1. The WHO defines health systems as comprised of six 'building blocks'
2. But the 'building blocks' approach has its critics
3. Systems thinking? What's that?!
4. Right, so now we know what health systems are -- but why are they important?
5. What are some common problems with health systems?
There are a number of potential problems that a health system might face.
6. Ok, how is DFID approaching health systems strengthening then?
7. Is DFID's approach working?
In today's oral evidence in front of the International Development Committee, there seemed to be a consensus that many of the things DFID was doing to support health systems development were appropriate.
Simon Wright from Action for Global Health went as far as suggesting that DFID has been a champion of health systems strengthening but needs to do more at the international level to improve policy and encourage other donors to support this approach.
However, there was some criticism that a 'results focus' had prioritised simple and quick interventions -- like distributing bednets -- at the expense of actual health systems strengthening.
Prof Kara Hanson from the London School of Hygiene and Tropical Medicine and Research Director of the RESYST Consortium also suggested that, while DFID has the desire to base its decision making on the evidence, in practice this doesn't happen as often as it should. Of course that's not unique to health systems strengthening, as the recent ICAI review of how DFID learns pointed out.
Experts at the inquiry also noted that health systems strengthening actually goes well beyond health. There are many areas of government that effect health -- for example sanitation, trade and agriculture -- and DFID should support other governments to adopt a joined up approach to governance of the health system which brings in these sectors.