Voice, agency, empowerment - handbook on social participation for universal health coverage


Book Description

Social participation is an important means for governments to develop responsive health policies and programmes, which are more likely to be implemented by a broad stakeholder group. It is at the heart of the inclusive governance needed for countries to stake their individual paths towards Universal Health Coverage while ensuring that no one is left behind. As simple as it may seem in theory, it is a complex undertaking in practice, one which policy-makers struggle with. The Handbook on Social Participation for UHC is thus designed to provide practical guidance, anchored in conceptual clarifications, on strengthening meaningful government engagement with the population, communities, and civil society for national health policy-making. It draws on best practices and lessons learned to support government institutions in setting up, fine-tuning, improving, and institutionalizing new or existing participatory health governance mechanisms. The handbook follows through the different tasks which policy-makers must reflect on and undertake when bringing in people’s voice into health policy-making. Examples include creating an enabling environment for participation, ensuring good representation, strengthening capacities, increasing policy-uptake of participatory process results, and sustaining participatory engagement over time. A fundamental premise of the handbook rests on the idea that policy-makers can leverage format and design elements of a participatory process to address power dynamics amongst participants, thereby fostering more meaningful contributions to the process.




Social participation for universal health coverage: technical paper


Book Description

The technical paper distils key messages from the World Health Organization publication “Voice, agency, empowerment – handbook on social participation for universal health coverage”, along with feedback from a multistakeholder consultation process to identify priority actions for Member States to institutionalize social participation in decision-making processes for health. Social participation is defined as empowering people, communities and civil society, through inclusive participation in decision-making processes that affect health, across the policy cycle and at all levels of the system. It is core to primary health care and promotes equitable progress towards universal health coverage, producing more responsive health policies and programmes, and helping to foster population trust with the health system. While Member States have endorsed the principle of social participation, translation into practice has been inadequate. The following priority actions are identified: (a) Strengthen government capacities to design and implement social participation (b) Secure equitable, diverse and inclusive representation (c) Ensure that social participation informs decision-making for health across the policy cycle (d) Systematize and sustain regular social participation, including through legal frameworks (e) Invest adequate, stable and predictable financial resources for social participation (f) Facilitate capacity strengthening and financial resources for civil society (g) Monitor and use data and evidence routinely to evaluate participatory processes and their impact on decisions made.




Primary health care and HIV: convergent actions. Policy considerations for decision-makers


Book Description

The 2030 health-related Sustainable Development Goals call on countries to end AIDS as a public health threat and also to achieve universal health coverage. The World Health Organization (WHO) promotes primary health care (PHC) as the key mechanism for achieving universal health coverage, and the PHC approach is also essential for ending AIDS and reaching other Sustainable Development Goal targets. This publication helps decision-makers to consider and optimize the synergies between existing and future assets and investments intended for both PHC and disease-specific responses, including HIV.







Health system resilience indicators


Book Description

The package of health system resilience indicators serves as a dedicated resource to measure and monitor health system resilience in routine operations as well as in the context of disruptive shocks and stressors. This work addresses an identified gap in measurement and monitoring of health system resilience. It complements the Health Systems Resilience Toolkit and supports implementation of the recommendations in WHO’s position paper on building health system resilience for UHC and health security. The package aims to support countries to progressively build their capacities to measure, monitor and build health system resilience from national to subnational levels covering health facilities and other service delivery platforms. It emphasizes an integrated approach to health system strengthening underpinned by essential public health functions, encompassing health emergency preparedness. It includes: - guidance on how to utilize and adapt the health system resilience indicators, including a step-by-step guide - a suite of recommended health system resilience indicators with technical specifications - supplementary indicators of relevance to health system resilience The primary target audience for this package is national and subnational health authorities (including planners and managers) and service providers, as well as local, regional, and global technical organizations and partners working on health system strengthening, including WHO, United Nations country teams, donors, nongovernment organizations, development and humanitarian agencies, and other health-related technical agencies.




Citizen engagement in evidence-informed policy-making


Book Description

This guide focuses on a specific form of citizen engagement, namely mini-publics, and their potential to be adapted to a variety of contexts. Mini-publics are forums that include a cross-section of the population selected through civic lottery to participate in evidenceinformed deliberation to inform policy and action. The term refers to a diverse set of democratic innovations to engage citizens in policy-making. This guide provides an overview of how to organize mini-publics in the health sector. It is a practical companion to the 2022 Overview report, Implementing citizen engagement within evidence-informed policy-making. Both documents examine and encourage contributions that citizens can make to advance WHO’s mission to achieve universal health coverage. Anyone interested in, or planning to organize citizen engagement in evidence-informed policy-making can use this guide to find relevant information on how to conduct a minipublic. The guide also offers a structured learning process for organizers, commissioners and facilitators who use the guide to develop an actual citizen engagement project. The structure of the guide allows for flexibility and context-specific circumstances that affect the organizing of a mini-public.




Health system performance assessment


Book Description

Ensuring a robust and resilient health system involves policy actions which need to be implemented based on the best available evidence. This requires health systems to be monitored regularly to build on their strengths and to overcome any apparent shortcomings. In order to assist in that process, this volume, a collaboration between the World Health Organization and the European Observatory on Health Systems and Policies, presents a new framework to support monitoring of health system performance, with a focus on detailed conceptual links between health system functions and overall system goals. This HSPA framework for Universal Health Coverage thus represents a comprehensive attempt to address fundamental questions regarding regular assessment of health systems, including health system boundaries, component elements and outcomes. In this book, each of the health system function chapters outlines the purpose of the function, the sub-functions that enable it to carry out the key activities necessary to fulfil its purpose, as well as the assessment areas and proposed indicative measures to evaluate how well a system performs. The framework will thus assist policy-makers in understanding possible origins or impact of poor performance on a particular health system outcome, triggering more in-depth analysis.




Implementation playbook, pocket edition: a quick-reference guide to delivering impact for health, with tools and templates


Book Description

The Implementation Playbook is designed to support effective implementation to achieve measurable progress toward health-related targets. It is ultimately based on the core principle that data and planning are not sufficient endpoints in and of themselves: you need to keep asking what for? in order to initiate actions that will keep up the momentum of your implementation efforts and the likelihood of reaching the desired results. This Pocket Edition of the Implementation Playbook is a consolidated version of the core content, and intended to be a “ready-to-use”, quick access guide for those involved in or supporting implementation efforts.




Health equity for persons with disabilities


Book Description

Health equity for persons with disabilities – Guide for action, referred to as the Disability inclusion guide for action, provides practical guidance on the process that ministries of health should lead on to integrate disability inclusion into health systems governance, planning, and monitoring processes. It serves as the foundational resource to enable ministries of health and partners to implement the recommendations in the WHO Global report on health equity for persons with disabilities. It supports Member States to meet commitments to “leave no one behind” and achieve the highest attainable standard of health for all people, as outlined in the Sustainable Development Goals, the Convention on the Rights of Persons with Disabilities (CRPD), and World Health Assembly resolution 74.8 on the highest attainable standard of health for persons with disabilities.




WHO framework for meaningful engagement of people living with noncommunicable diseases, and mental health and neurological conditions


Book Description

The WHO Framework is to support WHO and Members States in the meaningful engagement of people living with NCDs, mental health conditions and neurological conditions to co-create and enhance related policies, programmes and services. This Framework will contribute to the advancement of understanding, knowledge and action on meaningful engagement and other related participatory approaches. It provides practical guidance and actions on how to transition from intention to action to operationalize meaningful engagement. The target audience of the publication is WHO, Member States, relevant non-State actors and individuals with lived experience