Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-11T07:56:00.221Z Has data issue: false hasContentIssue false

Chapter 37 - Better Health Systems for Better Outcomes

How to Make It Happen!

from Section 2 - Transforming Health Systems: Confronting Challenges, Seizing Opportunities

Published online by Cambridge University Press:  08 December 2022

Sameen Siddiqi
Affiliation:
Aga Khan University
Awad Mataria
Affiliation:
World Health Organization, Egypt
Katherine D. Rouleau
Affiliation:
University of Toronto
Meesha Iqbal
Affiliation:
UTHealth School of Public Health, Houston
Get access

Summary

This Chapter distils and brings together key lessons presented throughout the book, complements these with additional experiences needed for health systems to make a difference to the lives of the people they serve. It highlights the importance of health systems and systems thinking beyond traditional models and frameworks; critical role of leadership in health; the changing role of ministries of health in the 21st century and in the ‘post’ COVID-19 period; complexities of health system reforms and the importance of their political disposition; integrating security as an additional goal of the health system and making them resilient; significance of measuring, monitoring and managing health systems for achieving the desired results; and empowering communities and hearing their voices as essential to making it happen! Each section concludes with key messages for policymakers, managers, health care providers and professionals striving to strengthening of health systems in their countries.

Type
Chapter
Information
Making Health Systems Work in Low and Middle Income Countries
Textbook for Public Health Practitioners
, pp. 578 - 593
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

World Health Organization. Constitution. 2021. www.who.int/about/governance/constitution (accessed November 10, 2021).Google Scholar
World Health Organization. Declaration of Alma-Ata. 1978. https://cdn.who.int/media/docs/default-source/documents/almaata-declaration-en.pdf?sfvrsn=7b3c2167_2 (accessed December 13, 2021).Google Scholar
World Health Organization. Declaration of Astana. 2018. www.who.int/docs/default-source/primary-health/declaration/gcphc-declaration.pdf (accessed December 13, 2021).Google Scholar
Aftab, W., Siddiqui, F. J., Tasic, H., et al. Implementation of health and health-related sustainable development goals: progress, challenges and opportunities – a systematic literature review. BMJ Glob Health 2020; 5(8): e002273.Google Scholar
Siddiqi, S., Aftab, W., Siddiqui, F. J., et al. Global strategies and local implementation of health and health-related SDGs: lessons from consultation in countries across five regions. BMJ Glob Health 2020; 5(9): e002859.Google Scholar
World Health Organization. SDG health and health-related targets. 2015. www.who.int/gho/publications/world_health_statistics/2016/EN_WHS2016_Chapter6.pdf (accessed November 10, 2021).Google Scholar
CDC. Health in All Policies. 2016. www.cdc.gov/policy/hiap/index.html (accessed November 10, 2021).Google Scholar
Peters, D. H.. The application of systems thinking in health: why use systems thinking? Health Res Policy Syst 2014; 12: 51.Google Scholar
Figueroa, C. A., Harrison, R., Chauhan, A., et al. Priorities and challenges for health leadership and workforce management globally: a rapid review. BMC Health Serv Res 2019; 19(1): 239.Google Scholar
Ayeleke, R. O., Dunham, A., North, N., et al. The concept of leadership in the health care sector. 2018. www.intechopen.com/chapters/60565 (accessed November 10, 2021).Google Scholar
AdventHealth University. 5 types of leadership styles in healthcare. 2020. https://online.ahu.edu/blog/leadership-styles-in-healthcare (accessed November 10, 2021).Google Scholar
Ledlow, G. R., Stephens, J. H.. Leadership for Health Professionals: Theory, Skills, and Applications. Burlington, Jones & Bartlett Learning, 2017.Google Scholar
Giltinane, C. L.. Leadership styles and theories. Nurs Stand 2013; 27(41): 3539.Google Scholar
Sriram, V., Sheikh, K., Soucat, A., et al. Addressing governance challenges and capacities in ministries of health. 2020. https://hsgovcollab.org/system/files/2020-05/FINAL-WEB-3442-OMS-HSGF-WHO-WorkingPaper.pdf (accessed November 10, 2021).Google Scholar
Soucat, A.. Financing common goods for health: fundamental for health, the foundation for UHC. Health Syst Reform 2019; 5(4): 263267.Google Scholar
Kanchanachitra, C., Tangcharoensathien, V., Patcharanarumol, W., et al. Multisectoral governance for health: challenges in implementing a total ban on chrysotile asbestos in Thailand. BMJ Glob Health 2018; 3(Suppl. 4): e000383.Google Scholar
Rasanathan, K., Bennett, S., Atkins, V., et al. Governing multisectoral action for health in low- and middle-income countries. PLoS Med 2017; 14(4): e1002285.Google Scholar
Willis, C. D., Greene, J. K., Abramowicz, A., et al. Strengthening the evidence and action on multi-sectoral partnerships in public health: an action research initiative. Health Promot Chronic Dis Prev Can 2016; 36(6): 101111.Google Scholar
Becker’s Healthcare. 5 key elements of a “health in all policy” approach. 2013. www.beckershospitalreview.com/quality/5-key-elements-of-a-health-in-all-policies-approach.html (accessed November 10, 2021).Google Scholar
World Health Organization. Whole-of-government, whole-of-society, health in all policies, and multisectoral. 2016. www.who.int/global-coordination-mechanism/dialogues/glossary-whole-of-govt-multisectoral.pdf (accessed November 10, 2021).Google Scholar
Australian Government. The whole of government challenge: chapter findings. 2020. https://legacy.apsc.gov.au/whole-government-challenge (accessed November 10, 2021).Google Scholar
World Health Organization. Health sector reform: issues and opportunities. 2000. https://apps.who.int/iris/bitstream/handle/10665/127574/WP_HlthSecRefm_Final%20Version.pdf;sequence=1 (accessed November 10, 2021).Google Scholar
Berman, P.. Health sector reform: making health development sustainable. Health Policy 1995; 32(1–3): 1328.Google Scholar
World Health Organization. Building health systems resilience for universal health coverage and health security during the COVID-19 pandemic and beyond. WHO Position Paper. 2021. www.who.int/publications/i/item/WHO-UHL-PHC-SP-2021.01 (accessed January 24, 2021).Google Scholar
World Health Organization. Health security. 2022. www.who.int/health-topics/health-security/#tab=tab_1 (accessed January 24, 2022).Google Scholar
Kruk, M. E., Myers, M., Varpilah, S. T., et al. What is a resilient health system? Lessons from Ebola. Lancet 2015; 385(9980): 19101912.Google Scholar
Masten, A. S.. Ordinary magic: resilience processes in development. Am Psychol 2001; 56: 227.Google Scholar
Mataria, A., Brennan, R., Rashidian, A., et al. “Health for All by All” during a pandemic: “protect everyone” and “keep the promise” of universal health coverage in the Eastern Mediterranean Region. East Mediterr Health J 2020; 26(12): 14361439.Google Scholar
Yazbeck, A. S., Soucat., A. When both markets and governments fail health. Health Syst Reform 2019; 5(4): 268279.CrossRefGoogle ScholarPubMed
World Health Organization. International Health Regulations (2005). 2008. www.who.int/publications/i/item/9789241580410 (accessed January 24, 2022).Google Scholar
PAHO. Public health in the Americas: conceptual renewal, performance assessment, and bases for action. www3.paho.org/hq/index.php?option=com_content&view=article&id=4036:salud-publica-en-americas-nuevos-conceptos-analisis-desempeno-bases-para-accion&Itemid=2080&lang=en (accessed January 24, 2022).Google Scholar
World Health Organization. Assessment of essential public health functions in countries of the Eastern Mediterranean Region Assessment tool. 2017. https://applications.emro.who.int/dsaf/EMROPub_2017_EN_19354.pdf?ua=1 (accessed January 24, 2022).Google Scholar
World Health Organization. Joint External Evaluation Tool, International Health Regulations (2005). 2016. https://apps.who.int/iris/bitstream/handle/10665/204368/9789241510172_eng.pdf (accessed January 24, 2022).Google Scholar
World Health Organization. 2018 Global reference list of 100 core health indicators (plus health-related SDGs). 2018. https://apps.who.int/iris/handle/10665/259951 (accessed January 21, 2022).Google Scholar
Aminpour, F., Sadoughi, F., Ahamdi, M.. Utilization of open source electronic health record around the world: a systematic review. J Res Med Sci 2014; 19(1): 5764.Google Scholar
Gesulga, J. M., Berjame, A., Moquiala, K. S., et al. Barriers to electronic health record system implementation and information systems resources: a structured review. Procedia Computer Science 2017; 124: 544551.Google Scholar
World Health Organization & United Nations Children’s Fund (UNICEF). A vision for primary health care in the 21st century: towards universal health coverage and the Sustainable Development Goals. 2018. https://apps.who.int/iris/handle/10665/328065 (accessed December 13, 2021).Google Scholar
World Health Organization. Operational framework for primary health care: transforming vision into action. 2020. www.who.int/publications/i/item/9789240017832 (accessed December 13, 2021).Google Scholar
Speer, J.. Participatory governance reform: a good strategy for increasing government responsiveness and improving public services? World Dev 2012; 40(12): 23792398.Google Scholar
Kittelsen, S. K., Keating, V. C.. Rational trust in resilient health systems. Health Policy Plan 2019; 34(7): 553557.Google Scholar
World Health Organization. Voice, Agency, Empowerment: Handbook on Social Participation for Universal Health Coverage. Geneva, WHO, 2021. www.uhcpartnership.net/wp-content/uploads/2021/08/9789240027794-eng.pdf (accessed March 10, 2022).Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×