Professional Documents
Culture Documents
Six Building Blocks of Health System
Six Building Blocks of Health System
Leadership/
stewardship
Health Human
Services Resources
Health Care
Pharmaceuticals
Financing
Planning
and M&E
Service delivery
– “Service delivery” building block
– In HSDP IV: integration of programmes at the point of
service delivery
• Integrated packages of services (i.e., FP/HIV, HIV/TB etc.);
• Definition of roles of primary and other levels of care in delivering
the packages;
• Development of referral system
• Establishment of service standards;
• Continuity of care;
• Integration of disease control activities.
Service delivery
– Backbone of the health service delivery system: Health
Extension Workers (HEW) provide integrated promotive,
preventive and basic curative services at community level
– Health Extension Package include
• prevention of HIV/AIDS, STIs and TB; malaria prevention and control;
• first aid emergency measures;
• maternal, newborn and child health; family planning; immunization;
nutrition;
• adolescent reproductive health;
• excreta disposal; solid and liquid waste disposal; water supply; food
hygiene and safety measures; healthy home environment; control of
insects and rodents; personal hygiene;
• health education and communication.
Health workforce
– “Health workforce” building block
– In HSDP IV:
• Production of key categories of health workers (HW) in
short supply;
• Intersectoral collaboration;
• Public-private partnership;
• Quality assurance in training;
• Geographic distribution of HWs;
• Regulatory system; and
• Cost-effectiveness in staff retention and mechanisms.
Health workforce
– Strengthening health workforce in Ethiopia
• Production: over 6,000 medical students on training,
over 1,600 nurse midwives on training etc.;
• Skill mix and task shifting: production of new
integrated cadres, i.e., 252 integrated emergency
surgery officers on training to address the needs for
emergency, Comprehensive Emergency Obstetrical and
Neonatal Care and Basic Emergency Obstetrical and
Neonatal Care;
• Women’s empowerment: Over 38,000 Health
Extension Workers trained and in place (in rural and
urban areas) to provide integrated preventive and
basic curative services at community level;
• Retention and motivation: i.e., upgrading program for
HEWs etc.
Information
– “Information” building block
– Building Health Information System (HIS) with
integration of different data sources for evidence-based
decision making
Information
– Purpose of the information system: to improve the
health of the population
Information