Webinar: Major reform efforts for India’s health system: opportunities and challenges

Overview With a population over 1.4 billion, the health system of India has challenges and opportunities on an unprecedented scale. India is making remarkable progress towards universal health coverage with its signature health insurance plan for 40 percent of its population–the largest insurance scheme in the world–as well as innovations in digital health and primary care. Join us to hear about recent advances directly from two of India’s senior civil…

Webinar: The role of private sector pharmacies in financial hardship in India: a health system analysis in the state of Odisha

Synopsis This session held on August 24, 2022 focused on a health system analysis of the causes of high catastrophic health expenditure (CHE) in the state of Odisha in India. Odisha has the second-highest rates of CHE across India, but also has a public insurance program that covers 80% of the population and widely-used public facilities where drugs are provided free-of-charge. We designed and fielded 10 innovative surveys, including surveys…

Dr. Rajani Ved – Primary Health Care Reforms in India

“Primary Health Care Reforms in India” Join us for a seminar featuring Dr. Rajani Ved, Director of Health at the India Office of the Bill & Melinda Gates Foundation. Moderated Dr. Winnie Yip, Professor of Global Health Policy and Economics, Harvard T.H. Chan School of Public Health. Biography Dr. Rajani Ved is Director, Health at the India Office of the Bill & Melinda Gates Foundation. In this role, she is responsible for…

Health Systems Assessment Session 8: Measuring Efficiency in Health Systems | Dr. Bijetri Bose

Overview Conducting a data-driven analysis of a health system is critical for supporting health reform designs. This idea stems from the Control Knob Framework, where a health system is defined as “a set of relationships where the structural components (means) and their interactions are associated and connected to the goals the system desires to achieve (ends)”. Any successful reform, therefore, must be based on a systematic means-ends analysis. The first…

Health Systems Assessment Session 7: Quality in Health Systems: How to Assess Patient Safety | Liana Woskie

Overview Safety is a fundamental domain of healthcare quality. A number of studies from high income countries estimate that a large number of citizens are injured or killed due to adverse events, placing unsafe care within the top twenty causes of death globally. As India works to expand health coverage, particularly improved access to hospital-based care and acute services, more people than ever before will come into contact with the…

Health Systems Assessment Session 6: Quality in Health Systems: How to Assess Patient-Centeredness | Liana Woskie

Overview Even as the availability and affordability of healthcare improves, many countries are not experiencing anticipated gains in health outcomes. One potential driver of stagnating health outcomes is the delivery of low-quality health services. While people may have better access to health services, the quality of those services is highly variable. At best, healthcare can improve health and save lives; but it can also cause physical harm and erode trust.…

Health Systems Assessment Session 5: Quality in Health Systems: How to Assess Clinical Effectiveness | Anuska Kalita

Overview Quality of care is one of the most important intermediate outcomes of a health system. However, quality has unfortunately, been long neglected by most health reformers in low- and middle-income countries like India. Quality has three distinct aspects: clinical effectiveness, patient centeredness, and patient safety. This session will focus on the first aspect – clinical effectiveness. Clinical effectiveness is the provision of health services based on scientific knowledge and…

Health Systems Assessment Session 4: Citizen Satisfaction as a Measure of Health System Performance | Anuska Kalita

Overview One of the key goals of a health system, citizen satisfaction is the degree to which citizens or the public are satisfied with the health system. Measuring citizen satisfaction is important because members of the public are beneficiaries and actors in a health system, capable of providing feedback on the quality and responsiveness of services. Their opinions can be important in shaping health policies and bringing legitimacy and accountability…

Health Systems Assessment Session 3: Measuring Access to Healthcare | Dr. Jan Cooper

Overview A well-functioning health system ensures that access to care will generate improved population health outcomes. Yet the interrelated and complex dynamics of a health system make it challenging to pinpoint which health systems dynamics will ensure that health care is well organized, delivered effectively, distributed efficiently and accessed fairly. How effectively citizens access care from the health system provides important insights for how well a health system functions. This…

Health Systems Assessment Session 2: Financial Risk Protection | Dr. Annie Haakenstad

Overview Protection from the financial risks of healthcare costs is a key aim of health systems. When financial risk protection is poor, high healthcare costs may result in families foregoing basic needs like education, food and housing, or otherwise be pushed into poverty. Health insurance and government subsidies for healthcare are some of the key strategies used to ensure financial risk protection, but their effectiveness can vary depending on the…