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Blog

Ensuring sustainability through working with local resources: lessons from a maternal and newborn study in Eastern Uganda

Future Health Systems

How sustainable is your intervention? If someone wanted to replicate it, how easy would it be? What happens when the study ends? Will the communities be able to continue with this initiative after the implementers have gone? Ayub Kakaire, FHS PIRU Officer for Uganda, blogs about what working on the Maternal and Neonatal Implementation for Equitable Systems (MANIFEST) study has taught him about how to ensure an intervention is sustainable. 

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Resilient health systems and social resilience

Future Health Systems

The experience of the West African Ebola epidemic and its devastating impact on health and also the capacity of health services to carry out basic public health functions has led to a growing interest in ways to make health systems more resilient. This is the theme of the forthcoming symposium of the Fourth Global Symposium on Health Systems Research

It is important to differentiate between the contributions of a health system to social resilience and the factors that make a health system resilient to health crises. Both are important. In fact, the dimensions of the relationship between resilience and health systems are also interlinked.

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People-centeredness of a resilient health system – an illustration and few questions for the forthcoming HSR Symposium 2016

Future Health Systems

Health system and policy researchers and practitioners, civil society, academia and policy makers from around the world will gather in Vancouver, Canada for the Fourth Global Symposium on Health Systems Research (#HSR2016). The build-up to this biennial conference shows that there is considerable excitement and debate on this year’s symposium theme – Resilient and Responsive Health Systems for a changing world. Can we think of a resilient health system without it being people-centred? The answer is most certainly no.

 

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Dimensions of equitable eHealth: how can we take it to the next level?

Future Health Systems

There are about 7 billion mobile users globally, and no less than 95% of people are covered by at least 2G network. Via smartphones, people have access to over 40,000 health apps. As a result, globally there is much interest in eHealth, especially in addressing various barriers related to access to healthcare. However, from the health equity standpoint, we have to ask, who has access to quality health information through electronic platforms (eHealth)?

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Investing in ​​health is not​ cheap, but it is not a luxury either

Future Health Systems

While Ebola, Zika and yellow fever may seem like distant threats to most people living in the developed world, the lessons from these global crises should resonate across health services in all countries.

At the G7 meeting in Ise-Shima, Japan, and the world health assembly in Geneva this week, world leaders and health policymakers have a prime opportunity to take action. They need to lead the way in shaping health systems that can cope with both public health emergencies and the longer-term challenges of ensuring access to affordable health services for all.

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Needs of the poorest must be central to tackling antibiotic resistance

Future Health Systems

Launched this week is a major report on tackling the growing resistance to antibiotics by the UK Government and the Wellcome Trust. The authors of this blog post fully support its call for the G20 and the UN to take the lead in building a global coalition for action to address this urgent issue, and urge world leaders to consider the unmet needs of the poorest as central to a solution. 

As the World Health Assembly and the G7 Summit meet next week, their recommendations must recognise that very large numbers of people still do not have access to antibiotic treatment when they have an infection. Action on antibiotic resistance should not undermine the continuing need to ensure everyone has access to the medicines they require to live full and healthy lives - a goal which has not yet been consistently reached outside of richer countries. 

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Communitization of Health: Reflections from IIHMR – FHS on climate health research to policy at the SOCHARA meet, Bangalore

Future Health Systems

In April 2016, FHS IIHMR presented their research on ‘Climate, Society and Health - Research to policy’ at a workshop in Bangalore, India examining complexities, at both the macro and micro level, of ensuring that climate health research informs polity. The workshop - which was attended by academics, post graduate students and civil society members with thematic expertise in agriculture, climate, food security and child rights - was being conducted to mark the silver jubilee celebrations of SOCHARA - an NGO committed to a community health approach to addressing public health problems.

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Battling uncertainties or a certain doom?: Field notes from Ghoramara, Indian Sundarbans

Future Health Systems

We set out to leave for Ghoramara - one of the islands of the Sagar block of the Indian Sundarbans in the southern part of West Bengal - as a part of the IIHMR University – FHS study on climatic uncertainties and child health. As I sat in the bottom deck of the ferry travelling the hour long journey from Kakdwip to Ghoramara, I began to read the documents shared by the Panchayat on the island. The island, home to a population of 5000 people, is surrounded by rivers from all corners. It has no primary health facility but a sub-centre and ten anganwadi centres. It is popularly called the sinking island because the rising sea levels due to global warming and climatic events had leached a major portion of the island in the last few decades. A report by Centre for Science and Environment stated that over 25 years, Ghoramara’s land mass has been eaten away by the advancing sea – from 9 sq km to just about 4.7 sq km. I wondered what it meant for people living all their lives in a village and watching it gradually leach out.  

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What is the role of gender and ethics in building stronger health systems?

Future Health Systems

Research in gender and ethics: Building stronger health systems (RinGs) recently conducted a seminar at DFID with the goal of answering the question, “What is the role of gender and ethics in building stronger health systems?” This blog post by Tessa Hewitt of the Liverpool School of Tropical Medicine outlines the importance of gender analysis in health systems research, and highlights the discussion at the DFID seminar.

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DFID should put long term research at the heart of development

Future Health Systems

Long term research is integral to understanding and responding to the deepest development challenges, including those that are now in the public consciousness, such as the current refugee crisis. As the Department for International Development (DFID) reviews its partnerships and develops a new research strategy, this blog post by Sara Bennett, David Peters, Abbas Buiyah and Tom Barker reinforce why DFID should maintain and improve its investment in long term research.

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Towards change through imagery: women use Photovoice to improve health in the Indian Sundarbans

Future Health Systems

How can the use of photos help to influence decision-makers? Shibaji Bose, FHS PIRU Officer at IIHMR blogs about how women in the Indian Sundarbans used Photovoice - a visual action research technique - to demonstrate to decision makers the challenges that they face in gaining access to health services.

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Harnessing the power of networks for building HSR capacity in the Global South

Future Health Systems

Inspired by the power of networks to strengthen capacity in health systems research, colleagues at Johns Hopkins Bloomberg School of Public Health convened a panel titled “The network approach to strengthening health systems research capacity: experiences from the Global South” for the Global Forum for Health Research (Forum 2015) held in Manila, Philippines from 24-27 August. Four networks engaged in capacity building for health policy and systems research (HPSR) were showcased. Here are the reflections of the Chair (NJ) and the panelists (CM, EE, RR and SG). 

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‘Emerged voices’ speak to the emerging: Ten takeaways from the ‘Manila conversation’

Future Health Systems

In the New Leaders for Health (NL4H) Pre-Forum in Manila, which took place in August 2015, four Emerging Voices alumni – Renzo Guinto, Nasreen Jessani, Bhaskar Purohit and Beverly Ho – participated in a panel entitled “Emerging Voices for Global Health: The Future of Health Systems Research.” The panel aimed to not only introduce the Emerging Voices for Global Health (EV4GH) program to young health researchers and innovators, but also to showcase the experiences of Emerging Voices (EV) alumni post-training and their visions for the future of health systems research across the world. In this blog post, the four alumni summarize in ten points the key messages that arose from their exciting ‘Manila conversation’.

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