Health Equity: 06/09/11

Thursday, June 9, 2011

[EQ] Integrated Health Service Delivery Networks

Integrated Health Service Delivery Networks:
Concepts, Policy Options and a Road Map for Implementation in the Americas

Pan American Health Organization. PAHO/WHO

Available online PDF [98p.] at: http://bit.ly/lz16f6

“….This position paper analyzes the challenge of health services fragmentation, proposes a conceptual and operational framework for understanding Integrated Health Service Delivery Networks IHSDNs, presents public policy instruments and institutional mechanisms to develop integrated networks, and proposes a “road map” for implementing Integrated Health Service Delivery Networks IHSDNs in the Americas.

The document focuses on the integration of the health services delivery function, and as a result it does not address mechanisms to integrate the health systems functions of financing and/or insurance. Furthermore, it does not address in detail the mechanisms to integrate programs targeting specific diseases, risks and populations (vertical programs) into health systems…..”

Content

Executive Summary
Introduction

The urgent need to integrate health services
Global and regional mandates that support the development of more equitable,
comprehensive, integrated, and continuous models of care
The purpose of the PAHO/WHO Initiative on Integrated Health Service Delivery Networks
Scope of document

Chapter 1: The Challenge of Health Services Fragmentation in the Americas

The macro context of health services: health systems
The challenge of health services fragmentation
Profound changes in the environment and roles and functions of health services

Chapter 2: Integrated Health Service Delivery Networks

The concept of comprehensive, integrated, and continuous health services and
its different modalities
Integrated Health Service Delivery Networks
The Benefits of Integrated Health Service Delivery Networks

Chapter 3: Essential Attributes of Integrated Health Service Delivery Networks

Essential attributes of Integrated Health Service Delivery Networks
Evaluating progress toward Integrated Health Service Delivery Networks:
from absolute fragmentation to integrated networks

Chapter 4: Public Policy Instruments and Institutional Mechanisms for the Creation of Integrated Health Service Delivery Networks

Public policy instruments and institutional mechanisms for the creation of
Integrated Health Service Delivery Networks
The relevance of public policy instruments and institutional mechanisms for the
different realities of the region’s health systems

Chapter 5: A “Road Map” for Developing Integrated Health Service Delivery Networks in the Region of the Americas

Lessons learned
A “road map” for PAHO/WHO technical cooperation for developing Integrated
Health Service Delivery Networks

Glossary of Terms

Appendix B National, Sub-Regional and Regional Consultations on IHSDNs
Appendix C Matrix of Policy Options and Institutional Mechanisms to Create IHSDNs
Appendix D Resolution CD49.R22 on IHSDNs Based on Primary Health Care
Reference

Dr. Reynaldo Holder, Regional Advisor – Health Services

Health Systems and Services Area, PAHO/WHO

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[EQ] Conference: The Great Scattering: Solving the Puzzle of Slavery, Race, and Contemporary Health in the African Diaspora of the Americas

CALL FOR BOOK CHAPTERS
Conference:
The International Conference on Health in the African Diaspora of the Americas - ICHAD2012

The theme:
The Great Scattering:
Solving the Puzzle of Slavery, Race, and Contemporary Health in the African Diaspora of the Americas

Baltimore, Md. U.S.A. - July 4-8, 2012
Host: Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health

Funder: WK.K. Kellogg Foundation

Conference website: http://bit.ly/kJkxAQ

Abstract Deadline: Sept 1, 2011.

“……The International Conference on Health in the African Diaspora of the Americas-ICHAD2012- seeks to gather a dynamic, interdisciplinary group of scholars and health and social science leaders from across the world. Scholars from diverse disciplines, including political science, sociology, anthropology, economics, public health, and medicine are invited to submit papers for presentation at the conference.

Selected authors will be invited to present their work at plenary sessions and their work will be included in a published book of the conference proceedings.

The conference will explore how the legacy of slavery and the concept of race inform our understanding of contemporary health patterns and major health challenges in the African Diaspora of the Western Hemisphere. As the conference is focused specifically on the African descent populations of the Western Hemisphere, papers focused on Africa that do not make a clear connection to the experiences of African descent populations in the Americas will not be accepted.

Book chapters under consideration include:

* History of the African Diaspora in the Americas and the Caribbean

* Conceptualizing Race in the Western Hemisphere

* Health Status of Slave Descendants in the Western Hemisphere

* Nature versus Nurture (Genetics, Race, and Health)

* The Social Determinants of Health

* Pathways to Partnership in the African Diaspora of the Americas

Abstracts should be emailed to submissions@ICHAD.org

“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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[EQ] World report on disability

World report on disability

WHO World Health Organization and the World Bank Group - June 2011

MORE THAN ONE BILLION PEOPLE FACE SOME FORM OF DISABILITY, LANDMARK UN REPORT FINDS
the report that calls for the elimination of barriers that often force the people with disabilities to "the margins of society."
UN press release New York, Jun 9 2011 12:05PM

Website: http://bit.ly/lA7Rab

Available online PDF [349p.] at: http://bit.ly/jcRO7f

"…….More than one billion people in the world live with some form of disability, of whom nearly 200 million experience considerable difficulties in functioning. In the years ahead, disability will be an even greater concern because its prevalence is on the rise. This is due to ageing populations and the higher risk of disability in older people as well as the global increase in chronic health conditions such as diabetes, cardiovascular disease, cancer and mental health disorders.

Across the world, people with disabilities have poorer health outcomes, lower education achievements, less economic participation and higher rates of poverty than people without disabilities. This is partly because people with disabilities experience barriers in accessing services that many of us have long taken for granted, including health, education, employment, and transport as well as information. These difficulties are exacerbated in less advantaged communities.

To achieve the long-lasting, vastly better development prospects that lie at the heart of the 2015 Millennium Development Goals and beyond, we must empower people living with disabilities and remove the barriers which prevent them participating in their communities; getting a quality education, finding decent work, and having their voices heard.

As a result, the World Health Organization and the World Bank Group have jointly produced this World Report on Disability to provide the evidence for innovative policies and programmes that can improve the lives of people with disabilities, and facilitate implementation of the United Nations Convention on the Rights of Persons with Disabilities, which came into force in May 2008. This landmark international treaty reinforced our understanding of disability as a human rights

and development priority.

The World Report on Disability suggests steps for all stakeholders – including governments, civil society organizations and disabled people's organizations – to create enabling environments, develop rehabilitation and support services, ensure adequate social protection, create inclusive policies and programmes, and enforce new and existing standards and legislation, to the benefit of people with disabilities and the wider community. People with disabilities should be central to

these endeavors.

Our driving vision is of an inclusive world in which we are all able to live a life of health, comfort, and dignity. We invite you to use the evidence in this report to help this vision become a reality….." Dr Margaret Chan, Director-General, World Health Organization - Mr Robert B Zoellick, President, World Bank Group

Content

Foreword Professor Stephen W Hawking

Introduction

Understanding disability

What is disability?

Disability and human rights

Disability and development

Disability – a global picture

Measuring disability

Prevalence of disability – difficulties in functioning

Health conditions

Demographics

The environment

Disability and poverty

Needs for services and assistance

Costs of disability

General health care

Understanding the health of people with disabilities

Addressing barriers to health care

Rehabilitation

Understanding rehabilitation

Addressing barriers to rehabilitation

Reforming policies, laws, and delivery systems

Developing funding mechanisms for rehabilitation 106

Increasing human resources for rehabilitation 108

Expanding and decentralizing service delivery

Increasing the use and affordability of technology

Assistive devices

Telerehabilitation

Expanding research and evidence-based practice

Information and good practice guidelines

Research, data, and information

Policies and regulatory mechanisms

Financing

Human resources

Service delivery

Technology

Research and evidence-based practice

Assistance and support

Understanding assistance and support

Barriers to assistance and support

Addressing the barriers to assistance and support

Enabling environments

Understanding access to physical and information environments

Addressing the barriers in buildings and roads

Addressing the barriers in public transportation

Barriers to information and communication

Addressing the barriers to information and technology

Education

Educational participation and children with disability

Understanding education and disability

Barriers to education for children with disabilities

Addressing barriers to education

Work and employment

Understanding labour markets

Barriers to entering the labour market

Addressing the barriers to work and employment

The way forward: recommendations

Disability: a global concern

Recommendations

Recommendation 1: Enable access to all mainstream policies, systems and services

Recommendation 2: Invest in specific programmes and services for people with disabilities

Recommendation 3: Adopt a national disability strategy and plan of action

Recommendation 4: Involve people with disabilities

Recommendation 5: Improve human resource capacity

Recommendation 6: Provide adequate funding and improve affordability

Recommendation 7: Increase public awareness and understanding of disability

Recommendation 8: Improve disability data collection

Recommendation 9: Strengthen and support research on disability

Conclusion

Translating recommendations into action

Technical appendix A

Technical appendix B

Technical appendix C

Technical appendix D

Technical appendix E

"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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