What we do
The performance of the health system, being it a small subnational system or a large national system, determines the impact of health care in protecting and improving health, how exposed are its members to impoverishment due to illness (financial protection), and the satisfaction of users and patients. In turn, how countries and organizations choose to arrange key functions of a system (Health Systems Financing, Health Service Provision, Benefit Package, and Stewardship & Regulation) will determine the system performance. Furthermore, given the interdependence among these system functions, isolated improvements to one part of the system in the absence of necessary adjustments in the others often fail to improve systems results. A systemic approach is essential.
CHD works and provides advice on design and implementation in all key functions determining Health Systems performance, including how to ensure coherent and synergistic interactions among them, at country and subnational level for public, private and donors leaders working to improve health, financial protection, dignity of care, and improved user experience.
In the last two decades, the international community substantially increased its financial support to developing countries reaching an historical peak of US$38 billion annually in 2013.
The way development assistance for health (DAH) is designed and managed both, by donors and recipients, is critical to achieve the expected results. The international community has learned valuable lessons on how to maximize impact and effectiveness in the last two decades. Applying these lessons is now more critical than ever at a time when development assistance of health seems to no longer be growing in line with historical trends, when many countries’ economic growth is accelerating graduation from donor support and, at a time when leading donors are facing their own fiscal challenges.
CHD provides technical advice to donor and recipient countries, in partnership, to address these key design and implementation questions and challenges.
In the last two decades, many countries have significantly increased life expectancy and reduced mortality thanks to their Reproductive Maternal Neonatal Child and Adolescent Health (RMNCAH) policies and programs. RMNCAH funding and bilateral and multilateral efforts, including GAVI, BMGF, UNICEF, PMNCH, UNFPA, World Bank GFF, WHO and many others have helped countries ramp up their maternal, neonatal and child survival programs and policies.
This success now demands a focus on policies and programs "Beyond Survival" in RMNCAH. Trends in the last decade show that it is now morbidity--particularly developmental and learning disabilities and lack of mental health support through childhood, adolescence, and maternity-- that is increasingly concentrating the majority of the growth and stock of disability in burden of disease in all but a few countries.
Addressing the "Beyond Survival" morbidity and disabilities challenge in RMNCAH requires a concerted effort of governments, donors, health and education professionals, community leaders, and families to ensure effective early years inclusion and child/adolescent development.
We at CHD are passionate about supporting this growing priority. We do so through two areas of expertise: