Dheepa Rajan

Dheepa Rajan
World Health Organization WHO | who

MD, PhD

About

44
Publications
20,196
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461
Citations
Citations since 2017
30 Research Items
443 Citations
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Publications

Publications (44)
Article
Full-text available
Health governance challenges can make or break Universal Health Coverage (UHC) reforms. One of the biggest health governance challenges is ensuring meaningful participation and adequately reflecting people’s voice in health policies and implementation. Recognizing this, Iran’s Health Transformation Plan (HTP) lays out the country’s blueprint for UH...
Chapter
L’environnement sanitaire mondial devient de plus en plus complexe. La mondialisation, l’urbanisation et le vieillissement de la population contribuent à des transformations sociales, démographiques et épidémiologiques à l’origine de problèmes dont l’ampleur n’a pas été anticipée il y a 30 ans. En outre, les menaces pour la sécurité sanitaire mondi...
Article
Full-text available
Background While an estimated 70%–75% of the health workforce are women, this is not reflected in the leadership roles of most health organisations—including global decision-making bodies such as the World Health Assembly (WHA). Methods We analysed gender representation in WHA delegations of Member States, Associate Members and Observers (country/...
Article
Full-text available
Background: Policy dialogue, a collaborative governance mechanism, has raised interest among international stakeholders. They see it as a means to strengthen health systems governance and to participate in the development of health policies that support universal health coverage. In this context, WHO has set up the Universal Health Coverage Partner...
Chapter
What are skill-mix innovations and why are they relevant? This systemic analysis of health workforce skill-mix innovations provides an overview of the evidence and lessons for implementation across multiple countries. The authors focus on six core segments of health systems: health promotion and prevention, acute care, chronic care, long-term and p...
Article
Full-text available
Problem: Political economy factors are important in determining the adoption and implementation of health policies. Yet these factors are often overlooked in the development of policies that have the potential to influence health. Approach: Political economy analysis provides a way to take into consideration political and social realities, wheth...
Article
Full-text available
Participatory governance means engaging with the population with the aim of making policies more responsive and implementable. The COVID-19 pandemic has, however, highlighted that much-needed reforms towards true participatory governance of the health system has not been adequately prioritised and resourced. In this article, we explore what is mean...
Article
The presentation will discuss housing as a social determinant of health. It will highlight how housing links to health system performance and thus demonstrate how contextual factors, usually placed outside the health system's boundaries, impact on intermediate outcomes and final goals.
Article
In this session, WHO together with the UHC2030 Technical Working Group on Health System Assessment and the European Observatory on Health Systems and Policies discuss the main elements of their joint approach to HSPA. The workshop intends to propose a common and practical framework that links descriptive health system analysis with evaluation, focu...
Article
Full-text available
Governance is the most important enabler of health system functioning. It provides a foundation and lever for resource generation, financing, and service delivery and ensures they operate well and in coordination with the rest of the system. It also extends beyond the health system through interactions between levels and actors. While there is no u...
Article
Full-text available
Civil society and community groups are active players in the COVID-19 response, providing support, advice and information where government reach is poor. Yet most governments have not managed to bring civil society's perspectives, insights, and experiences into the COVID-19 response in a systematic way. If the world is to 'build forward better', mo...
Book
Full-text available
Social participation is an important means for governments to develop responsive health policies and programmes, which are more likely to be implemented by a broad stakeholder group. It is at the heart of the inclusive governance needed for countries to stake their individual paths towards Universal Health Coverage while ensuring that no one is lef...
Article
Health system functions are the core components of the HSPA Framework for UHC. In line with the existing work, we have distinguished four health system functions: governance, financing, resource generation and service delivery. For each of those functions we have identified a number of sub-functions through a systematic process. We then linked the...
Article
Full-text available
Introduction Health system governance is the cornerstone of performant, equitable and sustainable health systems aiming towards universal health coverage. Global health actors have increasingly been using policy dialogue (PD) as a governance tool to engage with both state and non-state stakeholders. Despite attempts to frame PD practices, it remain...
Article
Full-text available
Improving health governance is increasingly recognised as a key pillar for achieving universal health coverage (UHC). One good practice example of a participatory health governance platform is the National Health Assembly (NHA) in Thailand. This review of 9 years of the Thai NHA process attempted to understand how it works, given the paucity of suc...
Article
Full-text available
Introduction In 2011, WHO, the European Union and Luxembourg entered into a collaborative agreement to support policy dialogue for health planning and financing; these were acknowledged as core areas in need of targeted support in countries’ quest towards universal health coverage (UHC). Entitled ‘Universal Health Coverage Partnership’, this interv...
Technical Report
Full-text available
This report presents findings and analysis related to accountability, its connections to health governance, and links to health system performance. It categorizes and reviews evidence from the literature, further informed by several technical experts' input. The most consistent findings are the importance of context and how it influences particular...
Article
Full-text available
BACKGROUND: We seek to highlight why population consultations need to be promoted more strongly as a powerful means to move health reforms towards Universal Health Coverage (UHC). However, despite this increasing recognition that the "population" is the key factor of successful health planning and high-quality service delivery, there has been ver...
Article
Full-text available
In an editorial published in this journal, Baltussen et al argue that information on cost-effectiveness is not sufficient for priority setting for universal health coverage (UHC), a claim which is correct as far as it goes. However, their focus on the procedural legitimacy of 'micro' priority setting processes (eg, decisions concerning the reimburs...
Book
Full-text available
This handbook is designed as a resource for providing up-to-date and practical guidance on national health planning and strategizing for health. It establishes a set of best practices to support strategic plans for health and represents the wealth of experience accumulated by WHO on national health policies, strategies and plans (NHPSPs). WHO has...
Chapter
Full-text available
The global health environment is becoming increasingly complex. Social, demographic and epidemiological transformations fed by globalization, 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...
Article
Full-text available
The impact of surgical conditions on global health, particularly on vulnerable populations, is gaining recognition. However, only 3.5% of the 234.2 million cases per year of major surgery are performed in countries where the world's poorest third reside, such as the Democratic Republic of the Congo (DRC). Data on the availability of anesthesia and...
Article
Full-text available
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 re...

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Projects

Projects (6)
Project
The UHC2030 Health System Assessment (HSA) Technical Working Group was in place from 2017-2020 to steer the conceptualization of a performance framework to orient HSA data collection and analysis. Coordinated by WHO and technically supported by the European Observatory on Health Systems and Policies, the Health System Performance Assessment Framework for Universal Health Coverage was launched in June 2022 https://www.uhc2030.org/what-we-do/working-better-together/uhc2030-technical-working-groups/health-systems-assessment-technical-working-group/
Project
best practices document for WHO Member States to more effectively engage with populations, civil society, and communities