Strengthening Health Services in Low Income Countries
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World Bank, Washington, DC
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Health systems in lower income countries
are often not able to provide for the basichealth needs of
their populations. The progress of recent initiatives such
as the WHO millennium development goals and new funds for
disease programs is slowed by the limitations of these
health service and systems. Strengthening these health
systems has become a priority, but this cannot be achieved
immediately, the causes of these limitations are many,
complex and with deep historical origins. It is important to
ensure that the new resources are used in ways which
effectively strengthen these services and systems in both
the short and long term. There is some experience and
research which has found effective ways to strengthen
service delivery and system functioning. However, this
research is largely unknown or unused by policy makers and
decision makers in ministries, local government, aid
agencies and work bank advisors. Although evidence from
elsewhere will need to be adapted to the local situation,
this research can help avoid expensive mistakes and save
time and money in choosing and implementing effective health
service strengthening strategies. The purpose of this report
is to present some of the first guidance and materials from
the world bank ‘improving health service program’ (WB IHSP).
It gives interim guidance based on the best available
evidence which was identified in a rapid review of actions
for strengthening health services and systems.
Palabras clave
health services, constraints, health system, disease control, service delivery, decentralization, health financing, training, drug logistics, community support