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E-Learning Course on Health Financing Policy for Universal Health Coverage (UHC) – An Interview with Matthew Jowett

11/5/2016

11 Commentaires

 
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Michelle Ferng

Following successful trainings on health financing policy in Tunis and then Barcelona, the World Health Organization recently launched a new web-based e-learning course, Health Financing Policy for Universal Health Coverage. HFA spoke to Matthew Jowett, Senior Health Financing Specialist at WHO Geneva and organizer of this course, to learn more about the latest offering and WHO’s new blended learning approach.

Let’s start with the history. How did the e-learning course come about?

When I joined the Barcelona office in WHO Europe in 2007, we developed the WHO’s first course on health financing. It was geared specifically to the European region, but the content was based on existing WHO frameworks on health systems and health financing. As a result, we got a lot of demand for the European course from outside Europe, which led us to develop a new course for low- and middle-income countries. That course was held first in Tunis and then in Barcelona for the next two years. However, the demand was so high. From a didactic point of view and given logistical constraints, we had to limit the number of participants. As a result, we were putting a lot of effort into promoting this course, and then rejecting the majority of applicants. So one of the main ideas behind the e-learning course was: How do we respond to this excess demand in other ways?

The other thing is that, while face-to-face is always best, the reality is that the WHO is based in Geneva, and we are still in many ways stuck in that traditional mode of getting on a plane and flying in and out for meetings and trainings. The risk is that you become part of the problem. People from ministries are going to so many meetings, which takes time away from their jobs. So we wanted to do something tailored to busy people—something useful that will fit in with their schedules without being too disruptive or crafted in a way that’s too generic.

Has the content evolved between the face-to-face Tunis course and the latest e-learning course? How?

The in-person course in Tunis is called an advanced course, so we assume people know about the landscape and basic terminology in the field. There’s a large focus on face-to-face group work, so we try to achieve balance between gender, stakeholders, geographic areas, et cetera. By contrast, the e-learning course is targeted at audiences of all levels. The content is much more simplified, which you have to do with self-guided learning. Right now there is no facilitation involved in the e-learning course, but that’s something we are considering adding in the future.

How does this course compare to other existing courses related to health financing?

The World Bank has a flagship course that focuses on health systems, and health financing is only one part of it. You could argue that it’s a broader, systems-oriented course looking at all of the different functions or control knobs and their interactions. In this course, we just focus on the health financing and go into more detail. We have our own way of thinking about health financing and its core functions:  the revenue raising, the pooling, the purchasing, and the benefits. The World Bank also has a Health Economics 101 course, but that’s really different from health financing policy. So I think the WHO course is the first of its kind to really focus in depth on health financing policy.

That being said, we go to to great lengths to position our thinking on health financing within the broader health system. We frame it very carefully. If you look at the first module of the e-learning course, it’s not really about health financing—it’s about universal health coverage. It comes to health financing and considers:  How does health financing contribute, together with other elements of the health system, to making progress toward UHC? That’s the real question.

To what extent does the course cover implementation challenges for health financing policy?

On the first course in Tunis, we got some really good feedback from participants that they wanted more nitty gritty implementation ideas, and we made it clear that implementation is not what we focus on in this course. There is so much information out there. Our take is this: let’s just be really clear on our thinking. Let’s help people put the pieces together in a coherent way—at least in terms of policy and strategy. This course is more “what to do” than “how to do.” But we try to root it as much as possible in real world examples; for instance, the provider payment section draws heavily on case studies from around the world.

How is this course meant to be used?

There are three initial ways this course may evolve. First, we can offer the course as a substitute to people who can’t attend our face-to-face courses. Second, for people who come to the face-to-face courses, we’re going to recommend they complete this e-course in advance. Over time, this might even change how we run the face-to-face course; we could make it more discussion-based, assuming people have already gone through the foundation material online. Third, it serves as a refresher. Participants can spend five days at the course, but the reality of busy schedules means it can be hard to retain information afterward, so the e-learning review could be helpful in this way.

Given the simplified curriculum and broad targeting to audiences “at all levels”, should mid- and senior-level professionals take this course?  What can they hope to gain, assuming they are already familiar with basic health financing concepts?

There’s a fourth evolution of this course, actually. I’ve always seen this e-learning course as more than just an e-learning course. In the simplest form, people sit on their computers or on their tablets, and they complete the course. But we can use it in a much more customized way to address limitations in the way we deliver technical assistance.

Let’s say, for example that a country such as Afghanistan or Lesotho is developing a health financing strategy or a new insurance scheme. They develop a working group or a steering committee. What [the WHO] can do is offer to structure a program of capacity building events or interactions, parts of which could involve completing specific modules of this course. Later, we all get together in a forum, and we discuss what this means for their country. In this way, we can add value by incorporating e-learning as one element in a structured blended learning and capacity building program, partnering up with practitioners in country. So I kind of see it as much more than a simple, static course. I think we can be much more creative. Given that face-to-face interactions aren’t always possible, we have to be smarter in how we deliver technical assistance.

You’re absolutely right. It’s quite common for health financing folks to present concepts on pooling and purchasing, only to lose the audience in the abstract language. There’s a need to empower technical people in-country to more effectively communicate the relevance of health financing to larger agenda.

You can lose people really quickly. It’s something I’ve learned in my career: the importance of connecting health financing with the broader health system more clearly. Health financing, or any aspect of a health system is, on its own, very limited. Yes, it’s what our team specializes in, but framing our work and making clear connections to the rest of the health system whilst not over-complicating matters is critical.

Are there any plans to expand the WHO’s health financing course offerings in the future?

This course is really just the basics, so there are an unlimited number of additional modules or content we could add. For instance, there’s a whole growing agenda around public financial management and health financing—that’s one area that is potentially quite complex. And I think that’s where e-learning can come into its own, because you’re forced to really simplify the ideas and the messages. How well we do it, only time can tell.

Will this course be offered in other languages?

We are currently developing Russian, Arabic, and French versions of the course for roll out in 2017. Spanish was also proposed, but our PAHO office in the Americas decided to focus on an existing and similar distance learning course, so for now there won’t be a Spanish version.

Anything else you’d like to add?

When I look back and think about why I’ve spent so much time on this course and also on revamping our website, I think it comes down to this: whilst there are new emerging agendas where conceptual thinking is required, we still need to work hard to communicate our existing and core ideas better.
​
To that end, we’ve revamped our whole website last year. It’s getting a lot better, we’re getting a lot more traffic, and keep it regularly updated. The blended learning hasn’t started yet because we wanted the e-learning to get out there first. So hopefully before the end of the year or early in 2017 we’ll start to try out the blended learning approach with at least one country, incorporating the e-learning materials.


​Learn more about the WHO e-Learning Course on Health Financing Policy for Universal Health Coverage at the official page
here.
 

Note: This interview has been edited for length and clarity

11 Commentaires
NADJOMBE
11/7/2016 02:48:54 pm

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Luis Baibai Nhantumbo
11/8/2016 02:57:59 pm

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ALI Suleiman Othman link
11/8/2016 07:17:06 pm

I want to join with such course

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Ezra Pharles Ngereza
11/8/2016 09:42:23 pm

I would like to join e learning short course on Health Policy,planning and Financing in near future.

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Ada Osita
1/17/2020 04:13:03 pm

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clara james
6/28/2020 10:16:05 am

PERFECT NATURAL HERBS AND VEGANS CURE FOR Herpes 1&2 THAT WORK FAST WITHIN 14 DAYS WITH DR ELINFOH HERBAL MEDICINE, I saw so many testimonies about Dr ELINFOH a great HERBAL DOCTOR that will help you CURE and give you the rightful health to live a joyful life, i didn't believe it at first, but as the pain got worsen and my life was at risk after using lots of ARV drugs from the hospital and no changes so i decided to give a try to Dr Elinfoh I contacted him also and told him i want a cure for Herpes , he gave me advice on what i must do and he deliver it to me in my home address i gave him and i got the medicine which i use according to his instruction, and today i must say I am so grateful to this man Dr Elinfoh for curing me from Herpes and for restoring me back to my normal health and a sound life and i am making this known to every one out there who have been trying all day to be cured from Herpes or any sickness should not waste more time just contact him with his details below, believe me this is the only way to get cured from Hepres , this is the real solution we all have been searching for. Do not waste more time contacting him today for you can also leave a sound and happy life. contact info below. Email: ([email protected] ) or WhatsApp or Call him on: +2348110492072. and you can as well contact him on other issues you are having like*HEPATITIS B*DIABETICS*CANCER*ALS*HERPES*BODY REDUCTION*BREAST ENLARGEMENT*FIBROD*CANCER*PREGNANCY MISCARRIAGE*Relationship issues etc.. ** Neoplasms*Cardiovascular Disease (CVD)
*Chronic Respiratory Diseases
* Mental and Behavioral Disorders
*Alzheimer’s Disease
Email: ([email protected]).    
Via whatsapp +2348110492072. I pray God also blesses you with your heart's desire as you get in touch with Dr Elinfoh.

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Rachel Frye
12/8/2023 08:16:09 pm

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Shannon
5/19/2024 10:48:04 pm

Comment j'ai récupéré mon ex-mari...........

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millian josh
11/11/2024 11:06:19 am

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cuquimorejoon
12/2/2024 03:01:03 am

TESTIMONY OF HOW I GOT CURED FROM HERPES SIMPLEX VIRUS AND HIV i am so happy to share this testimony with the world because generally there are so many doubts about the cure of HIV and HERPES simplex virus This is real take it serious,my name is cuquimorejoon  and i am so happy that today i can give this testimony to the world and also help in saving life of people who has been condemned for death just as i was ,who will believe that a herb can cure HERPES and HIV VIRUS completely from the body , i never believe that this will work, i have spend a lot of money getting drugs from the hospital to keep me healthy, it got to a time that all i was waiting for is death to come because i was broke and i already have strong outbreaks from the herpes virus, one day i was going through the net asking questions online just to know more about the latest development in the medical sector to see if there is still hope then i stumbled on a post about about this great man called DR.AKHIGBE through an online friend who publicly made a testimony on how she was also cured of herpes simplex virus2 by this herbal doctor who is well known for his strong ancient herbal practice for HERPES, HIV, and CANCER cure,at first i doubted both the woman and the doctor just as so many that see's this post would doubt because medically it has been proven impossible but later i decided to give him a try so i emailed him I did not believe him that much, I just wanted to give him a try, he replied my mail and Needed some Information about me, then I sent them to him, he prepared a herbal medicine (CURE) and sent it through Online Courier Service for delivery, he gave my details to the Courier Office. they told me that 3-5 days I will receive the package and after receiving it, i took the medicine as prescribed by him at the end of 13days that the medicine lasted, he told me to go to the hospital for a test, and i went, surprisingly after the test the doctor confirm me Herpes simplex virus and HIV negative, i thought it was a joke, i went to other hospitals and was also negative the doctors were speechless and said it was a miracle, thank you sir for saving my life even if you cannot see this post i shall never stop testifying the impact you made in my life by restoring back my life when i was being stigmatized and even avoided by family and friends , I promise I will always testify of your good works. if you are herpes simplex virus or HIV patient, contact him and I am sure you will get cured, contact him via: emaill at [ [email protected] ]  OR YOU CAN WHATSAPP  HIM ON THES PHONE NUMBER (+2347083551316) THESE ARE THE THINGS DR AKHIGBE IS SPECIALISED . HERPES . HIV/AIDS . CANCER KIDNEY STONES ULCER PORT-RATE DISORDER DIABETES

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