Proposed Program for a Regional Consultation on Performance Assessment of Health Systems

HEALTH SYSTEMS STRENGTHENING SEMINAR

MONITORING HEALTH SYSTEMS CHANGE/HEALTH REFORMS

English-Speaking Caribbean and Canada

AGENDA

Belize City, Belize 30 May - 1 June 2006

FIRST DAY, TUESDAY, 30 MAY 2006

8:30 – 09:00 REGISTRATION

9:00 – 09:30 Opening

WELCOME ADDRESS

JORGE POLANCO, Director of Health Services, Ministry of Health, Local Government, Transportation & Communications, Belize

REMARKS

KATHLEEN ISRAEL, PAHO/WHO Representative, Belize

EDUARDO LEVCOVITZ, Chief, Health Policies & Systems Development, PAHO/WHO, WDC

INAUGURAL ADDRESS

HON. JOSE COYE, Minister of Health, Local Government, Transportation & Communications, Belize

09:30 - 09:50 SEMINAR OBJECTIVES AND STRUCTURE

PRISCILLA RIVAS-LORÍA, Health Sector Reform Regional Advisor, Health Policies & Systems Development, PAHO/WHO, WDC

1 09:50 –10:30 Health Systems Change and Challenges in the Region of the Americas

EDUARDO LEVCOVITZ, Chief, Health Policies & Systems Development, PAHO/WHO, WDC

10:30 –11:00 Health Systems Change and Reform in Canada

GREGORY P. MARCHILDON, Canada Research Chair in Public Policy and Economic History, Graduate School of Public Policy, University of Regina, Saskatchewan, Canada

11:00 –11:30 Plenary Dialogue and Debate

Moderator: Reynaldo Holder, Health Systems Advisor, CPC, PAHO/WHO Barbados

11:30 – 11:45 COFFEE BREAK

ROUND TABLE 1

HEALTH SECTOR REFORM TRENDS RESULTING FROM FIRST CYCLE OF

ENGLISH-SPEAKING CARIBBEAN HEALTH SYSTEMS PROFILES (2001-2003)

11:45 – 13:00 TRENDS RESULTING FROM FIRST CYCLE OF HEALTH SYSTEMS PROFILES Brief Presentations by Country participants {10 minutes each}

13:00 – 13:15 REMARKS

DR. CARISSA ETIENNE, Assistant Director, PAHO/WHO, WDC.

13:15 – 14:45 LUNCH

14:45 – 18:00 TRENDS RESULTING FROM FIRST CYCLE OF HEALTH SYSTEMS PROFILES (CONT.) Brief Presentations by Country participants {10 minutes each}

18:00 - 18:30 Plenary Dialogue and Debate

Moderator: Dr. Reynaldo Holder, Health Systems Advisor, CPC, PAHO/WHO Barbados

2 SECOND DAY, WEDNESDAY, 31 MAY 2006

METHODOLOGICAL GUIDELINES

ANEL P 1 HEALTH SYSTEM CONTEXT

09:00 - 09:15 Health Situation Analysis and Health Determinants

GUILLERMO TROYA, Health Systems Advisor, PAHO/WHO Country Office, Belize

09:00 - 09:15 Gender-Sensitive Indicators in Health Policies and Systems

MIREILLE KANTIEBO, Senior Researcher and Analyst, Bureau of Women's Health and Gender Analysis, Health Policy Branch, Health Canada {15 minutes}

09:30 - 10:00 Plenary Dialogue and Debate Moderator: Mónica Bolis, Regional Advisor in Health Legislation, PAHO/WHO, WDC

Working Groups 1

PERSPECTIVES AND PROPOSALS TO FINE-TUNE

“HEALTH SYSTEM CONTEXT”

10:25- 11:25 OBJECTIVE: Debate perspectives and put forth proposals to fine-tune the section “Health System Context,” to the English-speaking Caribbean using as inputs the results of the application of the first cycle of the Methodological Guidelines in the participating countries, and the structure of the second cycle of Methodological Guidelines. A discussion guide will be provided. Participants will be assigned to one of four working groups.

WORKING GROUPS FACILITATORS: • Marilyn Entwistle, Health Systems Advisor, PAHO/WHO Country Office Trinidad/Tobago • Jacqueline Gernay, Health Systems Advisor, PAHO/WHO, Jamaica • Reynaldo Holder, Health Systems Advisor, CPC, PAHO/WHO Barbados • David Taylor, Health Systems Advisor, PAHO/WHO Country Office, The Bahamas • Guillermo Troya, Health Systems Advisor, PAHO/WHO Country Office, Belize

3 11:25 – 11:55 Presentation of Results – Working Groups 1 {10 minutes each}

Moderator: Paul Edwards, Deputy Director of Health Services, Belize

Methodological Guidelines

Panel 2

FUNCTIONS OF THE HEALTH SYSTEM

12:00 - 13:30

GOVERNANCE/STEWARDSHIP/STEERING ROLE

CAPACITY OF THE NATIONAL HEALTH AUTHORITY TO CONDUCT/LEAD

PRISCILLA RIVAS-LORÍA, Health Sector Reform Regional Advisor, Health Policies and Systems Development Unit, PAHO/WHO, WDC {10 minutes}

CAPACITY OF THE NATIONAL HEALTH AUTHORITY TO REGULATE/ENFORCE

MÓNICA BOLIS, Regional Advisor in Health Legislation, Health Policies and Systems Development Unit, PAHO/WHO, WDC {10 minutes}

FINANCING/INSURANCE

REYNALDO HOLDER, Health Systems Advisor, CPC, PAHO/WHO Barbados {20 minutes}

HEALTH SERVICES DELIVERY

JACQUELINE GERNAY, Health Systems Advisor, PAHO/WHO, Jamaica {15 minutes}

Assembling Canada’s Health System Profile

GREGORY P. MARCHILDON, Canada Research Chair in Public Policy and Economic History, Graduate School of Public Policy, University of Regina, Saskatchewan, Canada {15 minutes}

13:30 – 15:00 LUNCH

4 Working Groups 2

“FUNCTIONS OF THE HEALTH SYSTEM”

15:00- 16:30 OBJECTIVE: Debate perspectives and put forth proposals to fine-tune the section “Functions of the Health Systems,” to the English-speaking Caribbean using as inputs the results of the application of the first cycle of the Methodological Guidelines in the participating countries, and the structure of the second cycle of Methodological Guidelines. A discussion guide will be provided. Participants will be assigned to one of four working groups.

16:30 – 17:10 Presentation of Results – Working Groups 2 {10 minutes each}

Moderator: Elly Van Kanten, Technical Officer, PAHO/WHO Country Office, Suriname

Methodological Guidelines

PANEL 3

Monitoring Health Systems Change/Reform

17:15 – 18:00

POLITICAL PROCESSES/ACTORS THAT HAVE INITIATED OR SUSTAINED HEALTH SYSTEMS CHANGE/REFORM

MARILYN ENTWISTLE, Health Systems Advisor, PAHO/WHO Country Office Trinidad/Tobago {15 minutes}

Plenary Dialogue and Debate {30 minutes}

MODERATOR: GREGORY P. MARCHILDON, Canada Research Chair in Public Policy and Economic History, Graduate School of Public Policy, University of Regina, Saskatchewan, Canada

19:00 COCKTAIL PARTY

6 THIRD DAY, THURSDAY, 1 JUNE 2006

Working Groups 3

“MONITORING HEALTH SYSTEMS CHANGE/REFORM”

9:00- 10:30 OBJECTIVE: Debate perspectives and put forth proposals to fine-tune the section “Monitoring Health Systems Change/Reform,” to the English- speaking Caribbean using as inputs the results of the application of the first cycle of the Methodological Guidelines in the participating countries, and the structure of the second cycle of Methodological Guidelines. A discussion guide will be provided. Participants will be assigned to one of four working groups.

10:30 – 11: 10 Presentation of Results – Working Groups 3 {10 minutes each}

Moderator: Andrea Yearwood, Director, Directorate of Health Policy, Research and Planning, Ministry of Health, Trinidad and Tobago

11:30 – 12:00 Conclusions and Closing

KATHLEEN ISRAEL, PAHO/WHO Representative, Belize

CARISSA ETIENNE, Assistant Director, PAHO/WHO, WDC

MARGARET VENTURA, Chief Executive Officer, Ministry of Health, Local Government, Transportation & Communications, Belize