REPORT
Oneducation in the Flagship Course on Health Systems Strengthening: “Transforming primary health care to be fit for purpose in the 21st century”
February 10-14,2015, Almaty
The aimof the course- the coursefocusedon the representation ofthe basic theoreticalconcepts,European experienceand practical examplesof medical services, tailored to the needsand demands ofthe people, to expand the understandingof stakeholdersat national andregional levels,the main issuesofhealth care, people-centered.
The course programconsists of4modules:
Module 1:Health systems and thepractice of providingmedical services- an overview
Module 2:Coordinated/integratedprovision of health services
Module 3.Medical servicesthat address the needsand demands ofpeople
Module 4:Implementation ofthe agreed/integratedhealth care delivery
Target audience: representatives of the Ministry of healthcare and social development of the Republic of Kazakhstan,Department of Health, heads of medicalorganizations, educational institutions. The total number was40 people.
Coaches:
Volker Amelung
Professor of International Health Systems Research at the Medical University Hannover, Germany
BaktygulAkkazieva
Coordinated/Integrated Health Services Delivery team member at the Health Services Delivery Programme of the Division of Health Systems and Public Health at the WHO Regional Office for Europe
RifatAtun
Professor of Global Health Systems at Harvard University, and the Director of Global Health Systems Cluster at Harvard School of Public Health, USA
Erica Barbazza
Coordinated/Integrated Health Services Delivery team member at the Health Services Delivery Programme of the Division of Health Systems and Public Health at the WHO Regional Office for Europe
Brett Craig
Assistant Professor of Communication at Nazarbayev University in Astana, Kazakhstan
Nicholas Goodwin
Chief Executive Officer, International Foundation for Integrated Care
IlariaMosca
Ecorys, The Netherlands
Viktoria Stein
Coordinated/Integrated Health Services Delivery team member at the Health Services Delivery Programme of the Division of Health Systems and Public Health at the WHO Regional Office for Europe
Juan Tello
Coordinated/Integrated Health Services Delivery team member at the Health Services Delivery Programme of the Division of Health Systems and Public Health at the WHO Regional Office for Europe
Summary of the modules
Module 1:Health systems and thepractice of providingmedical services- an overview
The modulewas designed tointroduce the conceptsof strengtheningthe health systemthrough the prismofservicesto addressthe needs ofthe population,and an understanding ofthe basicconceptsof health systems-oriented people
Module 2:Coordinated/integratedprovision of health services
The moduleis aimed atgaining knowledgeon modelingof health care, ensuring continuous improvementactivities andorganizationofservices, which are based onthe principle ofcoordinated/integratedhealth care delivery. Disassemble themain functionsof the processandpractical toolsfor their implementation.
Module 3.Medical servicesthat address the needsand demands ofpeople
Considering the introduction ofa systemof health care services, people-centered, from the standpoint ofproviding medical servicesandpublicpositions. From the standpoint ofthe health system- it isnecessary to organizethe provision of servicestoensure that thescope andorganization of servicesto the needsof the population, especially in remote areas. From the standpoint ofthe population-the tools andmeans of engaging peopleandenable them toparticipate intheir health care.
Module 4:Implementation ofthe agreed/integratedhealth care delivery
In this modulewaspresentedan overview ofthe mainaspects of leadership, development of conceptual approaches tochange the situationto improve the performanceof health systems, the development ofan integrated andpatient-oriented health-care system.
Methods of workwith the participantsof the course:
Lecture, review, problem (coaches)
Group work(course participants)
Discussions(coaches and course participants)
Presentation and defenseprojectscourse participants(participantsof the course)
The main conclusions
First,the country has aneed to change thehealth care system andimprove itthrough the prism ofevaluationneeds of the populationfor health care
Second,this approachis fundamentally changinghealth policyandprovides the ability tocreate ahealth care system, orientedto the needs anddemands of the population
Third,the basic principles thatmust be includedin the newhealth care system-a patient-oriented, integrationof medical and socialassistance,cross-sectoralorganization andstructuring ofthe health system.
Fourth,an isolatedchange inthe health care systemcannotsolve this problem. Discussion ofa new paradigm ofhealth and health careshould occurwith the participation ofall stakeholders, agencies, ministries,companies, etc.
Fifth,the development ofhealth policyshould be comprehensive,systematic and coordinatedat all levels.Policyshould beorientedto the challengesof our time, the needs of the population,with the definition ofessential servicesto the population, adequateorganizationofservices, the establishment ofindicators, and performance, andconstantmonitoring of developmentsand assessment ofthe effectiveness ofselected policy.
Proposalsfor the introduction of
1.The organizationof training seminars forundergraduates, doctoral studentswithcourse materials
2.Use ofmaterialssciencegroupto improve the scientificproject onhealth policy, evaluation of health systemsand universalhealth coverage
3.Dissemination ofinformation to interestedmodernstructuresfor further action
4.Mandatory participation ofthe Universityin the development ofstrategic and program documents
5.Participation of representatives ofthe universityfor furthertraining programssimilar level
Head of Departmentpolicy and health management,
MD Turdalieva B.S.
