Health system building blocks

1. Health System Building Blocks
Presented by
Sohail Khan
Mandokhail

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Six Building Block

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People are at the heart of system thinking
The Systems Thinking

4. Service Delivery
Good health services – deliver safe, effective, good quality,
minimum waste
• Services delivered, be they prevention, treatment or
rehabilitation, may be delivered in the home, the
community, in the workplace or in health facilities.
• For good service delivery there are some well-
established requirements:
– Raising demands for service through understanding the user
perspective, raising public knowledge and reducing financial,
cultural social and gender barriers
– Provide a package of integrated services based on population
need.
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5. Human Resources
All people engaged in actions whose primary intent is to
improve health
Includes:
• service providers, management and support workers
• Public and private sector workers
• Unpaid and paid workers
• Professional and lay workers
Strong correlation between health workforce density and
service coverage and health outcomes
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6. • A well functioning health information system is one that ensures
the production, analysis, dissemination and use of reliable and
timely health information. It involves three domains of health
information:
• Health determinants;
• Health systems performance; and
• Health status.
• To achieve this, a health information system must:
– Generate population and facility-based data
– Have the capacity to detect, investigate, communicate and contain
events that threaten public health security at the place they occur,
and as soon as they occur.
– Have the capacity to synthesize information
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Health Management Information System

7. Medical Products Vaccines and Technologies
Essential medical products, vaccines and technologies
Assured quality: Safety, efficacy, cost effective
• National policies, standards, guidelines and
regulations that support policy.
• Information on prices, set and negotiate prices
• Quality assessment of products
• Procurement, storage and distribution systems
• Rational use of essential medicines,
commodities and equipment
Medical products are the second largest expenditure
Vaccines are the most cost effective health interventions
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8. Health Financing
• A mix of public and private financing and public and
private provision.
• Effective and efficient use of governmentallocated
resources.
• Raising additional funds where health needs are high and
revenues insufficient.
• Reducing reliance on out-of-pocket payments where they
are high.
• Improving efficiency of resource use and addressing
fragmentation of financing arrangements for different
types of services
• Promoting transparency and accountability in health
financing systems.
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9. Governance
• Policy guidance
• Intelligence and oversight.
• Collaboration and coalition-building.
• Regulation.
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Thank you