MHA FPX 5028 Assessment 3 Best Practices Report MHA-FPX 5028 Comparative Models of Global Health Systems ​​​​​​​Best Practices Report

MHA FPX 5028 Assessment 3 Best Practices Report

MHA-FPX 5028 Comparative Models of Global Health Systems

Best Practices Report

Prior to 1980, Sickle Cell Disease (SCD) was considered primarily a pediatric ailment, with minimal survival rates into adulthood. Approximately 30% of children born in the United States with sickle cell anemia (SCA) in 1970 died before reaching their fifth birthday (Chaturvedi & DeBaun, 2016). However, significant advancements in screening, treatment, and vaccination have notably enhanced pediatric survival rates. Currently, the median age at death for men and women with SCA in the United States has risen to 42 and 48, respectively (Chaturvedi & DeBaun, 2016). While high-income countries have shown marked improvements in mortality rates and quality of life indicators, developing nations, particularly in Sub-Saharan Africa, continue to face challenges in improving outcomes for SCD patients (Thompson et al., 2023).

Evaluation of Health Care Practices

An area showing promise in enhancing health outcomes and quality of life for SCD patients lies in evaluating healthcare practices in Caribbean nations. These countries exhibit higher rates of sickle cell trait prevalence compared to the United States yet demonstrate superior health outcomes compared to Sub-Saharan Africa. In 2020, the Pan American Health Organization (PAHO) initiated a collaborative effort with the Jamaican Ministry of Health to establish a comprehensive integrated health system delivery network (IHSDN) across primary health centers and hospitals. This initiative aims to manage chronic diseases, emphasizing electronic health records, workforce development, telehealth, health promotion, and medication management (Pan American Health Organization, n.d.).

Scalability Assessment

This report assesses the scalability of PAHO’s agreement with Jamaica to extend best practices to low-income countries, especially in Sub-Saharan Africa. It evaluates shared key performance indicators (KPIs) from both the United States and Jamaica, analyzing consumer and organizational implications, as well as potential provider management challenges in risk-based contracting versus fee-for-service payment strategies.