Health systems strengthening explained

Health systems strengthening (also health system strengthening, abbreviated HSS) is a term used in global health that roughly means to improve the health care system of a country.[1] Within this general definition, it can mean increasing funding for health infrastructure, improving health policy, trying to achieve universal healthcare,[2] or any number of other health measures.

There has been some effort to use a systems thinking approach to health systems strengthening.[3] [4]

Organizations that use health systems strengthening

Various health organizations have claimed to use health systems strengthening (while not necessarily agreeing on the definition). Some of these are:

Reception

Both the idea of health systems strengthening and the term itself have received attention.

Even advocates of health systems strengthening admit that it can often seem like a "distant, even abstract aim".[4]

Marchal et al., writing in 2009, called the term "vague" and argued that "most current HSS strategies are selective (i.e., they target a specific disease), and their effects may undermine progress towards the long-term goal of effective, high-quality, and inclusive health systems."[6] [7]

Peter Berman, who was the lead health economist at the World Bank, has pointed out that "Almost any support to health interventions can be considered HSS".[8]

See also

Notes and References

  1. Web site: Health Systems Strengthening Glossary . https://web.archive.org/web/20111010183816/http://www.who.int/healthsystems/hss_glossary/en/index5.html . dead . October 10, 2011 . June 14, 2016 . World Health Organization.
  2. Web site: Conversation with Amanda Glassman on August 27, 2013 . June 14, 2016 . Glassman . Amanda . GiveWell.
  3. Web site: New Perspectives in Health Systems Strengthening. USAID .
  4. Web site: Systems Thinking for Health Systems Strengthening . World Health Organization . 2009.
  5. Web site: USAID's Vision for Health Systems Strengthening . USAID . June 14, 2016.
  6. Global Health Actors Claim To Support Health System Strengthening—Is This Reality or Rhetoric? . Marchal B, Cavalli A, Kegels G . April 28, 2009 . PLOS Medicine. 6 . 4 . e1000059 . 10.1371/journal.pmed.1000059 . 19399158 . 2667637 . free .
  7. Web site: Are health system strengthening efforts just hype? . April 29, 2009 . Karen Grepin . June 14, 2016.
  8. Web site: Unpacking Health System Strengthening . Peter Berman . June 2009 . World Bank . June 14, 2016.