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Stewardship and health systems strengthening: An overview

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  • Derick W. Brinkerhoff
  • Harry E. Cross
  • Suneeta Sharma
  • Taylor Williamson

Abstract

The World Health Organization (WHO) introduced the concept of stewardship to clarify the practical components of governance in the health sector. For the WHO, stewardship concentrated on how government actors take responsibility for the health system and the wellbeing of the population, fulfill health system functions, assure equity, and coordinate interaction with government and society. This article overviews the contents of this special issue, which offers examples of how health stewards in a variety of countries have addressed issues of health security, primary care expansion, family planning, and quality of care. The contributors' articles draw lessons for policy, programs, and management useful for practitioners and scholars. Our overview identifies several themes emerging from the articles: the foundational role of legal frameworks for effective stewardship, the importance of institutional arrangements as enablers, the influence of regional and global entities on national stewardship, the connection between credible decision‐making structures and stewardship, and pathways to sustainable financing and domestic resource mobilization. The discussion concludes with highlighting several gaps in knowledge and practice related to health stewardship.

Suggested Citation

  • Derick W. Brinkerhoff & Harry E. Cross & Suneeta Sharma & Taylor Williamson, 2019. "Stewardship and health systems strengthening: An overview," Public Administration & Development, Blackwell Publishing, vol. 39(1), pages 4-10, February.
    • Handle: RePEc:wly:padxxx:v:39:y:2019:i:1:p:4-10
    DOI: 10.1002/pad.1846
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    1. Marchildon, Gregory P. & Brammli-Greenberg, Shuli & Dayan, Mark & De Belvis, Antonio Giulio & Gandré, Coralie & Isaksson, David & Kroneman, Madelon & Neuner-Jehle, Stefan & Saunes, Ingrid Sperre & Tho, 2021. "Achieving higher performing primary care through patient registration: A review of twelve high-income countries," Health Policy, Elsevier, vol. 125(12), pages 1507-1516.
    2. Nagano, Hitoshi & Puppim de Oliveira, Jose A. & Barros, Allan Kardec & Costa Junior, Altair da Silva, 2020. "The ‘Heart Kuznets Curve’? Understanding the relations between economic development and cardiac conditions," World Development, Elsevier, vol. 132(C).

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