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...

BACKGROUND Research on practical and effective governance of the health workforce is limited. This paper examines health system strengthening as it occurs in the intersection between the health workforce and governance by presenting a framework to examine health workforce issues related to eight governance principles: strategic vision, accountability, transparency, information, efficiency, equi...

BACKGROUND The primary bottleneck to achieving the MDGs in low-income countries is health systems that are too fragile to deliver the volume and quality of services to those in need. Strong and effective health systems are increasingly considered a prerequisite to reducing the disease burden and to achieving the health MDGs. Zambia is one of the countries that are lagging behind in achieving mi...