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Rajan D, Papanicolas I, Karanikolos M, et al. Health system performance assessment: A primer for policy-makers [Internet]. Copenhagen (Denmark): European Observatory on Health Systems and Policies; 2022. (Policy Brief, No. 49.)

ANNEX 2

Health system components in selected health system frameworks

FRAMEWORK/TOOLCOMPONENT ELEMENTS OF THE HEALTH SYSTEM
WHO (2002) World Health Report 2000Functions:
 Delivering services
 Creating resources
 Financing
 Stewardship
WHO (2007) Strengthening Health Systems to Improve Health Outcomes: WHO’s Framework for Action

Also in: WHO (2010b) Monitoring of the Building Blocks of the Health Systems: a handbook of indicators and their measurement strategies.
Building blocks:
 Service delivery
 Health workforce
 Information
 Medical products, vaccines and technologies
 Financing
 Leadership and governance
Roberts et al. (2008) Getting Health Reform Right: A Guide to Improving Performance and Equity; World Bank

Also in: Berman & Bitran (2011) Health Systems Analysis for Better Health System Strengthening; World Bank.
Control knobs:
 Financing
 Payment
 Organization
 Regulation
 Behaviour
HQHS High-Quality Health System Framework (Kruk et al., 2018)Foundations:
 Population
 Governance
 Platforms
 Workforce
 Tools
© World Health Organization 2022 (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and Policies)
Bookshelf ID: NBK589359