Strengthening ministries of health for primary health care
İÇİNDEKİLERCONTENTS 1. Introduction. 2. Ministries of health and health for all....................................... 2.2 Definition of ministry of health........................................... 2.2 Functions in a health system infrastructure........................ 2.2.1 Production of health resources................................... 2.2.2 Provision of health care............................................. 2.2.3 Economic support mechanisms.................................. 2.2.4 Health activity management....................................... 2.3 Functions of ministries of health and other organizations . 2.3.1 Ministries of health at all levels................................. 2.3.2 Other government organizations at all levels............. 2.3.3 Nongovernmental and voluntary agencies................. 2.3.4 Industrial and other enterprises................................. 2.3.5 The private health care market.................................. 3. Ministry of health weaknesses and their background......... 3.1 Inadequate or inappropriate range of responsibilities 3.2 Isolated role in the national health system................... 3.3 Excessively centralized responsibilities.......................... 3.4 Poor management and weak leadership....................... 3.5 Inadequate links with other social sectors.................... 3.6 Limited links to the population.................................... 3.7 Meagre economic support............................................ 4. Strategies for strengthening ministries of health........................................... 4.1 Determining the appropriate scope of ministry of health responsibilities 4.2 Coordination of functions within the health system.............................. 4.2.1 Coordination within the ministry.................................................. 4.2.2 Coordination within the health sector.......................................... 4.3 Decentralization and organizational restructuring................................. 4.3.1 Decentralization of ministry of health responsibilities.................. 4.3.2 Organizational restructuring of the ministry of health................. 4.4 Improved management and leadership................................................... 4.4.1 Functions of management............................................................. 4.4.2 Leadership..................................................................................... 4.5 Intersectoral collaboration...................................................................... 4.6 Community involvement......................................................................... 4.7 Increased economic support................................................................... 5. Achieving changes........................................................ 5.1 Relevant technical, political, and cultural factors 5.1.1 Technical factors.......................................... 5.1.2 Political factors............................................. 5.1.3 Cultural factors............................................ 5.2 Communication techniques.................................... 5.3 Role of health legislation.......................................6. Principal conclusions and recommendations....................... 6.1 Scope of ministry of health responsibilities................... 6.2 Coordination of functions within the health sector...... 6.3 Decentralization of ministry of health responsibilities 6.4 Organizational restructuring of the ministry of health 6.5 Management and leadership.......................................... 6.6 Intersectoral collaboration............................................. 6.7 Community involvement................................................ 6.8 Increased economic support.......................................... 6.9 Factors affecting change................................................ 6.10 Communication techniques.......................................... 6.11 Health legislation......................................................... 6.12 General......................................................................... Acknowledgements................................................................... References ................................................................................  |
