Health Systems Assessment Approach Manual
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| Download the complete manual [PDF, 2.3MB]. |
Health systems assessments provide a snapshot of health system performance across the six building blocks of the health system. They have been completed in more than 15 countries to date.
The Health Systems Assessment Approach is a diagnostic tool used:
- To enable USAID Missions to assess a country’s health system, possibly during early phases of program development or sector planning; to diagnose the relative strengths and weaknesses of the health system, prioritize key weakness areas, and identify potential solutions or recommendations for interventions.
- To inform Population, Health, and Nutrition officers and USAID Mission health teams about the basic elements and functions of health systems.
- To improve the capacity of bilateral projects to achieve USAID’s health impact objectives through increased use of health systems interventions.
- To aid health systems officials at USAID to conceptualize key issues, increase the use of health systems interventions in technical program design and implementation, and improve the role of the Health Systems Division.
- To inform Ministries of Health and other stakeholders on the relative strengths and weaknesses of the health system, priority issues, and potential solutions or recommendations for interventions and programs.
This approach is designed to provide a rapid, comprehensive assessment of key health systems functions. The approach is organized around technical modules that guide data collection and cover the following areas:
- Governance
- Health financing
- Health service delivery
- Human resources
- Pharmaceutical management
- Health information systems
This is a rapid assessment of overall health systems’ functions and resources that can be used to analyze the entire health system or particular aspects of the system. It also can be tailored to specific initiatives or diseases, such as HIV/AIDS, TB, malaria, and maternal and child health. The manual provides some guidance for linking findings to the USAID Mission’s strategic objectives and can inform an in-depth analysis of priority health programs (such as a family planning or malaria assessment). Assessment findings also can be used to support proposals and requests for funding.
Note: A revision to the Health Systems Assessment Approach methodology is being prepared during calendar year 2010 to incorporate the first four years of experience.Related Links
- Learn more about the Health Systems 20/20 Project.
- Read about USAID’s achievements in health systems strengthening.
- Health Systems Publications page
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