Health system reconstitution syndrome
An often misunderstood phenomenon in global health practice
Bibliographic Data
| ID | 11490893 |
|---|---|
| Authors | Anatole Manzi (0000-0003-4563-9855, Partners In Health, corresponding author), Alyssa Ierardo (Department of Public Health and Community Medicine, Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA, USA), Jean Claude Mugunga (0000-0003-1210-7422, Partners In Health), Cate Oswald (Partners In Health), Patrick Ulysse (Partners In Health), Eric M Hansen (Partners In Health), Eric Hansen (0000-0001-8469-190X, Partners In Health), Sheila Davis (0000-0002-8601-5603, Partners In Health), Joia S Mukherjee (0000-0003-4931-4804, Brigham and Women's Hospital), Joia Mukherjee (Partners In Health) |
| Year | 2019 |
| Volume | 34 |
| Issue | 8 |
| Pages | 618-624 |
| Publication date | 2019-10-01 |
| 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/czz072 |
| PMID | 31397481 |
| OpenAlex | W2967002147 |
| Language | EN |
| References cited | 28 |
The beginning of the 21st century was marked by the new definition and framework of health systems strengthening (HSS). The global movement to improve access to high-quality care garnered new resources to design and implement comprehensive HSS programs. In this effort, billions of dollars flowed from novel mechanisms such as The Global Fund to Fight AIDS, Tuberculosis and Malaria; Gavi, the Vaccine Alliance; and several bilateral funders. However, poor health outcomes, particularly in low-income countries, raise questions about the effectiveness of HSS program implementation. While several evaluation projects focus on the ultimate impact of HSS programs, little is known about the short- and mid-term reactions occurring throughout the active implementation of HSS interventions. Using the well-documented WHO framework of six HSS building blocks, we describe the evolution and phases of health system reconstitution syndrome (HSRS), including: (1) quiescent phase, (2) reactive phase, (3) restorative phase and (4) stability phase. We also discuss the implications of HSRS on global health funding, implementation, policy and research. Recognizing signs of HSRS could improve the rigour of HSS program design and minimize premature decisions regarding the progress of HSS interventions
Alliance · Capacity building · Economic growth · Economics · Global health · Health care · Political science · Psychological intervention · Public health · Public relations · Rigour · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Nursing · Primary Care and Health Outcomes
Selecting and Improving Quasi-Experimental Designs in Effectiveness and Implementation Research
The Value of Interrupted Time-Series Experiments for Community Intervention Research
Limitations of the Millennium Development Goals
An approach to addressing governance from a health system framework perspective
Health in the service of state-building in fragile and conflict affected contexts
Contextual factors affecting health information system strengthening
A systematic review of the evidence on integration of targeted health interventions into health systems
Health systems facilitators and barriers to the integration of HIV and chronic disease services
Strengthening health system leadership for better governance
The emergence of global attention to health systems strengthening
Six Components Necessary for Effective Public Health Program Implementation
| Citation velocity | historical |
|---|---|
| Highly cited | No |