- INTEGRATION POPULATION AND INTEGRATION POPULATION AND GENDER INTO DEVELOPMENTGENDER INTO DEVELOPMENT PLANNING IN HEALTH CAREPLANNING IN HEALTH CARE PhD. - development and Healthcare, integrating population, gender and development and Healthcare, integrating population, gender and healthcare development planninghealthcare development planning ChapterChapter2 :2 :healthcare development planning methods with thehealthcare development planning methods with the integration of population and gender integration of population and gender 1. - StepStep1: 1: integrating population, gender and planningintegrating population, gender and planning integrating population, gender and and Medicine conditionintegrating population, gender and and Medicine condition analysisanalysis integrating population, gender and development target integrating population, gender and development target buildingbuilding integrating population, gender and target, method and data integrating population, gender and target, method and data foudationsfoudations integrating population, gender and policy formulation, project integrating population, gender and policy formulation, project and investment building, budget consumption estimation for and investment building, budget consumption estimation for Healthcare development Healthcare development 2. - integrating population, gender and plan and project integrating population, gender and plan and project implementationimplementation 3. - integrating population, gender and plan and project integrating population, gender and plan and project monitoringmonitoring 4. - integrating population, gender and plan and project integrating population, gender and plan and project assessmentassessment. - Chapter I Theory basis of Relationship of Population- Development and Health care sector-Health care policy. - The vitality of integration of Population, Gender into Planning development in Health care sector.. - Analyze the relationship between populationpopulation--development and Healthcaredevelopment and Healthcare services and the necessity of integratingservices and the necessity of integrating populationpopulation--development and Healthcaredevelopment and Healthcare services development planning services development planning 4. - Be aware of equality in healthcare services4. - Be aware of equality in healthcare services and the indexes to reflect that equality andand the indexes to reflect that equality and determination of government role indetermination of government role in ensuring equality in access to healthcareensuring equality in access to healthcare servicesservices. - Understand the extension of framework of Understand the extension of framework of Development Planning to enhance the social equalityDevelopment Planning to enhance the social equality of health care policy and Sustainable development.of health care policy and Sustainable development. - Health care output need to be taken into account. - Requirements of Planning in terms of ensuring Requirements of Planning in terms of ensuring equality of Health care. - equality of Health care.. - Factors of strong power Use service of health care Polluted environment The rate of nutrition intake/ Food package. - The rate of birth. - Health care outputs The rate of death Illness The state of nutrition. - Healthcare result Healthcare result Death Death : average life expectancy by gender: average life expectancy by gender Disease condition Disease condition : the rate of illness, the : the rate of illness, the number of sick leave number of sick leave Nutrition conditionNutrition condition: malnutrition. - the availability and usage of healthcare + the availability and usage of healthcare services (sickroom, health examine andservices (sickroom, health examine and treatment)treatment) ++environmental living conditionenvironmental living condition ++malnutrition and food rationmalnutrition and food ration ++childbearingchildbearing ++injuries and accidentsinjuries and accidents. - the availability of and accessibility to healthcare servicesaccessibility to healthcare services Policies Policies. - The relationship between direct factors and The relationship between direct factors and healthcare usagehealthcare usage Policy Population factorsDevelopment factors Population size , distribution age patternIncome education, nutrition Demand for healthcare services The utility of healthcare services. - institutions Supply for healthcare services Healthcare resultOther factors. - development and healthcare supply anddevelopment and healthcare supply and demand is indispensable objectively so the demand is indispensable objectively so the interrelationship and causeinterrelationship and cause--effecteffect relationship between populationrelationship between population-- development and healthcare should be development and healthcare should be examined, estimated and considered inexamined, estimated and considered in development planningdevelopment planning. - The relationship between age and demand for The relationship between age and demand for individual social servicesindividual social services Personal demand for services is varied according to age Development planning for social service supply from social service demand. - 2.The necessity of integrating population, 2.The necessity of integrating population, gender and healthcare development gender and healthcare development planningplanning 1. - From the relationship between populationFrom the relationship between population-- development and healthcaredevelopment and healthcare 2.2.From the specific demand for the integrationFrom the specific demand for the integration of populationof population--development and healthcare indevelopment and healthcare in particular areas and nationsparticular areas and nations. - The definition of population The definition of population --development development and healthcare and development planning and healthcare and development planning is the careful examine of theis the careful examine of the relationship between population andrelationship between population and development during the planningdevelopment during the planning. - development and healthcare development development and healthcare development planningplanning Work out the methods of attracting, Work out the methods of attracting, distributing and using resources for efficient distributing and using resources for efficient and equal healthcare development andand equal healthcare development and sustained economic growthsustained economic growth. - The sustained development indexes in Medical and The sustained development indexes in Medical and HealthcareHealthcare The improvement in people’s health The improvement in people’s health conditionsconditions Gap reduction of health results andGap reduction of health results and condition in varied regions.condition in varied regions.. - What is equality in health care What is equality in health care services?services? No avoidable differences in health No avoidable differences in health result and accessibility to and usage result and accessibility to and usage of healthcare service in quantity andof healthcare service in quantity and qualityquality. - The solution to equality in healthcare The solution to equality in healthcare servicesservices Solve key fundamental causes of inequality, Solve key fundamental causes of inequality, reduce the consequences of inequalityreduce the consequences of inequality Raise people’s awareness of diseaseRaise people’s awareness of disease preventionprevention Create favorable conditions for equal access to Create favorable conditions for equal access to basicbasichealthcare serviceshealthcare services. - Government roles Government roles Create favorable conditions for equal access to Create favorable conditions for equal access to basic national healthcare servicesbasic national healthcare services financially support for healthcare payment financially support for healthcare payment Provide free healthcare services for selectedProvide free healthcare services for selected subjectssubjects. - Government roles Government roles Raise people’s awareness Raise people’s awareness Launch policies to organize, monitor and Launch policies to organize, monitor and evaluate healthcare servicesevaluate healthcare services Formulate policies for healthcare servicesFormulate policies for healthcare services developmentdevelopment. - Development planning for equality in Development planning for equality in healthcare serviceshealthcare services the organized activities to attract and the organized activities to attract and emphasize the government roles to reduceemphasize the government roles to reduce the gaps among people and regions inthe gaps among people and regions in access to and usage of basicaccess to and usage of basichealthcarehealthcare servicesservices. - “distract” “distract” government government rolesroles Development planning for Development planning for equality in healthcareequality in healthcare servicesservices Bridge the gaps Bridge the gaps among regions andamong regions and groups groups Approach multi Approach multi government rolesgovernment roles. - The demand for planning in healthcare The demand for planning in healthcare services equalityservices equality Reduce the differences in benefits from basic Reduce the differences in benefits from basic healthcare serviceshealthcare services Reduce the vulnerable population size Reduce the vulnerable population size. - The legal base for planning to ensure The legal base for planning to ensure equality in healthcare servicesequality in healthcare services Constitution Constitution 19921992article article 3939about about MedicalMedical Law of individual record protectionLaw of individual record protection Resolution 37/cp dated 20/6/1996 about Resolution 37/cp dated 20/6/1996 about national population, nutrition andnational population, nutrition and healthcare strategies …..healthcare strategies. - The indexes for the planning of equality in Medical The indexes for the planning of equality in Medical and Healthcareand Healthcare Health results Health results Healthcare usage Healthcare usage Access to Healthcare services Access to Healthcare services The quality of Healthcare services The quality of Healthcare services Factors that influence health from other Factors that influence health from other socialsocial--economic fieldseconomic fields. - The demand for The indexes of social The demand for The indexes of social equality in Medical and Healthcareequality in Medical and Healthcare Show The input and output of Medical and Show The input and output of Medical and HealthcareHealthcare Be the common and popular indexes for planning Be the common and popular indexes for planning and statistics and statistics Be Easy for calculating and collecting data Be Easy for calculating and collecting data Be able to obtain spatial and time comparison Be able to obtain spatial and time comparison Can be changed by government if necessary Can be changed by government if necessary. - integrating population, gender andintegrating population, gender and children healthcare development planningchildren healthcare development planning. - the demand for planning for the demand for planning for equality in childrenequality in children healthcare is to reduce thehealthcare is to reduce the differences in healthcaredifferences in healthcare results and the benefit from results and the benefit from healthcare services inhealthcare services in mediummedium--term periodterm period. - Planning for equality in children Planning for equality in children healthcarehealthcare aim at fulfilling the targets of equality in children healthcare in medium-term period. - the indexes reflecting the indexes reflecting the health condition of the health condition of children under 5 yearschildren under 5 years 1. - Mortality rateMortality rate --Mortality rateMortality rateof children under 1 year of children under 1 year --Mortality rateMortality rateof children under 5yearsof children under 5years. - Diseases of children under 5 years 2. - Diseases of children under 5 years +the rate of diarrhoeasuffer from and death +the rate of bacterial diseasesuffer from and death +the rate ofsufferer from and deathof 6 diseases incompulsoryvaccination: diphtheria, whooping-cough, tetanus, paralysis, tuberculosis and measles. - Malnutrition in children under 5 yearsMalnutrition in children under 5 years •Malnutrition is one indicator of children’s physical development in the future •Indicators + weight for age malnutrition + height for age malnutrition + weight for height malnutrition + lightweight infant (weight below2.500gram). - The disease conditions of childrenThe disease conditions of children -Eyesight diseases -Dumb and deaf -Physical abnormality -Mental abnormality(perception, intelligence,etc). - Data on Medical and health care for children all over the country. - Absolute data of children below 5 years die in specific stages measured into groups of male, female, age, locations. - Collecting data Collecting data ((con’tcon’t)) -Absolute data of children below 1year die in specific stages measured into groups of reasons to death. - -The death causing of illness of children below 5 years. - -Health care service for mother and child ( extensional vaccinated injection, Reproduction health care...).. - Medical staff (doctors, assistant…) Medical staff (doctors, assistant…) The rate of medical center with doctors The rate of medical center with doctors The rate of medical center with assistant…The rate of medical center with assistant… The rate of household with purified water. - The rate of household with purified water. - The rate of household with clean toilet. - The rate of household with clean toilet.. - Data on Medical finance Data on Medical finance The rate of finance invested in Medical The rate of finance invested in Medical service.service. - The rate of investment in Basic infrastructureThe rate of investment in Basic infrastructure for Medical. - Other data: -Total income andexpenses of householdinterms of health care service -The employment of household, especiallyfemale workers. - Chapter Chapter IIII The methods of Integrating Population, The methods of Integrating Population, Gender in Development planning in Health Gender in Development planning in Health care service care service EgEg: Ensuring quality in health care for : Ensuring quality in health care for children through decrease the gap of service children through decrease the gap of service quality of health care for below 5 year childrenquality of health care for below 5 year children between areasbetween areas. - Objective: Objective: Understanding the methods of Understanding the methods of Integrating Population, Gender intoIntegrating Population, Gender into Development Planning in Health care Development Planning in Health care in obtaining the equality in this field. - in obtaining the equality in this field.. - Integrating Population, Gender into Integrating Population, Gender into framework of Development in Medical framework of Development in Medical Step Step 1: Planning1: Planning Circumstance analysis Circumstance analysis Finalize the aims/ target Finalize the aims/ target Build policy and solution. - Integration Population, Gender into the. - Integration Population, Gender into the eacheachcircumsttancecircumsttance... - Requirements in integration of Population and Requirements in integration of Population and Gender into circumstance analysisGender into circumstance analysis:: Define and Define and analysizeanalysizethe mutual relationships betweenthe mutual relationships between PopulationPopulation--Development, Gender ( Economy, SocietyDevelopment, Gender ( Economy, Society and Environment)and Environment)––Child Health care Child Health care Define clearly who is that person ( Male, female ? Define clearly who is that person ( Male, female ? Minority group) in ? LocationMinority group) in ? Location Defind Defind the gap of health care results of Child Health care ( the gap of health care results of Child Health care ( which index has the biggest gap? Which location andwhich index has the biggest gap? Which location and group has the most vulnerable issues )group has the most vulnerable issues ) Define direct and indirect impacts on Child health care Define direct and indirect impacts on Child health care resultresult =>. - Define the index of results Describe the change of index reflecting the result of healthDescribe the change of index reflecting the result of health care (10 years, 5 years ago before setting the target andcare (10 years, 5 years ago before setting the target and plan)plan) 3.Analysis and compare the results 3.Analysis and compare the results Compare among locations, provinces and groups of people. - Conclusion : location, area, people group has the lowest result of health care with the biggest gap. - result of health care with the biggest gap.. - D e fi n e t h e l a w o f m o v e m e n t, p ro g re s s o f in d e x D e fi n e t h e l a w o f m o v e m e n t, p ro g re s s o f in d e x 5.Define and 5.Define and analysizeanalysizeindex of cause and factorsindex of cause and factors impacting on the gap of health care resultimpacting on the gap of health care result Direct factors:Direct factors:. - 6.Define and 6.Define and analysizeanalysizeindex of crossingindex of crossing--sector sector factors impacting on the health care result. - factors impacting on the health care result. - Define issues needanalysizinganalysizing:: Example: The state of health care of Example: The state of health care of children below 5 yearschildren below 5 years. - Step Step 2: Define the index evaluating the2: Define the index evaluating the state of health care for childrenstate of health care for children Example: Example: The rate of children below 1 year. - The rate of children below 1 year. - The rate of children below 5 years. - The rate of newly born children below The rate of newly born children below 25002500grgr The rate of children without enough nutrition The rate of children without enough nutrition ranged into age groups ranged into age groups The rate of children without enough nutrition The rate of children without enough nutrition ranged into height of age groupsranged into height of age groups The rate of children without enough nutrition The rate of children without enough nutrition ranged into height group. - Example: Index of state of Child health care ranged into locations Area. - Therate of Children below5 years with inadequa ted nutritio n(2000). - Therate of Children below5 years with inadequa ted nutritio n.. - Example: The rate of distributionof children in age group: 0-4 years ranged into disease group and locations. - Example: Comparison of PARof the average rate of death of children below 5 years whole country with favourable location ( Hong river) |62 -44| PAR( children<5yrs. - Example: Comparison of PAR of the average rate of death of children below 5 years whole country with the most unfavourable location ( Tay Nguyen) |108-62| PAR(Children<5 years. - Example: Comparison of PAR of the average rate of death of children below 5 years in Tay Nguyen and Hong river |108-44| PAR(The rate of death<5 yrs. - Evaluate the rate of Step 4. - Evaluate the rate of achievement of indexachievement of index =>. - Selective issues Selective issues The result of Medical sector. - The result of Medical sector. - The gap of Medical and Health care service The gap of Medical and Health care service among locationsamong locations. - The gap of accessing Medical and Health care The gap of accessing Medical and Health care service among locationsservice among locations. - The gap of Medical and Health care service : The gap of Medical and Health care service : Medical equipmentsMedical equipments Human resource in this sector.Human resource in this sector.. - Example:Reasons and factors impacting health care in children below 5 years (con’t). - The rate of medical center with electricity, purified water and sanitation place CuuLong river. - South of the Middle. - North of the Middle. - Rate of birth (the number. - The rate of usingand medical service. - The rate of using health insurance, the rate of housing withhealth insurance, the rate of housing with pure water, sanitation place…pure water, sanitation place