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Health Systems

  • Mbuso Precious Mabuza
Chapter

Abstract

The first step towards health systems strengthening is to understand that a health system is a dynamo of interactions and synergies between the building blocks, namely, leadership and governance, health financing, medicines and technologies, health information, health workforce, and service delivery. Effective leadership and governance are the cornerstone and important entry point for discussions of health policy, design, implementation, and for raising performance in healthcare delivery. Human resources for health are a vital building block of a health system, and they are central towards the attainment of better health outcomes. In recent times, disease-focused multi-billion-dollar health initiatives have emerged in the landscape of public health, and governments of many low- and middle-income countries have increased their spending on health. However, in the absence of systematic evidence, there is ongoing debate about the merits of the global aid architecture and aid effectiveness in health. It is argued that technical assistance is often tied to and driven by donors and is not appropriate for the local setting of low- and middle-income countries. Recognising the reality of limited resources and flat-lining of international donor funding, it is important for low- and middle-income countries to be efficient by meeting priority health needs or follow the approach of defining and providing a context-specific minimum service package or essential health package (EHP) of high quality.

Keywords

Consumers of healthcare services Essential health packages Global aid architecture Governance Healthcare financing Healthcare providers Health systems strengthening Human resources for health International health consultancy Knowledge management Leadership Medical malpractice Monitoring performance National health insurance Health policies Policymakers Public-private partnerships Quality improvement in health Sector-wide approach Technical assistance 

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Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Mbuso Precious Mabuza
    • 1
  1. 1.Johns Hopkins UniversityBaltimoreUSA

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