Strong Management Stronger Health System Strenghtening the Management and Coordination Continuum
In 2010 Pakistan decentralized the health system, passing many management functions to the provincial level. Decentralization is widely accepted as a step toward a more efficient and responsive health system. In Pakistan however, supervision, coordination, and communication mechanisms at both the provincial and district levels must be established to ensure stakeholder engagement and inter-sectoral collaboration. Specifically, supportive supervision between the provincial and district levels must be reinforced and strengthened. District-level management coordination forums must be established and linked to existing provincial-level mechanisms. These health system strengthening actions will improve the Sindh health system’s responsiveness, efficiency, and delivery of district-level health services, and will ultimately improve accountability. JSI, 2017.
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