<p> HEALTH SYSTEMS STRENGTHENING SEMINAR</p><p>MONITORING HEALTH SYSTEMS CHANGE/HEALTH REFORMS</p><p>English-Speaking Caribbean and Canada </p><p>AGENDA</p><p>Belize City, Belize 30 May - 1 June 2006</p><p>FIRST DAY, TUESDAY, 30 MAY 2006</p><p>8:30 – 09:00 REGISTRATION</p><p>9:00 – 09:30 Opening</p><p>WELCOME ADDRESS</p><p>JORGE POLANCO, Director of Health Services, Ministry of Health, Local Government, Transportation & Communications, Belize</p><p>REMARKS </p><p>KATHLEEN ISRAEL, PAHO/WHO Representative, Belize </p><p>EDUARDO LEVCOVITZ, Chief, Health Policies & Systems Development, PAHO/WHO, WDC</p><p>INAUGURAL ADDRESS</p><p>HON. JOSE COYE, Minister of Health, Local Government, Transportation & Communications, Belize</p><p>09:30 - 09:50 SEMINAR OBJECTIVES AND STRUCTURE</p><p>PRISCILLA RIVAS-LORÍA, Health Sector Reform Regional Advisor, Health Policies & Systems Development, PAHO/WHO, WDC </p><p>1 09:50 –10:30 Health Systems Change and Challenges in the Region of the Americas</p><p>EDUARDO LEVCOVITZ, Chief, Health Policies & Systems Development, PAHO/WHO, WDC</p><p>10:30 –11:00 Health Systems Change and Reform in Canada</p><p>GREGORY P. MARCHILDON, Canada Research Chair in Public Policy and Economic History, Graduate School of Public Policy, University of Regina, Saskatchewan, Canada</p><p>11:00 –11:30 Plenary Dialogue and Debate</p><p>Moderator: Reynaldo Holder, Health Systems Advisor, CPC, PAHO/WHO Barbados</p><p>11:30 – 11:45 COFFEE BREAK</p><p>ROUND TABLE 1</p><p>HEALTH SECTOR REFORM TRENDS RESULTING FROM FIRST CYCLE OF </p><p>ENGLISH-SPEAKING CARIBBEAN HEALTH SYSTEMS PROFILES (2001-2003)</p><p>11:45 – 13:00 TRENDS RESULTING FROM FIRST CYCLE OF HEALTH SYSTEMS PROFILES Brief Presentations by Country participants {10 minutes each}</p><p>13:00 – 13:15 REMARKS </p><p>DR. CARISSA ETIENNE, Assistant Director, PAHO/WHO, WDC. </p><p>13:15 – 14:45 LUNCH </p><p>14:45 – 18:00 TRENDS RESULTING FROM FIRST CYCLE OF HEALTH SYSTEMS PROFILES (CONT.) Brief Presentations by Country participants {10 minutes each}</p><p>18:00 - 18:30 Plenary Dialogue and Debate</p><p>Moderator: Dr. Reynaldo Holder, Health Systems Advisor, CPC, PAHO/WHO Barbados</p><p>2 SECOND DAY, WEDNESDAY, 31 MAY 2006</p><p>METHODOLOGICAL GUIDELINES</p><p>ANEL P 1 HEALTH SYSTEM CONTEXT </p><p>09:00 - 09:15 Health Situation Analysis and Health Determinants</p><p>GUILLERMO TROYA, Health Systems Advisor, PAHO/WHO Country Office, Belize</p><p>09:00 - 09:15 Gender-Sensitive Indicators in Health Policies and Systems</p><p>MIREILLE KANTIEBO, Senior Researcher and Analyst, Bureau of Women's Health and Gender Analysis, Health Policy Branch, Health Canada {15 minutes}</p><p>09:30 - 10:00 Plenary Dialogue and Debate Moderator: Mónica Bolis, Regional Advisor in Health Legislation, PAHO/WHO, WDC</p><p>Working Groups 1</p><p>PERSPECTIVES AND PROPOSALS TO FINE-TUNE </p><p>“HEALTH SYSTEM CONTEXT” </p><p>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.</p><p>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</p><p>3 11:25 – 11:55 Presentation of Results – Working Groups 1 {10 minutes each}</p><p>Moderator: Paul Edwards, Deputy Director of Health Services, Belize</p><p>11:55 – 12:00 COFFEE BREAK</p><p>Methodological Guidelines</p><p>Panel 2</p><p>FUNCTIONS OF THE HEALTH SYSTEM</p><p>12:00 - 13:30</p><p>GOVERNANCE/STEWARDSHIP/STEERING ROLE</p><p>CAPACITY OF THE NATIONAL HEALTH AUTHORITY TO CONDUCT/LEAD </p><p>PRISCILLA RIVAS-LORÍA, Health Sector Reform Regional Advisor, Health Policies and Systems Development Unit, PAHO/WHO, WDC {10 minutes}</p><p>CAPACITY OF THE NATIONAL HEALTH AUTHORITY TO REGULATE/ENFORCE </p><p>MÓNICA BOLIS, Regional Advisor in Health Legislation, Health Policies and Systems Development Unit, PAHO/WHO, WDC {10 minutes}</p><p>FINANCING/INSURANCE</p><p>REYNALDO HOLDER, Health Systems Advisor, CPC, PAHO/WHO Barbados {20 minutes}</p><p>HEALTH SERVICES DELIVERY</p><p>JACQUELINE GERNAY, Health Systems Advisor, PAHO/WHO, Jamaica {15 minutes}</p><p>Assembling Canada’s Health System Profile</p><p>GREGORY P. MARCHILDON, Canada Research Chair in Public Policy and Economic History, Graduate School of Public Policy, University of Regina, Saskatchewan, Canada {15 minutes}</p><p>13:30 – 15:00 LUNCH</p><p>4 Working Groups 2</p><p>PERSPECTIVES AND PROPOSALS TO FINE-TUNE </p><p>“FUNCTIONS OF THE HEALTH SYSTEM”</p><p>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.</p><p>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</p><p>16:30 – 17:10 Presentation of Results – Working Groups 2 {10 minutes each}</p><p>Moderator: Elly Van Kanten, Technical Officer, PAHO/WHO Country Office, Suriname</p><p>17:10 – 17:15 COFFEE BREAK</p><p>5</p><p>Methodological Guidelines</p><p>PANEL 3</p><p>Monitoring Health Systems Change/Reform</p><p>17:15 – 18:00</p><p>POLITICAL PROCESSES/ACTORS THAT HAVE INITIATED OR SUSTAINED HEALTH SYSTEMS CHANGE/REFORM</p><p>MARILYN ENTWISTLE, Health Systems Advisor, PAHO/WHO Country Office Trinidad/Tobago {15 minutes}</p><p>Plenary Dialogue and Debate {30 minutes}</p><p>MODERATOR: GREGORY P. MARCHILDON, Canada Research Chair in Public Policy and Economic History, Graduate School of Public Policy, University of Regina, Saskatchewan, Canada</p><p>19:00 COCKTAIL PARTY</p><p>6 THIRD DAY, THURSDAY, 1 JUNE 2006</p><p>Working Groups 3</p><p>PERSPECTIVES AND PROPOSALS TO FINE-TUNE</p><p>“MONITORING HEALTH SYSTEMS CHANGE/REFORM”</p><p>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.</p><p>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</p><p>10:30 – 11: 10 Presentation of Results – Working Groups 3 {10 minutes each}</p><p>Moderator: Andrea Yearwood, Director, Directorate of Health Policy, Research and Planning, Ministry of Health, Trinidad and Tobago</p><p>11:10 – 11:30 COFFEE BREAK</p><p>11:30 – 12:00 Conclusions and Closing</p><p>KATHLEEN ISRAEL, PAHO/WHO Representative, Belize</p><p>CARISSA ETIENNE, Assistant Director, PAHO/WHO, WDC</p><p>MARGARET VENTURA, Chief Executive Officer, Ministry of Health, Local Government, Transportation & Communications, Belize</p><p>7</p>