Health systems vary widely in performance, and countries with similar levels of income, education and health expenditure differ in their ability to attain key health goals. This paper proposes a framework to advance the understanding of health system performance. A first step is to define the boundaries of the health system, based on the concept of health action. Health action is defined as any set of activities whose primary intent is to improve or maintain health. Within these boundaries, the concept of performance is centred around three fundamental goals: improving health, enhancing responsiveness to the expectations of the population, and assuring fairness of financial contribution.
Local Resources can significantly contribute to national governments' and external donors' efforts to maintain and extend health programs. By identifying and using the full range of local resources, both monetary and non-monetary, health programs can help build partnerships among public, private and government sectors; involve individuals and groups in the community; and strengthen and expand health services.
National health systems need strengthening if they are to meet the growing challenge of chronic diseases in lowincome and middle-income countries. By application of an accepted health-systems framework to the evidence, we report that the factors that limit countries’ capacity to implement proven strategies for chronic diseases relate to the way in which health systems are designed and function. Substantial constraints are apparent across each of the six key health-systems components of health fi nancing, governance, health workforce, health information, medical products and technologies, and health-service delivery.
The typical business model for banking in the developed and developing world has been to encourage the unbanked (those at the bottom of the pyramid) to the bank. Since the deep penetration of mobile phones across the global north and south, mobile devices are now bringing the bank to the unbanked. Now with the click of a button you can transfer money (internationally and domestically), check account balances and financially plan smarter. The Health Service Delivery Model