Measurement of Health System Strengthening, A

Measurement of Health System
A case study from PATHS2 Nigeria
Hong Wang, MD, PhD
Abt Associates Inc./Yale University
1st Global Symposium on Health Systems Research
November 17, 2010
Background and objective
 Background
 Health system strengthening (HSS) is now a global
health priority
 Yet, little common understanding/agreement of what
HSS is and how to track the impact of HSS
 Objective
 To stimulate the debate and discussion on how to
track the impacts of a comprehensive HSS using
PATHS2 as an example
PATHS2 program in Nigeria
• Partnership for Transforming Health Systems:
Phase 2 (PATHS2), is a follow up program of PATHS
• A comprehensive system-wide HSS program,
• Funded by DFID: 2008-2014,
• Implemented by a consortium of partners led by Abt
Associates Inc.,
• Goal: Using Nigeria's own resources more efficiently
and effectively to achieve the MDGs.
 In response to DFID’s requirement, PATHS2 has
developed a unique framework and approach to
measure the system changes over the program period
Outline of this panel
Overall framework, indicators, and methodologies of
tracking HSS in PATHS2 (Ibrahim Yisa, PATHS2,
Nigeria/Abt Associates)
Assessment of health policy and policy development
capacity (Allison Goldberg, Columbia University)
Public expenditure management assessment (Benson
Obonyo, PATHS2, Nigeria/Abt Associates)
Measuring the readiness of service delivery system to
response to healthcare needs (Ayman Mohsen, Abt
Demand side and community engagement assessment
(Ben Rolfe, Options)