Intégration du système de santé de district dans le cadre des soins de santé primaires au Pakistan: Les réformes évolutives peuvent-elles accélérer la réalisation des objectifs du Millénaire pour le développement?

Translated title of the contribution: Implementing the district health system in the framework of primary health care in Pakistan: Can the evolving reforms enhance the pace towards the Millennium Development Goals?

F. Sabih, K. M. Bile, W. Buehler, A. Hafeez, S. Nishtar, S. Siddiqi

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)

Abstract

There is growing renewed trust in primary health care as the best approach for ensuring equity in the delivery of essential health services. However, Pakistan with one of the most widely spread district health system networks in the region, has not delivered at the expected capacity. A series of health system reform agendas are now stipulated which include the promulgation of an essential health service package, public private partnerships and a people-centred focus. Nevertheless, success of these reforms will hinge on the ability of the three tiers of the government and other stakeholders to work together to improve the overall performance of the district health system. This paper provides an overview of the district health system infrastructure and organization of primary health care services in Pakistan, the evolving governance pattern and the operational significance and merit of health system pillars for effective service implementation.

Translated title of the contributionImplementing the district health system in the framework of primary health care in Pakistan: Can the evolving reforms enhance the pace towards the Millennium Development Goals?
Original languageFrench
Pages (from-to)S132-144
JournalEastern Mediterranean Health Journal
Volume16
Issue numberSUPPL.
DOIs
Publication statusPublished - Aug 2010
Externally publishedYes

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