A propos Rodion Kraus

I have always been passionate about UHC since I started my public health career as a rural medical doctor in Namibia in 1980. I played a key role in the technical transformation of health services in Namibia before and after independence (1985-95) in various roles in the Ministry of Health as Director and subsequently Undersecretary of Health Services, helping to establish a district health system based on the primary health care (PHC) approach. From 1995 to 2014, I worked as a health systems consultant and managed several development assignments and programmes on health sector reform, strategic planning, hospital management, human resources for health and PHC service delivery in South Africa, Tanzania, Malawi, Botswana and Nigeria. From 1995-2003 I played a key role in defining and implementing national affordability guidelines for health service delivery in South Africa and assisted 5 provinces to restructure their services to improve equity, efficiency and accessibility. From 2007-2014 I worked as deputy programme manager and chief operations officer on a portfolio of programmes funded by DfID and the Norwegian government in Northern Nigeria including the Partnership for Reviving Routine Immunization in Northern Nigeria (PRRINN), Maternal, Newborn and Child Health (MNCH) programme and Women for Health Initiative (W4H). All these programmes addressed both demand and supply side aspects of providing accessible PHC services to predominantly poor rural communities. I was a Founding Partner and Director of Health Partners International (HPI), an employee-owned consultancy focused on health system strengthening in low- and middle-income countries, from 1995 to 2017 when HPI was bought by DAI Global Health. From 2015 to 2018 I was Managing Director of HPI and subsequently DAI Global Health in Europe. From Jan 1919 I have been working parttime as a technical director for DAI Global Health and supporting the Tackling Deadly Diseases in Africa Programme (TDDAP)

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Technical Director
DAI Global Health
March 2019 to March 2020
London, Royaume-Uni
I am the technical director for DAI-TDDAP (Tackling Deadly Diseases Programme in Africa) from Mar 19 to date. The programme provides targeted technical assistance to six countries (Cameroon, Chad, Cote d’Ivoire, Mali, Niger and Uganda) to improve the implementation of IHR, promote community participation in country governance for health, and ensure data and evidence are available and used at all levels of the health care system for decision-making and planning. It will also facilitate emergency readiness through an Early Response Mechanism (ERM).

Deputy national programme manager for Woman for Heath Initiative
Heath Partners International
March 2012 to December 2018
Abuja, Nigeria
I was the chief operations officer from 2012-2014 and senior technical/management advisor from 2014-2018 for the Women for Heath Initiative (W4H) that worked to increase the number and capacity of female health workers in five Northern Nigerian states, while also promoting women’s empowerment and gender equality in communities and institutions. W4H achieved a wide range of successes across several areas: • increasing the physical, management and teaching capacity of 20 health training institutions (HTIs) • improving quality of teaching and supporting HTIs to transition to a student centred learning approach • introduction of a Foundation Year Programme (FYP) for rural women to improve their academic credentials, study skills and confidence to enter health worker training • community engagement in more than 912 underserved communities to promote positive attitudes towards and community sponsorship of women attending tertiary education, becoming health workers • engagement with government to ensure commitment, legislation and budgeted funding to sustain HTI and FYP activities into the future • introduction of electronic student information management and e-Learning systems

Deputy National Programme Manager for PRRINN-MNCH
Health Partners International
May 2007 to August 2013
Kano, Nigeria
I was the chief operations officer and also responsible for technical leadership of the team implementing the Partnership for Reviving Routine Immunisation in Northern Nigeria and Maternal Newborn and Child Health Initiative (PRRINN-MNCH) in four States in Northern Nigeria (Jigawa, Yobe, Katsina and Zamfara) from 2006-2013. I facilitated integration of planning and implementation of activities covering the following outputs: • Strengthened State and LGA governance of PHC systems geared to RI and MNCH including increased funding for PHC and institutionalising performance reviews • Improved capacity of Federal Ministry level to enable States´ RI and MNCH activities including PHC policy formulation • Establishment of a Human Resource Information System (HRIS) in each State • Improved delivery for RI and MNCH services via the primary health care system including support for free essential MNCH care, ensuring the availability of essential drugs within PHC facilities, health worker capacity building and community based service delivery • Operational research providing evidence for primary health care stewardship, RI and MNCH policy, planning, service delivery, and effective demand creation • Improved information generation with knowledge being used in policy and practice including introduction of DHIS2 in all 4 states • Increased demand for RI and MNCH services through community engagement to implement interventions addressing demand barriers and community ‘ownership'

Team Leader Central Hospital Autonomy
Health Partners Southern Africa
May 2003 to May 2007
Lilongwe, Malawi
Team leader of the USAID funded Hospital Autonomy Initiative which strengthened governance structures and management systems for central hospitals in Malawi. Developed 2 governance and regulatory options: either by Hospital Autonomy Act or establishment of autonomous central hospital trusts. Systems strengthened with a view to running autonomous hospitals included: annual planning and budgeting system at business unit level; performance management system including identification of key performance indicators and quarterly reviews; performance management agreements between Ministries of health and Education and University of Malawi; electronic accounting and financial management system; revision of fees and revenue collection system, electronic pharmaceutical inventory control system; hospital information system and electronic human resource administration system. Also undertook a review of biomedical ethics and research policy and practice and impact of medical research institutions on central hospital functions and drafted national policy on biomedical ethics and research. Also drafted first version of national health policy and national Health Bill. Unfortunately implementation of hospital autonomy reforms resisted by vested interests and legislative and governance reforms not approved by government.

Team leader on National Affordability Guidelines for health service delivery
Health Partners Southern Africa
June 1995 to June 2003
East London, Afrique du Sud
From 1995-2003 I played a key role in defining and implementing national affordability guidelines for health service delivery in South Africa. First as team leader to develop national affordability guidelines for hospital services as part of the National Hospital Strategy Project. Then as team leader for projects supporting the Eastern Cape, Free State, North West, Northern and Gauteng Provinces assisting each province to restructure their services and human resource allocation and distribution to improve equity, efficiency and accessibility of sub-district and district services, regional hospitals and central academic hospitals. Also supported Muhimbili Central Hospital in Tanzania to restructure services.

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