Sharing Best Practices in Strengthening Local or District Health Systems
AbstractMeeting the basic health needs of the people requires that governments define policies and ensure their successful implementation at local or district level. A “health district” means a clearly defined administrative area covering a population at whose level some form of local government or administration takes over many responsibilities from central government departments.1 2. The concept of District Health Systems (DHS) has been widely promoted by WHO2 in the firm conviction that the district is the most important level for improving efficiency and responding to local health priorities and needs with focus on high-impact health interventions. The district is in the best position to address local challenges through seizing local opportunities and responding to people’s health needs. 3. Experiences with decentralization in countries in the African Region have shown mixed results. In some countries, decentralization has been accompanied by effective transfer of authority and responsibility from the central level to the local/district level while in others weaknesses in institutional capabilities coupled with instability in policy and environment have undermined the performance of DHS.
Regional Committee for Africa, 59. (2011). Sharing Best Practices in Strengthening Local or District Health Systems. http://www.who.int/iris/handle/10665/1789
DescriptionRegional Committee for Africa Fifty-ninth Session Kigali, Republic of Rwanda, 31 August–4 September 2009: Provisional agenda item 11
Gov't Doc #AFR/RC59/RT/1
MetadataShow full item record
Showing items related by title and MeSH subject.
Programmes d’agents de santé communautaires dans la Région africaine de l’OMS : données factuelles et options — note d’orientation Organisation mondiale de la Santé. Bureau régional de l'Afrique (2017)
World Health Organization, Regional Office for the Eastern Mediterranean (2016)Access to primary health care is one of the major challenges faced by developing countries, including those of the WHO Eastern Mediterranean Region. Experiences from both within and outside the Region have shown that the training of community health workers in the delivery of primary health care can improve timely access to primary health care services, and eventually reduce morbidity and mortality due to preventable diseases. This report provides an overview of community health worker programmes by introducing best practices and examining the ...