232038 Scaling Up Health and Development in China--From Model Counties to Tibet using SEED-SCALE

Tuesday, November 9, 2010 : 11:00 AM - 11:20 AM

Henry Gordon Taylor, MD, MPH , Department of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, MD
Daniel Taylor, PhD , Future Generations, Franklin, WV
Carl E. Taylor, MD, DrPH , International Health, Johns Hopkins Univ. School of Public Health, Baltimore, MD
From 1980 to 1995 a pilot program in localized health care expanded from an initial population of four million in ten counties of China to a population of 160 million in 400 counties. Then based on this experience, an extension of this project, adapting key ideas into the SEED-SCALE methodology, applied the scaling up approach in the Tibet Autonomous Region of China. In Tibet the focus was on engaging a synergy between health and nature conservation. Two geographic areas were concentrated on; the six million acres Mount Everest Nature Preserve and the forty million acre Four Great Rivers Ecosystem Project. In both the Model Counties and the Tibet applications the principles central to both project extension and sustainability were engaging partnerships with local governance and adapting the service design to local realities. This resulted in local governance groups providing resources to the projects and augmented their extension and sustainability. Additionally, expanding project scope beyond a strict health care focus also contributed to local engagement.

Learning Areas:
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Explain how the challenge of scaling up health care remains one of the most important goals before health delivery worldwide. Identify how a program can scale up by adapting to local conditions and engaging local funding using principles of the SEED-SCALE Methodology

Keywords: Community-Based Partnership, International Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was involved with monitoring and evaluation of this project
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.