Management for health services delivery

Sub-national and district management: Organization and implementation of health services


  • Improving Health Services and Strengthening Health Systems: Adopting and Implementing Innovative Strategies, Working Paper No.5
    pdf, 677kb

    2005, Katja Janovsky, David Peters; Annesa Arur, Sandhya Sun
    Contracting with NGO's, delegation of authority, user fees exemptions, subsidies for the poor, performance related pay and incentives; contracting and performance incentives used less often; community engagement strategies not reaching national level; lack of information on implementation and results; few plans for scaling up from pilot to national level;
    (29 pages, pdf 895kb)
  • Implementation of promotion and prevention activities in decentralized health systems: comparative case studies from Chile and Brazil
    Sarah Atkinson, Amélia Cohn, Maria Elena Ducci and Jasmine Gideon, 2005 Health Promot. Int. 20:167-175
    health system structures; partnerships and “intersectorality” and human resources issues. decentralised management allows variation in local implementation of policy; need for a “family health approach”; success factors: whether health systems are vertically or horizontally structured; awareness of prevention and promotion issues; bias towards urban areas; strategies to attract human resources to primary care and to rural areas; and the importance of local capacity building.
    (10 pages, pdf 389kb)
  • Organisations that Reach the Poor: Why Co-production Matters
    Anuradha Joshi and Mick Moore, 2002, Institute of Development Studies (IDS)
    The provision of public services through long term relationships between state agencies and organised groups of citizens, where both make substantial resource contributions
    (19 pages, pdf 242kb)
  • From News to Everyday Use, the Difficult Art of Implementation
    pdf, 1.49Mb

    Karin Guldbrandsson, 2008, Swedish National Institute of Public Health
    Once new health–promoting methods have been presented, sometimes after years of research, it often takes a long time for them to come into daily use. This delay means health gains are not achieved as quickly. The aim of this report is to facilitate the work of public health planners and service managers who face the challenge of disseminating and implementing new methods.
    (34 pages, pdf 1.5MB)
  • Understanding the "Demand Side" in Service Delivery
    Hilary Standing, 2004, UK Department for International Development
    Behaviour change; rights-based approaches; improving accountability; demand side financing
    (42 pages, pdf 249kb)