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Page 1: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health

PHCPHC

Page 2: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health
Page 3: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health
Page 4: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health
Page 5: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health

a) No country in the African region achieved an 80% reduction. No country in the African region achieved an 80% reduction. b) Total health expenditure per capita 2006, international $. *International dollars are derived by dividing local currency units by an estimate of their purchasing power parity compared to the US dollar.

Oman(2006 : $382)b

Portugal(2006 : $2080)b

Chile(2006 : $697)b

Malaysia(2006 : $500)b

Thailand(2006 : $346)b

Page 6: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health
Page 7: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health
Page 8: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health
Page 9: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health

Lay personTraditionalborth attendant

Other healthprofessional

Doctor

2000 2005 2015Sub-Saharan

Africa

2000 2005 2015South and South-East

Asia

2000 2005 2015Middle East, North Africa

and Central Asia

2000 2005 2015Latin American and

the Caribbean

a) Source : Pooled data from 88 DHS surveys 1995-2006; linear projection to 2015

Page 10: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health
Page 11: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health
Page 12: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health
Page 13: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health
Page 14: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health
Page 15: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health

Figure 5.1 Percentage of GDP used for health, 2005

Percentage GDP

14

12

10

8

6

4

2

Low-incomecountries,

without India

Lowermiddle,-income

countries,without China

India China Uppermiddle-income

countries,without Brazil

Brazil High-incomecountries,

without USA

USA

Page 16: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health

Transforming information system into instruments for PCH reformTransforming information system into instruments for PCH reform

Page 17: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health
Page 18: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health
Page 19: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health
Page 20: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health

Out-of-pocket health expenditure

Private pre-paid health expenditure

Government health expenditure

Out-of-pocket expenditure to the yearly growth in total health expenditure per capita,percentage, weighted averages.

Low-expenditure,low-growth

health economies

Rapid-growthhealth economies

High-expenditurehealth economies

Page 21: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health

250

200

150

100

50

0

Projected per capita health expenditure in 2015, low-expenditure, low-growth health economies (weighted averages)(a)

Projected health expenditure per capita, $, 2015

Projected growth in out-of-pocket expenditure

Projected growth in private pre-paid expenditure

Projected growth in government expenditure

Level of total health expenditure in 2005

Fragile states

South andSouth-East

Asia*

India Sub-saharanAfrica*

All low-expenditure,low-growth health

economies

* Without fragile states (a) Assuming the yearly growth rates for government-, private pre-paid-,and out-of-pocket expenditure estimated from 1995−2005 data persist to 2015.

Page 22: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health
Page 23: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health

Nuovi Orientamenti Nuovi Orientamenti CMH/OMSCMH/OMS

Supporto ai Sistemi GovernativiPiù soldiPiù leadershipPiù efficienzaPiù controlli sugli standard

FarmaciLivelli Essenziali di assistenza

Page 24: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health

Nuovi Orientamenti OMSNuovi Orientamenti OMS

Maggiori Fondi dall’OccidenteMaggiori Fondi dall’OccidenteAccessibilitàAccessibilità

Privilegiare Livello PerifericoPrivilegiare Livello PerifericoGarantire Servizi EssenzialiGarantire Servizi Essenziali

Primary Health CarePrimary Health Care

Equità (ridistribuzione del rischio e Equità (ridistribuzione del rischio e fiscalizzazionefiscalizzazione)

Page 25: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health

Orientamenti di Orientamenti di Medici con l‘Africa-CUAMMMedici con l‘Africa-CUAMM

• Promuovere la cultura di solidarietà

• Stimolare e sostenere forme eque di finanziamento del sistema sanitario, costruite sulla condivisione del rischio

• Investire in risorse umane

Page 26: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health

I Criteri di Intervento di I Criteri di Intervento di Medici con l‘Africa-CUAMMMedici con l‘Africa-CUAMM

• Continuità di presenza, in paesi africani• Non più progetti ma piani/strategie di

paese con approccio incrementale• Garantire un supporto a lungo termine a

ospedali e servizi territoriali• Applicazione dei principi di Primary

Health Care

Page 27: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health

I Criteri di Intervento di I Criteri di Intervento di Medici con l‘Africa-CUAMMMedici con l‘Africa-CUAMM

• Risponde a nuove richieste di management, formazione, ricerca, intersettorialità

• Rivaluta la collaborazione con strutture sanitarie not for profit

• Mantiene il sostegno a strutture governative

Page 28: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health

Le attività di Le attività di Medici con l‘Africa-CUAMMMedici con l‘Africa-CUAMM

• Preparazione e realizzazione di progetti sanitari (strumenti indispensabili nei riguardi dei finanziatori)

• Formazione

• Sensibilizzazione

• Ricerca e studio sui problemi di salute e sviluppo

Page 29: PHC. No country in the African region achieved an 80% reduction. a) No country in the African region achieved an 80% reduction. b) Total health

Attività in Africa SubsaharianaAttività in Africa Subsahariana

• Technical assistance o Assessoria (management e politiche sanitarie)

• Servizi clinici• Public Health (Primary Health Care)• Formazione ai diversi livelli• Ricerca e valorizzazione di

partnership locali