1. Seminar Objectives and Structure Monitoring Health Systems Change and Health Reforms English-Speaking Caribbean and Canada Priscilla Rivas-Loría, Ph.D. Advisor Health Sector Reform, PAHO/WHO, Washington D.C. Priscilla Rivas-Loría, Ph.D. Advisor Health Sector Reform, PAHO/WHO, Washington D.C. Belize City, Belize 30 May - 1 June 2006 Belize City, Belize 30 May - 1 June 2006

2. Background Concise analysis of the structure, and dynamics of health systems in LAC Situation before 1998 non-existent

3. Background - Summit of the Americas 1994 - Special meeting on health sector reform 1995 - Summit of the Americas 1994 - Special meeting on health sector reform 1995 Situation before 1998

4. Response - Methodological Guidelines Health Systems Profiles - Methodological Guidelines Monitor and evaluate HSR PAHO/WHO Response to Countries Request (1998) PAHO/WHO Response to Countries Request (1998)

5. Resolution CE124.R8 Monitoring and Evaluation of Health Sector Reform Processes (1999) Resolution CE124.R8 Monitoring and Evaluation of Health Sector Reform Processes (1999) Results

6. 1.36 Country Health Systems Profiles 2.2/3 of profiles in second edition 3.Peer-reviewed 4.Health Sector Reform trends analysis: - Central America - Andean Region - English-Speaking Caribbean 5.Health Systems Knowledge Strengthened Results

7. Country profiles available in LACHSR website www.lachsr.org Results

8. 1. HSR trends identified 2. Subjects not tackled by Health Reforms ~ Essential Public Health Functions ~ Stewardship/Steering Role ~ Human Resources Capacity-Building 1. HSR trends identified 2. Subjects not tackled by Health Reforms ~ Essential Public Health Functions ~ Stewardship/Steering Role ~ Human Resources Capacity-Building IMPACT

9. Health Systems Profiles have become a valuable source of health systems information at national and international levels. IMPACT

10. Number of visitors that access lachsr.org web page and browse the country profiles

11. 1. Growing evidence on the impact of HSR in LAC 2. New conceptual developments in health systems 3. Gender, ethnic groups, older adult indicators 4. User-friendly 1. Growing evidence on the impact of HSR in LAC 2. New conceptual developments in health systems 3. Gender, ethnic groups, older adult indicators 4. User-friendly Justification for Methodological Guidelines Update

12. Seminar Structure – First Day 1. Conceptual framework Health Systems Change and Reform in LAC and Canada 2. Trends from first cycle of health systems profiles 3. Lessons Learned from Monitoring Health Systems Change/HSR 1. Conceptual framework Health Systems Change and Reform in LAC and Canada 2. Trends from first cycle of health systems profiles 3. Lessons Learned from Monitoring Health Systems Change/HSR

13. 1. Methodological Guidelines Health Systems Context Health Systems Functions Monitoring Health System Change 1. Methodological Guidelines Health Systems Context Health Systems Functions Monitoring Health System Change COCKTAIL PARTY Seminar Structure – Second Day

14. 1. Monitoring Health Systems Change work group 2. Conclusions and Closing 1. Monitoring Health Systems Change work group 2. Conclusions and Closing Seminar Structure – Third Day

15. Results Expected Results Expected 1. Fine Tuning Methodological Guidelines for the English Speaking Caribbean

16. Results Expected Results Expected 2. Timetable for the elaboration of the profile 2. Timetable for the elaboration of the profile

17. Thank You!