A "Cube" View of Health Systems Strengthening
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This document proposes viewing health systems strengthening through a "cube" model, with three dimensions: inputs, stewardship functions, and health system building blocks. It suggests that inputs alone do not determine health outcomes and that stewardship functions and strengths across different health system building blocks also drive performance. The cube model provides a comprehensive framework for understanding how different elements interact to impact health system strengthening results.
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There is conceptual confusion around health system strengthening (HSS) with multiple approaches being taken. This can lead to fragmentation and lack of agreed upon standards. However, the multiplicity of approaches also allows responsiveness to differing local contexts. Going forward it will be important to embrace more nationally-driven HSS agendas with support for national capacity. National commitment and leadership on HSS may be more important than global funding. Research needs to be more locally-driven and responsive to build an evidence base. Country ownership can motivate local researchers and facilitate links to policymakers.
Strengthening Health Systems Through Research, Education, and Action
The document discusses strengthening health systems through research, education, and action. It describes how Harvard School of Public Health conducts research on major health system topics. It educates students through various programs and executive courses. It also collaborates with governments, international agencies, and NGOs on applied research and health system reforms in many countries. Some examples mentioned include projects on malaria prevention, tuberculosis control in China, management training in Egypt, and using technology to support diagnosis.
What is Different in Different Approaches to Health Systems Strengthening?: A...
What is Different in Different Approaches to Health Systems Strengthening?: A...Health Systems 20/20
This document discusses different approaches to health systems strengthening. It notes that while health systems strengthening is a high priority, there is lack of consensus on its definition and how to implement it. The document explores health systems strengthening as having both conceptual dimensions related to principles and frameworks, as well as operational dimensions regarding coordination and implementation. It also examines the Global Fund's portfolio of health systems strengthening, noting common weaknesses in applications and proposing options to improve access and harmonization of health systems strengthening financing.Health Systems Strengthening Programs/Approaches: Experience from Ethiopia
The document discusses health systems strengthening (HSS) programs and approaches in Ethiopia. There is no clear or common understanding of what HSS entails. It can be viewed as focused on health subsystems, diseases, or construction of facilities. The key HSS building blocks experienced in Ethiopia include health financing, workforce, information systems, supply management, and governance. Financing for HSS comes from various global and bilateral partners as well as the Ethiopian government. Recommendations include focusing on the big picture of comprehensive HSS, establishing networking, and promoting harmonization of the HSS concept.
Development and Application of a Workforce Planning Model in Egypt
The document summarizes the development and application of a workforce planning model in Egypt. It outlines the need to better plan health workforce distribution given reforms. An adapted WHO model (WISN) was used to determine staffing requirements based on workloads and activity standards at hospitals. The results showed surpluses and gaps in staffing across specialties, hospitals, and governorates. Next steps include expanding the model to primary care and other sectors to better inform training programs and workforce planning.
Results of Brokering Regional PPPs-- more than just money
The document discusses the results and lessons learned from brokering public-private partnerships (PPPs) for health initiatives in Latin America and the Caribbean. It outlines several regional PPP projects that addressed priorities like clean drinking water, nutrition, maternal and child health, and health programming. The partnerships aligned the interests of USAID, companies, and regional implementation partners. Key challenges included navigating multinational structures and timelines, but opportunities existed to bring new resources and technologies to health and development through longer-term, flexible partnerships.
National Health Accounts: What do they Reveal in Cote d'Ivoire?
National health accounts were conducted in Côte d'Ivoire for the first time in 2007 and 2008 to estimate health spending. Total health expenditures increased 9.9% between 2007 and 2008. Households are the main source of health funding, contributing 69% of total health expenditures in 2008, mainly through high out-of-pocket spending on medicines. While total health spending per person is higher in Côte d'Ivoire than other sub-Saharan countries, government and donor contributions per person are much lower than household expenditures. Recommendations include developing policies to reduce out-of-pocket costs and give greater priority to primary healthcare.
Expanding Orphans and Vulnerable Children Support in Haiti: Improving the Def...
Expanding Orphans and Vulnerable Children Support in Haiti: Improving the Def...Health Systems 20/20
This document summarizes a study on supporting orphans and vulnerable children in Haiti. The study aimed to precisely define and cost the services provided to children. It found that while all partners reported providing educational and nutritional support, the type and cost of support varied widely between partners. The document recommends that partners precisely report support descriptions and costs to improve understanding of impact. It also suggests increasing specificity of monitoring and evaluation reporting and piloting output-based financial reporting of community-based care.Targeting Priorities: costing the Trinidad & Tabago National Strategic Plan f...
Targeting Priorities: costing the Trinidad & Tabago National Strategic Plan f...Health Systems 20/20
The document summarizes the objective, results, and conclusions of developing cost estimates for implementing Trinidad and Tobago's National Strategic Plan for HIV/AIDS (NSP). The objective was to create transparent costing estimates to support increased funding. The total estimated five-year cost for implementing NSP activities is 77 million USD. Individual activity costs can be adjusted as the plan is finalized. The costing provides a template for coordinating multi-sectoral planning, tracking progress, and advocacy.More from Health Systems 20/20 (20)
Lessons Learned in Organizational Capacity Building under Health Systems 20/20
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Setting the Stage for Health Systems Strengthening: What We Have Learned from...
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NHA Production Tool: Streamlining the NHA Estimation Process
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Comprehensive Approach to Building Afghanistan Health Economics & Finance Dir...
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Health Systems Strengthening in Fragile and Conflict-affected States: Introdu...
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Lessons Learned from Health Financing Reform in Liberia
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Tackling the Decline in HIV Resources: Lessons Learned from HAPSAT
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Strengthening Health Systems: From Global to Local
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A "Cube" View of Health Systems Strengthening
- 1. A “Cube” View of Health Systems Strengthening Ann Lion Health Systems 20/20 Project Director, Abt Associates
- 2. A “cube” view of the health system © Abt Associates, 2001
- 3. A “cube” view of the health system © Abt Associates, 2001
- 4. A “cube” view of the health system © Abt Associates, 2001
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