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Workshop on the Global Fund Concept Notes and Health Strengthening under the Framework of the Regional Strategy for Universal Access to Health and Universal Health Coverage

Washington, D.C., December 16th, 2014. PAHO Health Systems and Services Department, in collaboration with the Department of Communicable Diseases and Health Analysis (CHA), organized a series of capacity building and planning workshops on Global Fund Concept Notes and Health Systems Strengthening under the framework of the PAHO Regional Strategy for Universal Access to Health and Universal Health Coverage during this week, in Rosslyn, Virginia.  These workshops counted on the participation of representatives of Latin American and The Caribbean countries scheduled to submit concept notes for any of the diseases in the first semester of 2015 including the OECS sub-region. Participants included Ministry of Health officials involved in the elaboration of concept notes; members of the Country Coordination Mechanisms (CCMs); and PAHO regional and country advisors from Health Systems and Services (HSS) and Communicable Diseases and Health Analysis (CHA) departments.

The objective was to sensitize all actors involved in the preparation of disease-specific concept notes on the need to more fully and explicitly address health system strengthening issues to achieve a broader, efficient and cohesive intervention. The workshop is a response to the Global Fund new model of funding requirements that encourages the inclusion of crosscutting interventions to strengthen health systems in developing concept notes by disease.  Furthermore, the workshop is a follow up to the Fund´s recommendations for countries to identify critical health systems strengthening bottlenecks and ensure appropriate funding interventions in the concept notes. 

Main findings and recommendations raised included recognition of the need to strengthen the health systems to guarantee the sustainability of the disease specific programs in the medium and long term through a more articulated response to technical cooperation needs. The inclusion of health systems strengthening components in the concept notes aim to strengthen and reinforce the gains achieved through the Global Fund resourced interventions in the last 10 years in countries of the Region. A stronger HSS component will require a deeper and more inclusive dialogue with the CCMs and also a renewed corporate strategy to ensure close inter-programmatic collaboration and a longer term impact at country level. 

The workshop underlined, among others, the need to address the weak presence of HSS elements in the concept notes previously submitted and those under development. 

 
Last Updated on Tuesday, 16 December 2014 18:12

La OPS impulsa el trabajo conjunto a nivel de los países y subregiones y entre los programas de sangre y los programas de virus de la inmunodeficiencia humana (VIH)

CTecnicaSangre-AndinosNov2014Washington, DC. 30 de noviembre de 2014. La III Reunión de la Comisión Técnica Subregional de Sida y los Jefes de Programas/Coordinaciones Nacionales de Sangre de los países de la subregión andina se llevó a cabo en Bogotá del 4 al 5 de noviembre.  En la reunión concurrieron representantes de los Programas/Coordinaciones Nacionales de Sangre y los representantes de la Comisión Técnica de Sida de Bolivia, Chile, Colombia, Ecuador y Perú; las asesoras de la OPS/OMS de Servicios de Sangre y Trasplante de Órganos y de VIH; el Secretario Adjunto del ORASCONHU; la consultora para el área de Sida del ORAS-CONHU; e invitados especiales del Ministerio de Salud y Protección Social de Colombia (Dirección de Medicamentos y Tecnología y Sub Dirección de Enfermedades Transmisibles) y del Instituto Nacional de Salud de Colombia.

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Los avances y retos de los países miembros de la Red/Consejo Iberoamericana de Donación y Trasplantes (RCIDT) fueron presentados en Brasilia.

Written by América Valdes   

100-RCIDT-Brasilianov2014Washington, DC. 30 de noviembre de 2014. Expertos y coordinadores nacionales de donación y trasplantes, convocados por la Organización Panamericana de la Salud/Organización Mundial de la Salud (OPS/OMS) concurrieron en la XIV Reunión de la Red/Consejo Iberoamericana de Donación y Trasplantes (RCIDT) en Brasilia durante los días 11 al 13 de noviembre.  

Los participantes procedieron de las coordinaciones nacionales de países latinoamericanos (excepto Nicaragua y Venezuela), España, Portugal, de sociedades científicas del área de donación y trasplantes como son la Asociación Latinoamericana de Donación y Trasplantes, Sociedad Iberoamericana de Coordinadores de Trasplantes (Grupo Puntacana), International Transplantation Society, TTS (grupo custodio de la declaración de Estambul), Asociación Latinoamericana de Bancos de Tejidos (ALABAT),  y del Consejo Europeo.

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Técnicos e investigadores del sector público en Brasil involucrados en la producción nacional de cuentas de salud se capacitaron en la metodología ¨Sistema de cuentas de salud¨

 

La nueva clasificación  internacional  para las cuentas de salud representa un reto para los países de la región de las Américas y una oportunidad para aportar al monitoreo del avance hacia el acceso universal a la salud y la cobertura universal de salud.  

Washington, D.C.  Octubre de 2014.  La Organización Panamericana de la Salud (OPS), en colaboración con el Banco Mundial, la Organización para la Cooperación y el Desarrollo Económico (OCDE), y autoridades nacionales de salud, organizó un taller sobre el Sistema de Cuentas de Salud 2011 (SHA2011, por sus siglas en inglés) en Brasilia en  septiembre último. El propósito del encuentro fue capacitar a técnicos, consultores e investigadores del sector público de Brasil involucrados en la producción nacional de cuentas de salud y lanzar una discusión más amplia sobre la complementariedad entre los enfoques SHA2011 y cuentas satélites en el marco del acceso y cobertura universales a la salud.

Last Updated on Wednesday, 05 November 2014 18:27
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La OPS refuerza competencias de profesionales del sector público de Chile para identificar un conjunto de acciones para mejorar la eficiencia del financiamiento y de la organización del sistema de salud

Elementos de diagnóstico en pos de una hoja de ruta fueron definidos para priorizar la cooperación de la OPS en financiamiento y economía de la salud, tanto desde la oficina regional como de la oficina de país, en temas de financiamiento y economía de la salud.

Washington, D.C., Octubre de 2014. Aproximadamente 33 profesionales del sector público en Chile participaron en el ¨Taller de Reforzamiento de Competencias y Definición de una Hoja de Ruta de Cooperación Técnica para Financiamiento y Economía de la Salud en el camino hacia la Cobertura Universal de Salud¨ a finales de agosto de 2014.  Los participantes, provenientes de direcciones del Fondo Nacional de Salud (FONASA), del Ministerio de Salud (Minsal), de municipalidades e instituciones académicas, discutieron los desafíos de financiamiento de la salud en Chile.

Last Updated on Tuesday, 16 December 2014 18:11
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A special Lancet series on progress toward universal health coverage in Latin America is available

A special Lancet series on progress toward universal health coverage in Latin America will be presented by the Pan American Health Organization/World Health Organization (PAHO/WHO) in collaboration with The Lancet, the U.N. Economic Commission for Latin America and the Caribbean (ECLAC) and the Rockefeller Foundation. Latin American countries have made significant progress toward universal health coverage in recent years. This series of articles analyzes the unique experiences with universal health coverage in the region’s countries.

The Lancet: Universal Health Coverage in Latin America Series
The Lancet is pleased to announce the publication of a new Series on Universal Health Coverage in Latin America.  

The Series will be launched on Thursday 16 October, at the Pan American Health Organization (PAHO) headquarters in Washington, D.C., USA, and the Series is supported by the Economic Commission for Latin America and the Caribbean (ECLAC) and the Rockefeller Foundation.

Universal health coverage in Latin America 1: Health system reform and universal health coverage in Latin America by Professor R Atun et al

In Latin America, health-system reforms have produced a distinct approach to universal health coverage, underpinned by the principles of equity, solidarity, and collective action to overcome social inequalities. In most of the countries studied, government financing enabled the introduction of supply-side interventions to expand insurance coverage for uninsured citizens—with defined and enlarged benefits packages—and to scale up delivery of health services. The distinguishing features of health-system strengthening for universal health coverage and lessons from the Latin American experience are relevant for countries advancing universal health coverage.

Contact: Professor Rifat Atun from Harvard School of Public Health, Harvard University, Boston, USA. T) +1 617 432 6062 E) This e-mail address is being protected from spambots. You need JavaScript enabled to view it

For full Article, see: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)61646-9/abstract

Universal health coverage in Latin America 2: Overcoming social segregation in health care in Latin America by Dr D Cotlear et al

This Series paper outlines four phases in the history of Latin American countries that explain the roots of segmentation in health care and describe three paths taken by countries seeking to overcome it: unification of the funds used to finance both social security and Ministry of Health services (one public payer); free choice of provider or insurer; and expansion of services to poor people and the non-salaried population by making explicit the health-care benefits to which all citizens are entitled.

Contact: Dr Daniel Cotlear, World Bank, HDNHE, Washington, DC, USA.  E) This e-mail address is being protected from spambots. You need JavaScript enabled to view it
For full Article, see: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)61647-0/abstract

Universal health coverage in Latin America 3: Social determinants of health, universal health coverage, and sustainable development: case studies from Latin American countries by Professor R Atun et al

Many Latin American countries have introduced public policies that integrate health, social, and economic actions, and have sought to develop health systems that incorporate multisectoral interventions when introducing universal health coverage to improve health and its upstream determinants. We present case studies from four Latin American countries to show the design and implementation of health programmes underpinned by intersectoral action and social participation that have reached national scale to effectively address social determinants of health, improve health outcomes, and reduce health inequities. Investment in managerial and political capacity, strong political and managerial commitment, and state programmes, not just time-limited government actions, have been crucial in underpinning the success of these policies.

Contact: Professor Rifat Atun from Harvard School of Public Health, Harvard University, Boston, USA. T) +1 617 432 6062 E) This e-mail address is being protected from spambots. You need JavaScript enabled to view it

For full Article, see: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)61494-X/abstract

Universal health coverage in Latin America 4: Leading the way towards universal health coverage: a call to action by Dr J Frenk

Policy innovations and lessons associated with the quest for universal health coverage in Latin America are the result of a complex epidemiological transition, an extended process of democratisation, and high economic growth in recent times that has facilitated additional investments in health. The goal of universal health coverage is part of a third generation of health-system reforms, which implies a comprehensive scope of policy interventions, including the introduction of explicit ethical frameworks, the enhanced attention to financial arrangements, and the transformation of major dimensions of the organisation of health systems. The call for action emphasises the next steps that could help reach the goal of universal health coverage in both the Latin American region and the rest of the developing world.

Contact: For Professor Julio Frenk, Harvard School of Public Health, Harvard University, Boston, MA, USA, please contact Julie Rafferty, Head of Communications, Harvard School of Public Health. E) This e-mail address is being protected from spambots. You need JavaScript enabled to view it

For full Article, see: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)61467-7/abstract

Health Policy: Financing universal health coverage in Latin American countries: How to improve financing and solidarity by Mr Daniel Titelman et al

Latin American health systems encompass a wide range of financial sources, which translate into different solidarity-based schemes that combine contributory (payroll taxes) and non-contributory (general taxes) sources of financing. To move towards universal health coverage, solidarity-based schemes must heavily rely on countries’ capacity to increase public expenditure in health. Improvement of solidarity-based schemes will need the expansion of mandatory universal insurance systems and strengthening of the public sector including increased fiscal expenditure. These actions demand a new model to integrate different sources of health sector financing, including general tax revenue, social-security contributions, and private expenditure. The extent of integration achieved among these sources will be the main determinant of solidarity and universal health coverage. The basic challenges for improvement of universal health coverage are not only to spend more on health, but also to reduce the proportion of out-of-pocket spending, which will need increased fiscal resources.

Contact: Dr Daniel Titelman, Economic Development Division, Economic Commission for Latin America and the Caribbean, Santiago, Chile.  E) This e-mail address is being protected from spambots. You need JavaScript enabled to view it

For full Article, see: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)61780-3/abstract

Eight expert Comments accompany the Series.

To access full Comments, click on the links below:

  • Universal health coverage: not why, what, or when—but how?
  • Human-rights-based approaches to health in Latin America
  • Conditional cash transfers and health in Latin America
  • The right to health: what model for Latin America?
  • Health protection as a citizen’s right
  • Achieving universal health coverage is a moral imperative
  • Latin America: priorities for universal health coverage
  • Towards universal health coverage: applying a gender lens

All of those articles available here: http://www.thelancet.com/series/latin-america-UHC

 


 
 
 

 

Last Updated on Thursday, 16 October 2014 10:28
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