Year: 2010
Type: article
Abstract: There is a growing impatience at national and international levels with the persistence of high burdens of ill health for which effective interventions are available. This has led to big political and financial commitments and the creation of large new international organisations with the aim of increasing access to health services. The impact of these initiatives has not been consistently commensurate with these developments. It has become clear that the translation of these commitments into major improvements in the performance of health systems is not a simple task. One-size-fits-all approaches have had limited success in complex and rapidly changing contexts. Local innovations often do not spread quickly enough to have a major impact. Successful strategies need to combine large scale interventions and local adaptation and innovation. This paper explores alternative approaches for managing large scale health system changes in low and middle-income countries. This is one of a series of Working Papers from the STEPS Centre www.steps-centre.org. About the STEPS Centre How do we deal with the spread of HIV/AIDS or avian ‘flu? How can farmers in dryland Africa cope with the challenges of climate change? How do we address water and pollution problems in rapidly growing Asian cities? Who benefits from genetically-modified crops? Today’s world is experiencing rapid social, technological and environmental change, yet poverty and inequality are growing. Linking environmental sustainability with poverty reduction and social justice, and making
Authors: Gerald Bloom, Peroline Ainsworth
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2256359030