Innovation and Technologies for Resilient and Sustainable Systems for Health
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Seeking out innovations and utilizing technologies is central to UNDP’s approach to supporting resilient and sustainable systems for health. Innovation and technologies for health have the potential to strengthen systems and their resilience to shocks, increase speed of interventions, improve data quality and reporting, increase accountability and ensure continuity.
There are a number of examples including; i) health worker payments, through mobile payment schemes; ii) new health technologies like medicines, vaccines and diagnostics; iii) digitizing the vaccine supply chain, eVIN in India; iv) real-time public financial management in Zimbabwe; v) collecting and reporting data from district using mobile technologies; vi) developing ‘green health services’ to help governments minimize environmental impact through environmentally-sensitive health procurement; vii) supporting countries to harness the use of solar power including cold chain systems to strengthen the sustainable, climate-resilient delivery of essential services; and viii) developing online support platforms for health programme strengthening that can be accessed by stakeholders globally.
Digitizing the last-mile
The project, run in partnership with the Indian Ministry of Health and Family Welfare, with financial support of Gavi-the Vaccine Alliance, has digitised the supply chain for vaccine distribution across 10,500 vaccine cold chain points, in 12 states of India, meeting the needs of the country immunization programme. It enables cold chain managers to update information on vaccine stocks after every immunization session using mobile technologies. The temperature logger device installed at each vaccine storing refrigerator supports remote temperature monitoring which further helps to ensure safety and potency of vaccines. These updates are stored on a cloud server that provides dashboards for health officials with real-time data of vaccine stocks, consumption, and temperature monitoring.
Solar for Health - Saving Lives, the Environment and Money.
UNDP’s Solar for Health initiative supports governments to increase access to quality health services through the installation of solar energy photo-voltaic systems (PV), ensuring constant and cost-eﬀective access to electricity, while also mitigating the impact of climate change and advancing multiple SDGs.
A recent review by WHO shows that between a quarter and a third of health facilities lack a reliable supply of power. UNDP’s Solar for Health initiative supports governments to increase access to quality health services through the installation of solar energy photo-voltaic systems (PV), ensuring constant and cost-eﬀective access to electricity, while also mitigating the impact of climate change and advancing multiple SDGs.
In the current phase UNDP has supported the installation of solar systems in over 500 health facilities. Solar systems contribute to the sustainability and quality of health services by providing a stable, clean, economic and reliable energy supply, even in the most remote locations. This increases resilience of health systems to shocks and extreme weather events, while at the same time meaning more patients can access the health services they need.
Levering Procurement Volumes
For HIV, UNDP has used volume leverage with manufacturers, as well as health procurement architecture as a market mechanism to achieve impact. Price negotiations between UNDP and suppliers have achieved a landmark treatment cost of $75 per patient per year for the for the first line antiretroviral medicines - the fixed-dose combination of Tenofovir, Lamivudine and Efavirenz (TLE).
Sustainable Procurement for Health
UNDP is adopting incremental measures and models in its health procurement practices to minimize environmental impact and to incorporate economic and social sustainability.
The main strategy adopted by UNDP relates to: optimizing medicines packaging; reducing CO2 emissions by optimizing health product procurement transport scenarios; and influencing suppliers in long-term agreements with UNDP, to introduce sustainability in their business models through the monitoring and review of sustainability criteria.
Financial Management Technologies and Risk Management for Health – Zimbabwe
The Government of Zimbabwe Public Financial Management System (PFMS) had been in limited use by government ministries and did not have the capability for managing donor funding.
Investment Cases for Non-Communicable Diseases (NCDs)
Harmonized Results to Showcase Progress
Innovative Health Information Systems Technologies – Zimbabwe
The DHIS-2 package, implemented in partnership with PEPFAR and RTI, provided a dramatic improvement in data management and analysis for health programme monitoring and evaluation, leading to more informed decision making.
UNDP Capacity Development Toolkit an Innovative Web-Based Platform for Health
Google analytics has recorded 64,500 page views over a 24 month period from over 150 countries. To respond to this growing demand a new website is being designed utilizing new technologies, based on the structure and content of the UNDP Capacity Development Strategy for Health. The online toolkit https://undp-healthsystems.org/ supports the functional capacities including financial management and procurement and supply chain management, as well as the legal and policy environment. For each topic guidance is provided together with resources, manuals, standard operating procedures (SOPs), tools etc.
The online Toolkit has contributed to capacity development plans for health through a dynamic process of assessment, interventions and monitoring using performance indicators. In 2017 UNDP facilitated capacity development and sustainable transition plans for national health entities including; i) Ministries of Health; ii) National Aids Councils; iii) Civil Society Organizations (CSOs); iv) Health Procurement Bodies; and v) Health Governance Mechanisms. In early 2018 comprehensive capacity development plans were in place in 9 countries, one example is Afghanistan, where plans are in place for both the Ministry of Public Health and different CSOs. 2018 is the beginning of new strategic plans and grant cycles in several countries, new capacity development requests are being responded to including combined Adolescent Girls and Young Women and Key Populations as well as strategic capacities for CSOs working in Health and HIV.