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  • Reply to: A Wake-Up Call: Lessons from Ebola for the world’s health systems   11 hours 8 min ago

    Dear Justine, thanks for summarising the challenges faced by the ebola affected countries and many more fragile states on building resilient health systems. The possible global effects and threats of the current situation are indeed worrisome. I do hope the Brussel conference will indentify and agree on the best strategies forward for quality impact on fragile health systems. Based on the best practices in over 14 fragile countries, evidence is all over that a shift is needed from input-based towards output funding; PBF or RBF (Performance/Result Based Financing). The ebola crisis made clear once more that the levels of international and local funds/support is not the real issue; its the ineffectiveness and inefficiency of the support which should worry us together with the lack of a joint global vision and understanding on how to build smart and resilient health systems. May I invite everyone during the next months to follow the PBF-Plus pilot which Cordaid is about to start in one frontrunner District in Sierra Leone, of course with the leadership of MoHS and in close collaboration with the World Bank. For more info on PBF/RBF see https://www.cordaid.org/en/topics/healthcare/result-based-financing/
    Marjan Kruijzen
    Healthcare coordinator Sierra Leone
    Cordaid

  • Reply to: Primarily Small: The Private Health Care of the Poor   4 days 10 hours ago

    Dear Jorge and Das, an excellent piece of work summarized well and basically forms the new wave of thinking for the health sector in developing countries like Kenya where a lot of focus has been on public health programs which has achieved a number of good health outcomes but it is now time to shift gears to more sustainable health and use the power of markets..I like your recommendations " These observational and experimental studies provide important “proof-of-concept.” Moving from the conceptual to the scale-up stage requires a different investment approach" thats very true and already some effort is being put here through with some development partners like DFID, our DFID funded programme - Private Sector Innovation Programme for Health is piloting and scaling up a number of these making markets work for the poor in health concepts..check more on our website: www.psp4h.com and also discussions on Linked in under M4P in Health group. Thought provoking piece..let us see more action health programs being designed with such mindset supporting private health providers/entreprises serving low income populations since there is massive untapped opportunities here in the coming months...Thank you

  • Reply to: Vaccines Save Lives!   6 days 12 hours ago

    Patrício, congratulations! Very consistent and interesting text. As a doctor I really apreciarem the reading. Greetings from Brazil!

  • Reply to: Vaccines Save Lives!   2 weeks 6 days ago

    This was very well said, Patricio, and very aligned with our thinking here at the Gates Foundation, as can be seen from this morning's
    Facebook Q&A with Orin Levine, our Director of Vaccine Delivery: https://www.facebook.com/billmelindagatesfoundation/posts/10153241979573072

  • Reply to: Vaccines Save Lives!   2 weeks 6 days ago

    Patrício, congratulations! Very consistent and interesting text. As a doctor I really apreciarem the reading. Greetings from Brazil!