Oliveira, A.P.C.; Rocha, C.F.; Porignon, D.; Hoope-Bender, P. T.; Lerberghe,
Istanbul, TURKEY 2009
Istanbul, TURKEY 2009
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12THTH WORLD CONGRESS ON PUBLIC WORLD CONGRESS ON PUBLIC
HEALTH
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.
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).
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.
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).
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;
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
Distribution of consensus reached regarding on the possible impact on the 81 interventions in the CRA for each round
Distribution of the 57 interventions that reached consensus by number of CRA on which there is a possible impact
Extent to which the possible impact was distributed for the interventions in the CRA that reached consensus throughout all 3 rounds
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
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 &
Istanbul, TURKEY 2009
Istanbul, TURKEY 2009
12
12THTH WORLD CONGRESS ON PUBLIC WORLD CONGRESS ON PUBLIC
HEALTH