Health Care System
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Adopted at the International Conference on PRIMARY HEALTH CARE (PHC), held at Almaty (Alma Ata),Kazakhstan (USSR) from
September 6-12 1978
-Adopted at the International Conference on PRIMARY HEALTH CARE (PHC), held at Almaty (Alma Ata),Kazakhstan (USSR) from 6-12 September 1978 -Organized jointly by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF -134 State representatives ratified the WHO Declaration of Alma-Ata
Alma Ata Declaration
have a responsibility for the health of their people which can be fulfilled only by the provision of adequate health and social measures.
Government
recommends ensuring more equitable access by the poor to health care, education, jobs, capital, and secure land rights, among others.
Equity and Development
It also calls for greater equality of access to political freedoms and political power, breaking down stereotyping and discrimination, and improving access by the poor to justice systems and infrastructure.
Equity in Health and Development
Even when the economy is poor, major health achievements can be achieved by using resources in a socially productive way. said by?
Amartya Sen
the combination of resources, organization, financing and management that culminate in the delivery of health services to the population.”
Health Care System
consists of all organizations, people and actions whose primary intent is to promote, restore or maintain health
A health system
3 main goals for health systems:
• Improving the health of populations • Improving the responsiveness of the health system to the population it serves. • Fairness in financial contribution
September 2000, 189 leaders signed the historic “Millennium declaration” Target date: 2015
MILLENIUM DEVELOPMENT GOALS (MDG)
Rio+20 Conference (June 2012) Global Development Agenda 2015-2030
SUSTAINABLE DEVELOPMENT GOALS (SDG)
Four (4) Vital Health System Functions
-Health Service Provision -Health Service Inputs -Stewardship -Health Financing
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
one which works in ways that are responsive, fair and efficient to achieve the best health outcomes possible, given available resources and circumstances
Workforce
A well-functioning health information system is one that ensures the
(1)production, (2) analysis, (3)dissemination and use of reliable and timely information on health determinants, health systems performance and health status.
-that ensure people can use needed services, and -are protected from financial catastrophe or impoverishment associated with having to pay for them.
Financing system
involves ensuring strategic policy frameworks exist and are combined with effective oversight, coalition- building, the provision of appropriate regulations and incentives, attention to system-design, and accountability
Leadership and governance
Five Common Short Coming of Health Care Delivery
-Inverse Care -Impoverishing care: (to deprive) -Fragmented and fragmenting care: -Unsafe care -Misdirected care