summary lectures policy, management and organisation

Inhoudsopgave
Lecture 1: Introduction to governance and the health policy framework – Marjolein Dieleman.......2
What is policy?...................................................................................................................................4
Diplomacy training 1 – World Health assembly.................................................................................6
Lecture 2 – nog terugkijken, saai college...........................................................................................8
Lecture 3 - Law, Norms and Global health – laatste half uur nog tergkijken!.....................................8
MWH project...................................................................................................................................10
Lecture 4 – Government arena and institutional arrangements – lecture nog terugkijken..............11
Diplomacy training – 2.....................................................................................................................11
Diplomacy training – 3.....................................................................................................................15
Rules governing Substantive issues...................................................................................................15
Diplomacy training - 4.....................................................................................................................16
MWH – Maternal waiting homes.....................................................................................................17
Part 1: Introducing the problem of falsified & substandard medicine..............................................17
Part 2: Understanding the problem of falsifies & substandard medicine.........................................19
Part 3: Understanding the causes of falsified and substandard medicine........................................23
Lecture Agenda setting and interest groups....................................................................................25




1

,Lecture 1: Introduction to governance and the health
policy framework – Marjolein Dieleman
Book: Health policy making (2012) by Kent Buse, Nicholas Mays and Gill Walt

Required reading before the session:

Chapter 1 "The Health policy Framework"

Additional reading:

Barbazza E and Tello JE, A Review of Health governance: definition, dimensions and tools to govern,
Health Policy, 2014 May;116(1):1-11. doi: 10.1016/j.healthpol.2014.01.007

Abimbola S, Health System governance: a triangle of rules, BMJ Glob Health. 2020 Aug;5(8):
doi: 10.1136/bmjgh-2020-003598 (Links to an external site.)

Bigdeli M et all, Health Systems governance: the missing links, BMJ Glob Health. 2020 Aug;5(8):
doi: 10.1136/bmjgh-2020-002533



Objectives of the course


- The concept of governance and the health policy process and its outcomes at national and
international level
- Different theoretical concepts of and methods for the formulation and implementation of
policy
- Methods for analyzing policy and health systems
- Actors’ perspectives and participation, including power configurations inherent in policy
making and transdisciplinary research
- The role of scientific knowledge in policy making

Governance
(the most) important factor for:
- Poverty alleviation (verlichting) and development
- Ensuring that priorities for health and well-being of people are realized
- In different ways operationalized and many frameworks exist
- Set of processes, formally or informally applied to distribute responsibility and accountability
among actors of a given (health) system

defining governance for this module:
“Governance is about the formal and informal rules that distribute roles and responsibilities among
government, providers and beneficiaries and that shape the interactions among them. Governance
encompasses authority, power, and decision making in the institutional arenas of civil society,
politics, policy and public administration’

various core dimensions of governance
Fundamental values Sub-functions Outcomes
- Control of corruption - Accountability - effectiveness
- Democracy - Partnerships - Efficiency



2

, - Human rights - Formulating - Equity
policies/strategic
direction
- Ethics and integrity - Generating - Quality
information
intelligence
- Conflict prevention - Organizational - responsiveness
adequacy/system
design
- Public good - Participation and - Sustainability
consensus
- Rule of law - Regulation - Financial and social
risk protection
- - Transparency - Improved health




private health additionally and government. Government has problem with employments in private
businesses. Implication: if there comes a ban than they will move to other countries.

Government pays to less for health workers. They work privately to earn an extra loan. A lot of
people leave the country, because they can earn better somewhere else. The quality of the
government hospitals.

Government: Wants to ban health workers to work in private sector.

Main problems:
- low pay in public facilities
- Ban on working part-time as a health care worker in the private sector if you also work in the
public sector
- Poor health care infrastructure
- Referring the patient to private health care since the public health care system cannot
provide
- State hospitals do not have enough resources
- Conflict of interest



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