Expanding access to priority health interventions: a framework for understanding the constraints to scaling‐up

Abstract

The Commission on Macroeconomics and Health recommended a significant expansion in funding for health interventions in poor countries. However, there are a range of constraints to expanding access to health services: as well as an absolute lack of resources, access to health interventions is hindered by problems of demand, weak service delivery systems, policies at the health and cross-sectoral levels, and constraints related to governance, corruption and geography. This special issue is devoted to analysis of the nature and intensity of these constraints, and how they can best be overcome. Copyright © 2003 John Wiley & Sons, Ltd.

Strategies for delivering insecticide-treated nets at scale for malaria control: a systematic review

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“…13 This framework divides health systems into three objectives (goodness, fairness and responsiveness) and a set of functions (delivering services, creating resources, financing and stewardship) required to achieve these objectives. Although regarded by some as a narrow representation of a health system or of scalingup 12 , it does serve as a useful heuristic for considering a classic service delivery intervention such as HIV treatment.…”

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