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  1. service delivery, reflects the immediate outputs of the health system, i.e. the availability and distribution of care. Inevitably, any type of division of a complex construct such as the health system is fraught with problems.

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  2. Aug 30, 2010 · Service delivery monitoring has immediate relevance for the management of health services, which distinguishes this area from other health systems building blocks. Shortage of medicines, uneven distribution of health

    • Overview
    • Social Determinants Afecting the Health of Women, Children and Adolescents
    • Leadership, Governance and Coordination
    • Health Financing
    • Health Workforce
    • Essential Medicine and Supplies
    • Health Information Systems and Communication
    • Security
    • Conclusions and Next Steps

    There are huge challenges in providing health services in conflict settings, mainly due to the changing nature of conflict, the extent and number of emergencies, as well as constant security issues and breaches.1 Humanitarian actors, both local and international, as well as national authorities must navigate and negotiate multiple obstacles that ch...

    The effects of armed conflict on WCH is brought about by a combination of many risk factors, including the nature and exposure to conflict, the level of risks and vulnerabilities experienced by these populations, and the social determinants of health. These social determinants of health include the social and economic factors that affect the health...

    Recommendations pertaining to leadership, governance, and coordination roles and strategies include the use of multiple cooperation strategies that can change over the course of a conflict with response coordination mechanisms at global, regional, and especially national levels, along with enhanced resources, and more data collection and research. ...

    Strategies to address funding shortfalls include donors funding the total cost of providing services and interventions to women, newborns, children and adolescents in conflict settings (both direct and indirect costs) and considering the use of multi-year programs to ensure consistent programming and linkages with national health systems. For conti...

    A weakened healthcare workforce and a lack of health workers during times of conflict is a large concern across the board. Strategies put in place aimed to increase the number of health workers include increasing training programs for health staff, task shifting or task sharing, hiring other types of health workers (e.g. community midwives, communi...

    The availability of medical supplies and surgical equipment, including those specific to treating children, was a commonly reported barrier affecting intervention delivery within trauma and injury specifically.17 Procuring essential medicine and supplies to health facilities and clinics is an ongoing issue in the provision of most essential service...

    Availability of health information for decision-making is crucial in the allocation of resources and prioritization of interventions and programs. The BRANCH Consortium calls for a more “unified health information system”, whereby gaps in data are filled and more baseline surveys are taken to compare against end-line data, and analysis on the impro...

    Addressing security concerns as it pertains to the health workforce and access to health services requires a range of strategies, including the deployment of mobile clinics and remote management to improve accessibility to certain geographic areas when no physical access was possible, pre-positioning of stock and supplies, developing contingency pl...

    The dynamic nature of modern conflict and the expanding role of Non-State Armed groups in large geographic areas pose new challenges to delivering WCH services.1 However, the humanitarian system is creative and has developed new solutions to bring lifesaving services closer to populations by hiring and training other types of health workers, often ...

  3. Aug 31, 2017 · Acknowledging the health system strengthening agenda, the World Health Organization (WHO) has formulated a health systems framework that describes health systems in terms of six building blocks which include service delivery, health workforce, information, medical products, vaccines and technologies, financing, and leadership/governance (Fig. 1) .

    • Tsegahun Manyazewal
    • tsegahunm@gmail.com
    • 2017
  4. Oct 10, 2018 · According to the World Health Organization (WHO) framework of health system building blocks, health service delivery is considered to function well when equitable access to a comprehensive range of high-quality health services is ensured within an integrated and person-centered continuum of care. 1 However, good health service delivery can be ...

  5. Mar 19, 2022 · The WHO framework describes health systems in terms of six components or Building Blocks: (i) financing, (ii) health workforce, (iii) information systems, (iv) medical products and technologies, (v) leadership/governance, and (vi) service delivery.

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  7. Jun 22, 2019 · Our framework expands the service delivery building block to ensure that both points of service receive attention and resources. As in the WHO building blocks, services can be delivered by public and regulated private sectors, including non-profit private providers.