Health Systems Assessment Approach: A How-To Manual - PHRplus

Chapter 1. Health Systems Strengthening: An Introduction
Annex 1D. HSS Technical Assistance and Tools
Systems Strengthening
Area
Assessment and Improvement Technical Assistance and Tools
HSS diagnostics • Tools and methods for diagnosing the sources of system weakness (in
financing, policy, organization and management, resource allocation,
quality, and commodities)
Financing • Financing policy development
• Cost analysis
• Basic accounting tools
• National health accounts
• Tools for community-based insurance and pre-payment schemes
• Insurance development (national, social) including actuarial tools
• Financial sustainability plans
Policy • Stakeholder analysis
• Political mapping
• Equity analysis techniques
• Policy analysis methods
• Advocacy tools
• Public and private sector relationship
• Regulation
Organization and
management
• Efficiency assessment
• Health and financial management information systems (national,
regional, district, and facility)
• Accreditation guidelines
• Health worker motivation
• Health facility organization and productivity
• Contracting with public and private providers
Resource allocation • Resource planning models
• Resource requirements projection tools
• Provider payment methods
• Cost-effectiveness analysis
Subsector-specific tools
(HIV/AIDS)
• National health accounts subanalysis
• Financing and Subsidy Strategy Development Tool
• AIDSTreatCost (ATC) model
• GOALS computer model for funding allocation
• Workplace quality model
Commodities management • Medicines and supplies policy
• Inventory management tools
• Demand forecasting models
• Ordering and dispatching tools
Quality assurance • Quality thesaurus
• Provider self-assessment tools
• Patient exit interviews
• Tools for supervision for quality
Source: Schott and Makinen (2004)
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