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1,[object Object],Strengthening Health Systems: From Global to Local,[object Object],Sara Bennett, Associate Professor ,[object Object],Johns Hopkins School of Public Health,[object Object],Global Health Council Satellite Session,[object Object],Health System Strengthening: ,[object Object],What is Everyone Doing?,[object Object],June 13, 2011,[object Object]
Key points,[object Object],There is both conceptual confusion and multiple approaches to HSS,[object Object],Conceptual confusion is problematic – but it may be premature to fix conceptual frames ,[object Object],Multiplicity of approaches is a good thing, if it reflects responsiveness to differing contexts,[object Object],Need to embrace more nationally driven HSS agendas and support the development of national-level capacity to drive such agendas,[object Object],2,[object Object]
Different current approaches to HSS,[object Object],3,[object Object]
Problems of lack of conceptual clarity,[object Object],Too much time spent explaining things to each other and to outsiders!,[object Object],Fragmentation and lack community across a small field,[object Object],Lack of agreed standards to track commitments and achievements,[object Object],Cyclical trends in priority for health systems,[object Object],4,[object Object],Oh, but how do you accommodate system dynamics and emergent behaviors?,[object Object],I support a diagonal approach to HSS with positive synergies,[object Object]
Intrinsic features of field that promote cyclical policy (source: Rochefort 1988),[object Object],Complexity of field and heterogeneous problems,[object Object],Exaggerated ideologies – over-confidence, disillusionment,[object Object],Incomplete development of scientific basis ,[object Object],Mismatch of goals and means,[object Object],Linked to social and economic cycles ,[object Object],Not sexy!,[object Object],5,[object Object]
From global to local,[object Object],6,[object Object],[object Object]
Cycles leave insufficient time for country implementation
National commitment to HSS may be more important than global funding

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