who's six-point agenda
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WHO's six-point agenda. The overarching health needs Promoting development Fostering health security The strategic ways to meet the health needs Strengthening health systems Harnessing research, information and evidence How WHO can deliver Enhancing partnerships Improving performance. - PowerPoint PPT PresentationTRANSCRIPT
Epilepsy and WHO | 17 Oct 20081 |
WHO's six-point agendaWHO's six-point agenda
The overarching health needs1. Promoting development
2. Fostering health security
The strategic ways to meet the health needs3. Strengthening health systems
4. Harnessing research, information and evidence
How WHO can deliver5. Enhancing partnerships
6. Improving performance
Epilepsy and WHO | 17 Oct 20082 |
Measuring performanceMeasuring performance
Impact on:
Health of the people of Africa
Health of women
Mental health Global Action Programme :
Scaling up care for mental, neurological and substance use disorders
Epilepsy and WHO | 17 Oct 20084 |
StrategiesStrategies
Identify priority conditions
Develop the intervention package
Identify countries for intensified support
Scale up services
Build partnerships
Epilepsy and WHO | 17 Oct 20085 |
Priority conditionsPriority conditions
Criteria
High burden (mortality, morbidity, disability)
Large economic cost
Effective intervention available
Affecting vulnerable populations
Epilepsy and WHO | 17 Oct 20086 |
Priority conditions in the area of mental, neurological and substance use disordersPriority conditions in the area of mental,
neurological and substance use disorders Depression
Schizophrenia
Suicide prevention
Epilepsy
Dementia
Disorders due to use of alcohol
Disorders due to illicit drug use
Child mental disorders
Epilepsy and WHO | 17 Oct 20087 |
Intervention packageIntervention package
Scope– conditions of public health priority
– Individual or population based interventions to be identified on the basis of multiple criteria
– Feasibility of delivery through existing health systems
Target audience– Nonspecialists health care providers
– Planning purposes at district level
Epilepsy and WHO | 17 Oct 20088 |
Intervention packageIntervention package
Criteria for identification of interventions– Efficacy
– Cost-effectiveness
– Equity
– Ethical issues such as protection of human rights
– Feasibility and acceptability
Packaging– Many interventions can be delivered by the same person at the same
time
– More cost-effective in terms of training, implementation and supervision
Intervention packageConditionEvidence-based
interventionsExamples of interventions that can be included
EpilepsyTreatment with antiepileptic medicines
First line antiepileptic medicines
Trained primary health professionals
Referral and supervisory support
DementiaInterventions directed towards caregivers
Basic education about dementia
Specific training on managing problem behaviours
Trained primary health professionals
Child mental disorders
Prevention of developmental disorders
Pharmacological and psychosocial interventions
Measures within health sector e.g. provision of skilled care at birth
Public health oriented multisectoral measures e.g. food fortification with folic acid and iodine
Epilepsy and WHO | 17 Oct 200810 |
Scaling upScaling up
"Deliberate effort to increase the impact of health service innovations successfully tested in pilot or experimental projects so as to benefit more people and to foster policy and programme development on a lasting basis"
Innovation: set of interventions, new or perceived as new
Successfully tested: interventions backed by locally generated evidence of programmatic effectiveness and feasibility
Deliberate effort: guided process
Policy and programme development on a lasting basis: Capacity building and sustainability
Epilepsy and WHO | 17 Oct 200811 |
Cost of scaling up epilepsy careCost of scaling up epilepsy care
A study estimated the avertable burden of epilepsy and the population-level costs of treatment with first-line AEDs in developing countries
Extension of coverage of treatment to 50% would avert 13-40% of burden
The annual cost per person would be 0.20-1.33 International Dollars
At a coverage rate of 80%,the treatment would avert 21-62% of the burden
The cost to secure one extra healthy year of life is less than average income per person
Establish a plan for monitoring and evaluation
Assess needsand resources
Develop the intervention package
Facilitate policydevelopment
Deliver the interventionpackage
Strengthen human resources
Mobilize financial resources
Enhancepolitical commitment
Scaling up strategy
Epilepsy and WHO | 17 Oct 200813 |
Partnerships for actionPartnerships for action
WHO in partnership with:
Development agencies e.g. WB
Research Councils and Institutes
International health agencies e.g. UNICEF
Donor agencies and foundations
Health communities in the countries
Nongovernmental organizations
Service users and caregivers
Epilepsy and WHO | 17 Oct 200814 |
GCAE: a successful partnershipGCAE: a successful partnership
135 IBE/ILAE organisations in 103 different countries actively engaged Global Campaign related activities, covering 86% of the world population
Two thirds of Campaign activities reported by the organisations to be either very successful or moderately successful in a recent survey
Ninety percent of those surveyed said they would continue to be active in the Global Campaign in the future
Epilepsy and WHO | 17 Oct 200815 |
GLOBAL CAMPAIGN AGAINST EPILEPSYDeterminants of success
Partnerships - involvement at every stage and level of:
– ILAE, IBE, WHO– Relevant experts: epilepsy, public health– ILAE/IBE Regional Commissions and national chapters– Regional and Country Offices– Governments
Ownership by all parties: political, patient, professional
Epilepsy and WHO | 17 Oct 200816 |
GCAE: Future DirectionsGCAE: Future Directions
Focus on:– Low and middle income countries
– Africa
– Further development of demonstration projects
– Scaling up care
– The place of GCAE in the context of WHO global and regional strategies
Epilepsy and WHO | 17 Oct 200817 |
SEIN InternationaalSEIN Internationaal