Table 3 Gap analysis of HPSR production matched with regional research priorites identified in El-Jardali et al. 2010 [8]
| Â | Â | Country Specific | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Regional Priorities | Total (n = 1,489) | Bahrain (n = 75) | Egypt (n = 171) | Jordan (n = 209) | Lebanon (n = 163) | Libya (n = 90) | Morocco (n = 142) | Oman (n = 72) | Palestine (n = 86) | Sudan (n = 186) | Syria (n = 82) | Tunisia (n = 142) | Yemen (n = 71) |
Health Financing | % | % | % | % | % | % | % | % | % | % | % | % | % |
Household ability to pay for health care | 1.9% | 0.0% | 1.8% | 3.8% | 1.8% | 0.0% | 0.7% | 0.0% | 3.5% | 2.2% | 1.2% | 1.4% | 5.6% |
Elements of an equitable health financing system | 1.7% | 0.0% | 2.3% | 1.4% | 1.8% | 0.0% | 1.4$ | 0.0% | 2.3% | 1.6% | 1.2% | 2.8% | 4.2% |
Role of the Social Health Insurance system in guaranteeing equity | 1.0% | 0.0% | 1.8% | 0.5% | 0.6% | 1.1% | 2.8% | 0.0% | 1.2% | 0.0% | 0.0% | 2.8% | 0.0% |
Identifying best practices to develop and implement a national social health insurance system | 0.5% | 0.0% | 0.6% | 0.0% | 0.0% | 0.0% | 2.8% | 1.4% | 1.2% | 0.0% | 0.0% | 0.7% | 0.0% |
Linking population health needs to health spending | 0.5% | 0.0% | 0.0% | 0.5% | 0.0% | 1.1% | 0.0% | 2.8% | 2.3% | 0.0% | 0.0% | 0.7% | 0.0% |
Clarifying functions and coordination processes between ministries (for example the Ministries of Health and Finance) to improve health system financing and quality of services | 0.1% | 1.3% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 1.4% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
Means to track financial resources invested in health care to ensure value for money | 0.1% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 1.4% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
Accurate estimation of the health expenditure from the public and the private sectors including out-of-pocket expenditure | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
Population health status and needs | 6.1% | 8.0% | 2.3% | 11.0% | 3.1% | 11.1% | 3.5% | 0.0% | 9.3% | 5.9% | 4.9% | 5.6% | 9.9% |
Total | 12.0% | 9.3% | 8.8% | 17.2% | 7.4% | 13.3% | 11.3% | 6.9% | 19.8% | 9.7% | 7.3% | 14.1% | 19.7& |
Human Resources for Health | % | % | % | % | % | % | % | % | % | % | % | % | % |
Gaps in existing education and training programs | 11.1% | 22.7% | 14.6% | 17.7% | 3.7% | 6.7% | 5.6% | 8.3% | 12.8% | 6.5% | 9.8% | 10.6% | 19.7% |
Ways that can enable education and training programs to meet the population health needs | 9.0% | 4.0% | 13.5% | 9.1% | 10.4% | 1.1% | 10.6% | 6.9% | 8.1% | 12.4% | 3.7% | 9.2% | 7.0% |
Methods to measure HRH performance and productivity | 8.3% | 30.7% | 9.4% | 9.6% | 7.4% | 1.1% | 6.3% | 11.1% | 8.1% | 3.8% | 3.7% | 8.5% | 7.0% |
Ways to improve staff satisfaction | 2.6% | 2.7% | 4.1% | 5.7% | 3.1% | 0.0% | 2.1% | 2.8% | 1.2% | 0.0% | 0.0% | 3.5% | 1.4% |
Elements of performance evaluation | 2.4% | 5.3% | 1.8% | 2.4% | 3.1% | 0.0% | 1.4% | 5.6% | 0.0% | 0.5% | 0.0% | 7.7% | 1.4% |
Develop incentive mechanisms to better-manage the existing stock of HRH | 2.1% | 0.0% | 2.9% | 7.7% | 4.3% | 1.1% | 0.7% | 0.0% | 0.0% | 0.0% | 0.0% | 1.4% | 0.0% |
Information on patient satisfaction | 1.9% | 0.0% | 4.1% | 1.9% | 0.6% | 0.0% | 3.5% | 1.4% | 3.5% | 1.1% | 0.0% | 2.8% | 2.8% |
Accurate estimates and needs in numbers and specialties (mapping) | 0.9% | 1.3% | 0.0% | 1.0% | 1.2% | 0.0% | 1.4% | 1.4% | 3.5% | 0.0% | 0.0% | 1.4% | 0.0% |
Develop simulation models for HRH planning | 0.5% | 0.0% | 0.0% | 0.5% | 0.6% | 0.0% | 0.0% | 1.4% | 3.5% | 0.0% | 0.0% | 0.7% | 0.0% |
Means to develop HRH information systems in ministries of health and national observatories | 0.2% | 1.3% | 0.0% | 0.0% | 0.6% | 0.0% | 0.0% | 1.4% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
Total | 39.0% | 68.0% | 50.3% | 55.6% | 35.0% | 10.0% | 31.7% | 40.3% | 40.7% | 24.2% | 17.1% | 45.8% | 39.4% |
Role of the Non-State Sector | % | % | % | % | % | % | % | % | % | % | % | % | % |
Ways to regulate and monitor the quality of care in the private sector | 0.9% | 1.3% | 1.8% | 1.0% | 2.5% | 0.0% | 0.7% | 0.0% | 0.0% | 0.0% | 1.2% | 0.7% | 0.0% |
Ways to optimize the use of the existing resources of the non-state sector to meet health system objectives | 0.8% | 1.3% | 1.2% | 0.5% | 1.2% | 0.0% | 1.4% | 0.0% | 0.0% | 0.0% | 1.2% | 0.7% | 2.8% |
Ways for the public and private sector to complement their service delivery | 0.8% | 1.3% | 0.6% | 0.5% | 1.8% | 0.0% | 0.7% | 1.4% | 0.0% | 0.5% | 1.2% | 1.4% | 0.0% |
Scope, resources and kind of services provided by the non-state sector | 0.8% | 1.3% | 0.6% | 0.5% | 0.6% | 0.0% | 1.4% | 0.0% | 1.2% | 0.5% | 1.2% | 0.7% | 2.8% |
Defining the role and responsibility of the non-state sector | 0.7% | 1.3% | 0.6% | 0.5% | 1.2% | 0.0% | 0.7% | 0.0% | 1.2% | 0.5% | 1.2% | 0.7% | 0.0% |
Areas where the state and civil society groups can complement each other | 0.6% | 0.0% | 0.6% | 0.0% | 0.6% | 0.0% | 1.4% | 0.0% | 3.5% | 0.0% | 0.0% | 0.0% | 2.8% |
Foundation/elements for building strong public-private partnerships | 0.6% | 1.3% | 0.6% | 0.5% | 1.2% | 0.0% | 0.7% | 0.0% | 0.0% | 0.5% | 1.2% | 0.7% | 0.0% |
Ways to develop effective contracting mechanisms with the private and other non-state sectors | 0.6% | 1.3% | 0.6% | 0.5% | 1.2% | 0.0% | 0.7% | 0.0% | 0.0% | 0.5% | 1.2% | 0.7% | 0.0% |
Accreditation standards for private sector | 0.2% | 0.0% | 0.0% | 0.0% | 1.8% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
Measuring client satisfaction | 0.1% | 0.0% | 0.6% | 0.5% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
National plan for the contribution of the non-state sector | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
National database on the non-state sector | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
Total | 6.1% | 9.3% | 7.0% | 4.3% | 12.3% | 0.0% | 7.7% | 1.4% | 5.8% | 2.7% | 8.5% | 5.6% | 8.5% |
Do not fit under any of the priorities | 67.8% | 44.0% | 66.1% | 55.5% | 71.2% | 82.2% | 71.1% | 76.4% | 67.4% | 76.3% | 81.7% | 65.5% | 59.2% |