• Aucun résultat trouvé

A Delphi study on the impact of the interventions proposed to the Gavi alliance health system strengthening program

N/A
N/A
Protected

Academic year: 2021

Partager "A Delphi study on the impact of the interventions proposed to the Gavi alliance health system strengthening program"

Copied!
14
0
0

Texte intégral

(1)

Oliveira, A.P.C.; Rocha, C.F.; Porignon, D.; Hoope-Bender, P. T.; Lerberghe,

Istanbul, TURKEY 2009

Istanbul, TURKEY 2009

12

12THTH WORLD CONGRESS ON PUBLIC WORLD CONGRESS ON PUBLIC

HEALTH

(2)

Despite growth in the number of effective health

interventions available, recent evidence suggests that many low income countries have a greater probability of not reaching the health MDGs.

Although access to practical low cost interventions could

prevent millions of deaths, their implementation faces the same constraints confronted by health services systems.

(3)

The GAVI Alliance, a public/private partnership, established

in 2000, recognized that investment in immunization programs was necessary, but not sufficient to attain vaccine coverage levels needed to achieve the health MDGs.

Between 2006 and 2010, a significant share of GAVI funds

are invested in the strengthening of health systems (GAVI HSS).

(4)

To identify and analyze the possible impact of a random

sample of interventions proposed by 35 countries to the GAVI HSS fund in areas other than vaccination: 3 main areas of Health Care and 2 areas of Health Services System.

(5)

The Delphi technique is a combination of qualitative and

quantitative methods, based on group communication, with the objective of reaching a consensus among specialists on a specific topic.

Interaction

Controlled feedback Anonymity

Non-Synchronization

Selected interventions : 10% of the 805 interventions sent by the

35 countries and approved by GAVI HSS fund, between October 2006 and October 2007 (presents some degree of randomization and systematization).

(6)

Constitution of the expert panelConstitution of the expert panel: 21 specialists from :

WHO, UNICEF and UNFPA (non probabilistic multi-criteria sample):

◦ To come from one of the following areas: Public Health, Maternal Health and/or Child Health;

To have professional experience in the area;

To work for one of the three cited international organizations ; ◦ To be available to participate in the research;

(7)

3 rounds were considered sufficient for achieving the

objective

Consensus Definition: 75% of participants’ answers Consensus Definition:

presented the same score

5 point ordinal scale: 0 “No Impact” --- 4 “High

(8)
(9)

Distribution of consensus reached regarding on the possible impact on the 81 interventions in the CRA for each round

(10)

Distribution of the 57 interventions that reached consensus by number of CRA on which there is a possible impact

(11)

Extent to which the possible impact was distributed for the interventions in the CRA that reached consensus throughout all 3 rounds

(12)

According to experts consulted, the interventions on which there

was consensus, should have a positive impact on other areas beyond vaccination.

The scope of this impact will likely vary according to the care

related activities.

A greater impact is expected in the areas of health care

(13)

Bruno de Sousa - Health Systems Unit, Instituto de Higiene

e Medicina Tropical, Universidade Nova de Lisboa, Portugal;

Gabriele Mallapaty - Health Section, Programme Division,

United Nations Children’s Fund, New York;

Judith T. Fullerton - Reproductive Health, Evaluation &

(14)

Istanbul, TURKEY 2009

Istanbul, TURKEY 2009

12

12THTH WORLD CONGRESS ON PUBLIC WORLD CONGRESS ON PUBLIC

HEALTH

Références

Documents relatifs

The results of this study suggest that surgical residents have personality traits different from those of the general population, with less neuroticism, more extraversion

On a rapporté plusieurs déficiences nutritionnelles à la suite de chirurgies bariatriques, dont la fréquence varie beaucoup d’une référence à l’autre, et ceci dépend, entre

Whereas in the southern URG, a major hiatus spans Early Aquitanian to Pliocene times, Early and Middle Miocene marine, brackish and freshwater facies occur in the northern URG and

Pour concevoir des interventions appropriées en vue d’enrayer la stigmatisation et d’améliorer la qualité des services de première ligne, nous devons mieux comprendre les

In the Falck case, the far-sighted family champion of change Alberto Falck—with crucial support of the external CEO Achille Colombo—was able to de-escalate the family business

Travaillant pour plus de 11 ans dans l'administration tunisienne et ayant une double formation en sciences de l'information et de la communication (licence

L’archive ouverte pluridisciplinaire HAL, est destinée au dépôt et à la diffusion de documents scientifiques de niveau recherche, publiés ou non, émanant des