from 8.30Coffee
09.10 - 10.45

How can healthcare be aligned to the needs of the population?

"A health system should strive for both horizontal and vertical equity – treating alike all those who face the same health need, and treating preferentially those with the greatest needs – to be consistent with the goal of reducing health inequalities." (World Health Report 2000)

The following introductory contributions present different political choices and approaches.

Marcel Tanner, Director of the Swiss Tropical Institute: Choosing health interventions and setting priorities. An overview based on experience in Switzerland and Tanzania.

Bonaventure Savadogo, former Head of the Division of Planning and Evaluation in the MoH in Burkina Faso: Prioritisation and resource allocation in health systems in subtropical Africa. An overview on decision centres and powers.

Guy Morin, medical doctor, former president of the Health commission of the Canton Basel: Resources allocation in the Swiss health sector – respecting needs, options, and financial means.

Jean-Marc Thomé, Swiss Red Cross: The Takeo Referral Hospital (Cambodia) pioneering a sustainable health financial scheme.

10.45 - 11.15Break
11.15 - 12.15

Kupanga Ni Kuchagua*

Learning from Tanzania? Needs assessment, planning and implementing processes, and the role of leadership (*Julius Nyerere: To plan is to chose)

Maximilian Mapunda, health economist, WHO Office Dar es Salaam: Experiences in resource allocation in Tanzania especially related to Sector wide Approach and health basket fund

Don de Savigny, research manager of the Tanzania Essential Health Intervention project: Choosing health interventions and setting priorities. A district-level perspective from Tanzania

12.15 - 13.30Lunch Break (Lunch will be offered to participants)
13.30 - 15.00Breakout Session A - German:

......and if there is not enough money anyhow:
Ethical and economical aspects of rationing

Even if the scope of problems and the amount of resources available canot be compared between rich and poor countries, there are the same basic questions – and possibly answers - regarding the dilemma of rationing. A Round Table for professionals working in Switzerland and abroad, with some special guests:

Christoph Pachlatko, Economist and Theologian, Director of the Swiss Epilepsy Centre in Zürich und founding member of Dialog Ethik

Guy Morin, medical doctor, former president of the Health commission of the Canton of Basel

Ruedi Spöndlin, lawyer and journalist, editor of the magazine "Soziale Medizin"

Representatives of Swiss organisations working in the field of international health cooperation

13.30 - 15.00Breakout Session B - German, French:

How can communities define and defend their own priorities?

“Participation of communities is higher in implementing actions than in decision making, and health services are still weakly responsive to community inputs. Local communities have little control over budgets and planning, and decision making in health makes relatively weak and unsystematic use of local evidence, especially evidence on community preferences and priorities. But unless the people affected by ill health have grater control over the resources needed for health care or to be healthy, equity goals will remain a dream” (Equinet, 2002)

Exchanging experiences on successful processes in which Swiss organisations have been involved.

Bea Schwager, medico international switzerland

Jean-Dominique Laporte, iuéd

Nicolaus Lorenz, Swiss Tropical Institute

13.30 - 15.00Breakout Session C - English

New challenges, new money - and old strategies?
Talking about the priorities of international and national programmes

"Today, as the HIV/AIDS pandemic enters its third decade, fresh political will and new technologies have created an opportunity to turn the tide of this global killer. The international community must act now. I will focus WHO's resources on supporting countries on the forefront of the pandemic." (New WHO DG Lee, 21 July 2003)

There are worries that international organisations tend to prioritise traditional vertical programmes which focus on fighting a single disease such as AIDS or malaria, neglecting the reform and integration of national health systems. Is this analysis correct? How can Switzerland influence the strategies of the multilateral programmes? And how does the Switzerland define the priorities of its own health cooperation? – Talking with representatives of the Swiss Agency for Development and Cooperation SDC who are in a position to give some answers...

Jacques Martin, UN-Development Division, SDC

Daniel Mäusezahl, Social Development Division / Health, SDC

13.30 - 15.00Breakout Session D - English

Take care of your money – and of people! The role of Governance and Stewardship

There is widespread evidence that resources destined for health are used ineffectively and inefficiently and not reaching those most in need. So how can the gap between good intentions and the implementation of effective health services be overcome? What can good governance and stewardship contribute to improving health outcomes – both at national and sub-national level? The discussion will be lead by two guests who are familiar with the issues – and able to give some answers.

Rene Loewenson, Coordinator of Equinet Africa, Zimbabwe

Rudolf Fischer, Director of SolidarMed

15.00 - 15.30Break
15.30 - 16.30Closing Plenary
Feedback from Breakout Sessions
16.30End of the Symposium