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Sunday, October 22, 2017

jim kim's most important project and youth netowrk connects china and future of health

do we have any china friends linking in with this?

China and the World Bank Officially Launch the Health Reform Program-for-Results

Photo: Li Wenyong/World Bank


  • The Health Reform PforR will support the health service delivery transformation and the scaling up of reform pilots to improve the quality and efficiency of healthcare services in China’s Anhui and Fujian provinces
  • The largest operation supported by the World Bank builds on the recommendations of the Healthy China study as well as on the experiments within China and international best practice.
  • With reforms implemented and supported by the PforR, China can leapfrog other countries in its pursuit of universal health coverage and health outcomes.

"As the largest operation in the history of China-World Bank cooperation, the Health Reform PforR sets a new milestone. The Program has incorporated the ‘Sanming Model’ and other local successful experience and findings of the health reform study. "
Yu Weiping
Vice Minister of Finance

BEIJING, September 22, 2017 - On this sunny autumn day in Beijing, the Government of China and the World Bank Group officially launched the China Health Reform Program-for-Results (PforR) to improve the quality of healthcare services and the efficiency of the healthcare systems in Anhui and Fujian provinces.
In the last few decades, China has made remarkable progress in increasing life-expectancy, reducing maternal and child mortality, and expanding health insurance for its population. At the same time, it faces new challenges, including aging, rising levels of non-communicable diseases, a hospital-centric health delivery system and rising expectations of an increasingly middle income population. In response, China’s government is determined to deepen its ongoing national health reform, and build a “Healthy China” as defined in the 2015 national strategy.
To support China’s health reforms, the World Bank Group, together with three key Chinese ministries and the World Health Organization, undertook a health sector study entitled Deepening Health Reform in China: Building High-Quality and Value-Based Service Delivery”. The Health Reform PforR builds on the findings and recommendations of the report as well as on the experiments within China and international best practice.
China’s health reforms have made major progress, which has laid a solid foundation for the implementation of the Program. Focuses on the key areas and issues, the Program will contribute significantly to the deepening of China’s health reform, by supporting the provinces to address the key and difficult issues, scale up successful pilots, learn from international best practice, and disseminate lessons learned to help find solutions for this global challenge,” said Li Bin, Minister of the National Health and Family Planning Commission (NHFPC) and Vice Chair of the State Council Healthcare Reform Leading Group.
 “As the largest operation in the history of China-World Bank cooperation, the Health Reform PforR sets a new milestone. The Program has incorporated the ‘Sanming Model’ and other local successful experience and findings of the health reform study,” said Yu Weiping, Vice Minister of Finance.  The Program is financed by an IBRD loan of US$600 million, the largest loan the World Bank has ever extended to China in the health sector.
Yu noted the Program’s two innovations: first, combination of top-level design, as demonstrated by personal involvement of the top leadership of China and the World Bank, with grassroots practice; and second, the program-for-result mechanism which turns major reform tasks into quantitative targets that are linked with disbursement of the World Bank loan, with independent supervision and evaluation by the third party to ensure implementation. 
Vice Governor of Anhui Province Fang Chunming and Vice Governor of Fujian Province Yang Xianjin spoke about the progress of health reforms in their respective provinces, and the preparations made to ensure smooth and efficient implementation of the Program. Anhui and Fujian are among the first provinces identified by the Chinese government as national health reform pilots.
Wang Jianjun Director-General from the National Development and Reform Commission in charge of the use of foreign capital reviewed the history of cooperation between China and the World Bank. “In the last three decades, the World Bank has provided nearly US$2 billion to China in support of 14 projects in the health sector. These projects brought new ideas, improved management and made positive contribution to the development of medical and health services in China.” Wang expressed hope that the PforR will help the Anhui and Fujian provinces speed up health reforms under the 13th Five-Year Plan, and provide examples and experience for the establishment of a basic medical and healthcare system suitable for China.
 “Business as usual, without reform, would result in growth of total health expenditure from 5.6 percent of GDP in 2015 to 9.1 percent in 2035, an average increase of 8.4% per year. With the proposed reforms, China could achieve significant savings – equivalent to 3% of GDP,” said Bert Hofman, World Bank Country Director for China
“I firmly believe that with the health reforms implemented in China and supported by the PforR, China can leapfrog other countries in its pursuit of universal health coverage, improving health outcomes for its population, and moving millions of people from poverty to prosperity, while maintaining cost effectiveness and affordability of the country’s health system,” Hofman said.
The Health Reform PforR will support the health service delivery transformation and the scaling up of reform pilots in Anhui and Fujian provinces, with specific focus on comprehensive public hospital reform; building an effective People-Centered Integrated Care (PCIC) based health system; and addressing the enabling environment, which includes cross-cutting areas applicable to both hospitals and PCIC. The Program will be implemented from 2017 to 2021, directly benefiting 107.7 million people in the two provinces covered.
Learning is an integral part of this PforR. The Program supports the establishment of a three-level knowledge generation and learning framework, aimed to learn from implementation of the reforms at the provincial level, share and mainstream the provinces’ experience at the national level, and share the lessons learned with other countries at the international level.
The launch was chaired by Director of the State Council Health Reform Office and Vice Minister of NHFPC Wang Hesheng, and attended by senior officials and representatives from the related government ministries, Anhui and Fujian provinces, the World Bank Group, the World Health Organization, embassies of the United Kingdom and Australia, and the United Foundation for China’s Health.

square dancing started as way for elders to keep helathy - has become a fashion and socal movement appealing to all ages- gateway to discussing all welbeing vents that the people can empower

peace ark -china's medicine sans frontieres is connected by a ship

health is the sector that booth rural and elder china will demand as showing that china rejuvenation is working - jim kim indicates that his biggest personal project out of world bank is how experiments in chinese health care can be open sourced to the world- of course in china dialogues on industrail revolution 4 begin and end with:
communities for all
redesigning supoerciteis and goojin green and learning from every ultra sustainbility project - so that no underclass ever slips back in to the extreme poverty traps were prevalent during the 20th's centurty less connecvted age

china has now achieved a universal basic medical insurance- it would be fascinating to understand what this covers and how this has ben built as the lowest cost universal health care system of any nation

Wednesday, October 18, 2017

33 years ago my family started debate at The Economist: best indicator of whether worldwide web was being designed to empower sustainbility generatiob  would bring down cost of health designed to increase life expectancy so that most countreis enjoyed 90% of people living full working lives;

for 50 years we have been debating entrepreneurial revolution of whether little sister networks would be value more by worldwide web era than big brother networks- the next 10 years are sustainability's last call for which families vote for litel sister networking (eg big data small0 not big brother's endgame
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  1. we support web so nobody dies before their time but 1960s europe started ponzi scheme health

Friday, October 6, 2017

dear thorkil and friends

thorkil - catch up call will be great - both days work
i believe it was rosemary picard's network at mit who first mentioned (to me) your million jobs for autism network but that was about 7 year ago - affectiva may well be mit media lab's most connected group exploring 


lee who invented extextiles, jose in midst of makers labs at mit, and jayfus in baltimore are tech wizards applied to humanity 
i will keep at massive collaboration opportunities -eg the music networks in new york and chung business school and the special olympics in dc- often things go into a time warp as collaboration decision making is complex

tell me if you have ideas of information or actions my friends or i could try to progress
for 2 years now amy and i have been making slow progress on understanding exactly which issue networks mrs jinping leads in addition to music ; from the perspective that a lot of the most valuable breakthroughs in jobs and education cant be taught in classroom but need peer to peer safe spaces, i am confident mrs jinping is pivotal

for example while michelle obama was the first lady she spent some quality time at the womens g20 with mrs jinping- mrs obama has gone on record as saying if she only achieves one thing it will be to develop the sort of peer to peer teaching adolescent girls need in africa and disconnecetd places on menstruation and other female issues; i am pretty sure those are mrs jinpings remit too

amy is the person to trust if you want specific seraches done in chiense and we are currently trying to understand what she can multiply out of columbia university

i think i mentioned ed resor and www.worldpossible.org to you - the epicentre of all completely open learning networks (ie khan academy and a lot more); both he and camilo whose wall street fund aims to end poverty in latin america all live a few blocks from columbia university if you are ever in the region; amy is also lucky to know harrison owen whose open space technolgu helps up to 5000 people collaborate at at time; i mentioned that mrs song i beijing has been applyong open space for over a decade know to those social issue the party most wants to empower- i dont know if she has connected with autism yet

al in baltimore is our leading baptist and franciscan faith networker with youth; during jim kim first year 2012-2013 at world bank a lot opened up on peer to peer health and franciscan values networking but it seems to have been lost bureaucratically in spite of extraordinary health adminstratrs in baltimore likeleana wen- for example in spite of attending 30 meetings at world bank i would have any idea on how to find out who is the person who craes most about autism; maurice is youth ambassador at the community building events organsiaes by the vatican university- maurice -is there a way to find out who cares most about autism in rome- thorkil is creating million jobs for this group

george patton from australia was over at one of world bank yout summits explaining how his work with lancet had discovered adolescent health as the biggest missing livelihoods curriculum of all; i am not up to date with where his geographic progress is accelerating and whether the autism segment is a group that could intersect with his work

Thursday, October 5, 2017

Guadalajara, Mexico | 11 – 14 October 2017

endTB Symposium: Accelerating TB elimination through access to bedaquiline and delamanid Hall 10 - Jalisco Hall October 12 14:00 – 15:30
The symposium will provide an update on the UNITAID-funded endTB initiative and findings, including culture conversion and reversion and adverse events for the 600 people who have received bedaquiline or delamanid.
Community space (Encuentro) session: Five urgent improvements to DR-TB treatment Foro - Encuentro Expo October 13 17:00 – 18:00
Evidence for treatment with newer DR-TB drugs, shorter treatment regimens, ambulatory care instead of hospitisation, and fast-track registration of new drugs.
MSF Symposium: Reducing catastrophic costs for people with TB through patient-centred care Hall 10 - Jalisco Hall October 14 10:30 – 12:00
Session will analyse the barriers to reducing costs and burden for people with drug-resistant TB including: decentralised and ambulatory treater, shorter treatment and newer drugs to reduce toxicity, and interventions to reduce out-of-pocket costs of treatment.

Many national TB programmes are out of step with international recommendations for testing, treatment and prevention: results of a 30 country survey Hall 2 – Events Ballroom October 12 16:00 – 17:30 SOA-365-12
Setting up an active pharmacovigilance system for the endTB project Hall 13 - Jalisco Hall October 13 10:30 – 12:00 OA-160-13
Early safety and efficacy of bedaquiline and delamanid combination for drug-resistant TB in Armenia, India and South Africa Plenary Hall October 13 10:30-12:00 OA-2905-13
Adverse events over 6 months with delamanid in a programmatic setting in Khayelitsha, South Africa Hall 13 – Jalisco Hall October 13 10:30 – 12:00 OA-162-13
Safety of multidrug resistant tuberculosis treatment amongst patients receiving bedaquiline in a compassionate use program in Armenia and Georgia Hall 13 – Jalisco Hall October 13 10:30 – 12:00 OA-163-13
Risk factors for developing hypothyroidism among MDR-TB patients receiving Eto and/or PAS in Maputo, Mozambique Hall 13 – Jalisco Hall October 13 10:30 – 12:00 OA-164-13
Psychiatric comorbidity among drug-resistant tuberculosis patients Hall 13 – Jalisco Hall October 13 10:30 – 12:00 OA-167-13
Culture conversion and reversion of multidrug resistant tuberculosis patients receiving bedaquiline in a compassionate use program in Armenia and Georgia Hall 13 – Jalisco Hall October 13 16:00 – 17:30 OA-188-13
Bedaquiline- and linezolid-based regimens for fluoroquinolone-resistant MDR-TB: how much better is it? Hall 13 – Jalisco Hall October 13 16:00 – 17:30 OA-190-13
Outcomes of multidrug resistant tuberculosis patients receiving Bedaquiline in a compassionate use program in Armenia and Georgia Hall 13 – Jalisco Hall October 13 16:00 – 17:30 OA-192-13
Delamanid for rifampicin-resistant tuberculosis: an observational cohort study from Khayelitsha, South Africa Hall 13 – Jalisco Hall October 13 16:00 – 17:30 OA-193-13
Value of determine-TB LAM test as screening test and as diagnostic tool for tuberculosis diagnosis in HIV positive adults Hall 8 – Events Ballroom October 13 10:30 – 12:00 SOA-402-13
Cost-effectiveness of including determine TB-LAM test to diagnose tuberculosis in HIV-positive symptomatic patients Hall 4 – Events Ballroom October 14 10:30 – 12:00 SOA-443-14
Incidence of latent tuberculosis infection and tuberculosis disease after 24 months follow-up in paediatric contacts of drug-resistant tuberculosis patients in Armenia Hall 13 - Jalisco Hall October 12 14:00 – 15:30 SOA-360-12
High rates of active hepatitis C amongst multidrug resistant tuberculosis patients in Armenia Hall 14 - Jalisco Hall October 12 10:30 – 12:00 OA-125-12
All poster prentations take place in the Poster Area from 12:45 – 13:45 on the designated date

Threats to affordable quality second-line TB drugs in Eastern Europe/Central Asia as the Global Fund shifts to national procurement October 14 PD-893-14
Introduction of a short standardized course of treatment for multidrug-resistant Tuberculosis in Mozambique: cohort description and early culture conversion in HIV-positive and HIV-negative patients October 12 PD-537-12
Outcomes and risk factors in a program treating MDR-TB in Swaziland for 2011-2013 cohorts October 12 PD-547-12
Drug induced hypothyroidism during treatment for multidrug resistant tuberculosis in Swaziland October 13 PD-685-13
Lessons learned from the design, development, and deployment of endTB electronic medical record for MDR-TB across 16 countries October 13 PD-700-13
Interim report on the use of a short, simplified regimen for the treatment of children with multidrug-resistant tuberculosis in Karakalpakstan, Uzbekistan October 13 PD-809-13
Accelerating access to delamanid for rifampicin-resistant tuberculosis in Khayelitsha, South Africa October 14 PD-891-14
The impact of pyrazinamide resistance upon the treatment outcome of patients with multidrug-resistant tuberculosis in Karakalpakstan, Uzbekistan October 14 PD-894-14
Evaluation of the OMNIgene® SPUTUM reagent for long term transportation of samples for Xpert testing in a high TB-HIV setting October 13 PD-837-13
Does the determine-TB LAM test have a potential value in tuberculosis diagnosis among severely acute malnourished (SAM) children? October 14 PD-924-14
Discordances between TST and IGRA to detect latent tuberculosis infection in paediatric contacts of drug-resistant tuberculosis patients October 14 PD-944-14
For MSF TB reports, go to: https://www.msfaccess.org/tb
· Out of Step 2017: www.msfaccess.org/outofstep2017
· DR-TB Drugs Under the Microscope, 5th Edition (COMING SOON)