文章基本信息

标题：What can global health institutions do to help strengthen health systems in low income countries?
本地全文：下载
作者：Dina Balabanova ; Martin McKee ; Anne Mills 等
期刊名称：Health Research Policy and Systems
印刷版ISSN：1478-4505
电子版ISSN：1478-4505
出版年度：2010
卷号：8
期号：1
页码：22
DOI：10.1186/1478-4505-8-22
语种：English
出版社：BioMed Central
摘要：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.
关键词：Health System ; Recipient Country ; Health System Strengthen ; Global Health Initiative ; Community Base Health Insurance