ࡱ> ;=<"( `/ 0DTimes New Roman(0(z[ 0 DWingdingsRoman(0(z[ 0 @ .  @n?" dd@  @@`` 6.p4 d  ''   AA1?@8wuʚ;2Nʚ;g4dddd@z[ 0ppp@ <42d2dl 042<4ddddl 042 80___PPT10 pp? %iFUNCTIONS OF THE HEALTH SYSTEM  !Harmonization of Service Delivery""(7.1 Yes HA will provide strategic direction but the regional action /work plan may differ from region to region depending on epi. and demo. profile geared to meeting national targets. Some MOH policies are lagging behind regional initiatives and there should be harmonization. *  ~!Harmonization of Service Delivery""(Use of best practices in the region to inform national policies. 7.2 yes  There is some duplicity but the majority is complimentary services Duplication does not necessarily means fragmentation 7.3 Basic health standards should be updated, reviewed and new standards designed for introduction of new services. These should be implemented at all levels of care. AZLZ5ZZZZAL5  !Harmonization of Service Delivery""(7.4 The term integration should be rephrased to Comprehensive care. This can only be assured through an effective M&E programme with specific indicators 6EUEUGaps: Gender, Ethnicity & AgeThe gender disparity exists in both sexes and needs to be recognized. There should be a gap analysis so the programmes can be designed for specific groups and to aid in policy adjustment. ( Quality Assurance6Even though basic health care standards are stipulated it is not enough to guarantee implementation of standards and quality of services. There are no indicators to tell whether they are being used at the appropriate levels Countries are at various levels in terms of accreditation, licensing and certification6VWVW Quality AssuranceThere is a need to review the legislations to have the ability to evaluate private institutions. Most countries have identified external accreditation bodies but they are expensive and hence the region is looking at a regional accreditation body especially in the light of CSME. Instruments to measure performance: There are fragmented initiatives in several countries to address this but no comprehensive standardized instrument Quality AssuranceThe question is relevant but most countries don t have an effective complaint mechanism. Standards for measuring health services performance in terms of Human, financial and technological resources relevant. Methodology should include: Community participation  Encourage advocacy and consumer groups & health as a human right Questions about existence of patient charts .ZZ ` 33ff̙` 3f3f` ___>?" dd@,?nKd@ u< t@ " d`  n?" dd@   @@``PV    @ ` `p>> &&6(   T   "r  B2? N 0f  0ff  6?0Qf  6?0Bf  6?0qf  6?0bf   6?0f   6?0"f   6?0f   6?0Cf   6?03 f  6?0c f  6?0 S f  6?0 f  6?0 u f  6?0  f  6?04 f  6?0 $ f  6?0T f  6?0 Ef  6?0vf  6?0ff  6?0f  6?0%f  6?0ff  6?0Vf  6?0f  6?0vf  6?0f   6?07f ! 6?0' " T|gֳgֳ ?"P  T Click to edit Master title style! ! # T8gֳgֳ ?"`  X* $ Tgֳgֳ ?"`   Z* % T̜gֳgֳ ?"`@  Z*$ & 0h "  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     ST  <޽h? ? 33ff̙  Azure   &&(   T   "r  B2? N 0g  0gf  6?0Qf  6?0Cf  6?0qf  6?0cf   6?0f   6?0"f   6?0f   6?0Df   6?03 f  6?0d f  6?0 S f  6?0 f  6?0 u f  6?0  f  6?04 f  6?0 $ f  6?0T f  6?0 Ff  6?0vf  6?0ff  6?0f  6?0&f  6?0gf  6?0Vf  6?0f  6?0vf  6?0f   6?07f ! 6?0' " T7gֳgֳ ?"p  T Click to edit Master title style! ! # Nt:gֳgֳ ?" @   W#Click to edit Master subtitle style$ $ $ T ?gֳgֳ ?"`  \* % TCgֳgֳ ?"`   ^* & TGgֳgֳ ?"`@  ^*T  <޽h? ? 33ff̙y 00(  x  c $Q"p  x  c $R# @   H  0޽h ? ̙33y___PPT10Y+D=' = @B +m  @$(  r  S /"P   r  S &  H  0޽h ? 33ff̙y___PPT10Y+D=' = @B +m  P $(   r  S "p   r  S ̹&   H  0޽h ? 33ff̙y___PPT10Y+D=' = @B +m  `$(  r  S x"P   r  S 8&  H  0޽h ? 33ff̙y___PPT10Y+D=' = @B +m  p$$(  $r $ S "P   r $ S &  H $ 0޽h ? 33ff̙y___PPT10Y+D=' = @B +m  ($(  (r ( S $"p   r ( S &  H ( 0޽h ? 33ff̙y___PPT10Y+D=' = @B +m  ,$(  ,r , S " p   r , S &  H , 0޽h ? 33ff̙y___PPT10Y+D=' = @B +m  0$(  0r 0 S "@`   r 0 S &   H 0 0޽h ? 33ff̙y___PPT10Y+D=' = @B +r0*,?~BDhGIRLNCurrent UserGSummaryInformation(+PowerPoint Document( T  !"#$%&'()*,-./012456789:E%_S PAHO Lan UserPAHO Lan User  !"#$%&'()*,-./012456789:<=>?@ABERoot EntrydO)Current User;SummaryInformation(+PowerPoint Document( TDocumentSummaryInformation83