Cited by 203Healthcare Systems and PracticesCommunity Health and DevelopmentHealthcare Systems and Reforms

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Beyond the building blocks: integrating community roles into health systems frameworks to achieve health for all

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Sacks, Emma, Morrow, Melanie, Story, William T, Shelley, Katharine D, Shanklin, D, Rahimtoola, Minal, Rosales, Alfonso, Ibe, Ochiawunma, Sarriot, Eric·2019·BMJ Global Health

DOI 10.1136/bmjgh-2018-001384PMC PMC6591791

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Abstract

Achieving ambitious health goals—from the Every Woman Every Child strategy to the health targets of the sustainable development goals to the renewed promise of Alma-Ata of ‘health for all’—necessitates strong, functional and inclusive health systems. Improving and sustaining community health is integral to overall health systems strengthening efforts. However, while health systems and community health are conceptually and operationally related, the guidance informing health systems policymakers and financiers—particularly the well-known WHO ‘building blocks’ framework—only indirectly addresses the foundational elements necessary for effective community health. Although community-inclusive and community-led strategies may be more difficult, complex, and require more widespread resources than facility-based strategies, their exclusion from health systems frameworks leads to insufficient attention to elements that need ex-ante efforts and investments to set community health effectively within systems. This paper suggests an expansion of the WHO building blocks, starting with the recognition of the essential determinants of the production of health. It presents an expanded framework that articulates the need for dedicated human resources and quality services at the community level; it places strategies for organising and mobilising social resources in communities in the context of systems for health; it situates health information as one ingredient of a larger block dedicated to information, learning and accountability; and it recognises societal partnerships as critical links to the public health sector. This framework makes explicit the oft-neglected investment needs for community health and aims to inform efforts to situate community health within national health systems and global guidance to achieve health for all.

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Closing the gap in a generation: health equity through action on the social determinants of health
Marmot, M. G., Friel, S., Bell, R., Houweling, T. A. J., & Taylor, S. A. J. (2008) · The Lancet · doi:10.1016/s0140-6736(08)61690-6 · Cited by 8,473
The United Nations Development Programme
Oestreich, J. E. (2017) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780190637347.003.0003 · Cited by 4,875
What works? Interventions for maternal and child undernutrition and survival
Bhutta, Z. A., Ahmed, T., Black, R. E., Cousens, S. N., Dewey, K. G., Giugliani, E. R. J., Haider, B. A., Kirkwood, B. R., Morris, S. S., Sachdev, H. S., et al. (2008) · The Lancet · doi:10.1016/s0140-6736(07)61693-6 · Cited by 2,264
Science and Statistics
Box, G. E. P. (1976) · Journal of the American Statistical Association · doi:10.1080/01621459.1976.10480949 · Cited by 2,114
An Analytical Framework for the Study of Child Survival in Developing Countries
Mosley, W. H., & Chen, L.-C. (1984) · Population and Development Review · doi:10.2307/2807954 · Cited by 1,490
Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost?
Bhutta, Z. A., Das, J. K., Bahl, R., Lawn, J. E., Salam, R. A., Paul, V. K., Sankar, M. J., Blencowe, H., Rizvi, A., Chou, V. B., et al. (2014) · The Lancet · doi:10.1016/s0140-6736(14)60792-3 · Cited by 1,367
Continuum of care for maternal, newborn, and child health: from slogan to service delivery
Kerber, K. J., de Graft‐Johnson, J., Bhutta, Z. A., Okong, P., Starrs, A., & Lawn, J. E. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61578-5 · Cited by 1,001
Closing the gap in a generation: health equity through action on the social determinants of health. A report of the WHO Commission on Social Determinants of Health (CSDH) 2008.
Sheiham, A. (2009) · PubMed · Cited by 883
Systems thinking for health systems strengthening.
de Savigny, D., & Adam, T. (2009) · Cited by 873
Social Accountability: What Does the Evidence Really Say?
Fox, J. A. (2015) · World Development · doi:10.1016/j.worlddev.2015.03.011 · Cited by 873

Show all 69 references

Research works printed but not linked: 10

International Conference on primary health care, 2018. Available: https://www.who.int/primary-health/conference-phc/
Health systems global symposium, 2018. Available: www.healthsystemsglobal.org/
Core group conference reports. Washington, DC; 2018. <https://coregroup.org/resources/conference-reports/>
Institutionalizing community health Conference, Johannesburg, South Africa, 2016. Available: http://www.ichc2017.org/
Murray C , Lopez A , Rodgers A , et al . Chapter 5: choosing interventions to reduce specific risks. Geneva, Switzerland: World Health Organization, 2002.
Advancing community health across the continuum of care, 2015, core group, April 2015, presentation at the core group spring conference. Available: <https://coregroup.org/wp-content/uploads/media-backup/documents/Spring_Conference_2015/Spring_2015_GHPC_Booklet_Final.pdf>
Sarriot E . Community health workers and health volunteers: leaving old debates behind. Huffington post. Institutionalizing community health conference Blog series. Available: https://www.huffingtonpost.com/entry/community-health-workers-health-volunteers-leaving_us_58da6bc5e4b04f2f079272f5 [Accessed 28 Apr 2017].
Weiss J . 'CHW peer support groups: an alternative approach to supportive supervision lessons from the Rwanda. Kabeho Mwana child survival project. USAID presentation at the Integrated Community Case Management. (iCCM): Evidence Review Symposium, Accra, Ghana, 2014.
. First global Ministerial conference on healthy lifestyles and noncommunicable disease control. Moscow, Russia World Health Organization; 2011. https://www.who.int/nmh/publications/ncds_policy_makers_to_implement_intersectoral_action.pdf
Alma-Ata 40 Roundable group, 2018. implementing the Astana Declaration—What Alma-Ata taught us. health affairs blog. Available: https://www.healthaffairs.org/do/10.1377/hblog20181024.24072/full/ · DOI

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Authors: Sacks, E., Morrow, M., Story, W. T., Shelley, K. D., Shanklin, D., Rahimtoola, M., Rosales, A., Ibe, O., & Sarriot, E.
Affiliations: Johns Hopkins University (US)
United States Agency for International Development (US)
University of Iowa (US)
Program for Appropriate Technology in Health (US)
CORE Inc, Washington, District of Columbia, USA
Independent Health Systems Consultant, Boston, Massachusetts, USA
World Vision (US)
Save the Children (US)
Corresponding author: Sacks, Emma
ORCID: Sacks, Emma
Morrow, Melanie
Story, William T
Shelley, Katharine D
Rosales, Alfonso
Sarriot, Eric
Venue: BMJ Global Health
Publisher: BMJ
Published: 2019-06
Volume: 3
Issue: Suppl 3
Pages: e001384
ISSN: 2059-7908 (ISSN-L)
DOI: 10.1136/bmjgh-2018-001384
PMC: PMC6591791
OpenAlex: W2952783822
Cited by: 203
References: 69
Citations by year: 2026: 32 · 2025: 30 · 2024: 36 · 2023: 28 · 2022: 27 · 2021: 34 · 2020: 15 · 2019: 1
Type: conference abstract
Language: en
Open access: gold
doi.org
Licence: cc-by-nc
Locations: BMJ Global Health (publishedVersion, cc-by-nc)
PubMed Central (publishedVersion, cc-by-nc)
PubMed (publishedVersion)
Funders: USAID / Maternal and Child Survival Program (Cooperative Agreement AID-OAA-A-14-00028)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Practices
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Community Health and Development
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Reforms
Keywords: community health, health system strengthening, health for all, community health workforce, community-based care, social mobilization, health information systems, accountability, health care financing, Sustainable Development Goals, Almaty

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Beyond the building blocks: integrating community roles into health systems frameworks to achieve health for all

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