A System-Wide Approach to Analysing Efficiency across Health Programmes

Publications - Released in 2017

Health programmes are able to target health interventions for specific diseases or populations, and historically, countries have relied heavily on them to deliver priority services. In low and middle income countries, this organizational approach has been reinforced by donor assistance for priority areas that often leads programmes to operate largely autonomously from one another in seeking to optimize the achievement of a specific objective. This dynamic has implications for how priority interventions are delivered and sustained, sometimes with separate organizational arrangements resulting in inefficient overlaps and duplications. As contexts change, and in particular, as responsibility for funding these programmes shifts more towards domestic resources, maintaining an array of programmes with distinct, separate organizational arrangements is unlikely to be affordable.

This paper presents an approach to conceptualizing and addressing inefficiencies arising from the way that health programmes operate within the context of the overall health system. 

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Organizations

  • World Health Organization (WHO)