Many health experts worry that the dra matic health gains of recent years may prove temporary if external resources wane. The U.S. Global Health Initiative (GHI) outlines an ambitious agenda to permanently strengthen the health systems of the countries we assist, but there is no consensus on how to do this. One promising approach applies the lessons learned from improving care in the U.S. healt...

Despite a renewed focus in the field of global health on strengthening health systems, inadequate attention has been directed to a key ingredient of high-performing health systems: management. We aimed to develop the argument that management – defined here as the process of achieving predetermined objectives through human, financial, and technical resources – is a cross-cutting function necessa...

background: non-communicable diseases (ncds) and psychological hazards are increasingly observed in industries, necessitating the need to strengthen industrial health systems to control the same. district level data on level of functioning of industrial health systems and services with special focus on systems available for mental health care is lacking in india. this information is vital to pl...

Background The rising burden of disease and weak health systems are being compounded by the persistent economic downturn, re-emerging diseases, and violent conflicts. There is a growing recognition that the global health agenda needs to shift from an emphasis on disease-specific approaches to strengthening of health systems, including dealing with social, environmental, and economic determinant...

Key health indicators in Pakistan remain relatively intransigent. While there has been some improvement at intermediate outcome and process levels, several challenges remain, including an inattention to health systems strengthening. Within this context the NGO Heartfile has worked to bring about changes at a health policy and systems level through creation of a policy-level institutional mechan...