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What is a SYSTEM? “A system is a group of interacting, interrelated, or interdependent elements forming a complex whole”

WHO definition of HEALTH: Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity

DETERMINANTS OF HEALTH: Genetics Behavior Environmental and physical influences Medical care Social factors/Social determinants of health

Health System “A health system consists of all organisations, institutions, people and actions whose primary intent is to promote, restore or maintain health. ”

Principles of a Health System

What is Healthcare System A healthcare system is a means of organized social response to the health conditions of the population.

It is narrower than a health system and is often described in terms of the levels of healthcare and organizational structure of the Ministry responsible for health in most countries.

Health Systems Approach Aims to make most people live healthier and longer lives, whoever and wherever they are. The conceptual framework primarily focuses on determinants that will address the health outcomes. Focuses on the pillars or components of a health system

Conceptual Framework Health system goal: improving health and health equity, in ways that are responsive, financially fair, and make the best, or most efficient use of available resources

Conceptual Framework Health system objectives: definition of objectives being sought: - Improve access, and quality of services; - Achieve better coverage of services

Components / Pillars of Health System

The WHO framework refers to the building blocks of the health system

Health System building blocks (6)

Health System building blocks (6)

-aims/desirable attributes/goals/outcomes

Deliver effective, safe, quality personal and non-personal health interventions to those that need them, when and where needed, with minimum waste of resources

Works in responsive ways, fair and efficient to achieve the best health outcomes possible, given available resources and circumstances

Ensures the production, analysis, dissemination and use of reliable and timely information on health determinants, health system performance and health status

Ensures equitable access to essential medical products, vaccines and technologies of assured quality, safety, efficacy and cost-effectiveness, with scientifically sound and costeffective use

Raises adequate funds for health, in ways that ensure people can use needed services and are protected from financial catastrophe or impoverishment associated with having to pay for them