Fwd: HNP Global Practice Weekly [May 10th, 2017]
kees kostermans
From: Olusoji O. Adeyi <oad...@worldbank.org>
Date: Wed, May 10, 2017 at 8:25 AM
Subject: HNP Global Practice Weekly [May 10th, 2017]
To:
Dear Colleagues,
HNP Global Practice Weekly [May 10th, 2017]
In this Edition:
· Weekly Readers
· Weekly Listener
· Record of HNP GP Leadership Team Meeting
· ***Spotlight: Frontiers of large-scale reforms in China***
· Introducing “Je me souviens!”
· HNP Retreat: Key Take-Aways (and Family Photo!)
· Operational Clinics
· Event: What Makes Us Human? Empowerment taken to the next level
· World Bank Announcements:
o New HR Service Enhancements
o Call for Proposals: The Korea-World Bank Group Partnership Facility (KWPF)
· Endnotes: “NHS waiting time data 'unreliable'”
Weekly Readers
· Malik M, Van de Poel E, Doorslaer E. Did contracting effect the use of primary health care units in Pakistan? 2017. https://academic.oup.com/heapol/article-abstract/doi/10.1093/heapol/czx040/3793093/Did-contracting-effect-the-use-of-primary-health?redirectedFrom=fulltext
“For many years, Pakistan has had a wide network of Basic Health Units spread across the country, but their utilization by the population in rural and peri-urban areas has remained low. As of 2004, in an attempt to improve the utilization and performance of these public primary healthcare facilities, the government has gradually started contracting-in intergovernmental organizations to manage these BHUs. Using five nationally representative household surveys conducted between 2001 and 2012, and exploiting the gradual roll-out of this reform to apply a difference-in-difference approach, we evaluate its impact on BHU utilization. We find that contracting of the BHU management did not have any effect on health care use generally in the population, but it did significantly increase the use of BHU for childhood diarrhoea for the poor (by 4% points) and rural (3% points) households. These increases were accompanied by lower rates of self-treatment and private facilities usage. We do not find any significant effects on the self-reported satisfaction with BHU utilization. Our findings contrast with earlier small-scale studies that reported larger effects of the contracting of primary care in Pakistan. We speculate that the modest additional budget, the limited management authority of the contracting agency and the lack of clear performance indicators are reasons for the small impact of the contracting reform. Apparently critical aspects of services delivery such as location of BHUs, ineffective referral system and medical practice variation in public and private sectors have contributed to the overall low utilization of BHUs, yet these were beyond the scope of the contracting reform.”
· Martinez-Gutierrez M, Cuadrado C. Health policy in the concertación era (1990–2010): Reforms the Chilean way. 2017. http://www.sciencedirect.com/science/article/pii/S0277953617302356
“The Chilean health system has experienced important transformations in the last decades with a neoliberal turn to privatization of the health insurance and healthcare market since the Pinochet reforms of the 1980s. During 20 years of center-left political coalition governments several reforms were attempted to regulate and reform such markets. This paper analyzes regulatory policies for the private health insurance and health care delivery market, adopted during the 1990–2010 period. A framework of variation in market types developed by Gingrich is adopted as analytical perspective. The set of policies advanced in this period could be expected to shift the responsibility of access to care from individuals to the collective and give control to the State or the consumers vis a vis producers. Nevertheless, the effect of the implemented reforms has been mixed. Regulations on private health insurers were ineffective in terms of shifting power to the consumer or the state. In contrast, the healthcare delivery market showed a trend of increasing payers' and consumers’ control and the set of implemented reforms partially steered the market toward collective responsibility of access by creating a submarket of guaranteed services (AUGE) with lower copayments and fully funded services. Emerging unintended consequences of the adopted policies and potential explanations are discussed. In sum, attempts to use regulation to improve the collective dimension of the Chilean health system has enabled some progress, but several challenges had persisted.”
· Gonzalez-Sanchez M, Broccardo L, Pires A. The use and design of the BSC in the health care sector: A systematic literature review for Italy, Spain, and Portugal. 2017. http://onlinelibrary.wiley.com/doi/10.1002/hpm.2415/full
“The aim of this paper is to gain a better understanding of how the balanced scorecard (BSC) has evolved in Spain, Italy, and Portugal. It reviews all the articles on the BSC in the health care sector written between 1992 and 2015 by Spanish, Italian, or Portuguese authors and published in Spanish, Italian, or Portuguese as well as in English. Our study first shows the state of knowledge on BSC in health care for a homogeneous group of Southern European countries. Second, it uncovers the perspectives, indicators, and generation used in the countries under observation to reveal the extent to which this management tool has evolved. Third, it analyses international variations in design and use within the health care context, especially in the United States. Moreover, it also highlights a number of important issues. The BSC is in its early stage of development in these 3 countries, which do not use it as a tool to implement strategy and align all of the elements that help integrate the organization.”
· Schünemann J, Strulik H, Trimborn T. The gender gap in mortality: How much is explained by behavior? 2017. http://www.sciencedirect.com/science/article/pii/S0167629616300832
“In developed countries, women are expected to live about 4–5 years longer than men. In this paper, we develop a novel approach to gauge the extent to which gender differences in longevity can be attributed to gender-specific preferences and health behavior. We set up a physiologically founded model of health deficit accumulation and calibrate it using recent insights from gerontology. From fitting life cycle health expenditure and life expectancy, we obtain estimates of the gender-specific preference parameters. We then perform the counterfactual experiment of endowing women with the preferences of men. In our benchmark scenario, this reduces the gender gap in life expectancy from 4.6 to 1.4 years. When we add gender-specific preferences for unhealthy consumption, the model can motivate up to 89 percent of the gender gap. Our theory offers also an economic explanation for why the gender gap declines with rising income.”
· Sharma G and others. Quality of routine essential care during childbirth: clinical observations of uncomplicated births in Uttar Pradesh, India. 2017. http://www.who.int/bulletin/online_first/BLT.16.179291.pdf?ua=1
“In 2015, the personnel providing labour and childbirth care in maternity facilities were often unqualified and adherence to care protocols was generally poor. Initiatives to measure and improve the quality of care during labour and childbirth need to be developed in the private and public facilities in Uttar Pradesh.”
Weekly Listener: “Obamacare Vs. American Health Care Act: Here's Where They Differ”
Record of HNP GP Leadership Team Meeting
· Meeting of May 2nd, 2017
· Please see the attachment
Spotlight: Frontiers of large-scale reforms in China
Yesterday, the WB Board endorsed the China Health Reform Program for Results (PforR), the first PforR in the human development sector in China. It supports China’s national health reform. China’s government is determined to deepen its ongoing national health reform. Keen to leverage global experience, the government requested World Bank support. During a high-level meeting in July 2014, it was agreed that the Government of China, the World Bank Group, and WHO would jointly undertake a flagship health sector study entitled, “Deepening Health Reform in China: Building High-Quality and Value-Based Service Delivery.”
As noted in the study, China has made remarkable progress in health outcomes and has rapidly expanded health insurance. At the same time, the country faces new challenges, including those of aging, a change in disease patterns, and a hospital-centric health delivery system with financial incentives that drive up costs. The study concludes that for China to achieve cost-effective quality healthcare, it will have to move to a primary care-centered integrated-care model, with payments based on capitation to incentivize health maintenance and primary health care.
The approved PforR supports these reforms. Following the recommendations of the study, it builds on China’s own experience -- deepening the reforms that China initiated in 2009 --and leverages international experience. It will support the transformation of health service delivery by scaling up reform pilots in two provinces--Anhui and Fujian, which will serve as models for the rest of China. These two provinces are among the first four pilot provinces for national health reform. They have pioneered innovative health reforms, have shown strong political commitment to tackle the current institutional fragmentation in health sector governance, and have the institutional capacity to implement the proposed complex reforms.
The Program will be implemented with the support of an IBRD loan of US$600 million, which constitutes 15 percent of the total US$ 4 billion estimated government health expenditures within the Program boundaries. Total annual government health spending in the two provinces is $14 billion.
The effects of health reform on poverty are expected to be substantial. High health expenditures constitute an important cause of poverty in China. Moreover, the reforms supported by the PforR aim to improve in particular rural primary health services, which are disproportionally used by the poor.
Learning is an integral part of this PforR. The Program supports the establishment of a three-level knowledge generation and learning framework: at the local level to continuously learn from implementation of the reforms; at the national level to share and mainstream nationally the experience of the two provinces; and at the international level for China to learn from and share with other countries the lessons learned. We believe that this Program will generate abundant lessons for other countries that face similar challenges in healthcare delivery.
Congratulations to the team, and we all look forward to learning from program implementation. [For more information: Ramesh Govindaraj and Shuo Zhang]
Je me souviens!
This segment will take us down the memory lanes of global health. How did we get here? Remember those seminal papers, debates, and “aha!” moments from way, way back? We’ll recap them here once in a while.
This week, it’s “Health service coverage and its evaluation” by T. Tanahashi, 1978. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2395571/pdf/bullwho00439-0136.pdf (Also attached as pdf file.)
“Health service coverage is considered as a concept expressing the extent of interaction between the service and the people for whom it is intended, this interaction not being limited to a particular aspect of service provision but ranging over the whole process from resource allocation to achievement of the desired objective. For the measurement of coverage, several key stages are first identified, each of them involving the realization of an important condition for providing the service; a coverage measure is then defined for each stage, namely the ratio between the number of people for whom the condition is met and the target population, so that a set of these measures represents the interaction between the service and the target population. This definition of coverage allows for variations, which are called "specific coverage ", by limiting the target population to specific subgroups differentiated by certain conditions related to service provision or by demographic or socioeconomic factors. The evaluation of coverage on the basis of these concepts enables management to identify bottlenecks in the operation of the service, to analyse the constraining factors responsible for such bottlenecks, and to select effective measures for service development.”
HNP Retreat
Key Take-Aways
During our HNP Retreat on Friday May 5th, 2017, staff broke out into groups to discuss and debate twelve topics areas surrounding the three broad themes of relevance to all regions. The following key summaries are now available online where we can keep the conversations going. Please feel free to leave a comment or share feedback with colleagues.
· Role of Private Sector Towards UHC (Andreas Seiter)
· Achieving Universal Health Coverage (Roberto Iunes)
· Resolving the Real Global Health Problems (Donald Schriber)
· The Role of WASH in Stunting Reduction: Can Building Toilets Make Children Grow? (Meera Shekar)
· Adolescents: Critical but Neglected? (Rafael Cortez)
Family Photo
· Photo taken on Friday, May 5, 2017 at the MC Atrium at the conclusion of the HNP Global Practice Retreat
· Credit to Miriam Schneidman
· Please see the attachment
Operational Clinics
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May 10 – June 26, 2017 |
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WBG Guarantees: a Case of World Bank Guarantees Working with MIGA and IFC products |
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Tue, May 16, 2017, 9:00 - 10:30 Washington DC Time | 13:00 - 14:30 Dakar | 16:00 - 17:30 Istanbul/Nairobi | 18:30 – 20:00 New Delhi | 20:00 - 21:30 Bangkok | F2F and Webinar Trainers: Mustafa Zakir Hussain, OPSPQ, Robert Schlotterer, GEEFS, Marcus Williams, MIGO and Olivier Mussat, CNGOG Target Audience: TTLs and task teams working on IPF operations Description: Learn about WBG Guarantees focused on leveraging private sector financing: World Bank Guarantees, MIGA and IFC products. This session includes a discussion of each institution’s support for the US$7.9 billion deep water Sankofa Gas Project in Ghana. Prior to attending you are encouraged to view the Operational Clinic: Overview of Guarantees. |
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Understanding the New Gender Tag in lending Operations |
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Wed, May 17, 2017, 12:00 - 1:30 Bangkok Time | 5:00 - 6:30 Dakar | 8:00 - 9:30 Istanbul/Nairobi | 10:30 – 12:00 New Delhi | Webinar Trainer: Maine Astonitas, GCGDR Target Audience: Current and future TTLs or team members working on lending operations (IPF, DPF, PforR) Description: Learn about the new gender tag, which identifies operations that are critical to closing key gender gaps and helps corporate reporting capture the good work that teams are doing to address gender inequalities and achieve tangible outcomes. You’ll learn how to use the new methodology launched in FY17 and resources for gender indicators. |
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Trust Fund Budgeting & Cost Recovery |
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Thu, May 18, 2017, 11:00 - 12:30 Washington DC Time | 15:00 - 16:30 Dakar | 18:00 - 19:30 Istanbul/Nairobi | 20:30 - 22:00 New Delhi | 22:00 - 23:30 Bangkok | F2F and Webinar Trainers: Sabina Djutovic-Alivodic, DFPTF, Jamie Alexander Serio, BPSCO, Jayshree Sekaran, BPSOC and Kjell Nordlander, BPSCO Target Audience: Operations staff working on trust funds Description: Learn how to structure budgets for trust funds and how to use the trust funds budgeting tool. This clinic also includes a refresher on new trust funds cost recovery (July 1, 2015 reform). |
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Trust Fund Results & Reporting [NEW] |
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Mon, May 22, 2017, 11:00 - 12:30 Washington DC Time | 15:00 - 16:30 Dakar | 18:00 - 19:30 Istanbul/Nairobi | 20:30 - 22:00 New Delhi | 22:00 - 23:30 Bangkok | F2F and Webinar Trainers: Rumana Huque, OPSRR, Mohamed Khatouri, OPSPQ and Imran Ali, DFPTF Target Audience: Trust funds TTLs, trust funds program managers and task team members Description: Learn how to achieve the outcomes of trust-funded activities through the development and application of results frameworks and the subsequent measurement, monitoring, and evaluation of results achieved through the use of trust funds. Also, learn about recommended trust fund reporting practices, and relevant Bank policies and procedures applicable to trust reporting to development partners. |
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How to (Really) Use Citizen Engagement in Projects |
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Tue, May 23, 2017, 8:30 - 10:00 Washington DC Time | 12:30 - 14:00 Dakar | 15:30 - 17:00 Istanbul/Nairobi | 18:00 – 19:30 New Delhi | 19:30 - 21:00 Bangkok | F2F and Webinar Trainers: Ann-Sofie Jespersen, OPSRR, Sara Gustafsson, OPSRR, Philippe Ambrosi, GEN03, Maria Manuela Faria, GSU03, and Natalya Beisenova, ECADE Target Audience: Operations staff working on the beneficiary feedback indicator and/or citizen engagement monitoring on IPF projects Description: Learn about different citizen engagement tools to use in operations, how to measure citizen engagement. You’ll also learn what works and what doesn't work when using citizen engagement via a real case and advice from a team that has embedded citizen engagement in a project. |
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Choosing the Right Financing Instrument |
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Tue, May 23, 2017, 11:00 - 12:30 Washington DC Time | 15:00 - 16:30 Dakar | 18:00 - 19:30 Istanbul/Nairobi | 20:30 - 22:00 New Delhi | 22:00 - 23:30 Bangkok | F2F and Webinar Trainers: Hassan Zaman, OPSPQ, Imad Saleh, OPSPQ, Vivek Suri, OPSPQ and Mustafa Hussain, OPSPQ Target Audience: Operations staff Description: This clinic provides a comprehensive comparison of the main IBRD financing instruments: IPF, DPF, PforR, as well as guarantees. Learn how the Bank’s complementary financing instruments and services assist clients to address their development challenges. |
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Trust Funds: Small Grants |
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Wed, May 24, 2017, 7:00 - 8:30 Washington DC Time | 11:00 - 12:30 Dakar | 14:00 - 15:30 Istanbul/ Nairobi | 16:30 - 18:00 New Delhi | 18:00 - 19:30 Bangkok | Webinar only Trainers: Nancy Chaarani Meza, OPSPQ and Michael Nelson, OPSPQ Target Audience: Operations staff working on small recipient executed trust funds (RETFs) Description: Learn about the policy for small grants and changes to the procedures for processing small grants in the Operations Portal and see of demo of the Operations Portal roadmap for small grants. |
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(All times are in 24-hour format) |
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Planning to join via webinar? Please enroll at least one day prior so we can send you the webinar link. On the go? Join clinics on your mobile device by downloading "Adobe Connect Mobile" from your app store. A stable Wi-Fi connection is required Questions? Contact us at: opsle...@worldbank.org |
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Event: “What Makes Us Human? Empowerment taken to the next level”
What Makes Us Human? Empowerment taken to the next level. A presentation by Jean-Louis Lamboray
Date: Friday, May 12, 2017
Time: 11:00
AM till 12:30 PM
Location: MC 2-850
Jean-Louis Lamboray, our former HNP colleague, will present his work as a co-founder of The Constellation and his book “What makes us human?”. He will tell how he and others have been instrumental in transforming the lives of communities and organizations around the world using an approach called “SALT (Stimulate, Appreciate, Learn, and Transfer). The stories in “What makes us Human?” suggest a way forward based on the experience of thousands of communities worldwide. They take action based on their strengths to realize their dreams. For further information on The Constellation and the book, please visit https://what-makes-us-human.com
World Bank Announcements:
New HR Service Enhancements
https://hubs.worldbank.org/news/Announcement/Pages/New-HR-Service-Enhancements-08052017-134629.aspx
Call for Proposals: The Korea-World Bank Group Partnership Facility (KWPF)
Endnotes: “NHS waiting time data unreliable” http://www.bbc.com/news/av/health-25855944/nhs-waiting-time-data-unreliable
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Best regards,
Soji
Olusoji Adeyi
Director
Health, Nutrition & Population Global Practice
The World Bank Group
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