The crucial issue for health systems strengthening in low-income countries is to expand the health workforce, which requires additional funding for salaries. Classic international aid is not reliable enough to be used for recurrent costs, like salaries.
Since it was established in the late 1980s as a public health system with universal and unconditional coverage, the SUS has achieved a rapid expansion in access to services.
The concept of Sector-wide Approaches should be developed. II. A code of conduct for NGO’s has to be developed and enforced. III. A global awareness in the sense of a New Global Health is a first essential step.
The share of private sector in Indian inpatient care market has increased from 40 percent to 60 percent during the last two decades. The rural outpatient care market, on the other hand, has been consistently dominated by unqualified private practitioners.
It is widely recognized that health systems should not only improve the health status of the population but also protect households from the adverse economic consequences of health shocks.