key challenges - easo€¦ · 5 10
TRANSCRIPT
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Key Challenges
Dr. Daniel Cauchi 05/07/2019
MD MSc PhD
for a Ministry for Health
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Scenario: Malta
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Food imports
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Cost of Obesity
Source: Pwc 2017 “Weighing the costs of obesity in Malta”
~ €56 million in 2016
~ 8.1% of annual public recurrent health expenditure
~5.6% of national healthcare expenditure
~ 0.4% of GDP
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Cost of Obesity
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What are the key challenges for the Ministry for Health?
WWW.MENTI.COM
CODE: 896270
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1. Economy first
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2. The predominant narrative…
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3. Intersectoral communication
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4. Shrinking funds
Percentage of health budget allocated to public health including preventive services:
2012 2.37%
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4. Shrinking funds
Percentage of health budget allocated to public health including preventive services:
2012 2.37%
2016 1.81%
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5. Public opinion?
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6. Rising healthcare costs
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7. Fake news & rising public skepticism
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Resurgence of infectious diseases
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Measles cases: Malta
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Discarded
ClinicalEpi
Lab Month of onset
Nu
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Personal challenges - working within the MoH
• Remaining motivated
• Conflict of interest/ethical challenges – too many hats?
• Under-resourced & over-stretched (shortage of health workers)
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Solutions?
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1. Speak the language
•Politicians vs policymakers
•5 year electoral cycle (++?)
• Learn how to speak to politicians:• Stories? emotional vs purely scientific arguments• KPIs - preserve credibility
• Bite-sized information
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2. Build bridges (& network)
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3. Shift the narrative (pivot and adapt)
internalize externalities;
structural arguments
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4. Anticipate
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4. Anticipate
Politicization of health issuesNegotiation
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• Evidence-based? (sandbag analogy)
• Prioritizing
• Lead by example
What else?
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Thank you
Questions?