Strengthening health systems in low-income countries by enhancing organizational capacities and improving institutions.
Identifieur interne : 002F93 ( PubMed/Corpus ); précédent : 002F92; suivant : 002F94Strengthening health systems in low-income countries by enhancing organizational capacities and improving institutions.
Auteurs : Robert Chad Swanson ; Rifat Atun ; Allan Best ; Arvind Betigeri ; Francisco De Campos ; Somsak Chunharas ; Tea Collins ; Graeme Currie ; Stephen Jan ; David Mccoy ; Francis Omaswa ; David Sanders ; Thiagarajan Sundararaman ; Wim Van DammeSource :
- Globalization and health [ 1744-8603 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
Abstract
This paper argues that the global health agenda tends to privilege short-term global interests at the expense of long-term capacity building within national and community health systems. The Health Systems Strengthening (HSS) movement needs to focus on developing the capacity of local organizations and the institutions that influence how such organizations interact with local and international stakeholders.
DOI: 10.1186/s12992-015-0090-3
PubMed: 25890069
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Strengthening health systems in low-income countries by enhancing organizational capacities and improving institutions.</title><author><name sortKey="Swanson, Robert Chad" sort="Swanson, Robert Chad" uniqKey="Swanson R" first="Robert Chad" last="Swanson">Robert Chad Swanson</name><affiliation><nlm:affiliation>Department of Health Sciences, Brigham Young University, Provo, UT, 84602, USA. swancitos@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Atun, Rifat" sort="Atun, Rifat" uniqKey="Atun R" first="Rifat" last="Atun">Rifat Atun</name><affiliation><nlm:affiliation>Department of Global Health and Population, Harvard School of Public Health, Harvard University, 665 Huntington Avenue, Boston, MA, 02115, USA. ratun@hsph.harvard.edu.</nlm:affiliation></affiliation></author><author><name sortKey="Best, Allan" sort="Best, Allan" uniqKey="Best A" first="Allan" last="Best">Allan Best</name><affiliation><nlm:affiliation>Vancouver Coastal Health Research Institute, 6975 Marine Drive West, Vancouver, BC, V7W 2 T4, Canada. allan.best@in-source.ca.</nlm:affiliation></affiliation></author><author><name sortKey="Betigeri, Arvind" sort="Betigeri, Arvind" uniqKey="Betigeri A" first="Arvind" last="Betigeri">Arvind Betigeri</name><affiliation><nlm:affiliation>Health Systems Action Network, K-57 A, Sheikh Sarai Phase -II, New Delhi, 110017, India. arvindcb@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="De Campos, Francisco" sort="De Campos, Francisco" uniqKey="De Campos F" first="Francisco" last="De Campos">Francisco De Campos</name><affiliation><nlm:affiliation>Nucleus of Research in Public Health, Faculdade de Medicina da UFMG, Avenida Alfredo Balena, 190, Belo Horizonte, MG, Brasil. camposfr@medicina.ufmg.br.</nlm:affiliation></affiliation></author><author><name sortKey="Chunharas, Somsak" sort="Chunharas, Somsak" uniqKey="Chunharas S" first="Somsak" last="Chunharas">Somsak Chunharas</name><affiliation><nlm:affiliation>National Health Foundation, Building 1, 1st Floor, Office of the Permanent Secretary, Ministry of Public Health, Tivanond Road, Nonthaburi, 11000, Thailand. nhf1chun@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Collins, Tea" sort="Collins, Tea" uniqKey="Collins T" first="Tea" last="Collins">Tea Collins</name><affiliation><nlm:affiliation>World Medical Association, 13 Chemin du Levant, Bâtiment A, le John Keynes, 01210, Ferney-Voltaire, France. tea.collins@wma.net.</nlm:affiliation></affiliation></author><author><name sortKey="Currie, Graeme" sort="Currie, Graeme" uniqKey="Currie G" first="Graeme" last="Currie">Graeme Currie</name><affiliation><nlm:affiliation>Warwick Business School, The University of Warwick, Coventry, CV4 7AL, UK. graeme.currie@wbs.ac.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Jan, Stephen" sort="Jan, Stephen" uniqKey="Jan S" first="Stephen" last="Jan">Stephen Jan</name><affiliation><nlm:affiliation>George Institute for Global Health, Level 10, King George V Building, 83-117 Missenden Rd, PO Box M201, Camperdown, NSW, 2050, Australia. sjan@georgeinstitute.org.au.</nlm:affiliation></affiliation></author><author><name sortKey="Mccoy, David" sort="Mccoy, David" uniqKey="Mccoy D" first="David" last="Mccoy">David Mccoy</name><affiliation><nlm:affiliation>Queen Mary University, London, Blizard Institute, Barts and The London School of Medicine and Dentistry, 4 Newark Street, London, E1 2AT, England. d.mccoy@ucl.ac.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Omaswa, Francis" sort="Omaswa, Francis" uniqKey="Omaswa F" first="Francis" last="Omaswa">Francis Omaswa</name><affiliation><nlm:affiliation>African Centre for Global Health and Social Transformation, Plot 13 B Acacia Avenue, P.O.Box 9974, Kololo, Kampala, Uganda. omaswaf@achest.org.</nlm:affiliation></affiliation></author><author><name sortKey="Sanders, David" sort="Sanders, David" uniqKey="Sanders D" first="David" last="Sanders">David Sanders</name><affiliation><nlm:affiliation>School of Public Health, University of Western Cape, South Africa, Private Bag X17, Bellville, 7535, Republic of South Africa. sandersdav5845@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Sundararaman, Thiagarajan" sort="Sundararaman, Thiagarajan" uniqKey="Sundararaman T" first="Thiagarajan" last="Sundararaman">Thiagarajan Sundararaman</name><affiliation><nlm:affiliation>National Health Systems Resouce Centre, NIHFW Campus, Baba Gangnath Marg, Munirka, New Delhi, 110067, India. sundararaman.t@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Van Damme, Wim" sort="Van Damme, Wim" uniqKey="Van Damme W" first="Wim" last="Van Damme">Wim Van Damme</name><affiliation><nlm:affiliation>Institute of Tropical Medicine, Antwerp, Belgium and University of Western Cape, Sint-Rochusstraat 2, 2000 Antwerpen, Belgium, South Africa. wvdamme@itg.be.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25890069</idno><idno type="pmid">25890069</idno><idno type="doi">10.1186/s12992-015-0090-3</idno><idno type="wicri:Area/PubMed/Corpus">002F93</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002F93</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Strengthening health systems in low-income countries by enhancing organizational capacities and improving institutions.</title><author><name sortKey="Swanson, Robert Chad" sort="Swanson, Robert Chad" uniqKey="Swanson R" first="Robert Chad" last="Swanson">Robert Chad Swanson</name><affiliation><nlm:affiliation>Department of Health Sciences, Brigham Young University, Provo, UT, 84602, USA. swancitos@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Atun, Rifat" sort="Atun, Rifat" uniqKey="Atun R" first="Rifat" last="Atun">Rifat Atun</name><affiliation><nlm:affiliation>Department of Global Health and Population, Harvard School of Public Health, Harvard University, 665 Huntington Avenue, Boston, MA, 02115, USA. ratun@hsph.harvard.edu.</nlm:affiliation></affiliation></author><author><name sortKey="Best, Allan" sort="Best, Allan" uniqKey="Best A" first="Allan" last="Best">Allan Best</name><affiliation><nlm:affiliation>Vancouver Coastal Health Research Institute, 6975 Marine Drive West, Vancouver, BC, V7W 2 T4, Canada. allan.best@in-source.ca.</nlm:affiliation></affiliation></author><author><name sortKey="Betigeri, Arvind" sort="Betigeri, Arvind" uniqKey="Betigeri A" first="Arvind" last="Betigeri">Arvind Betigeri</name><affiliation><nlm:affiliation>Health Systems Action Network, K-57 A, Sheikh Sarai Phase -II, New Delhi, 110017, India. arvindcb@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="De Campos, Francisco" sort="De Campos, Francisco" uniqKey="De Campos F" first="Francisco" last="De Campos">Francisco De Campos</name><affiliation><nlm:affiliation>Nucleus of Research in Public Health, Faculdade de Medicina da UFMG, Avenida Alfredo Balena, 190, Belo Horizonte, MG, Brasil. camposfr@medicina.ufmg.br.</nlm:affiliation></affiliation></author><author><name sortKey="Chunharas, Somsak" sort="Chunharas, Somsak" uniqKey="Chunharas S" first="Somsak" last="Chunharas">Somsak Chunharas</name><affiliation><nlm:affiliation>National Health Foundation, Building 1, 1st Floor, Office of the Permanent Secretary, Ministry of Public Health, Tivanond Road, Nonthaburi, 11000, Thailand. nhf1chun@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Collins, Tea" sort="Collins, Tea" uniqKey="Collins T" first="Tea" last="Collins">Tea Collins</name><affiliation><nlm:affiliation>World Medical Association, 13 Chemin du Levant, Bâtiment A, le John Keynes, 01210, Ferney-Voltaire, France. tea.collins@wma.net.</nlm:affiliation></affiliation></author><author><name sortKey="Currie, Graeme" sort="Currie, Graeme" uniqKey="Currie G" first="Graeme" last="Currie">Graeme Currie</name><affiliation><nlm:affiliation>Warwick Business School, The University of Warwick, Coventry, CV4 7AL, UK. graeme.currie@wbs.ac.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Jan, Stephen" sort="Jan, Stephen" uniqKey="Jan S" first="Stephen" last="Jan">Stephen Jan</name><affiliation><nlm:affiliation>George Institute for Global Health, Level 10, King George V Building, 83-117 Missenden Rd, PO Box M201, Camperdown, NSW, 2050, Australia. sjan@georgeinstitute.org.au.</nlm:affiliation></affiliation></author><author><name sortKey="Mccoy, David" sort="Mccoy, David" uniqKey="Mccoy D" first="David" last="Mccoy">David Mccoy</name><affiliation><nlm:affiliation>Queen Mary University, London, Blizard Institute, Barts and The London School of Medicine and Dentistry, 4 Newark Street, London, E1 2AT, England. d.mccoy@ucl.ac.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Omaswa, Francis" sort="Omaswa, Francis" uniqKey="Omaswa F" first="Francis" last="Omaswa">Francis Omaswa</name><affiliation><nlm:affiliation>African Centre for Global Health and Social Transformation, Plot 13 B Acacia Avenue, P.O.Box 9974, Kololo, Kampala, Uganda. omaswaf@achest.org.</nlm:affiliation></affiliation></author><author><name sortKey="Sanders, David" sort="Sanders, David" uniqKey="Sanders D" first="David" last="Sanders">David Sanders</name><affiliation><nlm:affiliation>School of Public Health, University of Western Cape, South Africa, Private Bag X17, Bellville, 7535, Republic of South Africa. sandersdav5845@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Sundararaman, Thiagarajan" sort="Sundararaman, Thiagarajan" uniqKey="Sundararaman T" first="Thiagarajan" last="Sundararaman">Thiagarajan Sundararaman</name><affiliation><nlm:affiliation>National Health Systems Resouce Centre, NIHFW Campus, Baba Gangnath Marg, Munirka, New Delhi, 110067, India. sundararaman.t@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Van Damme, Wim" sort="Van Damme, Wim" uniqKey="Van Damme W" first="Wim" last="Van Damme">Wim Van Damme</name><affiliation><nlm:affiliation>Institute of Tropical Medicine, Antwerp, Belgium and University of Western Cape, Sint-Rochusstraat 2, 2000 Antwerpen, Belgium, South Africa. wvdamme@itg.be.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Globalization and health</title><idno type="eISSN">1744-8603</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Capacity Building</term><term>Cooperative Behavior</term><term>Delivery of Health Care (standards)</term><term>Developing Countries</term><term>Organizational Case Studies</term><term>Quality Improvement</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Delivery of Health Care</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Capacity Building</term><term>Cooperative Behavior</term><term>Developing Countries</term><term>Organizational Case Studies</term><term>Quality Improvement</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This paper argues that the global health agenda tends to privilege short-term global interests at the expense of long-term capacity building within national and community health systems. The Health Systems Strengthening (HSS) movement needs to focus on developing the capacity of local organizations and the institutions that influence how such organizations interact with local and international stakeholders.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25890069</PMID><DateCreated><Year>2015</Year><Month>04</Month><Day>19</Day></DateCreated><DateCompleted><Year>2016</Year><Month>01</Month><Day>21</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>22</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1744-8603</ISSN><JournalIssue CitedMedium="Internet"><Volume>11</Volume><PubDate><Year>2015</Year><Month>Feb</Month><Day>12</Day></PubDate></JournalIssue><Title>Globalization and health</Title><ISOAbbreviation>Global Health</ISOAbbreviation></Journal><ArticleTitle>Strengthening health systems in low-income countries by enhancing organizational capacities and improving institutions.</ArticleTitle><Pagination><MedlinePgn>5</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12992-015-0090-3</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">This paper argues that the global health agenda tends to privilege short-term global interests at the expense of long-term capacity building within national and community health systems. The Health Systems Strengthening (HSS) movement needs to focus on developing the capacity of local organizations and the institutions that influence how such organizations interact with local and international stakeholders.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">While institutions can enable organizations, they too often apply requirements to follow paths that can stifle learning and development. Global health actors have recognized the importance of supporting local organizations in HSS activities. However, this recognition has yet to translate adequately into actual policies to influence funding and practice. While there is not a single approach to HSS that can be uniformly applied to all contexts, several messages emerge from the experience of successful health systems presented in this paper using case studies through a complex adaptive systems lens. Two key messages deserve special attention: the need for donors and recipient organizations to work as equal partners, and the need for strong and diffuse leadership in low-income countries. An increasingly dynamic and interdependent post-Millennium Development Goals (post-MDG) world requires new ways of working to improve global health, underpinned by a complex adaptive systems lens and approaches that build local organizational capacity.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Swanson</LastName><ForeName>Robert Chad</ForeName><Initials>RC</Initials><AffiliationInfo><Affiliation>Department of Health Sciences, Brigham Young University, Provo, UT, 84602, USA. swancitos@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Atun</LastName><ForeName>Rifat</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Global Health and Population, Harvard School of Public Health, Harvard University, 665 Huntington Avenue, Boston, MA, 02115, USA. ratun@hsph.harvard.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Best</LastName><ForeName>Allan</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Vancouver Coastal Health Research Institute, 6975 Marine Drive West, Vancouver, BC, V7W 2 T4, Canada. allan.best@in-source.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Betigeri</LastName><ForeName>Arvind</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Health Systems Action Network, K-57 A, Sheikh Sarai Phase -II, New Delhi, 110017, India. arvindcb@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Campos</LastName><ForeName>Francisco</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Nucleus of Research in Public Health, Faculdade de Medicina da UFMG, Avenida Alfredo Balena, 190, Belo Horizonte, MG, Brasil. camposfr@medicina.ufmg.br.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chunharas</LastName><ForeName>Somsak</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>National Health Foundation, Building 1, 1st Floor, Office of the Permanent Secretary, Ministry of Public Health, Tivanond Road, Nonthaburi, 11000, Thailand. nhf1chun@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Collins</LastName><ForeName>Tea</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>World Medical Association, 13 Chemin du Levant, Bâtiment A, le John Keynes, 01210, Ferney-Voltaire, France. tea.collins@wma.net.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Currie</LastName><ForeName>Graeme</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Warwick Business School, The University of Warwick, Coventry, CV4 7AL, UK. graeme.currie@wbs.ac.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jan</LastName><ForeName>Stephen</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>George Institute for Global Health, Level 10, King George V Building, 83-117 Missenden Rd, PO Box M201, Camperdown, NSW, 2050, Australia. sjan@georgeinstitute.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McCoy</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Queen Mary University, London, Blizard Institute, Barts and The London School of Medicine and Dentistry, 4 Newark Street, London, E1 2AT, England. d.mccoy@ucl.ac.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Omaswa</LastName><ForeName>Francis</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>African Centre for Global Health and Social Transformation, Plot 13 B Acacia Avenue, P.O.Box 9974, Kololo, Kampala, Uganda. omaswaf@achest.org.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sanders</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>School of Public Health, University of Western Cape, South Africa, Private Bag X17, Bellville, 7535, Republic of South Africa. sandersdav5845@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sundararaman</LastName><ForeName>Thiagarajan</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>National Health Systems Resouce Centre, NIHFW Campus, Baba Gangnath Marg, Munirka, New Delhi, 110067, India. sundararaman.t@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Damme</LastName><ForeName>Wim</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Institute of Tropical Medicine, Antwerp, Belgium and University of Western Cape, Sint-Rochusstraat 2, 2000 Antwerpen, Belgium, South Africa. wvdamme@itg.be.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList 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