MSH Approach to Health Systems Strengthening: What Does This Mean For Me?

CLM Staff MeetingApril 26, 2012

Our Purpose

To have a productive engagement with CLM staff on MSH approach and how it applies to our work through:

• Examples when and where its been helpful• Reviewing approach and its 6 steps• Sharing an example of an LMG application• Soliciting staff feedback

Health Systems at Work

Source: World Bank, 2011

http://www.youtube.com/watch?v=PFVCNUOM5Us

The Danger of a Perfect Sub-System

Not considering demand means that many may go untreated

A misdirected outreach and delivery strategy is being used

THE IMPLICATION: A PERFECT SUB-SYSTEM MAY NOT ALWAYS HELP THE

ENTIRE HEALTH SYSTEM

6 steps to achieving greater impact

Step 1. Identify the health outcome or impact goal

Step 2. Identify the health challenges, their causes and risk factors

Step 3. Identify and select high impact interventions

Step 4. Determine health system requirements and bottlenecks to achieve coverage levels

Step 5. Identify the critical health systems interventions that address bottlenecks

Step 6. Select the most appropriate M&E indicators along the approach

MSH HSS Results Model

Example: LMG Ethiopia Model for HSS Results

Key Resource: One MSH Tools Database

You can access many key tools related to Health Systems Strengthening on the One MSH tools database located in the Tools and Resources sections of the Intranet.

MSH Approach to HSS: New Resources for Staff

• MSH Approach to HSS: A Staff Resource (revised March 2012)

• Project application worksheet• 4-pager on approach for external audiences (coming

soon!)

http://intranet.msh.org/technical-topics/hss/index.cfm

We Welcome Your Feedback

• Was this discussion about MSH’s approach and how it applies to CLM’s work helpful?

• Did you learn anything new?• Do you see the applicability to your work?• How would you make this approach useful to your work?• Is there anything else you would like to see as part of the

approach? • Is there anything you think would be helpful to

encourage its use?