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UHC SYMPOSIUM REPORT 2019- Final 0.Pdf SYMPOSIUM ON PARTNERSHIPS, POLICY, AND SYSTEMS DEVELOPMENTS FOR UNIVERSAL HEALTH COVERAGE PROCEEDINGS REPORT 17TH- 29TH AUGUST 2019 GOLF-COURSE HOTEL KAMPALA, UGANDA 01 2019 UHC Symposium Proceedings Report SYMPOSIUM ORGANISERS THE REPUBLIC OF UGANDA MINISTRY OF HEALTH SYMPOSIUM PARTNERS i Contents List of Acronyms � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � iv Symposium Keynote Speakers � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � vi Symposium Statement � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � vii Setting the Stage � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � x 1�0 Introduction � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � x Key note presentation � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 1 Official Symposium Opening Ceremony � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 4 PANEL DISCUSSION 1: How can the UHC and health improvement agenda be mainstreamed across sectors of government and society? � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � �11 SESSION 1A: YOUTH PANEL: “Nothing for Us, Without Us”: Putting the Youth at the center and as focus of development efforts � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 17 SESSION 1B: Trade liberalization and its implications on realization of Universal Healthcoverage in Uganda � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 19 KEYNOTE ADDRESS 2: PUBLIC-PRIVATE PARTNERSHIPS FOR UNIVERSAL HEALTH COVERAGE � � � � � � � � 22 Expanding the scope for public-private partnerships for health improvement across sectors � � � � � � � � � � 22 Panel Discussion � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 25 Best practices to achieve Universal Health Coverage in Uganda � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 25 DAY 2: KEYNOTE ADDRESS: How are partnerships for health systems strengthening advancing UHC goals? Reflecting on 40 years of Primary Health Care� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 27 Professor Bart Criel – Institute of Tropical Medicine (ITM), Antwerp� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 27 PANEL DISCUSSION � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 29 Dr� Juliet Nabyonga (WHO-AFRO) – Partnerships for UHC and learning from other countries� � � � � � � � � 29 Prof� Charles Hongoro – Learning from the South African experience on private sector participation in health service delivery� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 30 Ms� Robinah Kaitiritimba (UNHCO) – Role of Civil Society in the UHC discourse � � � � � � � � � � � � � � � � � � � � 31 SESSION 1D: Financing Universal Health Coverage Efforts � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 33 SESSION 2A: Social Determinants of Health � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 35 SESSION 2B: Health Systems Governance � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 37 SESSION 2C: Learning from Collaborative Efforts � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 39 SESSION 2D: UHC and Policy developments � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 43 SESSION 3A: National and Subnational Level Partnerships for Strengthening District Management and Workforce Performance for the Advancement of UHC in Uganda � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 46 SESSION 3B: Decentralization Developments For Health Improvements � � � � � � � � � � � � � � � � � � � � � � � � � � � 47 SESSION 3D: Health Care Access � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 50 PLENARY SESSION 5: Special Presentation And Panel Discussion � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 51 PLENARY 6: How can multisectoral efforts be nurtured to advance Universal Health Coverage (UHC) and what mechanisms are available to ensure coordination and coherence in action for UHC across sectors of government? � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 53 PANEL DISCUSSION on Leveraging Health Benefits From Non-Health Sectors � � � � � � � � � � � � � � � � � � � � � � 55 SYMPOSIUM CLOSING REMARKS � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 57 AWARDS � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 60 SYMPOSIUM PARTICIPANTS � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 61 SYMPOSIUM ORGANISING COMMITTEES � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 68 ii 2019 UHC Symposium Proceedings Report Brief about SPEED The Supporting Policy Engagements for Evidence-based Decisions (SPEED) for Universal Health Coverage in Uganda is a 5 year partnership supported by European Union that started in 2015. The partnership comprises Makerere University School of Public Health (Lead Agency), Uganda National Health Users Consumers’ Organization (UNHCO), Economic Policy Research Centre (EPRC), National Planning Authority (NPA), Institute of Tropical Medicine (ITM) Antwerp Belgium and Human Science Research Council (HSRC), South Africa.. THE VISION The SPEED project has a two-part vision: 1. Makerere University School of Public Health (MakSPH) with an outstanding track record and sustainable capacity for policy analysis, advice and influence for universal health coverage (UHC) and the resilience of health systems in Uganda. 2. Having state and non-state agencies that understand what UHC entails, and what roles they individually and collaboratively have to play in its realization. SPEED Objectives Overall objective: To strengthen capacity for policy analysis, advice and influence at MakSPH and partner institutions and contribute to accelerating progress towards universal health coverage and health systems resilience in Uganda. Specific objectives are: 1. To engage and influence policy makers with contextually adapted evidence for health policy and systems changes to advance UHC. 2. To support policymakers to monitor the implementation of vital programs for the realization of policy goals for UHC. 3. To enhance the expertise, knowledge and resources for policy analysis and advice and influence at MakSPH and partner institutions. The SPEED partnership seeks to engage policy makers with contextually adapted evidence for health policy and systems changes to advance UHC and to support policymakers to monitor the implementation of vital programs for the realization of policy goals for UHC. The contributions of this partnership thus include engaging decision makers in forums that enhance shared learning, shared vision of UHC goals, and collaborative decision making. In order to contribute towards these goals, SPEED planned to host three symposia in years one, three and five. The first was held in 2015. This has been the 2nd Symposium. iii 2019 UHC Symposium Proceedings Report List of Acronyms BCC Behavior Change Communication BTC Belgian Technical Cooperation EU European Union HPPM Department of Health Policy Planning and Management HSG Health Systems Global HMIS Health Management Information System HSSP Health sector strategic plan LMIC Low and Middle Income Countries MakCHS Makerere University College of Health Sciences MakSPH Makerere University School of Public Health MDG Millennium Development Goal MoFPED Ministry of Finance Planning and Economic Development PBF Performance Based Financing RBF Results Based Financing SDG Sustainable Development Goals SPEED Supporting Policy Engagement for Evidence-based Decisions UHC Universal Health Coverage WHO World Health Organization iv 2019 UHC Symposium Proceedings Report Symposium Objectives Symposium Themes 1. Share experiences, reflections and evidence 1. Social Determinants of Health and Multisectoral to guide global, regional, national and Collaboration for UHC subnational choices and strategies for 2. Policy and Systems Developments for UHC reducing the burden of preventable ill-health Partnerships and need
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