Transcript NHA - University of Melbourne

World Health
Organization
Pacific network for NHA
and evidence based
policy making - update
4th Technical Review Meeting, Nossal Institute
Martina Pellny, WHO DPS, Fiji
Melbourne, 10 October 2011
Overview on NHA status
Country Groups/ latest
NHA report
Status
Samoa (2006/07)
Tonga (2005/06)
Fiji (2007/08)
Completed between 2-5 rounds and about to
complete new round this year; Have
institutionalized NHA with teams, budget lines need mostly specialized support: STATA
training, methodology refinement, survey
revision, policy briefs etc.
FSM (2005/08)
Vanuatu (2005, 2007)
Kiribati (2007/09 – draft, in
approval)
Completed 1-2 rounds but with strong support
from external consultant – need continuous
support from the Pacific network to sustain
NHA (missions of technical resource team etc)
Solomon Island, Tuvalu,
Marshall Islands, Cook
Islands, Palau
Have no NHA experience, but some
preparatory work from external consultants,
however mostly not using the SHA
methodology; Tuvalu and Solomon Islands
interested
Another observation specific
to the Pacific
Donor funding (ROW) as share of THE, diff. countries/ years
Fiji (2008)
6%
Vanuatu (2007)
17%
Samoa (2007)
22%
Kiribati (2008)
28%
Tonga (2006)
34%
FSM (2008)
69%
0%
10%
20%
30%
40%
50%
60%
70%
80%
Relatively high percentage of external funding for health –
thus many donors, with many external experts, undertaking
different financial analysis, with various methodologies…
Update on the Pacific Network
 Aim: to create local regional capacity and
skills for NHA and evidence based policy
making and to ensure continued methods
 At the Nadi meeting in May 2010, CHIPSR
was designated as technical resource
centre, WHO DPS based in Fiji as the
coordinating body
 A number of proposals for funding
activities have been submitted by WHO
and CHIPSR
Network set-up
WHO
CHIPSR
With staff from the Pacific,
linking with FNU and USP
Supporting research institutions: IHP,
Nossal Institute, Curtin University, AIHW etc
Network TOR/ ongoing activities
The network supports…
..PICs in a full round of
NHA
-In-country missions and distance support of team of
experts from CHIPSR to NHA country team
- or together with experts from one of the
international research institutes/ WHO
..PICs in preparatory
-Build databases and STATA training
work or upgrade of NHA -Revise survey questionnaires/ HIES questions
-Update NHA classifications/ tables
-Establish disease of population related subaccounts
-Carry out costing study (inpatient/ outpatient)
..PICs to build up
capacity in HPPF
-Periodic workshops with special topics (overseas
referral financing, effective user fee setting, OOPs,
monitoring of outsourcing etc)
-Fellowships for Master programs, short courses
.. PICs to translate NHA
results into policy
recommendations
-Draft policy briefs
-Establish policy analysis unit in MoH
Thanks
New website:
http://www.wpro.who.int/southpacific (click on
programs/ health financing)
With sub-sides on:
-
Country NHA reports of PICs
Newsletter on activities in the Pacific
Products from the ADB-WHO project on
“Strengthening Evidence-Based Policy-Making in
the Pacific: Support for the Development of
National Health Accounts” that ended in August
2010
Products from the ADB-WHO
project
 Training material can be used beyond the
Pacific:
1. Developing health accounts classification
and a health accounts database:
2. Scoping of data for development of health
accounts
3. Design of surveys with specific reference
to private hospitals
Products from the ADB-WHO
project
 Country case studies and studies on the
use of NHA:
1. NHA implementation in Pacific Island
Countries: the experience of PNG, Samoa
and Tonga
2. Why invest in NHA – the Pacific Island
Countries View
3. A study on the use of NHA for policy-making
in PICS – with recommendations for
advocacy and capacity building