Health systems and services
Poor health coverage is a result of problems in both supply and demand, including the systems through which services are provided. An examination of the Integrated Management of Childhood Illness (IMCI) efforts in recent years provides insight into the challenges faced in correcting health system deficiencies.
Supply-side constraints that affect health systems include the cost of training, staffing and operating hours of health facilities, adequate supervision, location of facilities and/or service staff, and high staff turnover. Demand constraints continue to be attitudes and behaviour of users, including the value placed on services rendered. Vaccination campaigns present a particular challenge.
- The structuring of health systems and the control of infectious disease: looking at Mexico and Cuba
- This article, published by the Pan American Journal of Public Health, compares the different structures of health systems in Mexico and Cuba, and their ability to control infectious diseases. The Mexican health system is financed by both the public and private sector.
Recommended reading
- Partnerships for malaria control: engaging the formal and informal private sectors
- ( HLSP Institute, UK , 2006)
- Recommended reading
- This review, conducted by the HLSP institute, examines the role of the private sector in malaria control. The private sector comprises all providers who exist outside the public sector whether their a...
- Has the 2005 measles mortality reduction goal been achieved? A natural history modelling study
- ( L. J. Wolfson; P. M. Strebel; M. Gacic-Dobo / The Lancet , 2007)
- This article, published in the Lancet, describes efforts and progress towards the UN General Assembly Special Session on Children goal to reduce deaths owing to measles by half by the end of 2005, com...
- Scaling-up the HIV/AIDS response: from alignment and harmonisation to mutual accountability
- ( K. Buse; M. Sidibe; D. Whyms / Overseas Development Institute, London , 2006)
- This briefing paper, from the Overseas Development Institute (ODI), argues that scaling-up towards universal access to treatment for HIV and AIDS depends on strengthening underlying processes upon whi...
Latest Additions
- Family planning policies should reflect HIV-positive women’s rights for informed reproductive choices
- ( N. Rutenberg;C. Baek / Studies in Family Planning , 2005)
- This article, published in Studies in Family Planning, reviews field experiences of provision of family planning services in prevention of mother-to-child transmission (PMTCT) programmes in ten countr...
- How does conflict affect the incidence of sleeping sickness in sub-Saharan Africa?
- ( L. B. Ford / Conflict and health , 2007)
- This article, published in Conflict and Health journal, reviews the processes by which conflict has contributed to the occurrence of sleeping sickness in Africa. In particular, the paper focuses on sl...







