Table 1 Focal areas and cross-cutting approaches in GDC approach to HSS
Focal areas and cross-cutting approaches | Examples of specific measures in GDC Strategies |
|---|---|
Human resource development for health | - Provision of training and professional development - Policy dialogue at national and international levels on migration policies and recruitment of health workers, including the promotion of the WHO Code of Practice on International Recruitment of Health Personnel - Support to and cooperation with the Global Health Workforce Alliance - Support establishment of legal frameworks and acceptable working conditions for health professionals |
Solidarity based health financing and social health protection | - Support for health finance system reform in partner countries - Development of various health financing models, including taxation based systems, social health insurance schemes, conditional cash transfers, demand subsidization, etc. - Support to and cooperation with the Providing for Health Initiative |
Institutional and organizational development of national health systems | - Support decentralization of health systems - Support development and implementation of health sector reforms - Promote participation of target group and community in planning and M&E of health services - Support harmonization and sector-wide approaches in the health sector - Support to and participation in the International Health Partnership (IHP+) at global and country levels - Support expansion and rehabilitation of infrastructure at the primary and secondary level |
Private sector cooperation | - Support development of public-private partnerships (with private actors both in Germany and in partner countries), especially for the subsidization of health services and medical products - Development and strengthening of private production, supply and distribution channels to provide medical products and drugs - Support to and participation in the Harnessing Non-State Actors for Better Health for the Poor Initiative |
Vertical programme integration | - At service delivery level: promote integration of SRH and HIV prevention; promote linkages between internal medicine and HIV services - At national level: support development of comprehensive strategies that integrate HIV activities with those of Tuberculosis or SRHR; support coordination of bilateral and multilateral donor contributions for vertical programmes into national systems - At international and country level: work through the Global Fund and other global health initiatives that incorporate HSS in their work; provision of technical assistance for Global Fund applicants and recipients to optimize funds |
Inter-sectoral cooperation | - Focus on prevention and health promotion - National and international levels: support the development of “health in all policies” (i.e. integration of health aspects into trade or migration policies); promote policy coherence and development of laws and regulations to address risk factors for non-communicable diseases (i.e. malnutrition, tobacco consumption) |
Human rights-based approach | - Support development and implementation of inclusive health strategies that take into account the needs of marginalized and vulnerable groups - Advocacy, information, education and communication to overcome stigma and discriminatory practices - Development of mechanisms to strengthen patient rights, complaint and redress mechanisms - Support to participatory planning and decision-taking processes at all levels |