Contents:
1. Note from Abdo Yazbeck, Program Leader
2. Highlights of New Publications
3. Highlights of upcoming events (July – December, 2006)
4. Selected highlights from last January – June, 2006
1. Note from Abdo Yazbeck, Program Leader, Health and AIDS
Dear Colleagues,
Another fruitful 6 months has passed since we last communicated and a lot of good things have taken place during that time. A new Global Course on the MDGs was successfully piloted in March (see section 4 for more detail) and will be repeated next March. New web-based courses in English have been offered, as well as one in French and one in Chinese -- more on E-Learning in the next newsletter. Our AIDS program, whose focus is on implementation, continues to grow and reach new audiences. As a highlight, major elements of the upcoming August AIDS Conference from Toronto will be broadcast widely.
The following section highlights a number of excellent new health sector publications produced by WBI and World Bank staff or published by the World Bank. The Disease Control Priorities Project publications will be disseminated in our WBI courses and in stand-alone events organized by the Health and AIDS team -- stay tuned. All the other books listed will also be disseminated through upcoming WBI courses. The Reproductive Health Book is actually based on a WBI Health and AIDS global course that has been offered for the last 8 years and delivered in Washington, Turin, and now in Bangkok.
Finally there have been some recent changes to our team. Meri Helleranta and Eric De Roodenbeke have left the team and have joined the Africa Region of the World Bank. They will continue to work with us on occasion. Gilles Dussault left the Bank at the of July after 6 years at WBI. He has accepted a Professorship at the Instituto de Higiene e Medicina Tropical (Universidade Nova de Lisboa), in Lisbon Portugal, where he will head the Health Systems Unit and conduct research and training activities in the field of international health, mainly workforce policies and financing. His new address is: gillesdussault@ihtm.unl.pt.
Hope to hear from you soon,
Abdo Yazbeck
2. Highlights of New Publications
¨ L'assurance maladie en Afrique francophone: améliorer l'accès aux soins et lutter contre la pauvreté, sous la direction de Gilles Dussault, Alain Letourmy et Pierre , Washington, Banque mondiale, 558 pages.
La plupart des pays d'Afrique (au Sud du Sahara) consacrent à la santé des sommes inférieures aux 34$ proposés par la Commission Macroéconomie et santé en 2001 pour couvrir les services de base. Même en consacrant 15% de leur budget à la santé, comme les pays de l'Union Africaine s'y sont engagés à Abuja en 2001, une majorité de pays n'atteigneraient pas ce niveau de dépense. La dépendance de l'aide internationale pour le financement de la santé reste importante, allant jusqu'à plus de 50% dans certains pays. La source principale de fonds pour la santé est la contribution directe des ménages, de sorte que l'atteinte des Objectifs du Millénaire pour le Développement est irréaliste sans un apport majeur de fonds nouveaux et sans une utilisation plus efficiente des fonds actuellement disponibles. L'assurance peut offrir un mécanisme utile pour mobiliser les fonds nécessaires à la couverture du risque maladie.
Cet ouvrage propose une introduction aux principes de l'assurance maladie, ses exigences techniques, ainsi qu'un bilan des expériences de mise en place de régimes visant l'universalité et les leçons qu'on peut en tirer les pays de faible revenu. Il fournira au lecteur un panorama de l'état du financement de la santé en Afrique, ainsi qu'un état des lieux du développement de l'assurance maladie en Afrique francophone. Sauf une ou deux exceptions, aucun pays de la région ne présente des taux de couverture assurantielle de plus de 10%. La forme la plus répandue d'assurance santé, est l'assurance obligatoire qui couvre les fonctionnaires et une partie des employés du secteur formel. Dans beaucoup de cas toutefois, cette assurance est dysfonctionnelle et les "assurés" doivent se débrouiller en payant de leur poche, les régimes ne couvrant que peu de services ou ne remboursant qu'une fraction des coûts. L'assurance volontaire dite "communautaire" est promue par plusieurs bailleurs et se développe dans la plupart des pays. Les taux de couverture restent très faibles (1-3% de la population) et leur viabilité est souvent fragile. De plus, cette voie laisse entière la question de la couverture des plus démunis. L'assurance santé volontaire privée est peu développée, le marché pour ce type de produit étant insuffisant pour intéresser les compagnies d'assurance. Quelques pays ont pris la décision politique d'offrir une couverture universelle de leur population (Kenya, Ghana, Côte d'Ivoire, Gabon), mais les progrès sont très lents, en raison des coûts, mais aussi de l'absence des compétences techniques nécessaires à la mise en place de régimes viables. Les lecteurs trouveront ici des réflexions qui pourront alimenter le débat sur les perspectives d'expansion de la couverture du risque maladie par l'assurance dans le contexte africain francophone.
¨ La contractualisation dans les systèmes de santé : un ouvrage édité par Jean Perrot (OMS) et Eric de Roodenbeke (Banque Mondiale).
La multiplication et la diversification des acteurs du système de santé impliquent de revisiter l’organisation des relations entre les intervenants. La démarche contractuelle, qui optimise les échanges au sein du système de santé, participe à l’amélioration de sa performance en cherchant à optimiser ces relations.
Les acteurs publics, dans un mouvement accru en faveur de la déconcentration et dans un contexte de plus forte décentralisation, ne peuvent plus fonctionner sur un mode hiérarchique alors que la gouvernance est au cœur des préoccupations. La contractualisation leur apporte des possibilités multiples pour mieux spécifier et exécuter leurs missions et pour mieux collaborer entre eux.
L’offre privée est de plus en plus mise en avant comme une alternative à la réponse publique déficiente. Dans cette quête pour une meilleure efficience, sans pour autant nuire à la solidarité envers les populations vulnérables, la contractualisation assure des réponses préservant l’intérêt général tout en favorisant l’optimisation de l’utilisation des ressources selon une logique de marché.
Ces quelques exemples montrent l’importance du champ de la contractualisation. Ce livre le parcourt en offrant aux lecteurs une double entrée: par la démarche ou par les acteurs. Les deux premières parties sont consacrées à la présentation des concepts mais aussi aux outils et aux processus permettant la conception et la mise en œuvre d’une politique contractuelle. La troisième partie détaille pour chaque type d’acteur les possibilités apportées par la démarche contractuelle. Enfin une place particulière est accordée à l’évaluation pour s’assurer de résultats. Un dernier développement apporte la contribution de différentes approches pour analyser la portée de la contractualisation.
Si la démarche contractuelle est applicable dans tous les pays, les auteurs accordent une importance particulière à la situation des pays en développement où la faiblesse des ressources et de la gouvernance donne une teneur particulière aux recommandations qui peuvent être faites.
¨ Reproductive Health - The Missing Millennium Development Goal: Poverty, Health, and Development in a Changing World By Arlette Campbell-White, Thomas W. Merrick, Abdo S. Yazbeck; Publication Date: June 2006; ISBN 0-8213-6613-0;
This volume addresses a large knowledge and capacity gap in the Reproductive Health community and provides tools for key actors to empower faster positive change. It brings together knowledge about epidemiology, demography, economics, and trends in global financial assistance. The book also introduces practical tools such as benefit incidence analysis, costing, and stakeholder analysis to strengthen the evidence base for policy and to address the political economy factors for reform.
“…Based on years of personal experience in teaching the new concepts to scores of national decision-makers in sexual and reproductive health, the book brings together a wealth of information that has no current match in our field. I strongly recommended this book as a teaching and reference resource to all national and international policy-makers in our field."
Paul F.A. Van Look, MD, Ph. D. FRCOG
Director, Department of Reproductive Health and Research - World Health Organization
"One of the most important and useful publications to emerge since the landmark ‘International Conference on Population and Development’ (Cairo, 1994), this volume is an invaluable guide for sexual and reproductive health (SRH) program designers and managers on how to incorporate SRH programs into the new architecture of international development cooperation: country ownership, sector support approaches, aid harmonization, and the overarching goal of poverty reduction."
Steven W Sinding
Director General, International Planned Parenthood Federation
¨ Reaching the Poor with health, Nutrition and Population Services: What Works, What Doesn't, and Why Edited by Davidson R. Gwatkin, Adam Wagstaff, and Abdo S. Yazbeck
ISBN 0-8213-5961-4
Public spending on health services does not necessarily mean that the poor get access to and use these services. In fact, the evidence is to the contrary; the better off in most countries tend to be the main beneficiaries of publicly financed or delivered services. The mounting empirical evidence of persistent inequalities in the health sector has increased the demand for knowledge of what does work in reaching the poor. This volume documents when services reach the poor and begins to draw policy implications from successes and failures.
The reasons why health services are or are not pro-poor are complex and context specific, but some lessons can be generalized. The research summarized by this book points to a variety of policy instruments that, when used well, can produce success in reaching poor and vulnerable. These include geographic, demographic, and other forms of targeting, They also include incentive based contracting, participatory planning, using indigenous and trusted providers, and lowering financial and other barriers for the poor.
Cutting across most of the successful policy instruments are some basic themes including: (i) study and analysis of the barriers faced by the poor, (ii) adaptation and customization to local needs, (iii) experimentation, and (iv) monitoring and evaluation that lead to adjustment and improvement.
¨ Health Financing Revisited: A Practitioner’s Guide (www.worldbank.org/healthfinancing)
This guide addresses the major changes in global health policy, financing modalities, and financing instruments that have occurred over the past ten years, resulting from the global focus on poverty reduction, new global health threats from SARS and avian influenza, and the international community's adoption of the MDGs. Health Financing Revisited incorporates the latest evidence from the rapidly evolving health policy environment, from the growing literature on aid effectiveness, and experiences with scaling up health to meet the MDGs to provide policy recommendations on health financing reform based on sound principles of economics, epidemiology, and public policy, taking into account the important role of country-specific social and political situations. Challenges facing policymakers in low-, middle-, and high-income countries are discussed, with a particular focus on how lessons learnt from high-income countries can assist other countries make the transition from offering a basic package of health services to achieving universal coverage. The report emphasizes that health is an extremely complex sector, and reformers must not shy away from dealing with these complexities in their health policy reforms. Buzzwords, flavors of the day, and magic bullets will not provide solutions to the health financing challenges faced by countries at all income levels. At this crucial global health crossroads, the report offers policy choices based on international evidence and economic principles for global and country-level decision-makers facing these enormous challenges and opportunities. ISBN: 0-8213-6585-1 SKU: 16585
¨ Disease and Mortality in Sub-Saharan Africa: Second Edition
Edited by Eduard R. Bos, Dean T. Jamison, Florence Baingana, Richard G. A. Feacham,
Malegapuru Makgoba, Karen J. Hofman, and Hama O. Rogo.
Against the backdrop of the HIV/AIDS epidemic, conflicts and wars, famines and droughts, and migration of human resources for health, as well as the global economic downturn, this second edition updates the current data and trends in morbidity and mortality for the Sub-Saharan Africa Region. Unfortunately, the data do not give cause for optimism. HIV/AIDS has taken its toll on the sub-continent, putting a substantial burden on the system by taking resources away from not only communicable diseases, but also cancers, as well as mental and neurological disorders.
Hardcover. May 2006. 560 pages. Stock no. D16397 (ISBN 0-8213-6397-2). US$60.
Disease Control Priorities Project
How many years of healthy life can a million dollars buy?
In a developing country, the answer ranges from one to more than 100,000.
Improving global health is a complex goal that demands careful planning and resource allocation. Each country must make difficult choices about which diseases or conditions most need financial and technical investments. With better health-system management and organization, even resource-poor settings can deliver quality care and use additional resources more effectively.
These three volumes—Disease Control Priorities in Developing Countries, 2nd edition, Priorities in Health, and Global Burden of Disease and Risk Factors—are part of an ongoing initiative to provide technical resources to improve the health systems, and ultimately the health of people, in developing countries. They are based on extensive scientific research in a broad array of diseases and conditions by experts from around the world.
¨ Disease Control Priorities in Developing Countries, Second Edition (DCP2)
Edited by Dean T. Jamison, Joel G. Breman, Anthony R. Measham, George Alleyne, Mariam Claeson, David B. Evans, Prabhat Jha, Anne Mills, and Philip Musgrove.
Based on careful analysis of burden of disease and the costs of interventions, DCP2 highlights achievable priorities; measures progress toward providing efficient, equitable care; promotes cost-effective interventions to targeted populations; and encourages integrated efforts to optimize health.
A copublication of the World Bank and Oxford University Press. Hardcover.
April 2006. 1440 pages. Stock no. D16179 (ISBN 0-8213-6179-1). US$125.
¨ Priorities in Health
Edited by Dean T. Jamison, Joel G. Breman, Anthony R. Measham, George Alleyne, Mariam Claeson, David B. Evans, Prabhat Jha, Anne Mills, and Philip Musgrove.
This DCP2 companion guide distills the contents of the larger volume into an easily read format. Policy makers, practitioners, academics, and other interested readers will get an overview of DCP2’s messages and analyses; be alerted to the scope of major diseases; learn strategies to improve policies and choices to implement cost-effective interventions; and locate chapters of immediate interest. Also available in French, Spanish, Portuguese, Russian, Chinese and Arabic.
April 2006. 236 pages. English edition. Stock no. D16260 (ISBN 0-8213-6260-7). US$10
¨ Global Burden of Disease and Risk Factors (GBD)
Edited by Alan D. Lopez, Colin D. Mathers, Majid Ezzati, Dean T. Jamison, and
Christopher J. L. Murray.
This volume provides a single up-to-date source with a comprehensive statement of methods and a complete presentation of results. It includes refined methods to assess data, ensure epidemiological consistency, and summarize the disease burden. GBD examines the comparative importance of diseases, injuries, and risk factors; incorporates a range of new data sources to develop consistent estimates of incidence, prevalence, severity and duration, and mortality for 136 major diseases and injuries. GBD incorporates information from more than 10,000 datasets relating to population health and mortality, representing one of the largest syntheses of global information on population health to date.
A co-publication of the World Bank and Oxford University Press. Hardcover.
April 2006. 504 pages. Stock no. D16262 (ISBN 0-8213-6262-3). US$65.
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Questions? E-mail us at books@worldbank.org
3. Highlights of Upcoming Events (August-December 2006)
Global Events
The 9th Global course on Achieving the MDGs: Poverty Reduction, Reproductive Health and Health Sector Reform will be held in Bangkok, Thailand from August 14-25, 2006, in collaboration with Chualalongkorn University. We are sad to say goodbye to the ILO Training Centre in Turin, Italy, but after four years of a fruitful relationship, it was decided that in the future the annual global courses would be held in Bangkok. This allows us to provide the training where the growing numbers of our clients are. The content of the course focuses on tools and language that will help participants work more effectively in contexts where funding approaches are shifting from project to programmatic assistance (under PRCs and SWAps), and where the criteria for funding are based on reducing the burden of poor reproductive health outcomes for poor women. Contact person: Ms. Lan Joo ljoo@worldbank.org COURSE FULL
Video Conferencing of the XVI International AIDS Conference, Toronto, Canada, August 12-18, 2006 The WBI Health and AIDS team is running a series of monthly video conferences (VC) which provide a platform through which representatives from Government, NGOs, Civil Society, the media, International and Academic institutions share experiences, best practices and lessons learned in combating HIV/AIDS. The WBI health and AIDS unit will broadcast (via VC) selected sessions of the XVI International AIDS Conference which will be held in Toronto, Canada from 13-18 August. The objective is to allow the majority of people in Africa and Latin America and Caribbean who will not be able to travel to Toronto, to follow the proceedings and to participate in selected satellite sessions.
Contact person: Mr. Gift Manase: (gmanase@worldbank.org)
Global Advanced Flagship Course on Poverty, Equity and Health Systems at the Health Services Management Training Center, Semmelweiss University, Budapest, Hungary, October 2 – 8, 2006. This is the 2nd offering of this advanced course which has built on the World Bank's Flagship Course on Health Sector Reform and Sustainable Financing. The course is designed for health sector managers, government officials and public health experts involved in health sector reform, and particularly policy makers who take part in the development, implementation, and monitoring of poverty reduction strategies. The course is open to participants from all regions. Course curriculum includes focus on health care systems in terms of equity in health, and equity in financing and access. The contact person is Ms. Annamaria Varaljai: varaljai@emk.sote.hu ACCEPTING APPLICATIONS
Global Flagship Course on Health Sector Reform and Sustainable Financing will be held in Washington DC, October 16-November 3, 2006 and will offer two new in-depth modules on Social Health Insurance and on Pharmaceuticals. The course introduces a practical and comprehensive framework for understanding health systems and their performance and a structured approach to developing health system reform policies to improve that performance. Specific course modules examine the theoretical and empirical basis for reform strategies in such diverse areas as health financing, payment systems, organizational change, regulation, and population and provider behavior, making extensive use of case materials from countries in all regions and at all levels of development. The deadline to register has been extended to August 10, 2006. As in the past, we encourage country teams of 4-5 to attend this course.
Contact person: Ms. Hadia Samaha Karam (hsamaha@worldbank.org)
NEW! Course on Building Trust in Social Service Delivery: Enhancing Accountability and Addressing Corruption will be held in Washington, D.C. in early 2007. Please keep a lookout for the dates. This is a new cross- sectoral course and explores approaches to building public trust in social service providers through enhancing accountability and thereby strengthening governance and tackling corruption. Government spending on social service provision (health, education and social protection) commonly constitutes the largest portion of government aggregate spending. Comprehensive diagnostic research indicate that inadequate governance mechanisms are conducive to corruption and interest group capture thereby increasing transaction costs, distorting the decision making process, and reducing the efficiency and quality of services. The end result being social services which do not provide value for money are iniquitous and consequently inhibit returns from a nations human capital. This course provides an introduction to the practical strategies to strengthen clarity, transparency, integrity and accountability in social service delivery in order that government funding is harnessed for the benefit for those for whom it is intended.
Contact person: Ms. Isabel Rocha Pimenta (irochapimenta@worldbank.org)
Regional and Country Specific Events
Philippines- Flagship Course on Health Sector Reform and Sustainable Financing, Manila, August 14 - 25, 2006. This is the first offering of the Flagship course and is intended for Philippine nationals. The main objectives of the course are to enable participants to 1) assess the performance of their health system and identify strengths and weaknesses; 2) suggest alternative methods for mobilizing resources for health care and identify the advantages and disadvantages of each method; 3) suggest alternative methods for allocating resources and paying providers of care and identify advantages and disadvantages of each method; understand the incentives contained in each; and 4) able to address the issues arisen from the planning, designing, implementation of a SHI scheme.
Contact person: Ms. Chialing Yang (cyang2@worldbank.org)
Kyrgyz Republic - Accelerating Progress towards the Health MDGs and Other Health Outcomes, Bishkek, Kyrgyz Republic, September 18 – 27, 2006. This course is an offshoot of the successful global pilot which was delivered in Washington, D.C. in March, 2006 (see Highlights from January – June, 2006). The course is intended for Kyrgyz nationals. The course is tailored to the Kyrgyz experience in the meeting the challenges of the health MDGs. Achieving MDG's requires inputs and actions in many sectors, including health. The role of government at different levels needs to be clarified, and donor coordination, including harmonization with national budgets and objectives is important - in many cases national strategies need to be strengthened to ensure effective harmonization. Understanding the difference between ends (MDG's and other health outcomes) and means (interventions, instruments, tools - i.e. PRSP's, SWAPS etc.) is crucial. The course will also emphasize that effective interventions, actions and policies exist but that adaptation to the country context is critical.
Contact person: Ms. Jo Hindriks (jhindriks@worldbank.org)
Africa Regional - Mainstreaming AIDS into the Poverty Strategy Reduction Process, Maputo, Mozambique, October 9 -13, 2006. Given its multidimensional impacts, HIV/AIDS is both a short-term emergency and a long-term development issue. However, HIV/AIDS is not adequately addressed in Poverty Reduction Strategy Papers (PRSPs) which are major strategic documents for defining priorities in developing countries. This course focuses on a multisectoral policy dialogue to share experiences on integrating HIV/AIDS in PRSPs and to discuss macroeconomic challenges of scaling up HIV/AIDS responses. It is intended to strengthen the capacity of client countries to mainstream HIV/AIDS in national Poverty Reduction Strategy Papers and to improve coordination among core agencies (Ministries of Health and Finance, and National AIDS Committees). This course is by invitation only.
Contact person: Mr. Gift Manase (gmanase@worldbank.org)
South Africa - Public Private Partnership in Health Service Delivery to Reach the Poor, Durban, South Africa, December 4 – 8, 2006. Objectives and Design
The course aims at building capacity to improve service delivery within local authorities. Based on local authorities and relevant stakeholders' needs and South Africa PPP framework, challenges for effective delivery of health services at the local level will be addressed thru case studies, experience sharing and lessons learnt from international community, and action learning for implementation of PPP policy tools. It focuses on building the capacity of various stakeholders to increase coverage of health services for the poor thru effective public private partnership mechanisms and improved monitoring and evaluation. The course targets a range of health service stakeholders, including: decision makers at local authorities' level, public sector health service managers, NGOs and other private providers, and community leaders in South Africa.
Contact person: Ms. Tanya Ringland (sringland@worldbank.org)
4. Selected Highlights from last January through June, 2006 (in chronological order)
Achieving the MDGs in Ethiopia: Poverty Reduction, Reproductive Health and Health Sector Reform from January 30 to February 10, 2006 in Addis Ababa, Ethiopia. This national course is organized in collaboration with the Federal Ministry of Health, the Packard Foundation and the World Bank Institute. Many recent developments in Ethiopia highlight the need to prepare fertile grounds to scale up Reproductive Health and Population related interventions. This two-week course provided skills to participants for designing and delivering more efficient, equitable, and financially sustainable reproductive health interventions in the context of health sector reforms and evolving international policies. The target audience is staff from governments, donor agencies, international organizations, research institutions, the private sector and PVOs/NGOs involved in health and government-initiated health sector reforms. Contact Person: Dr. Sahlu Haile Packard Foundation shaile@packard.org This course will be offered again this fall.
Ethiopia Flagship Course on Health Financing and Marginal Budget Bottlenecks from February 6 to 10, 2006 in Addis Ababa, Ethiopia. This course is an adapted version of a module of the Flagship program Health Sector Reform and Sustainable Financing. It introduced participants to Marginal Budgeting for Bottlenecks approach and techniques, and to Public Expenditure Reviews, National Health Accounts, Benefit Incidence Analysis, fiscal space, and policies for decreasing inequalities in health. The course extensively draws on the health sector reform experience in Ethiopia, as well as on learning experiences from other countries in the region. The course was delivered in collaboration with the USAID Essential Services for Health in Ethiopia Project (ESHE). Contact Person: Ms. Tanya Ringland (sringland@worldbank.org). This course will be offered again this fall.
Accelerating Progress towards the Health Millennium Development Goals and other Health Outcomes, March 20-31, 2006, in Washington, D.C. This first offering of the two-week course, developed in collaboration with the World Bank Health Network and the World Bank Institute, was a huge success and has spawned offspring as “mini courses” designed for country specific experiences (for example: Kyrgyz Republic). It is intended to target health outcomes in general and the health MDGs in particular. The course is designed for government representatives, members of civil society organizations, members of bi- and multi-lateral organizations whose work is related to health concerns and is not targeted to a specific region. The main message of the course highlights the fact that money counts, but that more money and economic growth are of themselves not enough to achieve the health MDGs. The course will be offered again in March 2007 in Washington, D.C.
Contact person: Ms. Shenna Ross sross1@worldgank.org
Intercountry Consultation on HIV/AIDS Prevention among Injecting Drug Users in April 2006, in Tehran, Islamic Republic of Iran, co-hosted by the Drug Control Headquarters of the Presidency and the Ministry of Health and Medical Education and co-sponsored by the World Bank (WBIHD and MNA,SAR,ECA Regions), in collaboration with UNODC, UNAIDS, UNICEF and WHO. The consultation brought together participants from 6 neighboring countries with common social and cultural backgrounds (Afghanistan, Iran, Kyrgyz Republic, Pakistan, Tajikistan, Uzbekistan) to share experiences in addressing HIV/AIDS, including defining a harm reduction package, advocacy, religion and HIV/AIDS, and the role of law enforcement. Each country was represented by senior policy makers and program managers from various sectors - health, prisons, social affairs, law enforcement, judiciary, and civil society, as well as representatives of people living with HIV/AIDS (PLWHA) and Injecting Drug Users (IDU).
Contact person: Ms. Hadia Samaha Karam (hsamaha@worldbank.org)
Mongolia Flagship Course on Health Sector Reform and Sustainable Financing (Ulaan Baatar. Mongolia, May 2006). Mongolia is in transition to a market economy and this process has put great stress on the health system. The Mongolia Flagship Program helped address critical issues and bottlenecks and build a constituency of health care decision makers and managers in Mongolia who share a common understanding of the challenge and paradigms of health sector reform, and appreciate the advantages and disadvantages of different reform options. The Program provided training to senior decision makers and mid-level managers in health economics, health care financing, and other key areas of health sector reform; and build the capacity of government officials to develop and analyze policy options for health insurance reform and increased decentralization within the health sector in Mongolia. The program consists of two courses. The course was organized in partnership with the Open Society Institute of the Soros Foundation. Contact person: Ms. Chialing Yang cyang2@worldbank.org
Yemen Rapid Result Approach for the Health Sector, from February through June, 2006. Implementation capacity is currently the key challenge to build effective health programs in Yemen. This workshop used the Rapid-Results methodology to enhance the capacity of staff to accelerate the implementation of health programs. The focus was to promote the use of performance measures in management and instill a results oriented culture. The workshop achieved its objectives and the health program is now on track. The Minister of Health is now implementing the methodology generally within the health sector. Contact Person: Ms. Tanya Ringland sringland@worldbank.org
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