background systems thinking (st) has recently been promoted as an important approach to health systems strengthening. however, st is not common practice, particularly in low- and middle-income countries (lmics). this paper seeks to explore the barriers that may hinder its application in the eastern mediterranean region (emr) and possible strategies to mitigate them.   methods a survey consistin...

The authors of “Management matters: a leverage point for health systems strengthening in global health,” raise a crucial issue. Because more effective management can contribute to better performing health systems, attempts to strengthen health systems require attention to management. As a guide toward management capacity building, the authors outline a comprehensive set of core management compe...

BACKGROUND The Doris Duke Charitable Foundation's African Health Initiative supported the implementation of Population Health Implementation and Training (PHIT) Partnership health system strengthening interventions in designated areas of five countries: Ghana, Mozambique, Rwanda, Tanzania, and Zambia. All PHIT programs included health system strengthening interventions with child health outcome...

"How far are we in implementing climate change and health action in the WHO European Region?" This was the question addressed to representatives of WHO European Member States of the working group on health in climate change (HIC). Twenty-two Member States provided answers to a comprehensive questionnaire that focused around eight thematic areas (Governance; Vulnerability, impact and adaptation ...

Introduction: India’s success in attaining universal health coverage will critically depend on its health system’s ability to deliver clinical services in rural areas. So far, attempts to increase rural recruitment of doctors through incentives or compulsion have been unsuccessful. In 2010, we conducted a Discrete Choice Experiment (DCE) in the states of Uttarakhand and Andhra Pradesh to unders...

the editorial is commendable and i agree with many of the points raised. management is an important aspect of health system strengthening which is often overlooked. in order to build the capacity of management, we need to consider other factors such as, the environment within which managers work, their numbers, support systems and distribution. effective leadership is an issue which cannot be o...

The International Health Regulations (IHR) 2005, as the overarching instrument for global health security, are designed to prevent and cope with major international public health threats. But poor implementation in countries hampers their effectiveness. In the wake of a number of major international health crises, such as the 2014 Ebola and 2016 Zika outbreaks, and the findings of a number of h...