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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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Policy Briefs Future Themes
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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Policy Briefs Future Themes
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