Sharing best practices in strengthening local or district health systems
提要
Meeting the basic health needs of the people requires that governments define policies andensure their successful implementation at local or district level. A “health district” means a clearlydefined administrative area covering a population at whose level some form of local government oradministration takes over many responsibilities from central government departments.12. The concept of District Health Systems (DHS) has been widely promoted by WHO2 in the firmconviction that the district is the most important level for improving efficiency and responding tolocal health priorities and needs with focus on high-impact health interventions. The district is in thebest position to address local challenges through seizing local opportunities and responding topeople’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 andresponsibility from the central level to the local/district level while in others weaknesses ininstitutional capabilities coupled with instability in policy and environment have undermined theperformance of DHS.引用
Regional Committee for Africa, 59. (2011). Sharing best practices in strengthening local or district health systems. https://iris.who.int/handle/10665/1789
关系
AFR-RC59-RT-1