maureen gallagher sam international conference london, oct 17, 2013
DESCRIPTION
From vertical to horizontal: Experiences & recommendations in integrating SAM treatment to health systems. Maureen Gallagher SAM International conference London, Oct 17, 2013. Presentation Outline. Setting the context Background HSS & SAM treatment Experiences – How does it look? - PowerPoint PPT PresentationTRANSCRIPT
From vertical to horizontal: Experiences & recommendations in integrating SAM treatment to health systems
Maureen GallagherSAM International conference
London, Oct 17, 2013
Presentation Outline
• Setting the context• Background• HSS & SAM treatment • Experiences – How does it look? • Strategic & practical implications• Conclusion
Setting the context • Universal health care • Focus on design and implementation• Health systems strengthening (HSS) - -WHO 2007
• Integration – ‘institutionalization’ of SAM treatment
Background
• Changing landscape of treatment of acute malnutrition with huge advances the last 25 years
• Coverage still low at between 8-13% globally• Need to strengthen treatment of SAM as a
disease – linkage Nutrition & Health • Learning from experiences of Global Health
Initiatives (GHI) shift from disease specific to health systems strengthening
Shifting dynamics of HSS
Vertical
(from Wilson, U of Colorado)
Horizontal
Vertical HorizontalShifting dynamics of SAM treatment
Partner support Government supportNIGERIA
Partner support Government supportDR CONGO
Partner support Government supportWhere should we aim to go
Strategic Implication
• Bringing nutrition into health & working through the HSS building blocks to achieve sustainable availability & access to SAM treatment
• Including SAM treatment as part of a minimum health package
• Shift role of partners from ‘implementer’ to ‘facilitator’• Simplifying CMAM protocols, implementation and follow-
up• Transitioning from donor financing to MoH financing
basic minimum health package of which SAM treatment is part
Practical ImplicationsGeneral:• Identifying new ways of working from being model oriented
to process oriented • Coordination of actors in working with one health systemDesign:• Comprehensive assessment of health system• Joint planning and implementation• Simplification of protocols and systemsImplementation:• Human resources • Supply chain
Next steps
• Health System Strengthening Task Force ToR developed with support of WHO & UNICEF
• ACF finalizing the CMAM Integration Guidelines• Health System Assessment tool being tested by
UNICEF & partners • Experiences need to be further tested and
documented in relation to quality of care and coverage
Conclusion
There lies a significant opportunity ahead in the increasing MoH leadership and commitment in
SAM treatment with the evolving role of partners in support of it to ensure that SAM
treatment is available as part of regular health services, moving towards quality global
coverage.
Thank you