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Operations

Challenge

Institutions that organize and deliver health services (i.e., national and local governments, NGOs, private sector) often face systemic weaknesses and challenges that impair their ability to provide affordable, quality health care services. These include: inadequate and untimely national and local government allocations to the health sector and/or health institutions with low capacity to absorb and use allocated funds to address priority needs; low-skilled, overworked, and poorly managed health workers with few incentives to reward good performance; or broadly speaking, the health sector’s inability to operationalize health policies and programs.

Approach

The Health Systems 20/20 approach addresses operational challenges by assisting countries to adopt effective systems and processes in planning (strategic planning, program management, facilities operations), financial management (budgeting, accounting, audit, procurement) and human resources management (workforce planning, training and development, performance-based management). Adopting best practices in health operations promotes transparency and accountability (governance), strengthens institutional ability to use systematic approaches in operations (capacity building), and can lead to effective implementation and sustainability of health financing schemes (financing).

Download Health Systems 20/20 Offers Assistance in Operations brief.

Download the Health Systems 20/20 Operation Framework.

Health Operations Survey Results

Aug 16 2007
Health Systems 20/20 recently conducted a web-based survey to learn more about the experiences and perspectives of country and international actors on health systems operations. More...

Demystifying Health Systems: The Health Systems Assessment Approach

Apr 25 2007
April 25, 2007
1:00 - 3:00 pm
National Press Club

USAID asked its three major health system strengthening projects (PHRplus/Health Systems 20/20; RPM Plus; and the Quality Assurance Project) to develop a rapid but comprehensive approach to assessing health systems by drawing from their experiences working on different, but complementary components of health systems. The result of this effort is an indicator-based, modular assessment tool—Health Systems Assessment Approach: A How-to Manual. This seminar covered the contents of the manual, the circuitous path to its development, and a range of applications in Angola, Azerbaijan, Benin, Ghana, Malawi, Pakistan, and Yemen.

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Health Systems Assessment Approach: A How-To Manual

Apr 1 2007

USAID’s Office of Health, Infectious Diseases and Nutrition (HIDN) requested the development of a Health Systems Assessment Approach as part of its global Mainstreaming Health Systems Strengthening Initiative. The Health Systems Assessment Approach: A How-To Manual was developed by Health Systems 20/20, Partners for Health Reformplus (PHRplus), Rational Pharmaceutical Management Plus (RPM Plus), and the Quality Assurance Project (QAP).It is designed to provide a rapid yet comprehensive assessment of a country's health system.

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Health Systems Operations Survey Report

Aug 16 2007, Health Systems 20/20
Project: Health Systems 20/20
Type: Report

Yemen Health Sector Analyzer: Users Manual

Jun 29 2007, Yemen Partners for Health Reform
Type: Tool
Country: Yemen

Yemen-Overview: Health GIS Toolkit

Jun 29 2007, Ministry of Public Health and Population
Type: Tool

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Directing attention at specific health issues in Rwana (Policy Formulation and Implementation, RH Subaccount, Sub-Saharan Africa, 2006)
Increasing Government Stewardship and Donor Harmonization in Rwanda (Policy Formulation and Implementation, Malaria Subaccount, Sub-Saharan Africa, 2003)
Increasing levels of donor funding in Rwanda (Advocacy, HIV/AIDS Subaccount, Sub-Saharan Africa, 1998)
Helping Design the Essential Health Care Package in Zambia (Policy Dialogue, General, Sub-Saharan Africa, 2002)
Advocating for Performance-Based Financing in Malawi (Inform Resource Allocation Decisions, General, Sub-Saharan Africa, 2007)

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