Session 3: Georgios Lyratzopoulos
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Transcript of 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
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
Risk factor control
(smoking, obesity, alcohol,
infection, environmental){
{
Cancer control: Reducing mortality
Primary prevention
/ ↓ incidence
(40% max)
Improving survival
(60%)
{
Cancer control: Reducing mortality
Improving survival
Early treatment Early diagnosis
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
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)