presentation to asia health policy program palo alto, ca 20 october 2011 asia pacific observatory on...
TRANSCRIPT
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Presentation to Asia Health Policy Program
Palo Alto, CA20 October 2011
ASIA PACIFIC OBSERVATORYON HEALTH POLICIES AND
SYSTEMS
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Long history of trying to create an Asia Observatory
Recent concerted effort by WHO, World Bank and ADB to advance the process
Background
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1. Builds upon the 13-year highly successful experience of the European Observatory (EO)*
*http://www.euro.who.int/en/home/projects/observatory
Key Characteristics of the APO
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2. Shared responsibility and ownership
All partners share ownership of the APO, its identity and products
Thus, no entity or group of entities “owns” the Observatory
Key Characteristics of the APO
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3. Will not substitute for routine activities of the individual partners
Not a general purpose research organization investigating any and all health topics of interest
Key Characteristics of the APO—What it will not do
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4. Be a bridge between researchers and decision-makers to serve the policy needs of countries. Undertake comparative research on country health systems. Three main activities:
HiTs ( in-depth profiles of health systems and policies, using a standardized template, adapted to the region)Thematic studies emerging out of comparative analysesDissemination of the above
Key Characteristics of the APO—What it will do
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HiTs are the “bread and butter” observatory work. They can be used to:
Examine different approaches to the organization, financing and delivery of health services and the role of key health system actors;Describe the institutional framework for and process, content and implementation of policy;Highlight challenges and areas requiring more detailed analysis;
Health Systems in Transition (HiTs)
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Provide a tool for disseminating information on health systems;Facilitate the exchange of reform experiences across countriesEstablish a baseline for assessing the impact of reforms; andInform comparative analysis.
HiTs continued
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Consensus that APO can only succeed if there is:
An independent, non-politicized research process underpinned by strong quality assurance mechanisms
Financial sustainability (must cover the costs of doing business)
Underlying Principles
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Tripartite structure comprising a:
Steering Committee
Research Hubs and a Research Advisory Group
Secretariat
APO Governance
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Guides the strategic direction of the Observatory,monitoring the implementation of its work plan and the quality of its products. Operates on the basis of consensus
Annual membership fee of US$100,000
Governance—Steering Committee
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Provide technical support and leadership and help to build capacity in country-based research teams, carry out studies directly, and engage with existing networks active in health systems research
Three Research Hubs currently being considered
Governance—Research Hubs
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A core team of 4-5 researchers, working in their personal capacity, who have the dual function of:
(a) advising on the process of quality control for Observatory research products, and (b) providing input on the strategic direction of the Observatory’s research agenda.
Governance—Research Advisory Group
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Responsible for the day-to-day management of the Observatory and its program of research. Run in a spirit of co-operation and partnership, with the Steering Committee guiding its work.
Initially located in WPRO Office in Manila
Governance—Secretariat
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Countries: Hong Kong SAR, the Philippines, Singapore, Thailand
Organizations: Asian Development Bank, AusAid, The World Bank, WHO South-East Asia and Western Pacific Regional Offices
Current Steering Committee Membership
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APO formally established in Hong Kong in June 2011
Covers most Asia Pacific countries
Research Hubs and RAG composition being decided
Director position recently advertised
Current Status
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1. Politics, politics, and politics
2. Quality assurance
3. Comparable data
Future Challenges
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4. Bridging the gap between evidence and policy—
“policy dialogue”
How to populate the space between evidence and policy?
Future Challenges continued
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Bridging the gap continued--Evidence side often does not have the entry point (or skills) to introduce evidence into policy making
Key variables:Evidence quality and accessibility/interpretabilityTrustTimeliness
Future Challenges continued
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Comparative, transparent and peer reviewed
Observatory style of working--researchers focused on policy relevance and involved in dissemination and policy engagement
Concluding Remarks—Key Themes