Lecture 3 (14/7/2021)

Question 1

What is a Health System?

Answer 1

The sum of all the organizations, institutions, and resources, whose primary purpose is to improve health.

Question 2

7 things a Health System needs

Hint: CO-FISTS

Answer 2

C: communications
O: overall guidance & direction

F: funds
I: information
S: staff
T: transport
S: supplies

Question 3

The 6 building blocks of a Health System are:

Answer 3

1. Leadership/governance
2. Health care financing
3. Health workforce
4. Medical products and technologies
5. Information and research
6. Service delivery

Question 4

What are the 4 Goals/Outcomes of the 6 building blocks of a Health System?

Answer 4

1. Improved health (level and equity)
2. Responsiveness
3. Financial risk protection
4. Improved efficiency

Question 5

Give 4 things a good health system is

Answer 5

1. Delivers quality services to everyone, when and where they need them.
2. Well-trained and adequately paid workforce.
3. Reliable information for the basis of decisions and policies.
4. Well-maintained facilities and logistics to deliver quality medicines and technologies.

Question 6

Explain Leadership & Governance building block

Answer 6

Ensuring that health authorities take responsibility for steering the entire health sector and for dealing with current problems as well as future challenges.

Question 7

Explain Health Financing building block

Answer 7

This is the key policy instrument to improve health and reduce health inequities.

Question 8

Explain Health Workforce building block

Answer 8

A well-performing workforce that is responsive to the needs and expectations of people, is fair and efficient to achieve the best outcomes possible, given available resources and circumstances.

Question 9

Give 5 common concerns of the Health workforce.

Hint: IETE

Answer 9

1. Improving recruitment
2. Education
3. Training and distribution
4. Enhancing productivity and performance
5. Improving retention

Question 10

Explain Medical products and technologies building block.

Answer 10

Universal access to health care is heavily dependent on access to affordable essential medicines, vaccines, diagnostics, and health technologies.

Question 11

Give 3 things Service Delivery building block critically depends on.

Answer 11

1. Networks of close to client primary care (district hospitals)
2. Standards, norms, and guidance to ensure access and essential dimensions of quality.
3. Mechanisms to hold providers accountable for access and quality and to ensure consumer’s voice.

Question 12

Give 4 Government sectors and their roles.

Answer 12

1. MESC - education/promotion of lifestyle habits and healthy living.
2. SWA - safe drinking water.
3. MNRE - ensures environmental health, waste management, sanitation.
4. MCIL/MoR - trade and imports of healthy foods and affordability of healthy choices.

Question 13

Give 3 Private sectors in Samoa and their roles.

Answer 13

1. Samoa Family Health Association (SFHA) - Reproductive health, Youth health, Maternal health.
2. General Practitioners (Medical and Dental) - Primary health care and referral services.
3. METI Clinic - Sleep clinic (for OSA), Plant-based diet, and NCD control.