Berman, PeterPallas, SarahSmith, Amy L.Curry, LeslieBradley, Elizabeth H.2013-05-282013-05-282011-05https://hdl.handle.net/10986/13594Sufficient funding and efficacious technology may be necessary conditions for achieving health gains, but experience in many countries confirms that they are not sufficient. Effective and efficient service delivery is the point at which the potential of the health system to improve lives meets the opportunity to realize health gains. Health service delivery performance means access and use by those in need; adequate quality of care to produce health benefits; efficient use of scarce resources; and organizations that can learn, adapt, and improve for the future. All too often, potential benefits are not realized because service delivery underperforms. Organizations must combine financial, physical, and human resources to deliver health services. However, organizations can be complex, and this complexity must be considered in developing strategies for change. This guide will help planners and policy makers navigate the complexity and make better decisions to improve health services. Users of this Guide will find practical advice about what performance means in service delivery as well as how to measure the performance of service delivery organizations. The Guide discusses reforms to service delivery organizations at the system level and at the individual facility level. It emphasizes the internal workings of the organization as well as the external environment in which an organization functions, and discusses its capacity to develop and manage change. A diverse set of theories and concepts explaining organization performance are brought together and compared. Guidance is given on how to identify the root causes of poor performance, the most plausible explanations underlying these causes, and the right strategies to address and improve performance.en-USCC BY 3.0 IGOACCOUNTABILITYACCOUNTINGALLOCATIVE EFFICIENCYANTENATAL CAREANTENATAL VISITSANTICORRUPTIONBEST PRACTICESCHILD MORTALITYCHILD SURVIVALCHRONIC DISEASECIVIL SERVANTSCLINICAL GUIDELINESCLINICSCOMMUNITIESCOMMUNITY HEALTHCOMMUNITY HOSPITALSCORRUPTCORRUPT PRACTICESCORRUPTIONDECISION MAKINGDEVELOPING COUNTRIESDEVELOPMENT ASSISTANCEDISABILITYDISADVANTAGED GROUPSDISCRETIONDISEASESDISTRICTSDOCTORSEFFECTIVE ACTIONEPIDEMICEPIDEMICSEPIDEMIOLOGICAL TRANSITIONESSENTIAL DRUGSETHNIC GROUPFAMILIESFAMILY PLANNINGFAMILY PLANNING SERVICESGENDERGLOBAL HEALTHGOVERNMENT CAPACITYGOVERNMENT OFFICIALSHEALTH CAREHEALTH CARE DELIVERYHEALTH CARE ORGANIZATIONSHEALTH CARE WORKERSHEALTH CARE­DELIVERYHEALTH CENTERSHEALTH DELIVERYHEALTH EDUCATIONHEALTH FACILITIESHEALTH FINANCINGHEALTH INFORMATIONHEALTH INFORMATION SYSTEMSHEALTH MANAGEMENTHEALTH ORGANIZATIONHEALTH OUTCOMESHEALTH POLICYHEALTH PROFESSIONALSHEALTH PROGRAMSHEALTH SECTORHEALTH SERVICEHEALTH SERVICE DELIVERYHEALTH SERVICESHEALTH SERVICE­ DELIVERYHEALTH SERVICE­DELIVERYHEALTH STATUSHEALTH SYSTEMHEALTH SYSTEM PERFORMANCEHEALTH SYSTEM STRENGTHENINGHEALTH SYSTEMSHEALTH WORKERSHEALTH WORKFORCEHIV/AIDSHOME VISITSHOSPITALHOSPITAL MANAGEMENTHOSPITAL PATIENTSHOSPITALSHOUSEHOLD SURVEYSHUMAN DEVELOPMENTHUMAN RESOURCE MANAGEMENTHUMAN RESOURCESHUMAN SOCIETIESIMMUNIZATIONIMMUNIZATIONSIMPACT ON HEALTHIMPROVEMENT OF HEALTHIMPROVING HEALTH CAREINCOMEINDIVIDUAL HEALTHINFANTINFORMATION TECHNOLOGIESINFORMED DECISIONSINITIATIVEINSURANCEINTERVENTIONINTERVENTIONSINVESTIGATIONLACK OF KNOWLEDGELEADERSHIPLIVING STANDARDSMALARIAMATERIAL RESOURCESMEDICAL RECORDSMEDICAL SUPPLIESMEDICAL TECHNOLOGYMILLENNIUM DEVELOPMENT GOALMILLENNIUM DEVELOPMENT GOALSMINISTRIES OF HEALTHMORTALITYNATIONAL GOVERNMENTNATIONAL LEVELNEEDS ASSESSMENTNEWBORNNURSENURSESNURSINGNUTRITIONOCCUPANCYOCCUPANCY RATESOCCUPATIONSORAL REHYDRATION SOLUTIONPATIENTPATIENT SATISFACTIONPATIENTSPEER PRESSUREPERSONAL HEALTHPHARMACIESPLAN OF ACTIONPLANS OF ACTIONPOLICY MAKERSPOLITICAL PARTYPOLITICAL POWERPOLITICAL SUPPORTPOPULATION STRATEGYPRACTITIONERSPREFERENTIALPREGNANT WOMENPRIMARY HEALTH CLINICPROCUREMENTPROGRESSPROVIDER PAYMENTPSYCHOLOGYPUBLIC HEALTHPUBLIC HEALTH PROGRAMSPUBLIC SERVICEQUALITY IMPROVEMENTQUALITY OF CAREREGULATORY FRAMEWORKSREMEDYRURAL AREARURAL AREASRURAL COMMUNITIESRURAL COMMUNITYRURAL HOSPITALSRURAL POPULATIONSAFETYSANCTIONSCARCE RESOURCESSERVICE PROVIDERSSERVICE PROVISIONSERVICE­DELIVERY SYSTEMSSHOPSSOCIAL CLASSSOCIAL NORMSSOCIAL SCIENCESOCIAL SERVICESSOCIAL SYSTEMSSOCIETAL LEVELSPILLOVERTRAINING OPPORTUNITIESTRANSPORTATIONUSER FEESVACCINATIONVILLAGESWORKERSWORKING CONDITIONSWORLD HEALTH ORGANIZATIONYOUNG CHILDYOUNG CHILDRENWorld Bank10.1596/13594