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How to support the design of universal health coverage policies through better information sharing and support to evidence-informed decision-making? Co-construction of a UHC observatory in Senegal

par Ndiaye, Youssoupha;Sarr, Samba Cor;Basse, Clément;Labat, Aline
Référence European Congress on Tropical Medicine and International Health (11: 16-20/09/2019: Liverpool United Kingdom)
Publication Non publié, 2019-09-19

Communication à un colloque

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Résumé :

Introduction: Despite many global and national sources of health data coexist and produce huge amounts of information, important factors limit the capacity of decision-makers to utilise evidence for policymaking in the health sector. Usually information is not centralised and “raw data” are difficult to interpret and use on their own. National Health Observatories have been proposed as a tool enabling to generate evidence ready to use for policymaking. Such an Observatory is being set up in Senegal to support the universal health coverage (UHC) policy.Aim: This study presents the co-construction process utilised in Senegal to decide on the design characteristics of the future UHC Observatory.Methods: Following a literature review which enabled to analyse experiences of existing platforms of knowledge transfer, the Ministry of Health and Social Affairs (MoHSA) identified key stakeholders – data producers and potential users – and involved them in a co-construction process of the future UHC Observatory. We describe this process and basic design elements.Results: Since the Observatory aims to support the intersectoral UHC policy, a large array of stakeholders have to be involved in its design. Key stakeholders – policymakers, the agency in charge of coordinating the UHC policy implementation, mutual health insurance companies, data producers such as research centres, knowledge managers, healthcare providers and donors – were identified and contacted by MoHSA, first to collect information on their expectations regarding the design of the UHC Observatory, and then to be regularly involved in its co-construction. The following elements of the design were gradually decided upon in a consensual way: objectives and missions, steering committee and other regulatory bodies, technical and managerial bodies, stakeholders’ contributions, resource pooling arrangements, ways of fostering knowledge transfer for policymaking.Conclusion: Under MoHSA leadership, the UHC Observatory is currently being co-constructed which guarantees a strong consensus among stakeholders and hence their commitment and involvement. The UHC Observatory will be a dynamic platform, not just aimed at collecting health data available in Senegal, but also at combining them to produce evidence and share it with policymakers and the broader public so as to gradually improve the UHC policy and its implementation.