Session 3: Georgios Lyratzopoulos

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The contribution of health services research to global NCD control: Case studies from Uganda and Egypt Dr Georgios Lyratzopoulos M.D, FFPH, FRCP, MPH, DTM&H Clinical Senior Research Associate NIHR Post-Doctoral Fellow

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Georgios Lyratzopoulos: “The contribution of health services research to global NCD control: Case studies from Uganda and Egypt”

Transcript of Session 3: Georgios Lyratzopoulos

Page 1: Session 3: Georgios Lyratzopoulos

The contribution of health services research to global NCD control:

Case studies from Uganda and Egypt

Dr Georgios LyratzopoulosM.D, FFPH, FRCP, MPH, DTM&HClinical Senior Research Associate

NIHR Post-Doctoral Fellow

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Why health care matters

• Primary prevention does not always work

• Health care increasingly preventive– Vaccination (not only for infection)– Screening (not only for cancer)– Community based management of chronic

disease

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Risk factor control

(smoking, obesity, alcohol,

infection, environmental){

{

Cancer control: Reducing mortality

Primary prevention

/ ↓ incidence

(40% max)

Improving survival

(60%)

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{

Cancer control: Reducing mortality

Improving survival

Early treatment Early diagnosis

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Globally, health services are dominated / characterised by:

• Hospital services (not primary care)

• Specialist doctors (not GPs & nurses)

• Lack of systematic improvement efforts– No quality measurement / indicators

– No quality assurance

– No performance management

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Introducing the case studies

• Case study 1: Helping to develop a quality culture in Egypt’s primary care system (Dr Ahmed Aboulghate)

• Case study 2: Helping to understand how to reduce mortality from cervical cancer in northern Uganda (Dr Amos Mwaka)

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