Without strong policies and leadership health system s do not spontaneously provide balanced responses to these challenges nor do they make the most effi cient use of their resources As most health leaders know health systems are subject to powerful ID: 23806
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Key components of a well functioning health system A well functioning health system responds in a balanced way to a population’s needs and expectations by: improving the health status of individuals, families and communities defending the population against what threatens its health Leadership and governance Ensuring that health authorities take responsibility for steering the entire health sector (not merely public sector service delivery); and for dealing with future challenges (including unanticipated events or disasters) as well as with current problems Defining, through transparent and inclusive Mechanisms for accountability and adaptation to evolving needs Effective regulation through a combination of guidelines, mandates, and incentives, backed up by legal measures and enforcement mechanisms; Effective policy dialogue with other sectors. Mechanisms and institutional arrangements to channel donor funding and align it to country priorities. Health financing, including through national health accounts and an analysis of financial catastrophes and of financial and other barriers to health services for the poor and vulnerable Trends and needs for HRH; on consumption of and access to pharmaceuticals; on appropriateness and cost of technology; on distribution and adequacy of infrastructure Access to care and on the quality of services provided.