PFH HSS Vision Game

khlinayaha HSS

100

What is a health system?

A health system is defined as consisting of all people, institutions, resources, and activities whose primary purpose is to promote, restore, and maintain health. P.5

200

What does it mean to strengthen a health system?

Strengthening a health system means initiating activities in the six internationally accepted core HSS functions – human resources for health; health finance; health governance; health information; medical products, vaccines, and technologies; and service delivery. P.5

300

What is the GHSA? And which USAID Jordan project contributes to GHSA goals?

The GHSA is a multi-sector, international initiative, designed to accelerate action and help build health system capacity to prevent, detect, and respond to infectious diseases. PREDICT

400

What does good health system performance mean?

A well-performing health system is one that achieves sustained population health improvement by carrying out the inter-related health system functions of human resources for health; health finance; health governance; health information; medical products, vaccines, and technologies; and service delivery. Pp. 5

500

What are the six core health system functions?

human resources for health; health finance; health governance; health information; medical products, vaccines, and technologies; and service delivery. Pp. 9

ya umsawar sawr al-vision

100

What are four strategic outcomes of USAID’s HSS work?

A: Financial protection, essential services, population coverage, and responsiveness. Pp.5-

200

Please describe the purpose of each strategic outcome of USAID’s HSS work. (100 points for every correct answer)

Financial Protection means: A). The cost of accessing quality, essential health services is not too high nor impoverish people B). Hospitals protect the patients financial information C). Patients pay higher portion of their, thus financially supporting the hector sector D). A and C Essential Services works towards: A). Achieving improved health outcomes, an essential package of high-quality life-saving prevention, promotion, treatment, and care services must be available to and utilized by all those who need it considering the budget constraints and local context. B). Making sure all GH priority countries have same exact services. C). Making sure all GH priority countries build new health facilities D). Achieving full need-met for family planning and MCH services because those are most important development issues. Population Coverage means that ( choose the most accurate answer): A). People who are poor, underserved, marginalized, and vulnerable must have the same access to the essential health services they need as anyone else. B). The poor can afford treatment C). Healthcare is available throughout the entire country D). UHC has been achieved. Responsiveness means that: A). The way health services are delivered must assure dignity, confidentiality, B). The way health services are delivered must assure autonomy, quality, and timeliness of services for poor and marginalized people. C). Ambulances and medical professionals respond to emergencies quickly. D). A & B Pp. 9

300

Why does USAID invest in strengthening health systems?

A: USAID invests in HSS to broaden the reach and enhance the sustainability of the life-saving impact of our global health support. P.5

400

Q: How is the HSS vision intended to be used?

A: It is intended to be used to develop or refine country-based HSS frameworks, strategies, plans, and programs based upon the country’s epidemiology, geography, demographics, state of the health system, and available financial resources in the public and private sector. Pp.8

500

What are some things that USAID HSS intervention do not focus on?

We do not focus on hospitals, physical infrastructure, equipment, or training of high-level medical specialist. Pp. 15

bein aldawali

100

Who is the RIG visit focal point and what should you do if you are asked a question to which you don’t know the answer?

Andrea is the focal point and if you are asked question to which you don’t know the answer you should tell them that you will follow up with them or refer them to Andrea.

200

What are the objectives and what questions will the audit intend to answer? (Andrea’s talking point document)

Have selected USAID missions defined and designed HSS programs to address USAID’s Vision for Health Systems Strengthening? Has the Office of Health Systems provided USAID missions that have HSS programs with the necessary resources, direction, and technical assistance to be successful? (Note: this includes not only the resources, direction, and assistance of the Office of Health Systems but also those of all other relevant units of the Bureau for Global Health.) Are USAID missions’ HSS programs coordinated with other donors and host country government strategies?

300

How does the USAID Health Finance and Governance Activity address HSS and align with USAID’s HSS vision? (Andrea’s talking point document)

HFG works to improve health sector sustainability and resilience in support of universal health coverage. The two main objectives of this award are increase spending efficiency of public resources and to strengthen health sector governance. The HFG award directly aligns with the principles of the HSS Vision. In particular, the project supports the primary objectives within the functions of health finance and health governance. The project also supports the Vision’s strategic outcome of population coverage by creating an enabling environment for universal health coverage and expanding equitable and sustainable health insurance.

400

How does the USAID Human Resources for Health 2030 address HSS and align with USAID’s HSS vision? (Andrea’s talking point document)

Through its three main objectives: increased performance and productivity of the health workforce, increased competency, distribution, and number of health workers, improved public sector stewardship and leadership of the health workforce. The HRH 2030 award supports the Vision’s priority objective of improving human resources for health. The project is improving public sector stewardship and leadership in human resources for health.

500

How does the Demographic Health Survey address HSS and align with USAID’s HSS vision? (Andrea’s talking point document)

The 2017 DHS is underway and will provide updated demographic information this spring, which will inform the Jordanian Ministry of Health’s and USAID’s programmatic and planning efforts. PFH has funded the DHS to collect demographic and health data in Jordan for more than 20 years. The DHS provides up to date population-based data for evidence-based decision making, directly in support of the Vision’s health information priority objective.

bein more dawali

100

Q: How does the PREDICT activity address HSS and align with USAID’s HSS vision? (Andrea’s talking point document)

Under the rubric of the Global Health Security Agenda, the Predict project strengthens the Jordanian health system to respond to emerging infectious disease threats. USAID’s support to the public health surveillance system enhances the responsiveness of the Jordanian health system, one of the Vision’s strategic outcomes.

200

How does our support to WHO’s health surveillance work address HSS and align with USAID’s HSS vision? (Andrea’s talking point document)

USAID funds the World Health Organization to strengthen the Government of Jordan’s public health surveillance system so that disease threats are tracked, monitored, and addressed. USAID’s support to the public health surveillance system enhances the responsiveness of the Jordanian health system, one of the Vision’s strategic outcomes.

300

How does the Health Service Delivery Activity address HSS and align with USAID’s HSS vision? (Andrea’s talking point document)

USAID funds HSD to expand access to and quality of integrated reproductive, maternal, newborn, and child health services. HSD used innovative quality improvement methodologies to expand the capacity of Jordan’s health system. The HSD project is designed to expand the capacity of Jordan’s health system by increasing its efficiency and effectiveness. Through this project, USAID implements quality improvement interventions throughout the Jordanian health sector, directly in support of the Vision’s priority objective for service delivery.

400

How has the office of health systems provided the Jordan mission with necessary resources, direction, and technical assistance to be successful? Give at least two examples. Extra 100 points for any additional examples. (Andrea’s talking point document)

PFH has received technical support form both OHS and the broader Global Health Bureau. For example, (1) OHS provided technical support to the HRH2030 work planning and monitoring and evaluation processes, and (2) GH/PRH supported the Demographic and Health Survey 2017. (3) In addition, at PFH’s request, OHS provided a recent TDY to provide technical direction and quality assurance for the HFG project in line with the HSS Vision and OHS mandate.

500

We can have the greatest impact by customizing USAID’s HSS support to the country context and aligning it with country priorities. How is Jordan Mission’s HSS programs coordinated with other donors and host country government strategies? Give at least two examples. Extra 100 points for any additional examples. (Andrea’s talking point document)

A: (1) PFH's HSS activities are consistent with and support the achievement of GOJ National Health Strategies. For example, the MOH strategy goals and institutional objectives include improving the quality of health services and ensuring their continuity; deploying and managing human resources efficiently and effectively; employing financial resources efficiently and effectively; strengthening the organizational and supervisory role of the MOH; and contributing to achieving comprehensive health insurance for all Jordanians. (2) USAID/PFH closely coordinates with other health donors and the Government of Jordan on all of its health sector programming. USAID and the WHO are Co-Chairs of the Health Development Partners group that meets to discuss coordination and strategic planning between key stakeholders.

ya ein moulayiten

100

What have been the challenges as far as monitoring and assessing progress towards HSS targeted outcomes? Give at least two examples. Talking points Extra 100 points for any additional examples. (Andrea’s talking point document)

1) Data limitations: the health facilities in Jordan have gaps in documentation; the fragmentation of the health sector weakens health indicator collection. 2) Some of the health indicators (mostly outcome and impact) are only collected through national level population-based representative surveys (such as the Demographic and Health Survey) that are usually done every five years. PFH will have such data in the spring and can re-assess strategic priorities at that point. 3) Assessing progress towards health system resiliency and sustainability as well as the enabling the policy environment takes time before an impact can be demonstrated.

200

How does USAID decide whether or not to conduct HSS interventions? What assessments and studies were conducted before USAID Jordan PFH conducted its HSS interventions? Pp.10

To undertake HSS work, we must have either strong evidence or a plausible hypothesis that the intervention will strengthen the health system’s performance.

300

What are the six crossing cutting themes of USAID’s HSS work?

Private sector engagement, community engagement in health and local systems, and prevention and promotion.

400

Q: Which one is not a guiding principles of USAID’s HSS work?

1. Be a trusted partner in the broad spectrum of HSS in all priority countries. 2. Drive the global agenda to ensure access to affordable services for the poor. 3. Direct USAID’s HSS investments to evidence-based, highest impact interventions. 4. Achieving and recreating successful models for health system management 5. Scale up innovative solutions that advance financial protection, quality essential services, equitable population coverage, and responsiveness. 6. Engage top multi-disciplinary expertise to achieve health goals. Pp. 16

500

how do USAID technical and regional bureaus, specifically GH and Middle East bureaus contribute to HSS interventions?

GH Office of Health Systems serves as the Bureau’s and the Agency’s center of excellence and focal point to provide worldwide leadership and technical expertise in HSS. It is responsible for three core functional roles: technical leadership and strategic direction; knowledge and talent management; and field support and program implementation. Other GH Offices and Health Element Teams, such as, Health, Infectious Diseases and Nutrition; Population and Reproductive Health; and HIV/ AIDS, incorporate HSS into their health priorities and programs. They identify and articulate health systems constraints to effective implementation of their activities and goals. Regional Bureaus, such as, Africa, Asia, the Middle East, Latin America, Office of Afghanistan and Pakistan Affairs, and Europe and Eurasia, serve as the lead Agency representatives of regional multicountry initiatives related to HSS. This includes collaborating with various international stakeholders as they relate to their geographic areas and coordinating mission responses on HSS within their regions. Missions design and implement USAID assistance related to HSS at the country level. They strategize, design, implement, and evaluate work programs that incorporate HSS activities. They lead the Agency’s dialogue with country counterparts in governments, development partner organizations, civil society organizations, the private sector, and with other stakeholders. Pp.17