FUNCTIONS OF THE HEALTH SYSTEM Working Group #1 Questions 1, 6

Working Group Members Vishwa Mahadeo GUY Ann De Roche SAV Samuel Deane BAR Serge Lafond Health Canada Marjorie Parks BEL Bonne Richardon Lake ANG Elly Van Kanten SUR Marilyn Entwistle PAHO TRT

Feasability of Mapping Exercise Concept is useful Format of table is confusing There would be added value if contribution level by organisation is outlined to show influence level – perhaps could be rated Team Exercise lead by MoH involving other Ministries, civil society, NGOs/CBOs, Professional Organisations, Donors Institutional exercise and not “owned” by individuals

Feasability of Mapping Exercise Under level of organization, list all groups of organisations that contribute to health – therefore table would be adapted to national/country context

Relevance of Mapping Exercise Relevant to countries Important as Assessment Tool and Identifying Strengths/Weaknesses for Interventions Relevant to others including Government, civil society, NGOs/CBOs, Professional Organisations, Donors

Relevance of Mapping Exercise Dissemination of Mapping Exercise? To Who and How? Might be confidential. “Hidden but relevant information” – would a government want to share this information broadly - could affect behaviour of stakeholders – therefore may be a formal mapping exercise as well as an informal Small countries may do a mapping exercise in concert with stakeholder analysis – this may not be the same in a large country

Political Relevance of Gender, Ethnicity & Age Groups to Identify Coverage Gaps Information could be manipulated for political reasons/means In some countries that are racially and ethnically sensitive, this information could be misused or risk associated Institutions not involved in mapping exercise could feel excluded or not recognised – could lead to political implications

Technical Relevance of Gender, Ethnicity & Age Groups to Identify Coverage Gaps Important for the region on a whole but to a lesser extent for each country As we move towards a single market economy, this may become more of an issue

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