Building Environmentally Sustainable Health Systems in Canada: The Time Is Now for Emergent and Strategic Leadership

2021 ◽  
Vol 24 (3) ◽  
pp. 76-81
Author(s):  
Danielle Toccalino ◽  
Anna Reed ◽  
Colin Sue-Chue-Lam ◽  
Anson Cheung ◽  
Victoria Haldane
Keyword(s):  
Health Systems ◽  
Strategic Leadership ◽  
Environmentally Sustainable ◽  
Sustainable Health

scholarly journals PCN199 Testing the Potential of Performance Based Financing As a Strategy for Sustainable Health Systems in Latin America: The Case of Colombia

2020 ◽  
Vol 23 ◽  
pp. S458
Author(s):  
R. Chavez ◽  
S.L. Higuera ◽  
M. Uribe ◽  
C. Choconta ◽  
M.C. Bustos Márquez ◽  
...  
Keyword(s):  
Latin America ◽  
Health Systems ◽  
Performance Based Financing ◽  
Sustainable Health

scholarly journals Built to last? The sustainability of health system improvements, interventions and change strategies: a study protocol for a systematic review

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e018568 ◽  
Author(s):  
Jeffrey Braithwaite ◽  
Luke Testa ◽  
Gina Lamprell ◽  
Jessica Herkes ◽  
Kristiana Ludlow ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health System ◽  
Health Systems ◽  
Full Text ◽  
English Language ◽  
Secondary Data ◽  
Primary Data ◽  
Change Strategies ◽  
Screening Process ◽  
Sustainable Health

IntroductionThe sustainability of healthcare interventions and change programmes is of increasing importance to researchers and healthcare stakeholders interested in creating sustainable health systems to cope with mounting stressors. The aim of this protocol is to extend earlier work and describe a systematic review to identify, synthesise and draw meaning from studies published within the last 5 years that measure the sustainability of interventions, improvement efforts and change strategies in the health system.Methods and analysisThe protocol outlines a method by which to execute a rigorous systematic review. The design includes applying primary and secondary data collection techniques, consisting of a comprehensive database search complemented by contact with experts, and searching secondary databases and reference lists, using snowballing techniques. The review and analysis process will occur via an abstract review followed by a full-text screening process. The inclusion criteria include English-language, peer-reviewed, primary, empirical research articles published after 2011 in scholarly journals, for which the full text is available. No restrictions on location will be applied. The review that results from this protocol will synthesise and compare characteristics of the included studies. Ultimately, it is intended that this will help make it easier to identify and design sustainable interventions, improvement efforts and change strategies.Ethics and disseminationAs no primary data were collected, ethical approval was not required. Results will be disseminated in conference presentations, peer-reviewed publications and among policymaker bodies interested in creating sustainable health systems.

Creating an Environmentally Sustainable Health System Demands a Socially Accountable Approach in a Post-COVID World

2020 ◽  
Vol 19 (3) ◽  
pp. 61-66
Author(s):  
Anne Andermann ◽  
Yassen Tcholakov ◽  
Reggie Tomatuk ◽  
Sandy Buchman
Keyword(s):  
Health System ◽  
Environmentally Sustainable ◽  
Sustainable Health

scholarly journals The “Sustainability Doctrine” in Donor-Driven Maternal Health Programs in Tanzania

2022 ◽  
pp. 73-91
Author(s):  
Meredith G. Marten
Keyword(s):  
Health System ◽  
Health Systems ◽  
Newborn Care ◽  
Health System Strengthening ◽  
Respectful Maternity Care ◽  
Health Issues ◽  
The Public ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
Sustainable Health

AbstractStrengthening health systems to provide equitable, sustainable health care has been identified as essential for improving maternal and reproductive health. Many donors and non-governmental organizations (NGOs) have contributed to undermining health system strengthening, however, through adhering to what Swidler and Watkins call the “sustainability doctrine,” policies that prioritize time-limited, targeted interventions best suited for short-term funding streams, rather than the long-term needs of local populations. This chapter presents ethnographic data from semi-structured and key informant interviews with 16 policymakers and NGO directors in Dar es Salaam, Tanzania from 2011 to 2012. I illustrate how sustainability doctrine policies were put into practice, and how they have persisted, despite their shortcomings, using examples of donor-prioritized maternal healthcare initiatives in Tanzania rolled-out several years apart: prevention of mother-to-child transmission of HIV (PMTCT) and basic emergency obstetric and newborn care (BEmONC) programs in the late 2000s, and more recent efforts to implement respectful maternity care (RMC) programs. I focus on several issues informants identified as crippling efforts to build strong health systems, particularly the internal brain drain of healthcare workers from the public sector to higher-paying NGO jobs, and the prioritization of types of programs donors believed could be sustained after the funding period ended, specifically trainings and workshops. I describe how despite these issues, international organizations still design and implement less effective programs that often fail to account for local circumstances in their efforts to solve some of the more intractable health issues facing Tanzania today, in particular, the country’s stagnating maternal mortality rate. In this chapter, I argue that practices promoted and implemented under the guise of “sustainability” in policy papers and reports generated by donors paradoxically contribute to health system precarity in Tanzania.

scholarly journals COVID-19 Crisis and Global Healthcare Delivery: Lessons to Be Learned

2020 ◽  
Author(s):  
Chris Oyewole Durojaiye ◽  
Robin Morgan
Keyword(s):  
Health Systems ◽  
Healthcare Delivery ◽  
Healthcare Systems ◽  
The World ◽  
Sustainable Health

The COVID-19 crisis has brought unprecedented strain on healthcare systems around the world. It has perhaps taught us some key lessons that are worth considering and addressing to help build more sustainable health systems as well as improve our ability to combat future epidemics.

scholarly journals Towards Climate Resilient and Environmentally Sustainable Health Care Facilities

2020 ◽  
Vol 17 (23) ◽  
pp. 8849
Author(s):  
Carlos Corvalan ◽  
Elena Villalobos Prats ◽  
Aderita Sena ◽  
Diarmid Campbell-Lendrum ◽  
Josh Karliner ◽  
...  
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
Health Coverage ◽  
Environmentally Sustainable ◽  
Use Of Resources ◽  
Care Facilities ◽  
Sustainable Health ◽  
Health Care Waste

The aim of building climate resilient and environmentally sustainable health care facilities is: (a) to enhance their capacity to protect and improve the health of their target communities in an unstable and changing climate; and (b) to empower them to optimize the use of resources and minimize the release of pollutants and waste into the environment. Such health care facilities contribute to high quality of care and accessibility of services and, by helping reduce facility costs, also ensure better affordability. They are an important component of universal health coverage. Action is needed in at least four areas which are fundamental requirements for providing safe and quality care: having adequate numbers of skilled human resources, with decent working conditions, empowered and informed to respond to these environmental challenges; sustainable and safe management of water, sanitation and health care waste; sustainable energy services; and appropriate infrastructure and technologies, including all the operations that allow for the efficient functioning of a health care facility. Importantly, this work contributes to promoting actions to ensure that health care facilities are constantly and increasingly strengthened and continue to be efficient and responsive to improve health and contribute to reducing inequities and vulnerability within their local settings. To this end, we propose a framework to respond to these challenges.

scholarly journals Biomedical Informatics for Sustainable Health Systems. Editorial

2007 ◽  
Vol 16 (01) ◽  
pp. 6-8 ◽  
Author(s):  
A. Geissbuhler ◽  
R. Haux ◽  
C. Kulikowski
Keyword(s):  
Health Systems ◽  
Medical Informatics ◽  
Biomedical Informatics ◽  
Main Theme ◽  
The Past ◽  
Current State ◽  
Conference Theme ◽  
State Of Affairs ◽  
Sustainable Health

SummaryTo provide an editorial introduction to the 2007 IMIA Yearbook of Medical Informatics with an overview of its contents and contributors.A brief overview of the main theme of “Biomedical Informatics for Sustainable Health Systems”, and an outline of the purposes, contents, format, and acknowledgment of contributions for the 2007 IMIA Yearbook.In resonance with the MEDINFO 2007 conference theme “Building Sustainable Health Systems”, this issue of the Yearbook examines the role of healthcare informatics in helping face the challenge of sustainability for our health systems, through a number of original contributions, and selected papers published during the past 12 months.This timely topic, along with the review and surveys on the main streams of research in medical informatics, offer a complete overview of the development of our field. This current state of affairs is put in the perspective of the fortieth birthday of IMIA, reflecting on the past achievements of the Association, and outlining its potential to continue shaping the world of medical informatics.

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