Decision-making and health system strengthening: bringing time frames into perspective
Rattachement africain : ph, us, pk, Maroc. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
In many low-and middle-income countries, health systems decision-makers are facing a host of new challenges and competing priorities. They must not only plan and implement as they used to do but also deal with discontented citizens and health staff, be responsive and accountable. This contributes to create new political hazards susceptible to disrupt the whole execution of health plans. The starting point of this article is the observation by the first author of the limitations of the building-blocks framework to structure decision-making as for strengthening of the Moroccan health system. The management of a health system is affected by different temporalities, the recognition of which allows a more realistic analysis of the obstacles and successes of health system strengthening approaches. Inspired by practice and enriched thanks a consultation of the literature, our analytical framework revolves around five dynamics: the services dynamic, the programming dynamic, the political dynamic, the reform dynamic and the capacity-building dynamic. These five dynamics are differentiated by their temporalities, their profile, the role of their actors and the nature of their activities. The Moroccan experience suggests that it is possible to strengthen health systems by opening up the analysis of temporalities, which affects both decision-making processes and the dynamics of functioning of health systems.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Decision-making and health system strengthening: bringing time frames into perspective
- Date Crossref
- 08/09/2020
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Research Institute for Tropical Medicine pays non établi dans la noticeStructure de recherche
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Public Health Institute pays non établi dans la noticeÉtablissement de santé
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World Health Organization - Pakistan Rabat, Maroc (pays nommé en fin d’affiliation)Organisme public
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World Health Organization - Morocco Maroc (code pays fourni par la source)Organisme public
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Residence Ichraq Rabat, Maroc (pays nommé en fin d’affiliation)Institution
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Institute of Tropical Medicine Department of Public Health pays non établi dans la noticeStructure de recherche
Research Institute for Tropical Medicine, Public Health Institute et World Health Organization - Pakistan (Rabat, Maroc), avec 3 autres affiliations. Pays d’affiliation : Maroc.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.