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  • Chapter 10 - Health Services Delivery

  • from Section 1 - Analyzing Health Systems: Concepts, Components, Performance
  • Edited by Sameen Siddiqi, Aga Khan University, Awad Mataria, World Health Organization, Egypt, Katherine D. Rouleau, University of Toronto, Meesha Iqbal, UTHealth School of Public Health, Houston
  • Book:
    Making Health Systems Work in Low and Middle Income Countries
    Published online:
    08 December 2022
    Print publication:
    29 December 2022, pp 143-155

  • 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.