Access Health International Inc

Programs: The safe care saving lives program which focuses on improving quality of care in new-borns in public and private sector hospitals empanelled with the public insurance trusts in two southern states telangana and andhra pradesh, entered into its penultimate year of implementation. The program expanded from 24 facilities in phase one to 30 additional facilities in phase two. Access health entered into a new tripartite agreement with telangana government including the chief executive officer, aarogyasri healthcare trust and commissioner health and family welfare. Access health supported the commissioner health and family welfare in setting the state quality assurance committee and in capacity building of the team on quality improvement. Access also set the quality cell in aarogyasri healthcare trust with an objective to institutionalize quality improvement in the empanelled hospitals starting with new born care and later expanding to other clinical areas. Access health developed the information technology platform for managing the quality improvement data for the facilities engaged in quality improvement across both states. The quality teams from health facilities have started using the technology platform for entering quality improvement data and using it to improve the quality of care. Link can be accessed at http://safecaresavinglives. Org/. Access health supported the development of an it platform for the standardization of labour rooms which helped facilities to access the gaps and develop action plans based on this. The platform can be accessed at http://slr. Telangana. Gov. In/

access health india has been working on various projects related to research under primary care and health financing, as well as health systems strengthening. Work was done on supporting state level assessments, scheme specific analysis, as well as research into multiple health system domains. The programs handled under gates foundation may be summarized as under:research and analysis on primary care (raphc)access health partnered with the bill & melinda gates foundation to improve primary care in uttar pradesh. In 2016, access health helped the government of uttar pradesh launch a primary care pilot program in partnership with the private sector. Access health facilitated the approval of the project by the uttar pradesh cabinet and ensured ongoing financial support for the project from the state government. Health system reformsaccess health international worked with a team of international experts to research and identify gaps in thematic areas of health financing and provision of care. Based on the research, options will narrowed down which will be taken to niti aayog, ministry of health and other systems stakeholders as a follow up exercise to help inform government efforts on needed policy change to improve india's health system. Access health india developed programs to support the government of india health systems reforms, undertake research on emerging priority areas and capacity building through its grants with the bill and melinda gates foundation. It has been a successful year with expansion of the teams and internal capacities, state and institutional collaborations and progress on the technical areas of work. Access health india established a platform to prepare, assist and strengthen the states for success on national health protection mission. The mission will be implemented through public, not for profit and for profit private health care providers through strategic purchasing. Key components of platform include; building a network of national and international expert resources, which can provide technical know-how, assistance and mentoring support. Other components include creating knowledge products with available national and international evidence, facilitating knowledge exchange and building institutional collaborations. States of bihar, uttar pradesh and odisha have shared interest for an engagement. Access health india as part of the above platform has formalized a two years partnership with state agency for comprehensive health insurance and integrated services, government of uttar pradesh. Access health is building a team of resident specialists, which will work the state agency for comprehensive health insurance and integrated services. Dialogue and discussions have been initiated with government of bihar and odisha and demand based technical assistance engagement will be developed for national health protection mission. The program in next two years will position access health india in several states across the country as a critical partner for health systems strengthening especially health financing. Primary care rajasthandeveloping model for improving accountability through a top down and low touch approach: strengthening primary care system in rajasthanfinancing health reforms phase 1 - determine the optimal engagement model, research areas and partners to build/strengthen capacity for specific health policy and finance research topics in india and organize consultations on health policy issues in india'capacity building umbrella grant for facilitating initiatives for capacity building of institutions, key stakeholders, decision makers and implementers is a three-year program started in august 2017. The grant aims to engage, support, and strengthen competencies, credibility, and confidence of healthcare practitioners, policy makers and national and state level institutions to build long term capacities in health systems and contribute towards improved health outcomes for the people of india. Phc-pmathis grant will be used to prepare, assist and strengthen state government towards execution of the health financing reforms- the ayushman bharat, national health protection mission. This grant is prepared to support state governments to increase the likelihood of successful implementation of ayushman bharat. Access health intends to set up a platform- which intends to leverage technical know-how, existing experiences, resources and technical expertise for the states. The focus will be on strategic support to design and implement the structures and processes for governance and management

the rockefeller foundation was the first funder to support access health in 2008. Since then, the rockefeller foundation has been instrumental in the growth of our work. The foundation has allowed us to test unconventional approaches and partnerships and to adapt the work to local needs. It has provided us with an international platform to scale the work and encouraged us to continue to innovate. We have piloted ideas with partners in india that now are being scaled with support from the government and other funders.

access health international establishes long term, in country programs to work with public and private healthcare leaders. We analyze and document best practices and share our knowledge with those in government and the private sector seeking to improve access to high quality, affordable healthcare. We coordinate joint learning programs between and within countries for those seeking to improve the performance of their health systems. We provide support for implementation of healthcare financing and delivery reforms. Access health international cofounded the joint learning network and continues to facilitate network activities as a network coordinator. The joint learning network currently includes twenty six countries in asia, africa and latin america working to achieve universal health coverage. Programsaccess health is also part of the network coordination team and as such helped organize an event in malaysia in july 2016, where all new and old members of the network came together to set priorities for future work of the network and get exposure to the rich work what has already been done within the network. Joint learning fundaccess health manages the joint learning fund. In 2016, we provided funding for and launched a medical audits collaborative. Twenty three practitioners from eight member countries came together to discuss and share country experiences on developing medical audit systems. It resulted in a guiding document to assist countries wanting to advance their own audit systems. The health insurance review and assessment service in south korea hosted the collaborative. The collaborative met in person three times throughout 2016, in addition to regular virtual meetups. Through the fund, we supported joint learning network members from malaysia, india, and vietnam to attend a primary healthcare workshop in chennai, india. We supported joint learning network members from kenya interested in health finance reforms to participate in the world health organization advanced course on health financing for universal coverage held in spain. This was an opportunity for the kenyan representatives to gain valuable insight on health financing in a short period of time. The fund also supported a country core group meeting in kenya which brought together public and private sector representatives working on universal health coverage in kenya. We supported representatives from india, malaysia and philippines to participate in the good governance and quality product development roundtable meeting in tanzania. The meeting explored different perspectives and approaches on governance toward universal health coverage and delivery of quality care. We supported joint learning network members from sudan and morocco to help them finalize two joint learning network reports, entitled primary health care self-assessment tool and engaging the private sector in primary health care for universal health coverage. We supported delegates from india, kenya, mali, nigeria, and the philippines interested in attending the global symposium on health system research in canada. The participants launched the toolkit at the symposium and the visit laid the foundation for an implementation strategy for the data analytics toolkit. We supported fifteen practitioners from kenya, bangladesh, malaysia, and the philippines on a study visit to india to learn about the indian claims management system. Delegates visited andhra pradesh, gujarat, and delhi and explored how claims management worked through the state run public health insurance programs. We assisted joint learning network members from malaysia who were hosting the 19th national institutes of health scientific seminar entitled "transforming health systems for better outcomes. Malaysia plans to incorporate learning's from the seminar into the national planning process for health system transformation. We supported a primary healthcare workshop organized by joint learning network members in indonesia. The workshop provided insights into human resource for health policies in indonesia and the use of technology to deliver primary healthcare services.