacted provision for TRIPS flexibilities. Therefore this paper focuses on options that are available to the health community for negotiation to their advantage under TRIPS, and within the presence of TRIPS-plus…..”

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PAHO/WHO Website: http://66.101.212.219/equity/

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[EQ] ACROSS THE POND - LESSONS FROM THE US ON INTEGRATED HEALTHCARE

ACROSS THE POND – LESSONS FROM THE US ON INTEGRATED HEALTHCARE

Richard Gleave

The Nuffield Trust - London UK

http://www.nuffieldtrust.org.uk/members/download.aspx?f=%2fecomm%2ffiles%2fAcross_the_pond_210109.pdf&a=skip

“……….This report starts by exploring the differences between the conceptual models of integration between the UK and the US and then identifies potential lessons for the NHS from the US experience under three headings – integrated governance, risk management and the use of incentives, and the role of integrated information

technology.

The experience of larger integrated systems, especially the Veterans Health Administration and Kaiser Permanente California regions, has had a significant influence on the policy debate about integrated care in the UK. However, the potential lessons from the medium-sized and smaller integrated systems and other network models that are working to develop integrated delivery has not been extensively covered in the literature.

This report draws on a detailed piece of qualitative research into performance improvement systems in four such systems (see Box 1) and on meetings with the leaders of a range of network organisations from around the US. The four case studies were selected using a purposive sampling frame informed by expert opinions. They were also chosen because they had core features that were common between the sites to enable meaningful comparison – thus all four case studies were not-for-profit integrated systems with a plan and physicians under single or quasi-single ownership.

However, the four locations had different business models and governance systems, which allowed for insightful contrasts to be identified. For example, the sites had different relationships between the health plan and the delivery system, including both ‘closed systems’, where only patients who were members of the health plan were entitled to access the delivery system, to ‘open systems’ where the doctors and hospitals would treat patients from with any insurance plan. The case studies also varied in the degree of direct management control over the hospitals, which ranged from a long-term close contractual relationship to direct line management….”

Content:

EXECUTIVE SUMMARY

INTRODUCTION

DIVIDED BY A COMMON LANGUAGE – INTEGRATION IN THE UK AND US

INTEGRATED GOVERNANCE

RISKS AND INCENTIVES

IT AND INTEGRATION

POLICY IMPLICATIONS FOR THE NHS

CONCLUSION

GLOSSARY

APPENDIX: ATTRIBUTES AND MODELS OF INTEGRATION FROM RECENT AMERICAN PUBLICATIONS

REFERENCES

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PAHO/WHO Website: http://66.101.212.219/equity/

Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html

    IMPORTANT: This transmission is for use by the intended recipient and it may contain privileged, proprietary or confidential information. If you are not the intended recipient or a person responsible for delivering this transmission to the intended recipient, you may not disclose, copy or distribute this transmission or take any action in reliance on it. If you received this transmission in error, please notify us immediately by email to infosec@paho.org, and please dispose of and delete this transmission. Thank you.