ABSTRACT
Governing Health Systems: For Nations and Communities Around the World examines the complex relationships between governance and performance in community and national health systems. Each chapter provides an in-depth case study, using both qualitative and quantitative methods, on health systems in many countries, including Uganda, Ghana, India, Zambia, Japan, Nigeria, Indonesia, Brazil, Palestine, and South Korea. The chapters were written by former Takemi Fellows, who were mid-career research fellows at the Harvard T.H. Chan School of Public Health, and their colleagues. This case study approach yields important findings as well as contextual insights about the challenges and accomplishments in addressing governance issues in national and community health systems around the world.
Health policymakers around the world are struggling to address the multiple challenges of governing health systems. These challenges also represent important themes for the research mission of the Takemi Program in International Health at the Harvard T.H. Chan School of Public Health. This book is based on the program’s thirtieth anniversary symposium held in October 2013 at Harvard. The studies presented in this book—deep examinations of illustrative examples of health system governance for communities and nations—contribute to our knowledge about global health and assist policymakers in dealing with the complex practical problems of health systems. In short, this book addresses central questions about governing health systems—and why governance matters.
TABLE OF CONTENTS
chapter 1|26 pages
Introduction and Overview for Governing Health Systems
part |2 pages
PART I
chapter 2|9 pages
Community Participation in Governance of the Health Care System: A Look at Health Unit Management Committees in Uganda
chapter 3|15 pages
CHAPTER 3
chapter 4|22 pages
Managing Grassroots Health Systems in Kerala: The Roles and Capacities of Local Self-Government Institutions
chapter 5|14 pages
Leveraging the Voice of Community Workers in Health Governance: A Two-Case Study from Zambia and Japan
chapter 6|4 pages
Community Perception of Health Services in South East Nigeria: A Reflection of Health System Governance in Nigeria
part |2 pages
PART II
chapter 7|19 pages
Governing Social Health Insurance Systems for Universal Coverage: The Case of Indonesia
chapter 8|29 pages
CHAPTER 8
chapter 9|15 pages
Challenges in Reforming the Health System to Prevent Maternal Deaths in Low-Income Countries: A Case Study of Nigeria
chapter 10|9 pages
CHAPTER 10
chapter 11|23 pages
CHAPTER 11
chapter 12|5 pages
CHAPTER 12
part |2 pages
PART III