WHO building blocks, nutrition integration, and health systems strengthening. June 2016
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1 WHO building blocks, nutrition integration, and health systems strengthening June
2 Health system and building blocks according to WHO Health system: all organisations, people and actions whose primary intent is to promote, restore or maintain health Building blocks that together form a country health system: 1. leadership and governance 2. health care financing 3. health workforce 4. information and research 5. medical products and technologies 6. service delivery 2
3 Health systems strengthening according to WHO improving the six health system building blocks and managing their interactions in ways that achieve more equitable and sustained improvements across health services and health outcomes 3
4 Conceptual framework 1. Leadership and governance 2. Health care financing Distribution 5. Medical products and technologies (or supply chain) Product selection Quality assurance Forecasting 4. Information and research Inventory Management Procuremen t 6. Service delivery Supply chain components WHO building blocks of country health systems Health outcomes 4
5 Interaction SCM and building blocks Between the elements of the supply chain (in building block five) With SCM as a whole, namely: 1. Leadership and governance 2. Health care financing 4. Information and research 5
6 Integration : leadership and governance of the health system 1. Leadership and governance 2. Health care financing 4. Information and research 5. Medical products and technologies (or supply chain) One national supply chain system: Provides increased visibility and transparency for policy makers. Facilitates stronger strategic direction, plans and policies, effective oversight, regulation, coordination, system design and accountability 6. Service delivery Supply chain components WHO building blocks of country health systems Health outcomes 6
7 Integration : financing of the health system 1. Leadership and governance 2. Health care financing 4. Information and research 5. Medical products and technologies (or supply chain) One national supply chain system: Contributes to economies of scale for the management of the supply chain Increases equity in allocation of funding Facilitates flexibility and continuity in availability of funds 6. Service delivery Supply chain components WHO building blocks of country health systems Health outcomes 7
8 Integration : workforce of the health system 1. Leadership and governance 2. Health care financing 4. Information and research 5. Medical products and technologies (or supply chain) One national supply chain system: Decreases the number of staff required, and work load Increases flexibility of staff Clear division of responsibilities between programme and supply chain staff 6. Service delivery Supply chain components WHO building blocks of country health systems Health outcomes 8
9 Integration : information and research for the health system 1. Leadership and governance 2. Health care financing 4. Information and research 5. Medical products and technologies (or supply chain) One national supply chain system: Enables one single integrated logistics management information system Facilitates availability of data necessary for decision-making Limits duplication of data management 6. Service delivery Supply chain components WHO building blocks of country health systems Health outcomes 9
10 Discussion Integration processes most often require health systems strengthening Integration and optimisation processes should be seen in the health systems (strengthening) context over and above the programme / project context (UNICEF or other) Long(er)-term engagement is necessary: integration in the regular supply chain is the only way to build a resilient and sustainable system in the long term 10
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