Review of World Bank's Experience with Country-Level Health System Analysis
The World Bank often carries out in-depth analysis of the conditions and challenges facing different sectors in our client countries as a contribution to developing the analytical and information base for lending, policy dialogue, and more in-depth...
| Main Authors: | , , , |
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| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2013
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2010/12/13994720/review-world-banks-experience-country-level-health-system-analysis http://hdl.handle.net/10986/13602 |
| Summary: | The World Bank often carries out
in-depth analysis of the conditions and challenges facing
different sectors in our client countries as a contribution
to developing the analytical and information base for
lending, policy dialogue, and more in-depth analytical work.
In the health sector, we have identified a substantial body
of this type of work focusing on analyzing the performance
of health systems, its causes, and potential strategies for
performance improvement. The Bank's 2007 Health,
Nutrition and Population (HNP) strategy emphasizes the
importance of our work on health system strengthening. HSA
is often the analytical foundation of this work in
countries. This paper reviews a sample of HSAs, 12 major
studies carried out since 2000 across all Bank regions.
Using the health systems framework of the flagship program
on health sector reform and sustainable financing, a
comparable synopsis of each study has been prepared in a
simple two page chart which traces the analysis from
measures of health system performance to its causes and then
from policy 'control knobs' to proposals for
reform which are intended to improve that performance.
Several key questions about the conceptual basis, content,
process, and results of the Bank's work on HSA are
investigated. The review finds that most of our HSAs make
use of sound analytical frameworks that link performance to
a causal analysis and derive policy recommendations and
reform strategies from that analysis. |
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