Poor leadership has been identified as one of the most important obstacles to health systems development.
Here is an article reflecting on the experience of the Oliver Tambo Fellowship Programme in training leaders for the South African health system.
Together with colleagues, I have just published an article that examines whether improved fiscal space in Kenya, Lagos State (Nigeria), and South Africa led to improved per capita spending on health.
Click here for the answer, together with an explanation of the trends.
Colleagues and I have just published a new article in the journal, Global Health Action.
It is titled Strengthening expertise for health technology assessment and priority-setting in Africa.
As the article explains, “The focus on priority-setting is in response to the urgent need to ensure scarce resources are used effectively in support of Universal Health Coverage, and the scant literature discussing how technical economic evaluations should be integrated into highly political and complex priority-setting processes. Researchers’ roles in developing capacity in these areas are highlighted because few African governments have technology assessment units that can take responsibility for driving formal priority-setting processes.”
The White Paper on National Health Insurance was published on 11 December.
This draft policy has its origins in debates that emerged in the late 1980s.
For those of you interested in the history of these debates, read the publication below that was published by Wits University’s Centre for Health Policy in 2000.
The document talks about the important design features of different policy proposals during the 1990s, as well as the lessons learned during this time with respect to managing the process of policy development.
The document is out of print, but I’ve managed to resurrect it using an old copy.
Doherty J, McIntyre D, Gilson L, Thomas S, Brijlal V, Bowa C, Mbatsha S. 2000. Social health insurance in South Africa: past, present and future. Johannesburg: Centre for Health Policy, for the Centre for Health Policy (University of the Witwatersrand) and the Health Economics Unit (University of Cape Town).
One of the key reasons for weak public health systems is poor leadership.
It is urgent to up-skill aspirant leaders if countries want to achieve universal health coverage.
Here are some tips on how to do this in a way that is sensitive to the needs of workplaces:
Doherty J, Gilson L. 2015. Workplace-based learning for health systems leaders. London: RESYST Consortium.
Check out the new website of GNHE (pronounced ‘Gini,’ as in the Gini Coefficient) and follow GNHE on twitter @GNHE2015.
GHNE is a network of research institutions from Latin America, Africa and Asia, and we’ve prepared analyses of progress towards universal health coverage in 15 countries so far.
Also read our recommendations on practical ways countries can measure access and financial protection on their path to universal health coverage.