References of "Porignon, Denis"
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See detailPolicy dialogue makes UHC happen
Porignon, Denis ULiege; Rajan, Dheepa

Conference given outside the academic context (2017)

This presentation provides an oversight of how the European Union-Luxembourg / WHO Universal Health Coverage Partnership supports countries towards UHC.

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See detailSupporting policy dialogue on national health policies, strategies and plans and universal health coverage. Year 5 Report 2016
EU/LUXEMBOURG-WHO UNIVERSAL HEALTH COVERAGE PARTNERSHIP; Porignon, Denis ULiege

Report (2017)

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See detailInitiatives et mécanismes correcteurs
Guisset, AL; Dispas, H; Meunier, P et al

in Santé Conjuguée (2017), 79

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See detailNéolibéralisme et politique de soins de santé
Guisset, AL; Dispas, H; Porignon, Denis ULiege

in Santé Conjuguée (2017), (78), 32-35

Qui oriente réellement les politiques de santé ? C’est la question posée à Denis Porignon et à Ann-Lise Guisset. Ils déclinent leur réponse à trois niveaux : global, national et individuel. Cet entretien ... [more ▼]

Qui oriente réellement les politiques de santé ? C’est la question posée à Denis Porignon et à Ann-Lise Guisset. Ils déclinent leur réponse à trois niveaux : global, national et individuel. Cet entretien, qui pose le décor et débusque certains travers de l’aide mondiale, sera suivi d’un second axé sur des initiatives et mécanismes correcteurs, à paraitre dans le prochain numéro de Santé conjuguée. [less ▲]

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See detailPolicy Dialogue Makes It Happen!
Porignon, Denis ULiege

Conference (2017)

This presentation synthesizes positive achievements made in the frame of the EU-Luxembourg / WHO Universal Health Coverage Partnership over the last 5 years (2012-2016). It presents activities conducted ... [more ▼]

This presentation synthesizes positive achievements made in the frame of the EU-Luxembourg / WHO Universal Health Coverage Partnership over the last 5 years (2012-2016). It presents activities conducted by the several hundreds of persons who were involved in the field work, as well as in Regional Offices and WHO HQ. Please see details on www.uhcpartnership.net [less ▲]

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See detailHealth systems governance for UHC: from global policy to operations in countries
Porignon, Denis ULiege

Scientific conference (2016, November 20)

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See detailStrategizing For Health In The 21st Century: Introduction
Rajan, Dheepa; Kadandale, Sowmya; Porignon, Denis ULiege et al

in Rajan, Dheepa; Kadandale, Sowmya; Schmets, Gérard (Eds.) Strategizing For Health In The 21st century (2016)

The global health environment is becoming increasingly complex. Social, demographic and epidemiological transformations fed by globali - zation, urbanization and ageing populations pose challenges of a ... [more ▼]

The global health environment is becoming increasingly complex. Social, demographic and epidemiological transformations fed by globali - zation, urbanization and ageing populations pose challenges of a magnitude that was not anticipated three decades ago. In addition, recent global health security threats such as the Ebola virus disease or Zika virus outbreak, and the growing mismatch between the low performance of health systems and the rising expectations of societies, are increasingly becoming a cause for political concern. This often leads to countries prioritizing, or re-prioritizing, efforts towards strengthening health systems, moving towards universal health coverage (UHC) and implementing the idea of health in all policies. Countries recognize that these calls for efficiently strengthening health systems and improving health security must be translated into robust, realistic, comprehensive, coherent and well balanced health policies, strategies and plans. In the post-Millennium Development Goals (MDGs) era, they also recognize that in pluralist, mixed, public-private health systems, these policies, strategies and plans have to relate to the entire health sector and cannot be limited anymore to “command-and-control” plans for the public sector. Functional health systems that deliver high quality services to the population are the main priority for governments. Achieving this requires permanent, well-structured and dynamic processes, with a true consensus between the demand and supply of services, as well as between governments, services providers and the population. A solid, evidence-informed policy dialogue is the only real way to achieve this in the 21st century. Furthermore, it is now widely understood that national health policies, strategies and plans (NHPSPs) extend much beyond “health care”, i.e. clinical personal services, and cover the broad public health agenda, including disaster preparedness, risk management and the Inter - national Health Regulations, encompassing action on the social determinants of health and the interaction between the health sector and other sectors in society. In the face of both these gradual and acute changes over the past decade, NHPSPs, and more importantly the process of developing the NHPSP, need to be adapted and given a different focus. This handbook attempts to address that need. In the context of the Paris, Accra and Busan principles of effective development cooperation, it is also widely recognized that in countries that receive significant external aid, NHPSPs are increasingly seen as crucial for making aid more effective. It is recognized that, during the MDGs era, plans or policies did not always fulfill their promises; this was often because of design deficiencies or implementation failures. It was common to observe that national plans were not inclusive, not comprehensive enough, often imbalanced and incoherent with the wide variety of health problems to be tackled. Often, there was a disconnect between national plans and the broader national development policies or policy frameworks, health financing strategies and macroeconomic policies. [less ▲]

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See detailA realist approach to studying the Universal Health Coverage Partnership
Robert, Emilie; Porignon, Denis ULiege; Ridde, Valéry

Conference (2016)

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See detailPolicy dialogue: What it is and how it can contribute to evidence-informed decision-making.
Rajan, D; El Husseiny, D; Porignon, Denis ULiege et al

E-print/Working paper (2015)

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See detailGenerating evidence of governance contribution to health outcomes
Porignon, Denis ULiege

Conference (2014, July 23)

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See detailComment on : “Do Sector-Wide Approaches for health aid delivery lead to ‘donorflight’? A comparison of 46 low-income countries” by Rohan Sweeney, Duncan Mortimer, and David W. Johnston
Paul, Elisabeth ULiege; Porignon, Denis ULiege; Dujardin Bruno, et al

in Social Science & Medicine (2014)

Critique of a published paper on health SWAps. We question the core of the article, as it is to us based on wrong assumptions, a maladapted design, questionable data, and it leads to dangerous conclusions.

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See detailRôles exercés par le Niveau intermédiaire du système sanitaire en République démocratique du Congo: représentations des acteurs
Mbeva JB; Schirvel, Carole; Karemere, Hermes et al

in Santé Publique : Revue Multidisciplinaire pour la Recherche et l'Action (2014), 26(5), 685-93

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See detailRéforme des structures intermédiaires de santé en République démocratique du Congo
Mbeva, Jean Bosco; Schirvel, Carole; Godelet, Eliane et al

in Santé Publique : Revue Multidisciplinaire pour la Recherche et l'Action (2014), 26(6), 649-658

Introduction: Dans le cadre de la réforme du système de santé et de la décentralisation prévue par la constitution en République démocratique du Congo (RDC), cette étude présente le processus et les ... [more ▼]

Introduction: Dans le cadre de la réforme du système de santé et de la décentralisation prévue par la constitution en République démocratique du Congo (RDC), cette étude présente le processus et les résultats obtenus en termes de modèle des structures intermédiaires de santé. Méthodes : Recherche-action participative multidisciplinaire en 2 phases et 9 étapes - intégrant des méthodes d’analyse organisationnelle, de team building et d'apprentissage organisationnel - qui a permis de tester en temps réel des actions de transformation, et de capitaliser les savoirs ainsi générés sous la forme d'un modèle innovant d’organisation. Résultats : Cette recherche-action a mis en évidence des dispositifs et des modes d'action rendant possible une action collective orientée sur le support du niveau intermédiaire aux districts de santé et qui permet de palier les faiblesses de l’organigramme officiel. La transformation organisationnelle a ensuite été formalisée dans un modèle innovant d'organisation basé sur 4 métiers : (i) Appui aux districts de santé, (ii) Information sanitaire, recherche et communication, (iii) Inspection-contrôle, (iv) Gestion des ressources. Les quatre métiers et leurs services ont été définis, les compétences et activités liées décrites. Les résultats, en termes de métiers, ont été intégrés au nouveau plan national de développement sanitaire. Conclusions : La démarche adoptée, centrée sur l’apprentissage et le changement organisationnels, a elle-même contribué à redynamiser certaines fonctions du niveau intermédiaire. Deux défis sont encore à relever : accompagner la transformation et l’étendre aux autres provinces de la RDC selon une approche participative, condition nécessaire d’ajustement aux contextes spécifiques. [less ▲]

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See detailDéveloppement du système de santé. Quelques considérations internationales.
Porignon, Denis ULiege

Conference given outside the academic context (2014)

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See detailHealth service planning contributes to policy dialogue around strengthening district health systems: an example from DR Congo 2008-2013.
Rajan, Dheepa; Kalambay, Hyppolite; Mossoko, Mathias et al

in BMC health services research (2014), 14

BACKGROUND: This case study from DR Congo demonstrates how rational operational planning based on a health systems strengthening strategy (HSSS) can contribute to policy dialogue over several years. It ... [more ▼]

BACKGROUND: This case study from DR Congo demonstrates how rational operational planning based on a health systems strengthening strategy (HSSS) can contribute to policy dialogue over several years. It explores the operationalization of a national strategy at district level by elucidating a normative model district resource plan which details the resources and costs of providing an essential health services package at district level. This paper then points to concrete examples of how the results of this exercise were used for Ministry of Health (MoH) decision-making over a time period of 5 years. METHODS: DR Congo's HSSS and its accompanying essential health services package were taken as a base to construct a normative model health district comprising of 10 Health Centres (HC) and 1 District Hospital (DH). The normative model health district represents a standard set by the Ministry of Health for providing essential primary health care services. RESULTS: The minimum operating budget necessary to run a normative model health district is $17.91 per inhabitant per year, of which $11.86 is for the district hospital and $6.05 for the health centre. The Ministry of Health has employed the results of this exercise in 4 principal ways: 1.Advocacy and negotiation instrument; 2. Instrument to align donors; 3. Field planning; 4. Costing database to extract data from when necessary. CONCLUSIONS: The above results have been key in the policy dialogue on affordability of the essential health services package in DR Congo. It has allowed the MoH to provide transparent information on financing needs around the HSSS; it continues to help the MoH negotiate with the Ministry of Finance and bring partner support behind the HSSS. [less ▲]

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See detailDelivering services: a balanced approach for Moldova
Porignon, Denis ULiege

Conference given outside the academic context (2013)

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See detailMaisons médicales: un point de vue international
Porignon, Denis ULiege

in Santé Conjuguée (2013), 66

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See detailInfection palustre et état nutritionnel: résultats d'une cohorte d'enfants âgés de 6 à 59 mois au Kivu en République démocratique du Congo
Mitalanga, PN; D'Alessandro, U; Donnen, P et al

in Revue d'Epidémiologie et de Santé Publique = Epidemiology and Public Health (2013), 61(2), 111-120

BACKGROUND: Despite a reduction in the magnitude of endemic malaria reported in recent years, malaria and protein-energy malnutrition (PEM) still remain major causes of morbidity and mortality in sub ... [more ▼]

BACKGROUND: Despite a reduction in the magnitude of endemic malaria reported in recent years, malaria and protein-energy malnutrition (PEM) still remain major causes of morbidity and mortality in sub-Saharan Africa among children under five. The relationship between malaria and malnutrition remains a topic of controversy. We aimed to investigate malaria infection according to nutritional status in a community-based survey. METHODS: A cohort of 790 children aged 6 to 59 months and residing in eastern Democratic Republic of the Congo was followed-up from April 2009 to March 2010 with monthly visits. Data on nutritional status, morbidity between visits, use of insecticide-treated nets and malaria parasitemia were collected at each visit. The Z scores height for age, weight for age and weight for height were computed using the reference population defined by the WHO in 2006. Thresholds for Z scores were defined at -3 and -2. A binary logistic model of the generalized estimating equation (GEE) was used to quantify the association between PEM indicators and malaria parasitemia. Odds ratio (OR) and their 95% confidence interval (95% CI) were computed. RESULTS: After adjustment for season, children with severe stunting (height for age Z score<-3) were at lower risk of malaria parasitemia greater or equal to 5000 trophozoits/μL of blood as compared to those in with a better nutritional status (height for age Z score≥-2) (OR=0.48, 95% CI: 0.25-0.91). CONCLUSION: Severely stunted children are at a lower risk of high-level malaria parasitemia. [less ▲]

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See detailExamen du système de santé au Maroc : défis et opportunités pour accélérer les progrès vers la couverture sanitaire universelle
Siddiqi, S; Souteyrand, D; Abdelrahim, I et al

Report (2013)

Préambule et objectifs de la mission Le Maroc a introduit un amendement historique à sa Constitution en 2011 en vertu duquel l’accès aux soins de santé a été reconnu comme droit humain fondamental. Cela a ... [more ▼]

Préambule et objectifs de la mission Le Maroc a introduit un amendement historique à sa Constitution en 2011 en vertu duquel l’accès aux soins de santé a été reconnu comme droit humain fondamental. Cela a offert une occasion unique de réformer le système de santé afin d'accélérer les progrès vers la couverture sanitaire universelle (CSU) et d'atteindre les objectifs du Millénaire pour le développement liés à la santé. Le ministère de la Santé prévoit un colloque national de haut niveau en juillet 2013 pour discuter de l'avenir du système de santé au Maroc. À cet effet, une mission a été organisée par l'Organisation mondiale de la Santé (OMS) en novembre 2012 en vue d’évaluer les diverses composantes du système de santé au Maroc, d’engager un dialogue sur les défis qui doivent être relevés, et de discuter de la Conférence planifiée et de l’appui de l'OMS. [less ▲]

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