PRESENTATION Informing policy-building partnerships - The Asia Pacific Observatory on health systems and policies

7/29/2019 PRESENTATION Informing policy-building partnerships - The Asia Pacific Observatory on health systems and policies

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Informing Policy Building Partnerships

The Asia Pacific Observatory on Health

Systems and Policies

Dr Dale Huntington

Director, APO

Disclaimer: The views expressed in this paper/presentation do not necessarily reflect the views or

policies of the Asian Development Bank (ADB), or its Board of Governors, or the governments

they represent. ADB does not guarantee the accuracy of the data included in this paper and

accepts no responsibility for any consequence of their use. Terminology used may not

necessarily be consistent with ADB official terms.


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What is the APO?

Collaborative partnership Governments: Australia, Hong Kong, Philippines, Singapore, Thailand

International Agencies: Asian Development Bank, AusAid, World

Bank, WHO (SEARO, WPRO)

Research Community: Universities and institutes throughout Asia and

the Pacific region

Knowledge Broker between researchers, developmentagencies

Producing high quality evidence on health systems toinform policy makers


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Research Hubs Institute for Health Policy (IHP)

Sri Lanka:

Fiji School of Medicine;Universities in Hong Kong,Indonesia, China, India,Bangladesh, Singapore, Mongolia,Nepal, Philippines

International Health PolicyProgramme (IHPP) Thailand:Universities in China, Japan,Bangladesh, Korea, Thailand)

School of Population Health,University of Queensland (UQ):Nossal Institute, Australia

IHPP

IHP

UQ


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What does the APO do?

Products:

Health in Transitions HiTs

Flagship product

Policy Briefs

Comparative analyses on key policy topics

Multi-country Studies

Original country case studies on reforms

Practices

Policy Dialogue Events

Seminars

Conference Presentations


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Health in Transitions Series

What is a HiT?

Comprehensive and detailed description and analysis of entire health system

and on-going reforms

Standard template allows comparisons between countries and within country

over time

Assessment of progress towards stated objectives based upon best available

evidence

What use is a HiT?

Common review for use by government and development partners (objective,

independent, high quality) Monitoring trends over time, comparative analyses

Suggestive of follow-on research, analysis, policy development and

implementation priorities


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Health in Transitions

2013

New Launch

Australia X

Bangladesh X

Cambodia X

China X

Hong Kong X

Indonesia X

Japan X

Korea X

Laos X

Malaysia X

Myanmar X

Mongolia X

New Zealand XPapua New Guinea X

Singapore X

Solomon Islands X

Sri Lanka X

Thailand XTonga X


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Comparative and Country-Level Analyses

Policy Briefs

Calls for Proposals

Open to Research Hubs and Affiliates

Open to public late 2013 / 2014

2 rounds of calls per year

Research Advisory Group Reviews

3 Policy Briefs Commissioned


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Comparative and Country-Level Analyses

Policy Briefs Completed:

Direct household payments for health services in Asia and the Pacific:

Impacts and Policy Options

On GoingNossal Institute,

University of Melbourne:

Is there a need for more

regulation of dual

practice by healthpractitioners in the Asia-

Pacific Region and what

are appropriate

regulatory options?

BRAC University:

Public private health

professional education in

Asia


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Policy Briefs Future Themes

Silver Tsunami - NCDs


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Equity and Universal Coverage

Same Hospital in Hanoi, Vietnam: 2 entrances, 2 wings; 2 tiers

of care

Source: Forsberg, Le Thanh, Oxford-Princeton Working Paper, 2011


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Bottom BillionSummary Estimates

Global Distribution of the Worlds Poorby country type, 2007/8 (%)

Fragile or in

Conflict

Neither Fragile

nor in Conflict

Total

Low Income 12 16 22

Middle Income 11 61 72

Total 23 77 100


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Policy Briefs Future Topics

Theme: Non-communicable Diseases

What are the financing issues in moving from primary

to secondary prevention of NCDS?

Theme: Pharmaceuticals

What are experiences with reimbursement

mechanisms for drugs that are either on- or off-

essential medicine lists?

What are the issues regarding advertising of

pharmaceuticals in the Asia Pacific region?


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Theme: Universal Health Coverage private sector

What are policy experiences with public-private

partnership initiatives aiming to increase coverage

of primary care in under-served areas?

Theme: Medical profession governance

What are the practices and issues with registering

and licensing medical professionals in the Asia

Pacific Region?


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Comparative Country Case Studies:Public Hospital Governance

Working Group (APO, ADB, World Bank, WPRO)

Common Protocol for country case studies

Indonesia, New Zealand, Philippines, Sri Lanka, Thailand,

Viet Nam

2013 Case studies to inform local policy, produce papers

2014 seminar to review case studies, identify cross-

cutting themes, produce 3 4 analytic papers

Publish edited volume of papers (first for Asia region)


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OwnersGovernment/

Regulators/Politicians

Consumers, Media

Accountabilities and

Incentives

Public &

privatepurchasers

What determines behavior of hospitals?

Performance

Accountabilities and

Incentives

Supplier

Unions &Professional

bodies


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Changes Underway in Hospital Governance

Attributes Before New Emphasis

Status Political dependence Autonomy

Organization Self-sufficient Networks &Partnerships

Workforce Corporatist; trade-unions and

civil service

Various status

Governing style Command and control SteeringGoal Effectiveness and quality of

services

+ Responsiveness (to users)

Accountability Upwards Multiple; ethics & standards

of conduct

Context Isolation Coordination & public

leadership

Technology Information Intelligence

Boundaries Facility-based Flexible boundaries


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Primary

carePrimary

care

Primary

care

Network Model

Hospital Hospital Hospital

Diagnostics

Clinical networks

New Organizational Models for Hospitals


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Beyond Products to Practices:

Policy Dialogues

Launching the HiT is astarting point forengaging in policydiscussions

6

8 Policy DialogueEvents in 2013

Synergies with partners

Responding to policywindows

Comparativeexperiences


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Strategic Priorities for 2013

Communication

and Dissemination Web site overhaul

Social Media to broaden

dialogues, reach new

groups HealthSpace

Asia

Semi-Annual Newsletter

electronic & print

Sponsor presentations

at conferences,

seminars and events

Documents

PRESENTATION Informing policy-building partnerships - The Asia Pacific Observatory on health systems and policies