Overcoming health-systems constraints to achieve the Millennium Development Goals

Phyllida Travis, Sara Bennett, Prof Andy Haines, Tikki Pang, Prof Zulfiqar Bhutta, Adnan A. Hyder, Nancy R. Pielemeier, Prof Anne Mills, Timothy Evans

Research output: Contribution to journalArticlepeer-review

608 Citations (Scopus)


Effective interventions exist for many priority health problems in low income countries; prices are falling, and funds are increasing. However, progress towards agreed health goals remains slow. There is increasing consensus that stronger health systems are key to achieving improved health outcomes. There is much less agreement on quite how to strengthen them. Part of the challenge is to get existing and emerging knowledge about more (and less) effective strategies into practice. The evidence base also remains remarkably weak, partly because health-systems research has an image problem. The forthcoming Ministerial Summit on Health Research seeks to help define a learning agenda for health systems, so that by 2015, substantial progress will have been made to reducing the system constraints to achieving the MDGs.

Original languageEnglish
Pages (from-to)900-906
Number of pages7
JournalThe Lancet
Issue number9437
Publication statusPublished - 4 Sept 2004


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