Healing health systems in fragile states Kwalombota Kwalombota on the delicate work needed to build accountable and legitimate public health systems in troubled areas

摘要

Strong health systems are essential for achieving sustainable health outcomes and especially for fragile states seeking to build their capabilities and move away from a dependency on external aid.Nearly 50 countries in the world are classified as 'fragile' - collapsed and impoverished with weak governance and limited institutional capacity for development- in which a quarter of the world's 7 billion people reside. They also have some of the worst health statistics in the world including half of the world's child deaths before the age of 5 and a third of all maternal deaths.In fragile states, particularly those that have experienced extended periods of conflict, health problems are more serious and widespread because health systems are seriously eroded with poor infrastructure, fragmented services, and a lack of financial resources and skilled health workers as many find work and a better quality of life in other countries.