The Joint Learning Network for Universal Health Coverage. Strategy Brief

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1 The Joint Learning Network for Universal Health Coverage Strategy Brief

2 The Challenge As the global UHC movement gains momentum, policymakers and practitioners worldwide are grappling with the complexities of designing and implementing improvements to their health systems that are suited to their local socio-political and economic contexts. Countries are creating innovative pathways toward UHC but the knowledge on what makes approaches successful often remains tacitly embedded at the individual level. Stakeholders across different countries or even within a single country often operate in isolation and do not have the opportunity to directly share their experiences or draw support from peers. Additionally, the formal evidence base has historically focused on the theory of moving toward UHC with limited guidance when it comes to its practical application. The JLN The Joint Learning Network for Universal Health Coverage (JLN) is a community of members who engage in practitionerto-practitioner learning to co-develop and implement solutions to common challenges related to UHC. The JLN provides a unique implementation-focused platform for experience-based knowledge exchange and the co-development of practical resources to accelerate UHC. These resources equip countries with the how-to s of designing and implementing efficient, equitable and sustainable health care systems, while also contributing to the global knowledge on achieving UHC a UN sustainable development goal (SDG 3.8). The JLN embraces a country-led and country-driven model to ensure that its outcomes align with countries priorities. Our Mission To provide countries with a self-governed practitionerto-practitioner learning environment for harnessing collective expertise and experiences to: Accelerate the progress of individual countries toward UHC and Contribute pragmatic solutions and tools as global public goods. The Goal of the JLN Expand health coverage Promote financial sustainability UHC for All Extend health coverage to more than 3 billion people and ensure financial protection Increase access and utilization Improve quality The Joint Learning Network for universal health coverage Strategy Brief

3 Country-Driven Approach The JLN has over 30 member countries that set the learning priorities, define the network s agenda and determine its strategic direction. Members govern the JLN with a strong commitment to sustaining and institutionalizing the network, which serves as a model for country-led development. The JLN community, comprised of leaders from ministries of health, national financing agencies and other UHC stakeholders, works together to synthesize, disseminate, scale and implement solutions to drive impactful health systems change toward UHC. Technical Priorities for Joint Learning Population Coverage Primary Health Care Provider Payment Mechanisms Information Technology Quality of Health Care Revisiting Health Financing Theory of Change Activities Stakeholder coordination Knowledge exchange Country-led UHC priority setting Global networking Outputs Engaged members Co-developed practical knowledge Vibrant UHC community Short-Term Outcomes Knowledge dissemination Application of knowledge Country-level advocacy Long-Term Outcomes Supportive policy environment Health monitoring and reporting Improved health system performance JLN Goals Expand health coverage to reach target populations Increase access to and utilization of essential health services, especially primary health care Improve quality of care and patient safety Promote financial sustainability of UHC systems The Joint Learning Network for universal health coverage Strategy Brief

4 Achieving UHC by 2030: JLN Five-Year Vision and Strategy In 2017, JLN country members jointly developed a five-year vision and strategy to achieve their goals and contribute to the global agenda of achieving UHC by The vision and strategy, developed with inputs from all the network members, will guide the network s implementation over the next five years ( ). Vision The JLN will be a vibrant community of country members deeply engaged in practitioner-to-practitioner learning to (1) build national and international relationships within the global health sphere, (2) jointly problem solve, (3) implement pragmatic tools to a country-specific context, and (4) generate global knowledge to support country-level progress toward the goal of universal health coverage. Strategic Goals Maintain alignment of the network s technical offerings with member demand Develop and manage partnerships to support technical priorities and promote sustainability Strategic Themes The five-year strategy is centered on two strategic themes: Solidify the JLN as a leading source of action-oriented global knowledge on how to implement UHC Technical Priorities & Joint Learning Global Positioning & Visibility The JLN will continue to build on current topics that remain high priority and expand offerings into additional technical areas where there is significant member demand. This theme will focus on: Systematizing the collection of and response to members technical demand to ensure a memberdriven approach to aligning the JLN s offerings with priority technical needs Bolstering cross-technical linkages across topics to improve systems-level approaches to UHC challenges and increase network efficiencies Providing on-demand support to members to better address real-time challenges faced by member countries Increasing investment in long-term initiatives to increase sustained cohesion within technical sub-communities Innovating on the joint learning approach to increasingly prioritize the application and end-use of co-produced knowledge The JLN will more firmly position itself in its niche within in the global UHC landscape as a uniquely country-led network for practitioners working in the UHC space. This theme will focus on: Establishing the JLN as the leading knowledge platform on how to implement UHC Documenting the JLN s country-driven approach and resulting impact to recognize member achievements and the role of the JLN Amplifying member voices to promote the JLN s unique approach Enhancing the JLN s online platform to showcase achievements and increase accessibility Building partnerships with peer networks, platforms and initiatives to amplify synergies within the UHC community The Joint Learning Network for universal health coverage Strategy Brief

5 Strategic Pillars Three cross-cutting pillars foundational to the network s future success will support the JLN s two priority strategic themes. Membership Management and Country Engagement Monitoring, Evaluation and Continuous Improvement Institutional and Financial Sustainability Underpinning the JLN s success, the network will ensure continued high-quality engagement with all members by: Ensuring JLN support mechanisms have sufficient capacity to meaningfully engage members Strengthening internal communications and accountability mechanisms to increase the depth of member engagement Supporting the institutionalization of countrylevel governance to ground the network in the local UHC context of member countries Leveraging ongoing monitoring processes to target enhanced engagement to countries needing additional support Promoting in-country UHC champions to support knowledge implementation and continuity of engagement The JLN will demonstrate the impact of the network, ensure highquality activities and execute wellinformed decisions by instituting a bolstered monitoring, evaluation and continuous improvement framework, including: Systematically collecting and analyzing data within a centralized, integrated monitoring framework to ensure routine tracking and feedback Incorporating monitoring and evaluation design in the initial conceptualization of all technical initiatives and activities to embed resultsoriented thinking from the beginning of an activity Institutionalizing standard quality checkpoints to ensure continuous improvement of technical facilitation and knowledge co-production The JLN will transition to a more sustainable institutional and financial model that preserves country ownership while increasing responsiveness and accountability through a centralized manager. The Joint Learning Network for universal health coverage Strategy Brief

6 JLN Member Countries * full Members Bangladesh Ethiopia Ghana Indonesia India Kenya Liberia Malaysia Mali Mexico Mongolia Nigeria Philippines Senegal South Korea Sudan Vietnam Associate Members Bahrain China Colombia Egypt Japan Kosovo Lao PDR Lebanon Moldova Morocco Namibia Peru South Africa Yemen * As of July 2018 JLN Funding Partnerships The JLN receives financial and in-kind support from JLN member countries and a host of development partners, including the Bill & Melinda Gates Foundation, German Development Cooperation (implemented by GIZ), Government of Japan (through the Japan-World Bank partnership program), Korean institutions (Korean Development Institute, National Health Insurance Service and Health Insurance Review and Assessment Service), Rockefeller Foundation, USAID, and the World Bank.