Project

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The Governance of Health Systems

English title The Governance of Health Systems
Applicant Pieth Mark
Number 122277
Funding scheme Interdisciplinary projects
Research institution Juristische Fakultät Universität Basel
Institution of higher education University of Basel - BS
Main discipline Sociology
Start/End 01.01.2009 - 31.03.2012
Approved amount 490'559.00
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All Disciplines (4)

Discipline
Sociology
Methods of Epidemiology and Preventive Medicine
Public Health and Health Services
Political science

Keywords (9)

Health Systems; Governance; Corruption; Access to Health; Epidemiology; Poverty Reduction; Public Health; Tajikistan; Tanzania

Lay Summary (English)

Lead
Lay summary
Abstract: Governance is increasingly recognised as being a core determinant of the performance of health care, especially in low-income countries. This project seeks to analyse key factors determining the quality of health governance, with detailed case studies in Tanzania and Tajikistan.Background: Pioneering work by the World Health Organisation (WHO) and others has begun to underline the importance of governance for health care systems. However, there is still a huge need to define what the governance of health systems means, i.e. to elaborate a comprehensive analytical framework that is applied and tested in country case studies. One difficulty is the complex nature of governance systems, which requires an interdisciplinary approach to capture the big picture (e.g. the legal or regulatory framework) as well as health-sector-specific factors (e.g. the burden of disease). The combined expertise and networks in governance, public health and epidemiology of the Basel Institute of Governance and the Swiss Tropical Institute are ideally suited to overcome these problems. The case-studies of Tanzania and Tajikistan will provide valuable information on specific governance problems of two regions that face substantial health challenges.Objective: The main goal of the project is to elaborate, apply and test an interdisciplinary framework to assess the governance of health systems in Tanzania and Tajikistan. The project will, firstly, elaborate a health systems-specific governance framework that has been validated in two countries; secondly, substantially advance the understanding of health systems and allow for better-informed health sector reforms; thirdly, support capacity-building and knowledge-exchange on health systems governance on a national, regional and international level; and lastly provide new empirical data on relevant dimensions of health systems in Tanzania and Tajikistan.Importance: The project is spearheading efforts for a more evidence-based and dynamic understanding of how health systems function in low-income and transition countries. Ultimately, the aim is to contribute to a better understanding of critical governance factors of health systems in general, and to the improvement of health care policies, health care delivery as well as access to health care.
Direct link to Lay Summary Last update: 21.02.2013

Responsible applicant and co-applicants

Employees

Publications

Publication
An approach to addressing governance from a health system framework perspective
Mikkelsen Lopez Inez, Wyss Kaspar, De Savigny Don (2011), An approach to addressing governance from a health system framework perspective, in BMC International Health and Human Rights, 11(13), n/a-n/a.
A Framework to Assess Governance of Health Systems in Low Income Countries
Baez-Camargo Claudia, Jacobs Eelco (2011), A Framework to Assess Governance of Health Systems in Low Income Countries.
Accountability for better healthcare provision: A framework and guidelines to define understand and assess accountability in health systems
Baez-Camargo Claudia (2011), Accountability for better healthcare provision: A framework and guidelines to define understand and assess accountability in health systems.
Basic Public Services and Informal Power: An Analytical Framework for Sector Governance
Jacobs Eelco (2011), Basic Public Services and Informal Power: An Analytical Framework for Sector Governance, in Pleines Heiko , Mansfeldová Zdenka (ed.), Changing Europe Series vol 8., ibidem, Stuttgart, 21-39.
The impact of informal power and influence on the drug supply chain – the case of Uganda
Baez-Camargo Claudia, The impact of informal power and influence on the drug supply chain – the case of Uganda, U4 Anti-Corruption Resource Centre, http://www.u4.no/publications/.

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
- The joint British International Studies Association (BISA) and the German Political Science Association (DVPW) IR conference 19.12.2011 St Andrews, United Kingdom
- Conference Emancipation and Creativity-Comparative Perspectives on Political Order and Governance in Africa and Beyond 15.01.2011 Leuenberg
Schweizerische Tage der Afrika-Forschung 2010 29.10.2010 Bern
Changing Europe Summer School 02.08.2010 Prague, Czech Republic
Geneva Health Forum 19.04.2010 Geneva, Switzerland


Knowledge transfer events

Active participation

Title Type of contribution Date Place Persons involved
Development Partners' Health Working Group Uganda Meeting 04.05.2011 Kampala, Uganda
Workshop: governance of health systems for GIZ experts 17.01.2011 Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) Headquarters, Eschborn, Germany
The 14th International Anti-Corruption Conference 12.11.2010 Bangkok, Thailand


Communication with the public

Communication Title Media Place Year
Print (books, brochures, leaflets) Health Systems' Governance International German-speaking Switzerland 01.11.2011
New media (web, blogs, podcasts, news feeds etc.) Governance and Health Webpage Basel Institute on Governance German-speaking Switzerland Western Switzerland International

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