| Background Inadequate or unaffordable transport infrastructure and services often reduce poor people’s ability to access preventive, curative, and emergency health services and can result in lower health status and high mortality rates. Although health outcomes have improved in the second half of the 20th century, progress has slowed down in the 1990s, and at the current pace, most regions of the developing world will not reach the Millennium Development Goals (MDGs) for Health by 2015. Improving transportation access to health facilities in the context of health systems strengthening could improve overall health systems and referral performance, thereby leading to improved health outcomes. Description of workshop objectives In the context of the multisector aspects of the World Bank new Health Strategy and the Transport Business Strategy for 2008-2012, the workshop will serve as a platform for reviewing current knowledge on the main transport-related barriers to maternal health and child care as well as some of the transport interventions to improve access. The discussion will focus on the role of transport within the broader context of health referral systems, reviewing experience with community transport interventions; the role of non-motorized transport such as bicycles as convenient and cost efficient means of transport; and other experience that can lead to an improvement in the quality and efficiency of transport systems to improve health, while reducing maternal and child mortality in particular. The workshop will seek to draw recommendations for the World Bank and invited partners on what should be concrete short and longer-term steps for creating effective linkages between the health and the transport sectors of the World Bank and organizations concerned with health services provision. Agenda and Presentations (all presentations available in PDF format ) 8:30 – 9:00 am | REGISTRATION AND BREAKFAST | 9:00 – 9:25 am | OPENING REMARKS AND WELCOME Business Transport Strategy for 2008-2012 Marc Juhel, Sector Manager Transport, ETWTR, World Bank The multisector aspects of the new World Bank Health Strategy Armin Fidler, Health Policy and Strategy Advisor, HDN, World Bank Agenda and objectives of the workshop Julie Babinard, Transport for Social Responsibility Thematic Group Coordinator, World Bank | 9:25 – 10:45 am | SESSION 1: ACCESS AND MOBILITY FOR HEALTH Chair: Armin Fidler, Health Policy and Strategy Advisor, HDN, World Bank Roads and bridges: Impact on the Haitian health system Michel Brun, RH/HIV Chief Technical Adviser, UNFPA/Haiti Country Office Reports on mobility and health: Results from Asia Marinke van Riet, Executive Secretary, International Forum for Rural Transport and Development (IFRTD) World Bank experience from various health projects in Latin America Marcelo Bortman, Senior Public Health Specialist, LCSHH, World Bank DISCUSSION | 10:45 – 10:55 am | COFFEE BREAK | 10:55 – 12:15 am | SESSION 2: TRANSPORT AND EMERGENCY HEALTH SERVICES Chair: Dr. Nelle Temple Brown, External Relations Officer, World Health Organization The Fateful Journey: What can we do to ensure maternal survival? Dr. Koki Argawal, Director, ACCESS Program (www.accesstohealth.org) Transport and MDG 5: Lessons from UNFPA Kate Ramsey, Technical Specialist in Reproductive Health,UNFPA Transport and Access to Emergency Health Services-Selected case studies from Africa John Riverson, Lead Highway Engineer (Retired) and Antoine Lema, Social Development Consultant, World Bank DISCUSSION | 12:15 – 1:30 pm | LUNCH | 1:30 – 3:00 pm | SESSION 3: CREATIVE BUSINESS MODELS AND TECHNOLOGICAL SOLUTIONS TO TRANSPORTATION CONSTRAINTS Chair: Guy Stallworthy, Senior Program Officer: Global Health Delivery, Bill and Melinda GATES Foundation Transport and Health in Resource Poor Areas Chris Saunders, Chief Executive, TRANSAID (www.transaid.org) Nonmotorized Transport and Communications in health care: supply chain management for sustainability Aimee Gauthier, Senior Program Director, Institute for Transportation and Development Policy (ITDP) (www.itdp.org/) Sustainability, accountability, partnerships: Experience from Riders for Health Barry Coleman, Executive Director, Riders for Health (www.riders.org) See also: Background Note (PDF) DISCUSSION | 3:00 – 3:15 pm | COFFEE BREAK | 3:15 – 4:00 pm | SESSION 4: TOOLS FOR PLANNING FOR HEALTH ACCESS Chair: Dr. Koki Argawal, Director, ACCESS Program (www.accesstohealth.org) Facility Needs Assessments and Planning Maternal Mortality Reduction Programs Ms. Samantha Lobis,Senior Program Officer, the Averting Maternal Death and Disability Program (AMDD), Mailman School of Public Health (www.amddprogram.org/)
Tools and methodologies for integrating transport and health Dr. Talia McCray, Assistant Professor, School of Architecture, Community, and Regional Planning, University of Texas, Austin DISCUSSION | 4:00 – 5:00 pm | RECOMMENDATIONS FOR COOPERATION BETWEEN HEALTH AND TRANSPORT SECTORS: WHERE TO GO FROM HERE? Chair:Julie Babinard, Transport for Social Responsibility Thematic Group Coordinator, World Bank
Institutional strengths and constraints Way forward |
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