Health Systems: Goals, Functions, ActorsIntroduction, expectations, groups

Wilm Quentin & Daniel OpokuFG Management im Gesundheitswesen, Technische Universität Berlin

(WHO Collaborating Centre for Health Systems Research and Management)&

European Observatory on Health Systems and Policies

1Introduction, expectations, groups24 September 2019

Background to course and MPhil programme

2

DAAD funded project:

Capacity building in health systems research and

management in Ghana: introduction to the project

Introduction, expectations, groups24 September 2019

Course background

• Originally developed for a MBA Health Care Management programme in 2004

• Great interest by World Bank

• Taught at TU Berlin since 2009; completely revised since spring 2017 for the new MSc. Public Health programme

• Tested in November 2017 for new KNUST programme which started last year (2018/2019 academic year)

• In this round, “Financing” will be covered in more depth in separate module (module 4 Nov – 15 Nov)

3Introduction, expectations, groups24 September 2019

Today‘s agenda

• Round of introductions:

– Background

– What do you expect from the course?

• What is a health system?

• Schedule, reading material, group work, exam requirements

Introduction, expectations, groups 424 September 2019

What is a health system?

People, institutions and resources, arranged together in accordance with established policies,

to improve the health of the population they serve, while responding to people’s legitimate expectations

and protecting them against the cost of ill-healththrough a variety of activities whose primary intent is

to improve health.

European Observatory for Health Systems and Policies (2007)

5Introduction, expectations, groups24 September 2019

WHO 2007

One of several frameworks (more tomorrow)

Introduction, expectations, groups 624 September 2019

WHO 2007

Guiding framework for the module

24/25 Sept

25 Sept

26 Sept

25 Sept

26 Sept

01 Oct

02 Oct

02 Oct

03 Oct

20 Sept

Introduction, expectations, groups 7

01 Oct

Summary: 30 Sept Performance assessment: 03 Oct

& other frameworks: 24 Sept

24 September 2019

Outline of the course

Introduction, expectations, groups 8

1st Semester – Week 1

1S-W1 Monday (23.09.) Tuesday (24.09.) Wednesday (25.09.) Thursday (26.09.) Friday (27.09.)

08:00 -

10:00

Public Holiday

Campus tour for exchange

students/short course

participants

FinancingMedical products and

technologies

10:30 -

12:30

Introduction, expectations,

groupsHealth workforce

Group work (triangle Ghana

health system)

13:00 -

15:00Frameworks 1 Service delivery

Leadership, governance,

stewardship

Group work presentation

(graded)

15:30 -

17:30

Frameworks 2/Financing

(triangle)

Optional supervised group

work/coaching

Optional supervised

group work/coaching

1st Semester – Week 2

1S-W2 Monday (30.09.) Tuesday (01.10.) Wednesday (02.10.) Thursday (03.10.) Friday (04.10.)

08:00 -

10:00Improved health

Efficiency and

responsiveness

10:30 -

12:30Access and coverage

Financial protection and equity in

financing

Health system performance

assessment (summary)

13:00 -

15:00

Group work (access,

coverage – Ghana health

system in cube)

Group work (health system goals,

ranking, weighting)Revision

15:30 -

17:30Preliminary summary Quality and safety Self-study for mid-Sem Exam

Mid-term exam (30 min) +

final questions

NB: Lecturer (by colour) = PD Dr. Wilm Quentin Dr. Daniel Opoku Both

24 September 2019

Presentations and reading

• We will make presentations available; meanwhile you canaccess the November 2017 version of all slides at

• https://www.mig.tu-berlin.de/menue/teaching/ veranstaltungen0/master/modul_managing_and_researching_health_care_systems/

• At the same website, you will find a reading list including links to most material!

Introduction, expectations, groups 924 September 2019

Introduction, expectations, groups 10

Reading materialPresentations

24 September 2019

24 September 2019 Introduction, expectations, groups 11

Course group work

• 5-6 groups with 5-6 students each (mixed MPhil & others)

• Present an overview of the Ghana health system using theconcepts introduced during the course

– 26 Sept (10:30-12:30): Prepare presentation on trianglewith functions and actors

– 27 Sept (13:00 -1500): Group work presentation

– 01 Oct (13:00 -15:00): Group work on access/ coverage(UHC cube)

– 02 Oct (13:00 -15:00): Group work on health systems goals, ranking and weighting for performance assessment

Introduction, expectations, groups 1224 September 2019

Exam requirements

• Group presentation on Friday, Sept. 14 (30%)

• Written mid-term exams on Thursday, Oct 03 (20%)

• MPhil: Written final exam (60%)

• Others (if graded certificate is required): home workassignment on health system of your choice (not Ghana)

Introduction, expectations, groups 1324 September 2019