The emergence of global attention to health systems strengthening
Bibliographic Data
| ID | 11491461 |
|---|---|
| Authors | Tamara Hafner (0000-0002-4710-0979, American University, corresponding author), Joseph Shiffman (0000-0002-1693-4671, American University) |
| Year | 2013 |
| Volume | 28 |
| Issue | 1 |
| Pages | 41-50 |
| Publication date | 2013-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czs023 |
| PMID | 22407017 |
| OpenAlex | W2154147073 |
| Language | EN |
| Citations received | 96 |
| References cited | 45 |
After a period of proliferation of disease-specific initiatives, over the past decade and especially since 2005 many organizations involved in global health have come to direct attention and resources to the issue of health systems strengthening. We explore how and why such attention emerged. A qualitative methodology, process-tracing, was used to construct a case history and analyse the factors shaping and inhibiting global political attention for health systems strengthening. We find that the critical factors behind the recent burst of attention include fears among global health actors that health systems problems threaten the achievement of the health-related Millennium Development Goals, concern about the adverse effects of global health initiatives on national health systems, and the realization among global health initiatives that weak health systems present bottlenecks to the achievement of their organizational objectives. While a variety of actors now embrace health systems strengthening, they do not constitute a cohesive policy community. Moreover, the concept of health systems strengthening remains vague and there is a weak evidence base for informing policies and programmes for strengthening health systems. There are several reasons to question the sustainability of the agenda. Among these are the global financial crisis, the history of pendulum swings in global health and the instrumental embrace of the issue by some actors.
Developing country · Development economics · Economic growth · Economics · Global health · Health care · Millennium Development Goals · Political science · Public relations · Global Maternal and Child Health · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Health Policy
Governing through Goals
Mothers and Children
Discourse, ideas and power in global health policy networks
The emergence of a global right to health norm – the unresolved case of universal access to quality emergency obstetric care
Health systems frameworks in their political context
Seeding a Profession
Health as a Social System
Modernization, Globalization, Trends, and Convergence in Health Expenditure in Latin America and the Caribbean
Public–private partnerships ( ppp s) in global health
The emergence of global attention to health systems strengthening
The role of the Technical Review Panel of the Global Fund to Fight HIV/Aids, Tuberculosis and Malaria
Noncommunicable disease outcomes and the effects of vertical and horizontal health aid
Challenges and opportunities for eliminating tuberculosis – leveraging political momentum of the UN high-level meeting on tuberculosis
The Impact of Multidimensional Health Levels on Rural Poverty
Equitable global health research collaborations with a mind of human dignity
Spatiotemporal heterogeneity of the association between socioeconomic development and health policy attention
Identifying Healthcare Professional Roles in Developing Palliative Care
Developing technical support and strategic dialogue at the country level to achieve Primary Health Care-based health systems beyond the Covid-19 era
Economic evaluations of health system strengthening activities in low-income and middle-income country settings
Policy dialogue as a collaborative tool for multistakeholder health governance
Retracing loss of momentum for primary health care
Geographical distribution of the health crisis of war in the Tigray region of Ethiopia
Pursuing health systems strengthening through disease-specific programme grants
Rethinking the donor's role in strengthening health systems through sexual and reproductive health and rights partnerships
Transnational interdependency and healthcare system change
Assessing health reform
Social service systems for vulnerable children and families in low‐ and middle‐income countries
The strategic geographies of global health partnerships
Aid Fragmentation or Aid Pluralism? The Effect of Multiple Donors on Child Survival in Developing Countries, 1990–2010
Exploring the influence of the Global Fund and the Gavi Alliance on health systems in conflict-affected countries
Reproductive health systems analyses and the reparative reproductive justice approach
From polarisation to practice
The European Union’s development assistance for health (DAH) in Vietnam
Natural calamities and ‘the Big Migration’
Implementing health system strengthening projects at Usaid
The ethics of health systems research in low- and middle-income countries
From a global crisis to the ‘end of Aids’
Politics and practices of global health
The Gavi Alliance and the ‘Gates approach’ to health system strengthening
What Happened to the Global Forum for Health Research
How states exerted power to create the Millennium Development Goals and how this shaped the global health agenda
Health systems flattening – the failed promises of decentralisation in Mozambique
Future-proofing global health
Limits of neoliberalism
Analysing power and politics in health policies and systems
Outsourcing sovereignty
Émergence et formulation d’un programme de solidarité pour affilier les plus pauvres à une assurance maladie au Burkina Faso
Therapeutic citizens and clients
HIV policy legacies, pandemic preparedness and policy effort to address Covid-19
‘Show me the money’
Piloting a participatory, community-based health information system for strengthening community-based health services
Health systems around the world – a comparison of existing health system rankings
Does SDG 3 have an adequate theory of change for improving health systems performance
From Kisiizi to Baltimore
Donor support for Health Policy and Systems Research
Global health initiative investments and health systems strengthening
Assessing Covid-19 through the lens of health systems’ preparedness
Holy grail or convenient excuse? Stakeholder perspectives on the role of health system strengthening evaluation in global health resource allocation
European aid and health system strengthening
Considerations for a Human Rights Impact Assessment of a Population Wide Treatment for HIV Prevention Intervention
Private actors, global health and learning the lessons of history
Pathways to gender‐transformative women's health aid
Alteridade ou austeridade
Power dynamics and intersectoral collaboration for health in low- and middle-income countries
Why does a public health issue (not) get priority? Agenda setting for the national burns programme in India
How is process tracing applied in health research? A systematic scoping review
The anthropology of health systems
Assessing the field of health policy and systems research using symposium abstract submissions and machine learning techniques
Rethinking collaboration
Measuring political commitment and opportunities to advance food and nutrition security
Generating global political priority for urban health
Sector-wide or disease-specific? Implications of trends in development assistance for health for the SDG era
Global health aid allocation in the 21st century
Epistemic communities in global health and the development of child survival policy
Health system reconstitution syndrome
Mapping health workforce development strategies across key global health agencies
How do external donors influence national health policy processes? Experiences of domestic policy actors in Cambodia and Pakistan
The Evita framework for evidence-based mental health policy agenda setting in low- and middle-income countries
Resource allocation processes at multilateral organizations working in global health
Health system strengthening
Power in relations of international organisations
Introduction
The Social Construction of Global Health Priorities
Health care reforms in India
Covid-19 opens a window of reflection for comparative health systems and global health research
Adapting public policy theory for public health research
Unintended Consequences of Community Health Worker Programs in South Africa
The diagonal approach
The social network of international health aid
Mobilizing women at the grassroots to shape health policy
Sanctified suffering and the common good
Construct Validity in Action
The Healthy Trends of International Relations Research
The Social Life of Health Insurance in Low- to Middle-income Countries
Health insurance in India
Precarity and Preparedness
The Brazilian health system
Building the Field of Health Policy and Systems Research
Selective Primary Health Care
Human resources for health
The health and health system of South Africa
Building the Field of Health Policy and Systems Research
Overcoming health-systems constraints to achieve the Millennium Development Goals
Public financing of health in developing countries
The 'diagonal' approach to Global Fund financing
The Health Systems Funding Platform
The effects of global health initiatives on country health systems
International Norm Dynamics and the “End of Poverty”
Achieving child-health-related Millennium Development Goals
The emergence of global attention to health systems strengthening
The Origins of Primary Health Care and Selective Primary Health Care
Causal Stories and the Formation of Policy Agendas
Why health improves
| Unique citing works | 96 |
|---|---|
| Citations per year | 6,86 |
| Citation span | 2012 - 2026 (15) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 90 |