RESUMO
In 2015, the Government of Ukraine initiated transformative reforms of its health system to improve population health outcomes and ensure financial protection from excessive out-of-pocket payments. This was to be achieved through increasing efficiency, modernizing the obsolete service delivery system and improving access to better quality of care. This report is based on a joint WHO–World Bank review carried out in April–July 2019 looking at progress implementing health financing reforms in Ukraine towards these objectives. It concludes that the overall design of Ukraine’s health financing reforms is in line with international good practices to improve access, quality and efficiency of health services. Implementation has successfully moved forward, the National Health Service of Ukraine has been established as a critical change agent and tangible benefits are beginning to emerge in primary health care. However, serious challenges are on the horizon. Ukraine’s overall macro-fiscal environment remains difficult. As a result, efficiency gains, particularly via hospital restructuring, will be key to demonstrate results from the reforms.Ensuring overall stability of the health budget envelope and prioritizing public health (health promotion and disease prevention) and primary health care will be essential to ensure improved frontline services.Local governments have an important role to play as facility owners and financing agents, but further policy dialogue is needed to align decentralized roles and national health policy priorities. Building distributed ownership for the reforms among key stakeholders including local governments, providers and the population is important for sustainability. With consistent implementation and careful policy dialogue, these challenges can be overcome and the reforms can expect to yield tangible benefits in terms of improved health outcomes and reduced financial burden for the population in coming years.
Assuntos
Assistência de Saúde Universal , Financiamento da Assistência à Saúde , Atenção à Saúde , Atenção Primária à Saúde , UcrâniaRESUMO
In 2015, the Government of Ukraine initiated transformative reforms of its health system to improve population health outcomes and ensure financial protection from excessive out-of-pocket payments. This was to be achieved through increasing efficiency, modernizing the obsolete service delivery system and improving access to better quality of care.This report is based on a joint WHO–World Bank review carried out in April–July 2019 looking at progress implementing health financing reforms in Ukraine towards these objectives. It concludes that the overall design of Ukraine’s health financing reforms is in line with international good practices to improve access, quality and efficiency of health services. Implementation has successfully moved forward, the National Health Service of Ukraine has been established as a critical change agent and tangible benefits are beginning to emerge in primary health care. However, serious challenges are on the horizon. Ukraine’s overall macro-fiscal environment remains difficult.As a result, efficiency gains, particularly via hospital restructuring, will be key to demonstrate results from the reforms. Ensuring overall stability of the health budget envelope and prioritizing public health (health promotion and disease prevention) and primary health care will be essential to ensure improved frontline services. Local governments have an important role to play as facility owners and financing agents, but further policy dialogue is needed to align decentralized roles and national health policy priorities. Building distributed ownership for the reforms among key stakeholders including local governments, providers and the population is important for sustainability. With consistent implementation and careful policy dialogue, these challenges can be overcome and the reforms can be expected to yield tangible benefits in terms of improved health outcomes and reduced financial burden for the population in coming years.
Assuntos
Assistência de Saúde Universal , Financiamento da Assistência à Saúde , Atenção à Saúde , Atenção Primária à Saúde , UcrâniaRESUMO
O propósito deste guia é oferecer informações sobre como formular programas de redução da violência e do crime a prefeitos da América Latina. Ele reúne as melhores informações que encontramos a respeito de princípios de boa prática, métodos por etapas e exemplos de todo o mundo de estratégias municipais de prevenção eredução do crime e da violência.O grosso do relatório simplesmente reproduz o Manual for Community Based Crime Prevention desenvolvido pelo governo sulafricano. Este foi adaptado para o contexto latino-americano, em geral pela adição deexemplos da região. Também valemo-nos do trabalho de vários outros organismos, tais como o Safer Cities Programme da Habitat-ONU, a OMS e o ICPC. Ao compilar este guia, nossa meta era ao mesmo tempo muito modesta e muito ambiciosa. Modesta porque não tínhamos a intenção de fazer uma pesquisa original, mas sim de fazer uma síntese de informações úteis. Ambiciosa porque esperamos sinceramente que possa ser de serventia para prefeitos e funcionários municipais que enfrentam os problemas do crime e da violência. Nosso objetivo é, portanto, que este guia—seguido integral ou parcialmente—ofereça conselhos, recursos e inspiração que sejam úteis e, acima detudo, práticos, a municípios que estejam formulando suas estratégias de prevenção do crime e da violência.
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ViolênciaAssuntos
Cooperação Técnica , Argentina , Brasil , Chile , Colômbia , México , Estados Unidos , JapãoAssuntos
Terremotos , Impacto de Desastres , Abastecimento de Água , Distribuição da Água , Saneamento , Avaliação de Danos , PeruRESUMO
The "Population aging: is Latin America ready?", brings informations for the populations the countrys of America Latin and have the grow up of elderly people and don't have preparation for this situation and confront many problems.
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População , 16008 , Saúde do IdosoRESUMO
The first chapters of the book are comprehensive and systematic reviews of the literature that examine important sets of strategies for improving health services through health services strengthening strategies and approaches to implementation (chapter 1); strengthening health services organizations (chapter 2); improving performance of individual health care providers (chapter 3); and empowerment of communities (chapter 4).The book also pulls together years of international data and applies novel analytical approaches to examine how changes in the coverage of different health services affect each other on a national level (chapter 5).Chapter 6 outlines a way of thinking of the institutional factors that influence the delivery of health services, which should be helpful for analysts, managers, and policy makers.In chapter 8, the book describes how strategies were developed and implemented in the context of seven country case studies
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Cuidados Médicos , Saúde Pública , Acesso aos Serviços de Saúde , Estudos de Avaliação como Assunto , Avaliação de Processos e Resultados em Cuidados de SaúdeRESUMO
Le Groupe d'Evaluation Indépendante (IEG) de la Banque Mondiale a rédigé ce document dans le but de pouvoir profiter des leçons tirées des expériences passées et qui peuvent être utiles pour la mise en place des interventions de réponse immédiate, de relèvement et de reconstruction de la Banque Mondiale en Haïti, suite au séisme dévastateur de janvier 2010. Les leçons tirées concernent les considérations immédiates, l'évaluation des dégâts, la conception et la supervision des projets, les institutions et le financement, ainsi que la réponse du secteur privé.
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Planejamento em Desastres , Avaliação de Danos , Haiti , TerremotosRESUMO
The Guidance Notes on Safer School Construction present a framework of guiding principles and general steps to develop a context-specific plan to address this critical gap to reaching EFA and the MDGs through the disaster resilient construction and retrofitting of school buildings. The guidance notes consist of four components: 1. General information and advocacy points; 2. A series of suggested steps; 3. A compilation of basic design principles; 4. A broad list of references to resources.
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Instituições Acadêmicas , 51829 , Reciclagem , Terremotos , Tempestades , Inundações , Deslizamentos de Terra , Incêndios FlorestaisRESUMO
It's a guide in his third edition that consists of 13 chapters, each dealing with one major cause of childhood illness and death: Timing births; Safe motherhood; Diarrhea; Coughs, Colds and More Serious Illnesses; Hygiene;Child Development and Early Learning;Breastfeeding; Nutrition and Growth;Immunization and Malaria.