Seminar Objectives and Structure Monitoring Health Systems Change and Health Reforms English-Speaking Caribbean and Canada Priscilla Rivas-Loría, Ph.D. Advisor Health Sector Reform, PAHO/WHO, Washington D.C. Priscilla Rivas-Loría, Ph.D. Advisor Health Sector Reform, PAHO/WHO, Washington D.C. Belize City, Belize 30 May - 1 June 2006 Belize City, Belize 30 May - 1 June 2006

Background Concise analysis of the structure, and dynamics of health systems in LAC Situation before 1998 non-existent

Background - Summit of the Americas Special meeting on health sector reform Summit of the Americas Special meeting on health sector reform 1995 Situation before 1998

Response - Methodological Guidelines Health Systems Profiles - Methodological Guidelines Monitor and evaluate HSR PAHO/WHO Response to Countries Request (1998) PAHO/WHO Response to Countries Request (1998)

Resolution CE124.R8 Monitoring and Evaluation of Health Sector Reform Processes (1999) Resolution CE124.R8 Monitoring and Evaluation of Health Sector Reform Processes (1999) Results

1.36 Country Health Systems Profiles 2.2/3 of profiles in second edition 3.Peer-reviewed 4.Health Sector Reform trends analysis: - Central America - Andean Region - English-Speaking Caribbean 5.Health Systems Knowledge Strengthened Results

Country profiles available in LACHSR website Results

1. HSR trends identified 2. Subjects not tackled by Health Reforms ~ Essential Public Health Functions ~ Stewardship/Steering Role ~ Human Resources Capacity-Building 1. HSR trends identified 2. Subjects not tackled by Health Reforms ~ Essential Public Health Functions ~ Stewardship/Steering Role ~ Human Resources Capacity-Building IMPACT

Health Systems Profiles have become a valuable source of health systems information at national and international levels. IMPACT

Number of visitors that access lachsr.org web page and browse the country profiles

1. Growing evidence on the impact of HSR in LAC 2. New conceptual developments in health systems 3. Gender, ethnic groups, older adult indicators 4. User-friendly 1. Growing evidence on the impact of HSR in LAC 2. New conceptual developments in health systems 3. Gender, ethnic groups, older adult indicators 4. User-friendly Justification for Methodological Guidelines Update

Seminar Structure – First Day 1. Conceptual framework Health Systems Change and Reform in LAC and Canada 2. Trends from first cycle of health systems profiles 3. Lessons Learned from Monitoring Health Systems Change/HSR 1. Conceptual framework Health Systems Change and Reform in LAC and Canada 2. Trends from first cycle of health systems profiles 3. Lessons Learned from Monitoring Health Systems Change/HSR

1. Methodological Guidelines Health Systems Context Health Systems Functions Monitoring Health System Change 1. Methodological Guidelines Health Systems Context Health Systems Functions Monitoring Health System Change COCKTAIL PARTY Seminar Structure – Second Day

1. Monitoring Health Systems Change work group 2. Conclusions and Closing 1. Monitoring Health Systems Change work group 2. Conclusions and Closing Seminar Structure – Third Day

Results Expected Results Expected 1. Fine Tuning Methodological Guidelines for the English Speaking Caribbean

Results Expected Results Expected 2. Timetable for the elaboration of the profile 2. Timetable for the elaboration of the profile

Thank You!