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Health Systems Strengthening in Fragile and Conflict-affected States: Introduction

Health Systems Strengthening in Fragile and Conflict-affected States: Introduction. Better Health Systems: Strategies that Work Presentation Series at the Global Health Council Derick W. Brinkerhoff February 7, 2012. Health Systems in FCS: A “Snapshot” . Limited availability of services

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Health Systems Strengthening in Fragile and Conflict-affected States: Introduction

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  1. Health Systems Strengthening in Fragile and Conflict-affected States: Introduction Better Health Systems: Strategies that Work Presentation Series at the Global Health Council Derick W. Brinkerhoff February 7, 2012

  2. Health Systems in FCS: A “Snapshot” • Limited availability of services • Limited drug/medical supplies • Weak/no funding of salaries and recurrent costs • Few and inadequately trained health workers • Poor/destroyed infrastructure • Donor/NGO-dominated planning and service delivery • Weak/no government policy and regulatory capacity

  3. Service Delivery and FCS • Poor countries in general suffer from service delivery and institutional weaknesses, including health services • These weaknesses are indicators of state fragility when: • A country’s service provision/coverage is significantly below average performance for countries with similar income levels • Service provision/coverage is inequitably distributed and exclusionary

  4. Absolute Service Delivery Failure Thresholds

  5. Fragility Rankings

  6. Health Interventions in FCS

  7. To Contribute to Reducing Fragility… • HSS needs to • Meet the health needs of affected populations • Build capacity of health system to function effectively and sustainably • Enhance state legitimacy • Reinforce state authority

  8. Thank you www.HealthSystems2020.org

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