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* Atleast Project Title is Required.
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Project No. |
HWG 01 2016A
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Project Title |
Workshop on the Monitoring of Universal Health Coverage Progress in APEC Region: Towards “Healthy Asia-Pacific 2020"
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Project Status |
Completed Project
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Publication (if any) |
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Fund Account |
APEC Support Fund
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Sub-fund |
ASF: Innovative Development, Economic Reform and Growth (IERG)
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Project Year |
2016
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Project Session |
Session 1
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APEC Funding |
150,000
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Co-funding Amount |
30,000
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Total Project Value |
180,000
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Sponsoring Forum |
Health Working Group (HWG)
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Topics |
Health
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Committee |
SOM Steering Committee on Economic and Technical Cooperation (SCE)
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Other Fora Involved |
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Other Non-APEC Stakeholders Involved |
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Proposing Economy(ies) |
China
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Co-Sponsoring Economies |
Australia; Canada; Chile; Hong Kong, China; Indonesia; Peru; Philippines; Singapore; Chinese Taipei; Viet Nam
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Expected Start Date |
01/08/2016
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Expected Completion Date |
31/12/2017
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Project Proponent Name 1 |
Yang Hongwei
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Job Title 1 |
Deputy Director-General
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Organization 1 |
China National Health Development Research Center
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Postal Address 1 |
Room 236, Industrial Building, Peking University Health Science Center, No. 38, Xueyuan Road, Haidian District, Beijing, China
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Telephone 1 |
86-10 82805470
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Fax 1 |
Not Applicable
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Email 1 |
wangyp@nhei.cn
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Project Proponent Name 2 |
Wang Yunping
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Job Title 2 |
Vice-Director of Department of Global Health
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Organization 2 |
National Health and Family Planning Commission
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Postal Address 2 |
Not Applicable
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Telephone 2 |
Not Applicable
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Fax 2 |
Not Applicable
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Email 2 |
Not Applicable
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Declaration |
Yang Hongwei and Wang Yunping
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Project Summary |
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Relevance |
APEC has been long committed to promoting sustainable and inclusive growth with health equity. In 2013, APEC Leaders declared that they will “promote sustainable healthcare systems that deliver Universal Health Coverage(UHC)and emphasize promotive and preventive measures to ensure healthy and productive societies”. In 2014, “Healthy Asia-Pacific 2020” proposed by Health Working Group (HWG) was endorsed APEC Leaders’ Declaration and Ministerial Joint Statement, and also included in one of the priorities of ASF Sub Fund on Innovative Development, Economic Reform and Growth (IERG), which highlighted Universal Health Coverage (UHC) by strengthening health systems. And again in 2015, UHC has become one of the health objectives in United Nation’s Sustainable Development Goals, and the “Healthy Asia Pacific 2020 Roadmap” emphasized the need for more strategic and evidence based measures in the practice rather than political commitment to achieve UHC.
In APEC region, the economies have been making progress towards UHC although at different stages. Many developed economies, like Japan, Korea, Canada, Singapore and other upper middle income economies like Thailand, Malaysia and China have achieved UHC at various levels of depth and breadth; and some others like Vietnam, Indonesia, and Philippines have committed to realize UHC as well. There is increasing demand of sharing the progress, best practice, experience and lessons in the region on their way towards UHC and the “Healthy Asia-Pacific 2020”. Although WHO and WB have jointly published the first global monitoring report tracking on UHC in the six WHO regions, there is still many work could be done to generate evidence and knowledge at economy, regional (APEC rather than WHO regions) and global level.
This workshop will provide such a fora, encourage the economies to tailor the WHO/WB framework and indicators into their initiating conditions, context, health development priorities and data acquirability, to share their progress, challenges, experience and lessons in delivering UHC through health system strengthening. A network on UHC monitoring in the APEC region could be built up through this workshop and developed gradually with sustainable finance support.
The project fall under Rank 2 on this year’s APEC Funding Criteria, because it supports the secure and inclusive growth in health, which is directly related to the implementation of Healthy Asia‐Pacific 2020 through health systems strengthening to achieve UHC, and to address the aging and vulnerable groups’ health services coverage and financial protection with gender considerations in the process of globalization. |
Objectives |
1) To share the progress, experience and lessons in delivering UHC, with a focus on the underlying reasons in health system in the region;
2) To identify and support regional initiatives and innovative efforts to address the challenges towards UHC; and
3) Discuss the possibility of establishing a network on UHC monitoring and evaluation in the region, and potential collaborations areas and outputs among economies. |
Alignment |
This project will provide an opportunity to develop a comparable and measurable framework and indicators to track the progress toward UHC in APEC region, and share their progress, measures, experience and lessons of strengthening the building blocks of health systems to accelerate the progress of UHC.
So it is a concrete project and hopefully could establish a continuous network to continue the Policy Dialogue on Universal Health Coverage in 2014 and contribute to the “Healthy Asia-Pacific 2020” endorsed by APEC Leader’s and Ministers in 2014 that emphasized “Strengthening health systems to support Universal Health Coverage”, and also provide a tool and for a for the implementation of “The Healthy Asia Pacific 2020 Roadmap”. It will also provide evidence and recommendations for the implementation of the HWG annual work-plan of 2013, 2014 and 2015, and HWG 2013-2015 Strategic Plan with a focus on UHC and health systems strengthening, as well as contribute to the3rd and 4th APEC high level meeting on Health and the Economy statements, which declared “APEC economies are committed to providing their communities with access to quality universal health coverage as an investment in their future socio-economic well-being and as a key contributor to the comprehensive wealth and productivity of the economy”, and the priorities to achieve innovative development, economic reform and sustainable growth.
It will also support the efforts of other APEC fora, for example, LSIF and PPWE, to reduce the economic impact of chronic diseases in the region through sharing of best practices and the establishment of innovative public-private partnerships, and to improve the access to preventive care and essential medicines |
TILF/ASF Justification |
Many of the developing economies in the region lack of the capacities of monitoring, generating evidence and providing policy recommendations to key stakeholders. Before the workshop, the project will invite all economies to comment the framework and indicators for the UHC monitoring, with a special focus on the applicability and data availability of some key indicators in developing economies, so as to generate reliable progress evidence. During the workshop, presentations from developed and developing economies will be organized to share their progress and practice of accelerating UHC. The workshop itself will be a fora, providing opportunities for developing economies to learn from the best practice of UHC in the region. Meanwhile, the challenges and capacity building needs, in terms of individual, organizational and institutional needs from developing economies, as well as the possibility of establishing a regional network aims to conduct continuous UHC monitoring, knowledge sharing, training and technical support to the developing economies, will be fully discussed. |
Beneficiaries and Outputs |
Outputs:
1) Events: A Workshop on Monitoring of UHC Progress in APEC region will be held. It would be a mutual learning platform for stakeholders from all economies and other important international organizations.
2) Tools: UHC monitoring framework and indicators adapted from WHO/WB’s report will be developed according to the APEC economies’ concerns and data availability. They could be used at economy level to do monitoring and comparison analysis in the region.
3) Knowledge: Presentations from different economies on their progress, challenges and future actions, as well as a set of best practices identified from the workshop will be synthesised in an analytical report. Policy briefings with drafting recommendations for relevant economies and HWG to advancing UHC in the region will also be developed. Improved abilities of the participants will be achieved through the discussions and mutual learning on the workshop. A more broad audience could access these knowledge through the published report or the website.
4) Collaboration: Potential collaboration needs, areas and actions to promote UHC progress at economic and regional level will be identified, especially the possibilities of establishing a regional network to support these collaborations will be discussed by the participants.
Outcomes:
1) Participants will apply the knowledge learned from the workshop to their daily jobs, including making UHC related policies, conducting health intervention programs, providing consultations and conduct researches when they’re back.
2) Participants (especially the developing economies)may mobilize regional technical resources from both developed and developing economies and hold similar workshops back in their home economies, to call on the political attention and address the key challenges in advancing UHC.
3) Analytic report with evidence, lessons and experience, and policy recommendations will be served as the basis for policy makers and consultants to refine their domestic UHC policies, and also for the HWG to develop its annual plan and strategic plan to promote the UHC progress.
4) The potential network on UHC monitoring could contribute new regional knowledge, more capacity building and consultation resources to current global UHC initiatives, if there is funding source to support the activities of the network.
Beneficiaries: including health policy makers, senior researchers and consultants from 21 APEC economies (both developing and developed)and representatives from APEC regional administrative mechanisms, such as HWG, LISF, PPWE and other fora, as well as other global influential stakeholders, e.g. WHO regional representatives, who are working on or interested in UHC will be invited to join the workshop. Gender concerns will be considered when send invitations.
Responsibilities of APEC economies representatives are mainly on comment the framework and indicators, and present their UHC progress, challenges, suggestions (pay attention to policy recommendations addressing the gender inequity in UHC) and needs for regional collaborations.
Responsibilities of HWG and other APEC regional administrative bodies are mainly to ensure the outputs and outcome could benefit the region, and meanwhile these knowledge and experience could be applied in developing their strategic management and program management in the future to accelerate regional UHC progress.
Responsibilities of WHO and other global influential stakeholders are mainly on technical support to ensure the APEC UHC monitoring framework and indicators are scientific, reasonable and applicable. WHO representatives are also supposed to present the latest work and global progress of UHC. All the participants will directly benefit from this workshop by sharing information and insights. They could also continue their linkages after the workshop based on the proposed network on UHC monitoring at economy and regional level. Efforts are also encouraged to seek seed funding to support the network for tacking the progress of UHC and mutual learning in the region. |
Dissemination |
1) CDs of the analytic report on UHC progress in the APEC region will be circulated to the public health authorities, health policy researchers, other health related APEC fora, WHO regional or economy offices and other stakeholders from the economies through HWG after the workshop;
2) Hardcopy reports will be provided under the request of the economies or some stakeholders;
3) Electronic version of the workshop summary report with activity accomplishments and key recommendations will be shared with the participants and related stakeholders;
4) Electronic version of the presentations and related workshop materials will be posted on APEC meeting documents database with permission from speakers. |
Gender |
Gender equity and women’s benefit is critical to the achievement UHC, inclusive and sustainable economic development in the region. This project will support gender equity through the following steps: (1) During the design of assessment framework and indicators of UHC monitoring, female health policy makers and researchers will be equitable key informants as men, and their advices will be seriously considered. (2) During the analysis of UHC progress in the region, gender equity in terms of health services coverage and financial protection will be included. (3) When identify the workshop participants and allocate the project budget, women’s full participation will be secured. Benefits for women may include: (1) their knowledge and capacity on UHC assessment and translate researches into policies will be improved; (2) Research findings and recommendations through exchanges of the workshop will facilitate the policy changes and refinement to reduce gender inequalities in the future. |
Work Plan |
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Time |
Activities |
Engagement of Stakeholders |
Deliverables |
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2016. 8-2016.9 |
Project planning, including develop and conduct pre-workshop survey on current UHC progress, regional initiatives, and the needs for the workshop; hiring contractors, |
CNHDRC, member economies, HWG, LISF, PPWE and other APEC fora, WHO regional office |
Survey guidelines/questionnaires; protocol of the workshop; contract |
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2016. 9-2016.10 |
Organising project logistics, selecting participants, and booking venues etc,; |
CNHDRC, member economies, HWG, consultant, |
Agenda, participant list; |
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2016. 11-2016.12 |
Develop workshop materials and hold the workshop |
Participants from member economies, consultant, HWG, LISF, PPWE and other APEC fora, WHO regional office, and ASEAN |
Presentations, other workshop materials, and evaluation form on the workshop |
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2017.1-2017.5 |
Writing analytic report, producing policy briefings and recommendations for APEC HWG |
CNHDRC, consultant, member economies, HWG, LISF, PPWE and other APEC fora, WHO regional office, and ASEAN |
Analytic report and policy briefings on UHC progress in APEC region |
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2016.6-2017.7 |
Writing evaluation and summary report of |
CNHDRC, HWG |
Summary report of the project | |
Risks |
Low interest in participation the workshop or establish the regional network. Possible risk management strategies: conduct the pre-workshop survey and consult with economies, related fora to collect people’s need and interest for the workshop and potential network, and develop the agenda and concept note for the network with clear objectives, tasks and communication strategy. Work closely with HWG and LISF to mobilize the policy makers, research institutes and universities from member economies to achieve common interest in the network.
Difficulty in data acquirability and reliability. Possible risk management strategies: close work and consultations with member economies, technical consultant, WHO regional offices and other possible data source to collect the most latest, eligible published and reliable data.
Duplication of work of other fora outside APEC. Possible risk management strategies: close consultation with WHO, ASEAN and other related fora, try to add value on the underlying reasons from health system performance analysis for the various UHC progress in the region; conduct comprehensive research into similar projects.
Difficulty achieving policy change over the long-term. Possible risk management strategies: early and robust engagement of stakeholders; appropriate selection of participants; establish the network to support future work in policy change in member economies. Delays. Possible risk management strategies: adequate visa application time; early stakeholder/contractor engagement, early adoption of agenda; strict deadlines for project internal management. |
Monitoring and Evaluation |
Evaluation methods: information will be collected through survey on the last day of the workshop. A short evaluation form will be developed beforehand and distributed to the participants to collect their opinions on the design of the workshop, speakers, schedule, logistics and etc. In the summary part of the workshop, each participant will also be invited to say several words about their feedbacks on the workshop and potential collaboration opportunities.
Performance indicators: participant statistics will be conducted, including their number, gender, economies, level, number of documents distributed and etc., to assess the gender equity and potential policy influence. In the evaluation form, indicators on relevance, usefulness, easy to understand, quality of the speakers will be included to assess the successfulness of the workshop. As for the on track monitoring of the project progress, a six monthly report will be submitted to the HWG secretary.
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No. |
Key Performance Indicators |
Value |
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1 |
Num. of evaluation forms collected for the participants |
22 |
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2 |
Proportion of participant feel satisfied with the 6 dimensions of the workshop (relevance, usefulness, easy to understand, quality of the speakers; schedule, logistics ) |
75% |
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3 |
Workshop held |
1 |
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4 |
Num. of electronic publications (CDs) |
40 |
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5 |
Num. of presentations of the speakers |
6 | |
Linkages |
Engagement: LSIF, PPWE and other related APEC fora are the key stakeholders to advance UHC progress. They will be invited to join from the very beginning, including participation in the pre-workshop survey and developing the workshop materials and comment on the analytic report on UHC progress and policy briefings. WHO regional offices, ASEAN and other outside fora are also influential stakeholders with world leading technical expertise and local practice.
Previous work: China National Health Development Research Center (CNHDRC) is one of the key health think-tanks at national level to promote the UHC and other health reforms in China. It has provided consultations on drafting “Healthy Asia-Pacific 2020” initiatives. It’s also the WHO Collaborating Center on Health System Strengthening and is providing consultations on UHC for China, WHO-WPRO and headquarter. In late 2015, CNHDRC has been granted a self-funded project from China-APEC collaboration fund on “Research on Universal Health Coverage Progress in APEC region”. Based on the research, a proposed toolkit for tracking on the progress of UHC and health system strengthening in the region has been developed. It could be served as the basis for the pre-workshop survey on current progress of UHC among the economies.
APEC’s comparative advantage: The population and economic scale of APEC economies accounts for the majority part of the world, and there is large disparity among them in terms of socioeconomic development, as well as UHC progress and health system characters. This variety provides the opportunity for mutual learning. As APEC member economies comes from four WHO regions, their practice, experience and lessons generated from the region could also contribute to the other parts of the word. |
Sustainability |
Continuous support: All the participants could build up links with each other through the workshop, so they could easily communicate in their future work where they feel the need for seek advice from the member economies on how to improve their own UHC policy making or implementation. Most important, the possibility and interest in establishing a regional network on UHC monitoring will be discussed on the workshop. The establishment of the network will not be included as one of the compulsory outputs for this workshop, considering the uncertainty. However, before and after the workshop, PO would like to work closely with APEC Secretary who is responsible for HWG, to spearhead the inquiring process for establishing the network, including contact possible originating economies, develop the missions, rules of memberships, terms, fund resources, work plans and etc. of the network, If there is huge interest and most economies could reach agreement, the network will be established afterwards with other sources of funding, which will serve as a platform for information sharing and capacity building on UHC policies and researches.
Possible next steps may include the following:
1) Maintenance or dissemination of any outputs such as reports, manuals, databases or resources. Follow up workshops/symposiums/meetings;
2) Transfer of knowledge from participants to other colleagues in their home economies;
3) Creation of cooperative network; and
4) Adoption of best practices/recommendations.
Indications of sustainability may include: Future funds and/or partnerships will help to maintain and update project outputs, including research report and policy briefings after project completion. Relationships with stakeholders has been developed that can carry project objectives forward. |
Project Overseers |
Hongwei Yang; Deputy Director-General and professor of CNHDRC; Director of the WHO Collaborating Center on Health System Strengthening. He got his Master degree of Public Administration from University of Southern California in 1999. Then he worked in World Health Organization Representative Office in China as senior Project Officer. Since 2007, he has been worked with CNHDRC and chaired the researches granted by NHFPC, China (former Ministry of Health),WHO, AusAID, DFID and other international organizations on health services delivery system, essential drugs system, China’s health aid and etc..His responsibilities in this project are: project overall designing and quality supervision.
Yunping WANG; Vice Director of Department of Global Health Research and associate professor of CNHDRC. She has chaired or worked as the executant of researches granted by NHFPC, WHO, and DFID on UHC, health insurance system, China- ASEAN health cooperation strategy, Implementation of health related 2030 Sustainable Development Goals, China’s health aid , and etc., Her responsibilities in this project are: project design and implementation. Other main point(s) of contact: Gui Cao, project officer. Her responsibilities in this project are: project process management and financial management. |
Cost Efficiency |
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Drawdown Timetable |
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Direct Labour |
Translator Fees：A workshop on Monitoring of UHC Progress in APEC region will be hold in November or December 2016. Participants from member economies, consultant, HWG, LISF, PPWE and other APEC fora, WHO regional office, and ASEAN will be invited. Presentations and materials demonstrating each member economics’ progress towards UHC will needed to be translated into English,which facilitate participants to discuss and exchange on the workshop..The fee for translation will be paid by the number of words.
Simultaneous Interpretation fees: We believed that simultaneous interpretation is essential and reasonable for our workshop as non-native English speakers or experts from China and other AEPC member economics could be invited. For them, It is much easier to express their viewpoints in Chinese or their own languages compared to poor English, which is also facilitate other participants to understand their ideas rapidly with Simultaneous Interpretation.
Short-term clerical fees: 4 Clerical assistants and coordinators will be needed for holding the workshop. They will responsible for the pre-contact, preparatory and logistic works during the workshop. Their working time is estimated to be 880hours. The standard is $10 per hour.
Contractor fees: 4 experts from universities are planned to be contracted as our project consultant when developing the analytic report on UHC progress monitoringin the region, especially the data cleaning and processing. The task will be bundled to the expert, and we will also sign a labor service agreement with the expert. We estimate the time to be 100 hours/person. |
Waivers |
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Are there any supporting document attached? |
No
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Attachments
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