UNIVERSAL HEALTH SYSTEMS FOR A WORLD IN TRANSFORMATION
Chart 1 – ISAGS guide to direct the critical analysis of health systems in South America (cont.) Dimensions to analyze
Orienting questions
Changes and innovation strategies in training and continuous education
Have changes been made to the training of health workers? Are there institutional mechanisms of coordination in place between the education/training institutions and the health system/ authorities? Are there institutions owned by the Ministry of Health to train workers of the health system? Are there continuous education programs for the health workforce? Have there been any innovative and successful education experiences?
Management and administration model for the health workforce –type of contracts, contracting modalities and payment system
What are the management models of the workforce? Under what contracting modality are health workers hired and how are they paid? Is there a formal training plan on health? If so, is the plan being updated?
Regulation of training and professions
Who is in charge of regulating health training? Are there national reference frameworks for the training of health workers? How does the Ministry of Health participate in training regulation? How are professions regulated? How important is the private sector in training and how is it regulated? What strategies are there in place for the training of health technical personnel? What institutions are responsible for providing training in public health to the workforce?
Health workforce migration
Are there any problems of health workforce migration?
8. Action upon Social Determinants of Health - Consistency between policies and action on social determinants - Intersectoral coordination strategies - Experiences developed and lessons learnt
Are there public policies and/or institutional arrangements that articulate social, economic and health policies? Are there any mechanisms of intergovernmental coordination of social policies? What are the main national initiatives of action upon social determinants? What are the strengths and weaknesses of national initiatives of action upon social determinants?
Scope of the Millennium Development Goals
What national initiatives have enabled to progress in meeting Millennium Development Goals?
9. Strategic Inputs to Healthcare
Specific policies for patents, generics, research and innovation, price regulation
Is there any initiative to approach health needs to local production capacity? Does the country apply the principles of the TRIPS Agreement in health supplies policies? What restrictions are included in international agreements and trade treaties in terms of the availability and cost of health technology and supplies?
Strategies to access vaccines, essential and high cost drugs
Are there national policies to overcome barriers to have access to drugs and other strategic medical supplies (public supply, policy on generics, price policy, economic regulation including tariffs and duties, parallel imports, compulsory licensing, etc.)? Are there national policies to guarantee the access to essential and high cost drugs? How are prices of health supplies managed?
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