Making Health Systems Work in Low and Middle Income Countries
Textbook for Public Health Practitioners

This internationally authored textbook demystifies the complexities that health systems pose in Low- and Middle-Income Countries.

Sameen Siddiqi (Edited by), Awad Mataria (Edited by), Katherine D. Rouleau (Edited by), Meesha Iqbal (Edited by)

9781009211093, Cambridge University Press

Paperback / softback, published 29 December 2022

380 pages
23.4 x 15.5 x 3 cm, 1.03 kg

The importance of health systems has been reinforced by the commitment of Low- and Middle-Income Countries (L&MICs) to pursue the targets of Universal Health Coverage, Health Security, and to achieve Health-related Sustainable Development Goals. The COVID-19 pandemic has further exposed the fragility of health systems in countries of all income groups. Authored by international experts across five continents, this book demonstrates how health systems can be strengthened in L&MICs by unravelling their complexities and by offering a comprehensive overview of fundamental concepts, performance assessment approaches and improvement strategies to address health system challenges in L&MICs. Centred on evidence and advocacy this unique resource on health systems in L&MICs will benefit a wide range of audiences including, readers engaged in public health practice, educational programs and research initiatives; faculties of public health and population sciences; policymakers, managers and health professionals working for governments, civil society organizations and development agencies in health.

Section I. Analysing Health Systems: Concepts, Components, Performance: 1. Introduction to health systems: Setting the scene
2. Health systems based on primary health care
3. Universal health coverage and health system strengthening
4. Health system governance: Concepts, principles and practice
5. Financing health care: Revenue raising, pooling, and purchasing
6. Health workforce in low and middle income countries: Concepts and dynamics unpacked
7. The pharmaceutical system and its components: Regulation and management and associated challenges
8. Health information systems: Data for decision-making in health systems
9. The organization and management of health services
10. Health services delivery: Key concepts and characteristics
11. Role and contribution of the community in health system strengthening
12. Performing health systems: Attributes and approaches to assessment
13. Decision-making tools for informed decisions by health policymakers and managers
14. Health policy and systems research: The role of implementation research
Section II. Transforming Health Systems: Confronting Challenges, Seizing Opportunities: 15. Universal health coverage and beyond: Health system interventions and intersectoral policies
16. Pro-poor expansion of universal health coverage: Health financing strategies and options
17. Health insurance for advancing universal health coverage: Disentangling its complexities
18. From passive to strategic purchasing in low and middle income countries: The what and how of getting the most from limited resources
19. Good governance and leadership for better health systems
20. Developing a balanced health workforce: Understanding the health labor market dynamics
21. Enhancing equitable access to essential medicines and health technologies
22. Health information and information technology: The path from data to decision
23. Using health research for evidence-informed decisions in health systems in L&MICs
24. Integrated people-centred health care: What is it and how it's done!
25. Strengthening hospital governance and management to become high-performing organizations
26. Improving the quality and safety of health care in low and middle income countries: What works!
27. Harnessing the contribution of the private health sector toward public health goals
28. Public-private partnership in health care services
29. Embedding people's voice and ensuring participatory governance: Lessons from the Thai experience in community engagement
30. Achieving health-related sustainable development goals: Role of health systems strengthening
31. The determinants of health systems: Upstream approach to addressing health and social inequities
32. Integrating essential public health functions in health systems: Ensuring health security
33. Engaging in a health care recovery process
34. Health system response to the covid-19 pandemic: Fault lines exposed and lessons learned
35. Understanding the global health architecture: Toward greater 'donor' independence
36. Political economy of health reforms in low and middle income countries
37. Better health systems for better outcomes: How to make it happen!

Subject Areas: Educational: Personal, social & health education [PSHE YQNP], Health systems & services [MBP], Public health & preventive medicine [MBN], Public health & safety law [LNTJ]