ASIA PACIFIC OBSERVATORY ON HEALTH POLICIES AND SYSTEMS

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ASIA PACIFIC OBSERVATORY ON HEALTH POLICIES AND SYSTEMS Presentation to Asia Health Policy Program

ASIA PACIFIC OBSERVATORY ON HEALTH POLICIES AND SYSTEMS Presentation to Asia Health Policy Program Palo Alto, CA 20 October 2011

Background ØLong history of trying to create an Asia Observatory ØRecent concerted effort by

Background ØLong history of trying to create an Asia Observatory ØRecent concerted effort by WHO, World Bank and ADB to advance the process

Key Characteristics of the APO Ø 1. Builds upon the 13 -year highly successful

Key Characteristics of the APO Ø 1. Builds upon the 13 -year highly successful experience of the European Observatory (EO)* *http: //www. euro. who. int/en/home/projects/observatory

Key Characteristics of the APO Shared responsibility and ownership Ø 2. ØAll partners share

Key Characteristics of the APO Shared responsibility and ownership Ø 2. ØAll partners share ownership of the APO, its identity and products ØThus, no entity or group of entities “owns” the Observatory

Key Characteristics of the APO— What it will not do Ø 3. Will not

Key Characteristics of the APO— What it will not do Ø 3. Will not substitute for routine activities of the individual partners ØNot a general purpose research organization investigating any and all health topics of interest

Key Characteristics of the APO— What it will do Ø 4. Be a bridge

Key Characteristics of the APO— What it will do Ø 4. Be a bridge between researchers and decisionmakers to serve the policy needs of countries. Undertake comparative research on country health systems. Three main activities: ØHi. Ts ( in-depth profiles of health systems and policies, using a standardized template, adapted to the region) ØThematic studies emerging out of comparative analyses ØDissemination of the above

Health Systems in Transition (Hi. Ts) ØHi. Ts are the “bread and butter” observatory

Health Systems in Transition (Hi. Ts) ØHi. Ts are the “bread and butter” observatory work. They can be used to: ØExamine different approaches to the organization, financing and delivery of health services and the role of key health system actors; ØDescribe the institutional framework for and process, content and implementation of policy;

Hi. Ts continued ØProvide a tool for disseminating information on health systems; ØFacilitate the

Hi. Ts continued ØProvide a tool for disseminating information on health systems; ØFacilitate the exchange of reform experiences across countries ØEstablish a baseline for assessing the impact of reforms; and ØInform comparative analysis.

Underlying Principles Ø Consensus that APO can only succeed if there is: ØAn independent,

Underlying Principles Ø Consensus that APO can only succeed if there is: ØAn independent, non-politicized research process underpinned by strong quality assurance mechanisms ØFinancial sustainability (must cover the costs of doing business)

APO Governance ØTripartite structure comprising a: ØSteering Committee ØResearch Hubs and a Research Advisory

APO Governance ØTripartite structure comprising a: ØSteering Committee ØResearch Hubs and a Research Advisory Group ØSecretariat

Governance— Steering Committee ØGuides the strategic direction of the Observatory, monitoring the implementation of

Governance— Steering Committee ØGuides the strategic direction of the Observatory, monitoring the implementation of its work plan and the quality of its products. Operates on the basis of consensus ØAnnual membership fee of US$100, 000

Governance— Research Hubs ØProvide technical support and leadership and help to build capacity in

Governance— Research Hubs ØProvide technical support and leadership and help to build capacity in country-based research teams, carry out studies directly, and engage with existing networks active in health systems research ØThree Research Hubs currently being considered

Governance— Research Advisory Group ØA core team of 4 -5 researchers, working in their

Governance— Research Advisory Group ØA core team of 4 -5 researchers, working in their personal capacity, who have the dual function of: (a) advising on the process of quality control for Observatory research products, and (b) providing input on the strategic direction of the Observatory’s research

Governance— Secretariat ØResponsible for the day-to-day management of the Observatory and its program of

Governance— Secretariat ØResponsible for the day-to-day management of the Observatory and its program of research. Run in a spirit of cooperation and partnership, with the Steering Committee guiding its work. ØInitially located in WPRO Office in Manila

Current Steering Committee Membership ØCountries: Hong Kong SAR, the Philippines, Singapore, Thailand ØOrganizations: Asian

Current Steering Committee Membership ØCountries: Hong Kong SAR, the Philippines, Singapore, Thailand ØOrganizations: Asian Development Bank, Aus. Aid, The World Bank, WHO South-East Asia and Western Pacific Regional Offices

Current Status ØAPO formally established in Hong Kong in June 2011 ØCovers most Asia

Current Status ØAPO formally established in Hong Kong in June 2011 ØCovers most Asia Pacific countries ØResearch Hubs and RAG composition being decided

Future Challenges 1. Politics, politics, and politics 2. Quality assurance 3. Comparable data

Future Challenges 1. Politics, politics, and politics 2. Quality assurance 3. Comparable data

Future Challenges continued 4. Bridging the gap between evidence and policy— Ø“policy dialogue” How

Future Challenges continued 4. Bridging the gap between evidence and policy— Ø“policy dialogue” How to populate the space between evidence and policy?

Future Challenges continued Bridging the gap continued-ØEvidence side often does not have the entry

Future Challenges continued Bridging the gap continued-ØEvidence side often does not have the entry point (or skills) to introduce evidence into policy making ØKey variables: ØEvidence quality and accessibility/interpretability

Concluding Remarks—Key Themes ØComparative, transparent and peer reviewed ØObservatory style of working-- researchers focused

Concluding Remarks—Key Themes ØComparative, transparent and peer reviewed ØObservatory style of working-- researchers focused on policy relevance and involved in dissemination and policy engagement