Health Systems Pathways – Détails, épisodes et analyse

Join Alex Ergo, PSI’s Director of Health Systems, for an exciting special series of Health Systems Pathways episodes recorded live from the Health Systems Research Symposium in Nagasaki. This series will dive into the key issues shaping global health systems, including data integration, consumer insights, self-care, private sector engagement, and the vital connection between climate and health.

Tune in to gain fresh insights directly from experts and innovators at the symposium as they explore real solutions to today’s health challenges. Discover how integrated data can improve outcomes, how self-care models are meeting people's needs, and why climate resilience is essential for the future of health systems.

Subscribe now to Health Systems Pathways and be part of the conversation on building stronger, more resilient health systems worldwide.

Find out more about PSI:

Welcome to Health Systems Pathways - Population Services International's health system strengthening podcast - making it easier for people to navigate complex health systems.

Insights to inform, influence, and inspire!

In this episode, your host, Marina Dalton-Brown, continues her focus on digital tools and technologies that help people access the care they need. This includes Digital Health Locator Tools which helps direct people to health information and services, much like how Google Maps guides you through unfamiliar streets.

For this episode, Marina went to Kenya to experience first-hand how digital technology is revolutionizing the way people interact with the broader health system.

In the last episode, we learned about the connection between mobile money and digital health tools. We heard about PROMPT for Mums, which is helping over 2 million mothers in Kenya access the antenatal care they need, in the context of Universal Health Care. We touched on Jali, a WhatsApp platform that is aiming to reach the 11 million WhatsApp users across the country with health information on COVID-19, cholera, breast cancer, mental health and wellness, among other health-related topics.

In this episode, we delve deeper into Jali, as Marina discusses the tool with Ministry of Health leaders and consumers at the October 20th Mashujaa Day Celebrations. We learn about the benefits and the vision for Jali, and the impact of digital health tools in the country.

For more information;

• HSS Insights Series : PSI - To access Population Service International's blogs and policy briefs, visit our health systems insights website.

Health Systems Pathways is an SCL Agency Production

Welcome to Health Systems Pathways - Population Services International's health system strengthening podcast - making it easier for people to navigate complex health systems.

Insights to inform, influence, and inspire!

In this episode, your host, Marina Dalton-Brown, is focused on digital tools and technologies that help people access the care they need. This includes Digital Health Locator Tools which helps direct people to health information and services, much like how Google Maps guides you through unfamiliar streets.

For this episode, Marina went to Kenya to experience first-hand how digital technology is revolutionizing the way people interact with the broader health system.

We learn about the connection between mobile money and digital health tools. We hear about PROMPT for Mums, which is helping over 2 million mothers in Kenya access the antenatal care they need, in the context of Universal Health Care. We touch on Jali, a WhatsApp platform that is aiming to reach the 11 million WhatsApp users across the country with health information on COVID-19, cholera, breast cancer, mental health and wellness, among other health-related topics.

In the next episode, we delve deeper into Jali, as Marina discusses the tool with Ministry of Health leaders and consumers at the October 20th Mashujaa Day Celebrations. We learn about the benefits and the vision for Jali, and the impact of digital health tools in the country.

For more information;

• HSS Insights Series : PSI - To access Population Service International's blogs and policy briefs, visit our health systems insights website.

Health Systems Pathways is an SCL Agency Production

Welcome to the first episode of Health Systems Pathways. Making it easier for people to navigate complex health systems. Insights to inform, influence and inspire!  

I am Marina Dalton-Brown from Population Services International (more fondly known as PSI), and I am pleased to be your host for this podcast series.  

This is the shorter version of this episode, where you will hear the contributions of my guest, Ms. Hawa Godwin Milangasi, translated into English. If you would prefer to listen to the full length episode, including Ms Milangasi's contributions in Swahili, follow this link;

https://health-systems-pathways.captivate.fm/episode/-swh

In today’s episode, we talk about drug shops and the role they have in connecting people with the broader health systems.

As part of the conversation, it’s important to distinguish between “drug shops” and pharmacies.

Pharmacies are dispensers of prescription pharmaceutical products and may also sell other retail products and offer basic health services. These are owned, operated, or supervised by a registered pharmacy professional and are typically overseen by a national or regional regulator.

Drug shops are usually unregulated or poorly regulated though they may still sell prescription or over-the-counter health products. Sometimes they operate outside a formal regulatory environment. But they are an important point of care for many persons living in rural areas or outside city centres. In fact, properly integrating them into the health system – by providing training, standards, and a regulatory process – has the potential to significantly improve patient care.

In Tanzania, the National Food and Drug Administration and The Pharmacy Council have been working, with other partners, since 2005 to develop a mechanism to bring drug shops into the national healthcare system by certifying them and improving the quality of products and services being offered. This is called the ADDO Model, which stands for the Accreditation of Drug Dispensing Outlets. Since its inception, more than 14,000 drug shops have been accredited (or certified) and over 26,000 dispensers trained. And studies have shown that these drug shops perform well at many aspects of providing patient care. As a result, a number of other countries have their eye on this model and are at different stages of progress, including Bangladesh, Nigeria, Uganda, and Madagascar among others.

My guests in this episode share their perspectives of how this model has impacted their work and their families directly.

Mr. Richard Silumbe is the Malaria Case Management Officer supporting the National Malaria Control Program in Tanzania, and has first had knowledge of the implementation of the ADDO model.

Ms. Hawa Godwin Milangasi is a business woman who runs an enterprise in Chamazi, just over 28 km from Dar es Salaam, and she has sought care for her family at an ADDO retailer.

To find out more about the development and future of this model, check out our PSI blog (HOW COULD PRIVATE SECTOR PHARMACIES AND DRUG SHOPS ADVANCE PROGRESS TOWARDS UNIVERSAL HEALTH COVERAGE?);

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Health Systems Pathways is an SCL Agency Production

Welcome to the first episode of Health Systems Pathways. Making it easier for people to navigate complex health systems. Insights to inform, influence and inspire!  

I am Marina Dalton-Brown from Population Services International (more fondly known as PSI), and I am pleased to be your host for this podcast series.  

In today’s episode, we talk about drug shops and the role they have in connecting people with the broader health systems.

This is the full length version of this episode, where you will hear my guest, Ms. Hawa Godwin Milangasi in conversation in Swahili, in full. If you would prefer to listen to the English language version, follow this link;

https://health-systems-pathways.captivate.fm/episode/1-eng

As part of the conversation, it’s important to distinguish between “drug shops” and pharmacies.

Pharmacies are dispensers of prescription pharmaceutical products and may also sell other retail products and offer basic health services. These are owned, operated, or supervised by a registered pharmacy professional and are typically overseen by a national or regional regulator.

Drug shops are usually unregulated or poorly regulated though they may still sell prescription or over-the-counter health products. Sometimes they operate outside a formal regulatory environment. But they are an important point of care for many persons living in rural areas or outside city centres. In fact, properly integrating them into the health system – by providing training, standards, and a regulatory process – has the potential to significantly improve patient care.

In Tanzania, the National Food and Drug Administration and The Pharmacy Council have been working, with other partners, since 2005 to develop a mechanism to bring drug shops into the national healthcare system by certifying them and improving the quality of products and services being offered. This is called the ADDO Model, which stands for the Accreditation of Drug Dispensing Outlets. Since its inception, more than 14,000 drug shops have been accredited (or certified) and over 26,000 dispensers trained. And studies have shown that these drug shops perform well at many aspects of providing patient care. As a result, a number of other countries have their eye on this model and are at different stages of progress, including Bangladesh, Nigeria, Uganda, and Madagascar among others.

My guests in this episode share their perspectives of how this model has impacted their work and their families directly.

Mr. Richard Silumbe is the Malaria Case Management Officer supporting the National Malaria Control Program in Tanzania, and has first had knowledge of the implementation of the ADDO model.

Ms. Hawa Godwin Milangasi is a business woman who runs an enterprise in Chamazi, just over 28 km from Dar es Salaam, and she has sought care for her family at an ADDO retailer.

To find out more about the development and future of this model, check out our PSI blog (HOW COULD PRIVATE SECTOR PHARMACIES AND DRUG SHOPS ADVANCE PROGRESS TOWARDS UNIVERSAL HEALTH COVERAGE?);

chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.psi.org/wp-content/uploads/2023/06/Insight-Series-Pharmacy-Brief-V2.pdf

Health Systems Pathways is an SCL Agency Production

Welcome to Health Systems Pathways. This podcast is designed to share insights that inform, inspire, and invite discussion about what's being done to make it easier for people to navigate complex health systems in different parts of the world.

Sometimes moving through the health system can feel like going through a complicated maze.

Imagine going to the pharmacy to get medicine for an ill relative in an emergency, just to find out that your health insurance is not accepted there, and you're unable to afford the drugs. Or, as a health provider, you cannot get data quickly enough to make critical, real time decisions, and you're wondering how digital solutions can help.

It may be familiar to some of us, and it's certainly the reality for many around the world.

Your host is Marina Dalton-Brown from Population Services International, more fondly known as PSI.

If you're as passionate about this topic as she is, then this podcast definitely is for you.

At PSI, we believe that the person, as an integral part of the health system, can significantly drive change to having equal access to quality, affordable healthcare, regardless of who we are and where we live.

So subscribe and tune in for the latest episodes, wherever you listen to your podcasts.

Get in touch with us and let us know your experience and your insights as well, because we need each other on this journey.

https://www.psi.org/contact-us/

Health Systems Pathways is an SCL Agency Production

How do you scale health insurance access across 13,000 islands? In this episode, host Alex Ergo speaks with Trisna Sari of BPJS Kesehatan about Mobile JKN — Indonesia’s digital gateway to its national health insurance scheme.

Trisna shares how the innovation was born out of a need to ease administrative bottlenecks as the JKN program rapidly expanded to cover over 98% of the population. She explains the challenges of rolling out a digital tool in a country with uneven digital literacy and infrastructure, and the design trade-offs faced when aiming for scale, simplicity, and inclusion.

Together, they explore how Mobile JKN is changing the way Indonesians engage with health financing and public services, and what lessons it offers for other countries seeking to digitize access to universal health coverage.

Host: Alex Ergo, Director of Health Systems, Population Services International

Guest: Trisna Sari, Primary Benefit Assurance Policy Lead, BPJS Kesehatan, Indonesia

For more information: HSS Insights Series

What does it really mean for a health system to be resilient? The term is widely used but often lacks clarity. In this episode, recorded live at the Prince Mahidol Award Conference (PMAC) in Bangkok, host Alex Ergo speaks with Professor David Bishai about the World Bank's new publication, "Strategic Investment for Health System Resilience."

Professor Bishai unpacks key insights from the book, including a three-layer framework for investing in resilience, the connection between essential public health functions and resilience-building, and how countries can strategically invest in strengthening their health systems—not just for future crises, but for everyday health system improvements.

Host: Alex Ergo, Director of Health Systems, Population Services International

Guest: Professor David Bishai, Professor of Health Economics and Health Systems, Johns Hopkins Bloomberg School of Public Health

For more information:

HSS Insights Series: PSI - To access Population Service International's blogs and policy briefs, visit our health systems insights website.

The final episode from the Health Systems Research Symposium in Nagasaki turns the spotlight on climate change and its impact on health systems. We explore the steps countries are taking to adapt to climate challenges and the vital role communities play in building resilience.

Dr. Mehreen Mujtaba discusses Pakistan's progress in developing a Health National Adaptation Plan (HNAP), sharing the challenges of decentralisation and the importance of regional collaboration. Dr. Rawlance Ndejjo from Uganda highlights the critical contributions of communities, indigenous knowledge, and community health workers in adapting to climate shocks and fostering resilient health systems.

This episode offers valuable insights into climate-smart health policies and the collaborative actions needed to address global health and climate challenges.

Host: Alex Ergo, Director of Health Systems, Population Services International

Guests:

• Dr. Mehreen Mujtaba, Public Health Specialist, Pakistan
• Dr. Rawlance Ndejjo, Lecturer, Makerere University School of Public Health, Uganda

For more information:

HSS Insights Series: PSI - To access Population Service International's blogs and policy briefs, visit our health systems insights website.

Health Systems Pathways is an SCL Agency Production.

From the halls of the Health Systems Research Symposium in Nagasaki, this episode explores two vital health system challenges: improving contributory health insurance models in low- and middle-income countries and addressing fragmented care pathways for non-communicable diseases (NCDs) like diabetes and hypertension.

Agnes Gatome-Munyua highlights the shortcomings of contributory health insurance and suggests how better purchasing strategies can make these systems more effective. Dr. Sudha Ramani shares insights from Mumbai’s urban informal settlements, where patient journeys for NCD care are often convoluted and inequitable, pointing to systemic barriers and practical policy solutions.

Packed with actionable insights, this episode is essential for anyone working to build resilient and inclusive health systems globally.

For more information;

HSS Insights Series: PSI - To access Population Service International's blogs and policy briefs, visit our health systems insights website.

Health Systems Pathways is an SCL Agency Production.