川 What do health systems do? Responding to peoples expectations Their needs should be promptly attended to Without long delays-respect the value of peoples time To reduce their anxiety Providing financial protection against the costs of ill-health Health equity 29May2018
What do health systems do? Responding to people’s expectations – Their needs should be promptly attended to – Without long delays-respect the value of people’s time – To reduce their anxiety Providing financial protection against the costs of ill-health – Health equity 29 May 2018 6
y Health system reform o the founding of national health care systems and the extension to middle income nations of social Insurance systems the promotion of primary health care achieve affordable universal coverage ◆ supply- oriented demand/supposed needs oriented 29May2018
Health system reform the founding of national health care systems and the extension to middle income nations of social insurance systems the promotion of primary health care achieve affordable universal coverage supply-oriented demand/supposed needs oriented 29 May 2018 7
E Framework SYSTEM BUILDING BLOCKS OVERALL GOALS / OUTCOMES SERVICE DELIVERY HEALTH WORKFORCE ACCESS IMPROVED HEALTH (LEVEL AND EQUITY) COVERAGE INFORMATION RESPONSIVENESS MEDICAL PRODUCTS, VACCINES TECHNOLOGIES SOCIAL AND FINANCIAL RISK PROTECTION QUALITY FINANCING SAFETY MPROVED EFFICIENCY LEADERSHIP/ GOVERNANCE 29May2018
Framework 29 May 2018 8
川 Six building blocks service delivery t Good health services are those which deliver effective, safe, quality personal and non-personal health interventions to those who need them when and where needed. with minimum waste of resources 29May2018
Six building blocks – service delivery Good health services are those which deliver effective, safe, quality personal and non-personal health interventions to those who need them, when and where needed, with minimum waste of resources. 29 May 2018 9
川 Service delivery Supply Demand needs-oriented Demand need Non Perceived demand perceived need need Need
Service delivery Need Perceived need Demand Nonperceived need need demand Supply-oriented Demand needs-oriented