Lessons Learned from Case Studies on Effective Service Delivery

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This presentation by Katja Janovsky was given in a Future Health Systems Consortium session at the Global Symposium on Health System Research.

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Lessons Learned from Case Studies on Effective Service Delivery

  1. 1. 1 Lessons Learned from Case Studies Katja Janovsky
  2. 2.  Many powerful factors driving implementation are beyond the health sector, including political stability and security, economic growth; and legislation, regulation and government capacity to monitor and enforce  The case studies focused on decentralization, community empowerment and oversight over non-state providers, but the form these take in different countries varies considerably Case Studies Lessons (Macro Level)
  3. 3.  Early successes may be reversed, if leadership changes, institutionalization is weak, and political and economic fortunes take a downturn – need to recognize fragility of reforms  The quality of political and managerial leadership is key  Attention to the pace of implementation is of critical importance  The size of donor support and type of aid approaches have a significant impact on distribution of resources and focus of effort – hence on implementation Case Studies Lessons Learned (Health Sector Environment Level)
  4. 4.  Greater attention is needed to balancing supply and demand-side interventions and to creating demand  Ensuring capacity building as a central tenet is critical – but needs to go beyond training and TA, focusing on mentoring and supporting rather than substituting for national human resources  The boost of new beginnings tends to work in favor of post-conflict countries, at least at the outset.  The status and role of NGOs and FBOs is important – but relations with government are often difficult and unsupportive Case Studies Lessons Learned (Strategy Level)

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