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Title: Community context of health system development: implications for health sector reform in Pakistan
Authors: Mahmood, M.A.
Moss, J.
Karmaliani, R.
Issue Date: 2003
Language: English
Abstract: To describe local sociopolitical and organizational factors that influence health system development in Karachi, Pakistan, we conducted participant observation while working with health providers and communities in one urban district to reorient services towards a primary health care district health system. We found that the community characteristics, particularly the diverse socialpolitical and cultural make-up and organizational complexity that involved multiple levels of government, influenced efforts towards collaboration and shaped the development of the health system. We conclude that for effective implementation of health sector reform there is a need to comprehend fully the community context and complexity of existing health service provision
Description: 464-471
Keywords: Cooperative Behavior
Decision Making, Organizational
Health Care Reform
Interinstitutional Relations
Needs Assessment
Power [Psychology]
Private Sector
Public Sector
Residence Characteristics
Subject: Community Health Services
ISSN: 1020-3397
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Appears in Collections:EMRO Journal Articles (EMHJ)

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