World Health Organization : Year 1995 ; World Health Organization, Strengthening of Health Service, District Health Systems, No. 95.1: District Health Systems Global and Regional Review Based on Expierience in Various Countries

By World Health Organization

Book Id: WPLBN0000058161
Format Type: PDF eBook:
File Size: 1.60 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1995 ; World Health Organization, Strengthening of Health Service, District Health Systems, No. 95.1: District Health Systems Global and Regional Review Based on Expierience in Various Countries
Author:	World Health Organization
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Health Organization, B. W. (n.d.). World Health Organization : Year 1995 ; World Health Organization, Strengthening of Health Service, District Health Systems, No. 95.1. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
During the first eight years of the implementation of the Declaration of Alma-Ata (19781, little emphasis was placed on strengthening district health systems. However, in May 1986, the World Health Assembly adopted a resolution calling on Member States and WHO to place much more emphasis on district health systems for primary health care. Since that time, the main challenge for countries and WHO h~ been how to turn the district and local health system into one truly based on primary health care and able to function to maximum effect. This document presents successes and shortcomings experienced in attempts to develop population-based operational health systems in both rural and urban areas.

Table of Contents
CONTENTS INTRODUCTION 5 SECTION 1 BACKGROUND ................................................... 7 Health for All by the Year 2000 . . . . . . . . . . . . . . . . . . . . . . . . . . 7 . The Alma-Ata Declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 . Implementation of Primary Health Care in the Eighties . . . . . . . . . 7 . The World Health Assembly Resolution on District Health Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 . Definition of District Health Systems ....................... 8 . The District Health System Initiative . . . . . . . . . . . . . . . . . . . . . . . 9 . Initiation of the WHO Programme on Strengthening District Health Systems based on Primary Health Care ..................... 9 . Development Objectives ................................ 9 Objectives and Approaches of the Programme . . . . . . . . . . . . . . . 10 SECTION I1 ASPECTS AND CRITICAL AREAS OF DISTRICT HEALTH SYSTEMS SUPPORTED IN VARIOUS COUNTRIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Critical areas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Organization. Planning. and Management .................. 11 Finance and Resource Allocation . . . . . . . . . . . . . . . . . . . . . . . . . 13 Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Community Involvement in Health . . . . . . . . . . . . . . . . . . . . . . . . 15 Intersectoral Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Capacity-building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Institutional Strengthening . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 (a) Health centres . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 (b) District hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Urban Health Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Quality Assurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21