Podcast
Questions and Answers
What is a key benefit of countries achieving health objectives described in the text?
What is a key benefit of countries achieving health objectives described in the text?
Which sector is highlighted in the document as particularly vulnerable to corruption?
Which sector is highlighted in the document as particularly vulnerable to corruption?
Which of these is a recommended approach to mitigate corruption within pharmaceutical procurement?
Which of these is a recommended approach to mitigate corruption within pharmaceutical procurement?
According to the text what is a core component of the DOTS strategy to combat TB?
According to the text what is a core component of the DOTS strategy to combat TB?
Signup and view all the answers
Besides DOTS expansion, what else is included in the Stop-TB strategy?
Besides DOTS expansion, what else is included in the Stop-TB strategy?
Signup and view all the answers
Which action is aligned with the goal of strengthening health systems based on the primary care approach?
Which action is aligned with the goal of strengthening health systems based on the primary care approach?
Signup and view all the answers
What is a key characteristic of a national strategic plan for tuberculosis?
What is a key characteristic of a national strategic plan for tuberculosis?
Signup and view all the answers
What does the existence of policies on medicines procurement specifically emphasize?
What does the existence of policies on medicines procurement specifically emphasize?
Signup and view all the answers
Which of the following is NOT identified as a broad category that determines health-care-provision governance, according to the provided content?
Which of the following is NOT identified as a broad category that determines health-care-provision governance, according to the provided content?
Signup and view all the answers
What do outcome-based indicators primarily measure in the context of health-care-provision governance?
What do outcome-based indicators primarily measure in the context of health-care-provision governance?
Signup and view all the answers
Which of the following best exemplifies an outcome-based indicator for health systems?
Which of the following best exemplifies an outcome-based indicator for health systems?
Signup and view all the answers
Why is the section primarily focused on rules-based indicators rather than outcome-based indicators?
Why is the section primarily focused on rules-based indicators rather than outcome-based indicators?
Signup and view all the answers
What is a key aspect to consider when selecting indicators to measure governance in health?
What is a key aspect to consider when selecting indicators to measure governance in health?
Signup and view all the answers
According to the content, governance indicators should NOT be used in isolation when:
According to the content, governance indicators should NOT be used in isolation when:
Signup and view all the answers
What are the primary sources of information for rules-based health system governance indicators?
What are the primary sources of information for rules-based health system governance indicators?
Signup and view all the answers
Which of the following is considered an administrative record used for rules-based indicators of governance?
Which of the following is considered an administrative record used for rules-based indicators of governance?
Signup and view all the answers
What is the primary goal of citizen report card surveys?
What is the primary goal of citizen report card surveys?
Signup and view all the answers
Which of the following is NOT a main area assessed by the WHO's Good Governance for Medicines (GGM) program?
Which of the following is NOT a main area assessed by the WHO's Good Governance for Medicines (GGM) program?
Signup and view all the answers
According to the provided materials, what is the purpose of the 'national transparency assessment' in the GGM program?
According to the provided materials, what is the purpose of the 'national transparency assessment' in the GGM program?
Signup and view all the answers
Which document would be most useful to determine if a national health system is transparent and well-governed?
Which document would be most useful to determine if a national health system is transparent and well-governed?
Signup and view all the answers
What does the GGM program by the WHO aim to curb?
What does the GGM program by the WHO aim to curb?
Signup and view all the answers
What is the primary purpose of patient satisfaction surveys in the context of health services?
What is the primary purpose of patient satisfaction surveys in the context of health services?
Signup and view all the answers
What is the intended outcome of citizen participation in oversight and regulation?
What is the intended outcome of citizen participation in oversight and regulation?
Signup and view all the answers
Which of the following is NOT directly linked to improving public health governance according to the provided material?
Which of the following is NOT directly linked to improving public health governance according to the provided material?
Signup and view all the answers
According to the provided data, what does the 'Policy index' represent?
According to the provided data, what does the 'Policy index' represent?
Signup and view all the answers
What do mechanisms for obtaining client input on health services intend to achieve?
What do mechanisms for obtaining client input on health services intend to achieve?
Signup and view all the answers
What is the maximum possible score for the 'Policy index'?
What is the maximum possible score for the 'Policy index'?
Signup and view all the answers
What is the score assigned to an indicator within the 'Policy index' if an adequate policy is present?
What is the score assigned to an indicator within the 'Policy index' if an adequate policy is present?
Signup and view all the answers
Which of the following is NOT specifically mentioned as a domain for review of national health policies?
Which of the following is NOT specifically mentioned as a domain for review of national health policies?
Signup and view all the answers
What does indicator 1c specifically address in the context of national health system governance?
What does indicator 1c specifically address in the context of national health system governance?
Signup and view all the answers
Which of these factors is included in surveys of patient satisfaction and health service utilization?
Which of these factors is included in surveys of patient satisfaction and health service utilization?
Signup and view all the answers
What international initiative is related to indicator 1d (Tuberculosis)?
What international initiative is related to indicator 1d (Tuberculosis)?
Signup and view all the answers
Which aspect of the pharmaceutical supply chain is most susceptible to corruption and fraud?
Which aspect of the pharmaceutical supply chain is most susceptible to corruption and fraud?
Signup and view all the answers
What is a primary concern regarding counterfeit drugs?
What is a primary concern regarding counterfeit drugs?
Signup and view all the answers
Counterfeit medicines may include products that contain:
Counterfeit medicines may include products that contain:
Signup and view all the answers
What is a significant concern regarding both branded and generic drugs?
What is a significant concern regarding both branded and generic drugs?
Signup and view all the answers
Instances of counterfeit medicines include all of the following EXCEPT:
Instances of counterfeit medicines include all of the following EXCEPT:
Signup and view all the answers
Which of these issues is NOT a direct area of vulnerability in pharmaceutical procurement?
Which of these issues is NOT a direct area of vulnerability in pharmaceutical procurement?
Signup and view all the answers
What is the primary objective of mislabeling in the context of counterfeit drugs?
What is the primary objective of mislabeling in the context of counterfeit drugs?
Signup and view all the answers
Which of the following is a characteristic of a counterfeit medicine?
Which of the following is a characteristic of a counterfeit medicine?
Signup and view all the answers
Which of the following is a key focus of the International Health Regulations, as indicated by the provided WHO document?
Which of the following is a key focus of the International Health Regulations, as indicated by the provided WHO document?
Signup and view all the answers
According to the material, what aspect of health systems was specifically addressed in The World Health Report 2000?
According to the material, what aspect of health systems was specifically addressed in The World Health Report 2000?
Signup and view all the answers
What does the 'Stop-TB strategy' emphasize in its approach to combating tuberculosis?
What does the 'Stop-TB strategy' emphasize in its approach to combating tuberculosis?
Signup and view all the answers
Which document specifically addresses the use of indicators for monitoring the pharmaceutical situation in countries?
Which document specifically addresses the use of indicators for monitoring the pharmaceutical situation in countries?
Signup and view all the answers
Which of these best describes the focus of the WHO medicines strategy for 2004-2007?
Which of these best describes the focus of the WHO medicines strategy for 2004-2007?
Signup and view all the answers
Which of the following best characterizes the research focus of the World Bank Working Paper No. 2195?
Which of the following best characterizes the research focus of the World Bank Working Paper No. 2195?
Signup and view all the answers
According to the resources provided, what is a key topic that influenced the 'Monitoring the Declaration of Commitment on HIV/AIDS' guidelines?
According to the resources provided, what is a key topic that influenced the 'Monitoring the Declaration of Commitment on HIV/AIDS' guidelines?
Signup and view all the answers
What is the central topic discussed in the Bulletin of the World Health Organization article by Saltman and Ferrousier-David?
What is the central topic discussed in the Bulletin of the World Health Organization article by Saltman and Ferrousier-David?
Signup and view all the answers
Flashcards
Determinants of Healthcare Governance
Determinants of Healthcare Governance
Formal procedures, ownership arrangements, decentralization, stakeholder participation, and contextual factors that guide how a health system operates.
Governance Performance
Governance Performance
How well rules and procedures are enforced and implemented, based on stakeholder experience.
Outcome-Based Governance Indicators
Outcome-Based Governance Indicators
Indicators that measure the effectiveness of healthcare governance. Example: Availability of essential medicines in health facilities.
Rules-Based Governance Indicators
Rules-Based Governance Indicators
Signup and view all the flashcards
Administrative Records
Administrative Records
Signup and view all the flashcards
Expert Analysis of Administrative Records
Expert Analysis of Administrative Records
Signup and view all the flashcards
Data Sources for Outcome-Based Indicators
Data Sources for Outcome-Based Indicators
Signup and view all the flashcards
Importance of Context for Governance Indicators
Importance of Context for Governance Indicators
Signup and view all the flashcards
Cost-Effective Medicine Procurement Policies
Cost-Effective Medicine Procurement Policies
Signup and view all the flashcards
National TB Strategic Plan
National TB Strategic Plan
Signup and view all the flashcards
Stop-TB Strategy
Stop-TB Strategy
Signup and view all the flashcards
DOTS (Directly Observed Treatment, Short-course)
DOTS (Directly Observed Treatment, Short-course)
Signup and view all the flashcards
MDR-TB (Multidrug-resistant Tuberculosis)
MDR-TB (Multidrug-resistant Tuberculosis)
Signup and view all the flashcards
TB-HIV Co-infection
TB-HIV Co-infection
Signup and view all the flashcards
Key Components of National TB Strategic Plan
Key Components of National TB Strategic Plan
Signup and view all the flashcards
Corruption in Medicine Procurement
Corruption in Medicine Procurement
Signup and view all the flashcards
Patient Satisfaction Surveys
Patient Satisfaction Surveys
Signup and view all the flashcards
What do patient satisfaction surveys reveal?
What do patient satisfaction surveys reveal?
Signup and view all the flashcards
What are "Inputs" in patient satisfaction surveys?
What are "Inputs" in patient satisfaction surveys?
Signup and view all the flashcards
What are "Processes" in patient satisfaction surveys?
What are "Processes" in patient satisfaction surveys?
Signup and view all the flashcards
What are "Outcomes" in patient satisfaction surveys?
What are "Outcomes" in patient satisfaction surveys?
Signup and view all the flashcards
What does an indicator measuring consumer satisfaction reflect?
What does an indicator measuring consumer satisfaction reflect?
Signup and view all the flashcards
National Strategic Plan for Tuberculosis
National Strategic Plan for Tuberculosis
Signup and view all the flashcards
National Malaria Strategy or Policy
National Malaria Strategy or Policy
Signup and view all the flashcards
Reproductive Health Policy
Reproductive Health Policy
Signup and view all the flashcards
Child Immunization Plan
Child Immunization Plan
Signup and view all the flashcards
Key Health Sector Documents
Key Health Sector Documents
Signup and view all the flashcards
Client Input Mechanisms
Client Input Mechanisms
Signup and view all the flashcards
Counterfeit Drugs
Counterfeit Drugs
Signup and view all the flashcards
Drug Procurement
Drug Procurement
Signup and view all the flashcards
Corruption in Drug Procurement
Corruption in Drug Procurement
Signup and view all the flashcards
Fraud in Drug Procurement
Fraud in Drug Procurement
Signup and view all the flashcards
Types of Counterfeits
Types of Counterfeits
Signup and view all the flashcards
Counterfeits: Branded and Generic
Counterfeits: Branded and Generic
Signup and view all the flashcards
The Risk of Counterfeits
The Risk of Counterfeits
Signup and view all the flashcards
Impact of Counterfeits
Impact of Counterfeits
Signup and view all the flashcards
Study Notes
Leadership and Governance in Health
- Governance in health is increasingly important, requiring strategic policy frameworks, effective oversight, and accountability.
- Accountability is crucial for managing relationships between stakeholders in the health system (individuals, households, communities, firms, governments, and NGOs). This includes the delegation and understanding of service delivery, sufficient financing, performance evaluation of service delivery, and enforcement mechanisms (rewards and sanctions).
- Governance in health is a cross-cutting theme deeply connected to issues of accountability.
- Current health system strengthening focuses on leadership and governance to improve health outcomes, this area needs better monitoring and evaluation.
Indicators for Measuring Health System Governance
- Two types of indicators are used to measure governance: rules-based and outcome-based.
- Rules-based indicators assess if countries have appropriate health system policies and strategies. Examples include having national essential medicines lists or specific policies on diseases like malaria. These are considered part of broader governance determinants which include factors like the structure of ownership, decentralization, community involvement, and other contextual factors.
- Outcome-based indicators evaluate the implementation and effectiveness of rules and procedures. They consider experiences of stakeholders, looking at issues like the availability of essential medicines or health worker absenteeism. This type is less frequently used for the purpose of evaluating governance.
- Focus should be on "rules-based" indicators.
Sources of Information on Health System Governance
- Measurement of rules-based governance indicators often involves a combination of expert analyses and reviews of national health policies.
- Key data sources include legal and regulatory documents, national health strategies, budget documents, and regulations related to health system management, organization, and financing.
Core Indicators
- A composite governance policy index summarizes governance quality. This composite index is composed of 10 rules-based indicators and examines relevant health policies concerning various diseases and overall health system aspects.
- Each indicator is scored 0 (no or inadequate policy) or 1 (adequate policy). There is a maximum score of 10 for the policy index.
Specific, Recommended Indicators
- The recommendations include core indicators related to existing national health strategies and their connection to national needs/priorities.
- There are recommendations for up-to-date national medicines policies and a strategy for procurement methods and cost-effective medicine acquisition.
- Strategic plans for tuberculosis (TB), along with consideration of TB-HIV co-infection and multidrug-resistant TB, are also recommended.
- National strategies for malaria are also highlighted, encompassing drug efficacy monitoring, vector control, and insecticide resistance.
- National responses related to HIV/AIDS and their adherence to global UNGASS guidelines.
- Comprehensive reproductive health policies that are aligned with the ICPD action plan.
- There should be comprehensive, multiyear plans for childhood immunization.
- Dissemination of key health sector documents (like budget documents, performance reviews, and health indicators) is deemed important for transparency and accountability within the health sector.
- Mechanisms for feedback from clients regarding appropriate and timely access to health services are vital.
Tools and Resources
- Citizen report card surveys and the WHO Good Governance for Medicines (GGM) programme: These tools aim to enhance civil engagement to increase service quality and accountability.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Explore the critical aspects of leadership and governance in health systems. This quiz covers the importance of accountability, strategic policy frameworks, and the roles of various stakeholders. Test your knowledge on indicators used to measure governance effectiveness in health care.