Presentation is loading. Please wait.

Presentation is loading. Please wait.

Abt Associates Inc. In collaboration with: I Aga Khan Foundation I Bitrán y Asociados I BRAC University I Broad Branch Associates I Deloitte Consulting,

Similar presentations


Presentation on theme: "Abt Associates Inc. In collaboration with: I Aga Khan Foundation I Bitrán y Asociados I BRAC University I Broad Branch Associates I Deloitte Consulting,"— Presentation transcript:

1 Abt Associates Inc. In collaboration with: I Aga Khan Foundation I Bitrán y Asociados I BRAC University I Broad Branch Associates I Deloitte Consulting, LLP I Forum One Communications I RTI International I Training Resources Group I Tulane University’s School of Public Health better systems, better health Health Systems Strengthening in Fragile and Conflict-affected States: Introduction Better Health Systems: Strategies that Work Presentation Series at the Global Health Council Derick W. Brinkerhoff February 7, 2012

2 Health Systems in FCS: A “Snapshot” Limited availability of services Limited drug/medical supplies Weak/no funding of salaries and recurrent costs Few and inadequately trained health workers Poor/destroyed infrastructure Donor/NGO-dominated planning and service delivery Weak/no government policy and regulatory capacity

3 Service Delivery and FCS Poor countries in general suffer from service delivery and institutional weaknesses, including health services These weaknesses are indicators of state fragility when: A country’s service provision/coverage is significantly below average performance for countries with similar income levels Service provision/coverage is inequitably distributed and exclusionary

4 Absolute Service Delivery Failure Thresholds Service delivery indicatorAverage (poor countries) Standard deviation State fragility thresholds At riskFailed Child mortality rate (per 1000 live births) >177.9>244.6 Primary school enrollment rate (% of cohort) <51.0<29.9 Provision of improved water (% of population) <52.6<35.4

5 Fragility Rankings CountryAuthorityService DeliveryLegitimacy AfghanistanFailingn/a Democratic Republic of the Congo Failing At risk LiberiaAt riskFailing

6 Health Interventions in FCS

7 To Contribute to Reducing Fragility… HSS needs to Meet the health needs of affected populations Build capacity of health system to function effectively and sustainably Enhance state legitimacy Reinforce state authority

8 Abt Associates Inc. In collaboration with: I Aga Khan Foundation I Bitrán y Asociados I BRAC University I Broad Branch Associates I Deloitte Consulting, LLP I Forum One Communications I RTI International I Training Resources Group I Tulane University’s School of Public Health better systems, better health Thank you


Download ppt "Abt Associates Inc. In collaboration with: I Aga Khan Foundation I Bitrán y Asociados I BRAC University I Broad Branch Associates I Deloitte Consulting,"

Similar presentations


Ads by Google