Understanding the health system

  • Explain the importance of health systems strengthening and health systems redesign to improving health outcomes.
  • Analyze strengths and weaknesses of common frameworks for health systems strengthening (Care Delivery Value Chain, Diagonal vs Vertical Interventions)
  • Illustrate and contrast the roles of health systems design in either reinforcing health inequities or helping overcome them.
  • Analyze the impact of several common approaches to health care financing (user fees, health insurance, tax-financed single payer) on health care access, health outcomes, and health equity
  • Analyze the health system of the Navajo nation and your individual international site to determine: leadership, chain of command for decision making, funding streams, interaction with local community and players in the health system
  • Describe the supply chain within your system for medications, supplies, and other medical goods.
  • Describe the evidence base for integrated community case management by Community Health Workers for addressing local burden of disease, as well as the health systems context necessary for effective CHW interventions.

 Engagement in the health system

  • Develop in‐depth skills to design, implement, monitor and/or evaluate health programs and health systems, including their inputs, outputs, effectiveness, cost‐effectiveness, and financial management.
  • Elicit the goals of your local health system in choosing and implementing your projects
  • Engage with local leaders/civic society groups targeting other social determinants of health including access to clean water, housing, food security, and economic opportunities.
  • Engage public and private sector partners on local, district regional and national level in health system redesign/strengthening efforts
  • Develop a project/intervention in partnership with local partners at international site that aims to improve measurable disease-specific outcomes through health-systems level change.