Title |
What can global health institutions do to help strengthen health systems in low income countries?
|
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Published in |
Health Research Policy and Systems, June 2010
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DOI | 10.1186/1478-4505-8-22 |
Pubmed ID | |
Authors |
Dina Balabanova, Martin McKee, Anne Mills, Gill Walt, Andy Haines |
Abstract |
Weaknesses in health systems contribute to a failure to improve health outcomes in developing countries, despite increased official development assistance. Changes in the demands on health systems, as well as their scope to respond, mean that the situation is likely to become more problematic in the future. Diverse global initiatives seek to strengthen health systems, but progress will require better coordination between them, use of strategies based on the best available evidence obtained especially from evaluation of large scale programs, and improved global aid architecture that supports these processes. This paper sets out the case for global leadership to support health systems investments and help ensure the synergies between vertical and horizontal programs that are essential for effective functioning of health systems. At national level, it is essential to increase capacity to manage and deliver services, situate interventions firmly within national strategies, ensure effective implementation, and co-ordinate external support with local resources. Health systems performance should be monitored, with clear lines of accountability, and reforms should build on evidence of what works in what circumstances. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Peru | 1 | 50% |
Sri Lanka | 1 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 50% |
Scientists | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 6 | 2% |
United States | 3 | <1% |
Tanzania, United Republic of | 1 | <1% |
Uganda | 1 | <1% |
Netherlands | 1 | <1% |
South Africa | 1 | <1% |
Germany | 1 | <1% |
India | 1 | <1% |
Belgium | 1 | <1% |
Other | 6 | 2% |
Unknown | 348 | 94% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 93 | 25% |
Researcher | 49 | 13% |
Student > Ph. D. Student | 33 | 9% |
Student > Bachelor | 31 | 8% |
Student > Postgraduate | 24 | 6% |
Other | 72 | 19% |
Unknown | 68 | 18% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 121 | 33% |
Social Sciences | 66 | 18% |
Nursing and Health Professions | 29 | 8% |
Business, Management and Accounting | 15 | 4% |
Arts and Humanities | 11 | 3% |
Other | 50 | 14% |
Unknown | 78 | 21% |