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Stewardship and health systems strengthening: An overview
Public Administration and Development ( IF 2.6 ) Pub Date : 2019-01-24 , DOI: 10.1002/pad.1846
Derick W. Brinkerhoff 1 , Harry E. Cross 2 , Suneeta Sharma 2 , Taylor Williamson 3
Affiliation  

The World Health Organization (WHO) introduced the concept of stewardship to clarify the practical components of governance in the health sector. For the WHO, stewardship concentrated on how government actors take responsibility for the health system and the wellbeing of the population, fulfill health system functions, assure equity, and coordinate interaction with government and society. This article overviews the contents of this special issue, which offers examples of how health stewards in a variety of countries have addressed issues of health security, primary care expansion, family planning, and quality of care. The contributors' articles draw lessons for policy, programs, and management useful for practitioners and scholars. Our overview identifies several themes emerging from the articles: the foundational role of legal frameworks for effective stewardship, the importance of institutional arrangements as enablers, the influence of regional and global entities on national stewardship, the connection between credible decision‐making structures and stewardship, and pathways to sustainable financing and domestic resource mobilization. The discussion concludes with highlighting several gaps in knowledge and practice related to health stewardship.

中文翻译:

加强管理和卫生系统:概述

世界卫生组织(世卫组织)引入了管理的概念,以阐明卫生部门治理的实际组成部分。对于世卫组织,管理工作集中于政府行为者如何对卫生系统和人民的福祉负责,履行卫生系统职能,确保公平并协调与政府和社会的互动。本文概述了本期特刊的内容,提供了一些示例,说明了许多国家的卫生管理人员如何解决卫生安全,初级保健扩展,计划生育和护理质量等问题。贡献者的文章为对从业者和学者有用的政策,计划和管理提供了经验教训。我们的概述确定了文章中出现的几个主题:有效管理法律框架的基本作用,制度安排作为推动者的重要性,区域和全球实体对国家管理的影响,可靠的决策结构与管理之间的联系以及可持续融资和国内资源动员的途径。讨论结束时强调了与健康管理有关的知识和实践方面的一些空白。
更新日期:2019-01-24
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