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Chapter 10 - Health Services Delivery

Key Concepts and Characteristics

from Section 1 - Analyzing Health Systems: Concepts, Components, Performance

Published online by Cambridge University Press:  08 December 2022

By
Delanyo Dovlo ,
Sharon Ametepeh  and
Koku Awoonor-Williams
Edited by
Sameen Siddiqi ,
Awad Mataria ,
Katherine D. Rouleau  and
Meesha Iqbal
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
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Summary

This chapter explores concepts of service delivery including coverage, provision of health care, processes and inputs involved in delivery of services, and the requirements for good quality care in low and middle-income countries (L&MICs). Health service delivery models are organized in diverse ways that encompass the levels of care, location and platforms, as well as vertical and horizontal modes of integration, and personal and non-personal services. Several key characteristics and enablers are markers of high-quality health services and when adhered to lead to favourable health outcomes. The community’s preferences and demand with regard to what services to provide is key to building their trust. Essential packages for defining health services should be needs-based, incorporating the disease burden, ensuring quality, coverage and utilization needed to have good health outcomes. The pursuit of Universal Health Coverage requires Primary Health Care as the foundation of health systems in L&MICs, equity in services provision, as well as good information and monitoring systems.

Keywords

Service deliveryQuality of careService coverageService utilizationScope of ServicesResilienceEquity of AccessL&MIC
Type
Chapter
Information
Making Health Systems Work in Low and Middle Income Countries
Textbook for Public Health Practitioners
 , pp. 143 - 155
Publisher: Cambridge University Press
Print publication year: 2022

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References

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