Subject: EMPIRICAL: Key Facts for Leaders in Government from the Harvard Ministerial Leadership Program
From: "Harvard Ministerial Leadership Program" <[email-masked]>
To: David Sergeenko
Date: Wed, 16 May 2018 20:49:46 -0000

EMPIRICAL

Monthly Brief on Relevant Data for Leaders in Government

May 2018

Success Delivered: How Delivery Units Make a Difference for Governments and the Citizens They Serve

“Ever since the success of the world’s first Delivery unit, set up by the UK Prime Minister in 2001, there has been global interest in the concept. The value to a government leader is clear: a good Delivery Unit can focus a whole administration on delivering real results for citizens. It allows a leader to keep the promises they make to their people…Deliverology® is a system for helping governments deliver meaningful results that will last. It is both a science and an art. The science is the routine of setting a target and then using data, technology, planning, monitoring and problem solving to achieve it. The art is the way you do it and how you behave – it needs focus, urgency, ambition, honesty and humility.” READ MORE>>

Market Forces in Primary Care Systems: A Framework

“The framework, presented in Chapter 3, describes the primary care system through the WHO Health Systems Building Blocks, with the addition of the community as the starting and center point. It highlights the complexity of the sector, providing a list of key variables for assessing the role of the private sector, its actors for primary care provision, and its engagement with government. It serves as a tool to understanding community and market behaviors and needs. To apply the framework, a four step process is proposed in Chapter 4. This process aims to help policy makers assess and design primary care interventions. The steps are as follows: defne the goal of the intervention; identify the key market; identify the key actors within each building block; and fnally, evaluate market forces and risks. By going through this framework, policy makers and program designers can strategize potential solutions to increase access to, and the quality of, primary care, and create programs that shift incentives toward more robust, sustainable, and locally driven solutions (see Figure 1 for the full range of expected outcomes). For existing programs, the framework can be used to map progress and make adjustments as required.” READ MORE>>

Taking Action: The Road to Universal Health Coverage

“How can progress toward the health and health-related Sustainable Development Goals be accelerated, and what role can the private sector play?

At least 400 million people globally lack access to essential health services such as immunization, family planning services, and primary care hospitals, according to the World Health Organization. For 100 million people, accessing that care means being pushed below the poverty line due to out-of-pocket expenditure on health services, resulting in either unnecessary deaths or being driven into extreme poverty and debt. That’s why it’s so important that Sustainable Development Goal 3 — to ensure healthy lives and promote well-being for all at all ages — along with others that intersect with health, such as SDG 2 on eliminating hunger, SDG 4 on ensuring quality education, and SDG 8 on decent work, are achieved.

Universal health coverage — the idea of access to health services for all without exposing the user to financial hardship — could be one solution the private sector could put their resources and expertise toward."  READ MORE>>

The Health, Poverty, and Financial Consequences of a Cigarette Price Increase Among 500 Million Male Smokers in 13 Middle Income Countries: Compartmental Model Study

“A 50% increase in cigarette prices would lead to about 450 million years of life gained across the 13 countries from smoking cessation, with half of these in China. Across all countries, men in the bottom income group (poorest 20% of the population) would gain 6.7 times more life years than men in the top income group (richest 20% of the population; 155 v 23 million). The average life years gained from cessation for each smoker in the bottom income group was 5.1 times that of the top group (1.46 v 0.23 years). Of the $157bn (£113bn; €127bn) in averted treatment costs, the bottom income group would avert 4.6 times more costs than the top income group ($46bn v $10bn)…The top income group would pay twice as much as the bottom income group of the $122bn additional tax collected. Overall, the bottom income group would get 31% of the life years saved and 29% each of the averted disease costs and averted catastrophic health expenditures, while paying only 10% of the additional taxes."  READ MORE>>

The Harvard Ministerial Leadership Program is a joint initiative of the Harvard T.H. Chan School of Public Health, Harvard Kennedy School of Government, and the Harvard Graduate School of Education in collaboration with Big Win Philanthropy, and with the support of the Bill & Melinda Gates Foundation, the GE Foundation, and Merck KGaA (Darmstadt, Germany).

https://ministerialleadership.harvard.edu/

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