Health Systems and Decentralization



Health systems are comprised of many programmes, functions and interventions tailored to improve people’s health. All health systems share certain common features, such as the ways they are organised and financed and deliver services. Providing better health systems means maintaining people’s good health, fairness of financial contribution and delivering responsive health-care services to those who need them. This chapter provides a global overview of health systems with an emphasis on decentralised systems in low- and middle-income countries. Examples from different country systems and circumstances are discussed to provide a real context and draw attention to variations in system configuration.


Health System Health Sector World Health Report Health System Reform Health Sector Reform 
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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Institute for Health and Human DevelopmentUniversity of East LondonLondonUK
  2. 2.Department of Clinical Education and Leadership, Faculty of Health & Social Sciences - Institute for Health ResearchUniversity of BedfordshireLutonUK

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