BACKGROUND The Japan International Cooperation Agency (JICA) has focused its attention on appraising health development assistance projects and redirecting efforts towards health system strengthening. This study aimed to describe the type of project and targets of interest, and assess the contribution of JICA health-related projects to strengthening health systems worldwide. METHODS We collec...

INTRODUCTION A health systems approach to understanding efforts for improving health care services is gaining traction globally. A component of this approach focuses on health system governance (HSG), which can make or mar the successful implementation of health care interventions. Very few studies have explored HSG in low- and middle-income countries, including Nigeria. Studies focusing on men...

Clinical governance approaches in Queensland health were trenchantly criticised in 2005 by two external reviews. In designing the new approach to clinical governance it was recognised that clinical governance should not be seen as only being about traditional safety and quality policies. A range of levers and policy instruments have been used in Queensland health to effect a new approach to cli...

introduction: health system performance assessment provides appropriate information about the status of health systems for governments and communities. therefore, in the recent decade, many countries have focused on performance assessment and reporting in order to develop methods and tools as a mean to help achieving health goals. the present study tries to design an indicator-based model (incl...

In this paper we present control patterns for the analysis and design of control mechanisms in a network organization. A control pattern is a description of a generic and reusable control mechanism that solves a specific control problem, to be selected on the basis of the context. To represent the context and solution, we analyze a network organization as a set of actors who transfer objects of...

BACKGROUND The literature on health systems focuses largely on the performance of healthcare systems operationalised around indicators such as hospital beds, maternity care and immunisation coverage. A broader definition of health systems however, needs to include the wider determinants of health including, possibly, governance and its relationship to health and health equity. The aim of this s...

Richard Saltman and Antonio Duran take up the challenging issue of governance in their article “Governance, Government and the Search for New Provider Models,” and use two case studies of health policy changes in Sweden and Spain to shed light on the subject. In this commentary, I seek to link their conceptualization of governance, especially its interrelated roles at the macro, meso, and micro...

this paper reviews the essence of effective governance and importance of a multi-sectoral approach in generating health systems response to hiv/aids. this comprehensive approach highlights the importance of integrating reproductive sexual health programs and hiv prevention services, including peer education, life skills, and voluntary counseling and testing (vct), for prevention of mother–to-ch...