Overcoming health-systems constraints to achieve the Millennium Development Goals
Phyllida Travisa b✉, Sara Bennettc, Andy Hainesd, Tikki Pange, Zulfiqar Ahmed Bhuttaf, Adnan Ali Hyderg, Nancy Pielemeierc, ANNE J. MILLSd h, Timothy Evansi
- aDepartment of Health System Policies, WHO, Geneva, Switzerland. travisp@who.int
- bDepartment of Health System Policies and Operations, WHO, Geneva, Switzerland
- cPartners for Health Reform-plus Project, Abt Associates, Bethesda, USA
- dLondon School of Hygiene and Tropical Medicine, London, UK
- eDepartment of Research Policy and Cooperation, WHO, Geneva, Switzerland
- fPaediatrics and Child Health, Aga Khan University, Karachi, Pakistan
- gDepartment of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
- hAlliance for Health Policy and Systems Research, Geneva, Switzerland
- iDepartment of Evidence and Information for Policy Cluster, WHO, Geneva, Switzerland
- ✉Corresponding author
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Abstract
Effective interventions exist for many priority health problems in low income countries; prices are falling, and funds are increasing. However, progress towards agreed health goals remains slow. There is increasing consensus that stronger health systems are key to achieving improved health outcomes. There is much less agreement on quite how to strengthen them. Part of the challenge is to get existing and emerging knowledge about more (and less) effective strategies into practice. The evidence base also remains remarkably weak, partly because health-systems research has an image problem. The forthcoming Ministerial Summit on Health Research seeks to help define a learning agenda for health systems, so that by 2015, substantial progress will have been made to reducing the system constraints to achieving the MDGs.