A focus of this book burden assessments and may be conducted less frequently. However, they can be very useful by helping predict strategies as to what can be done and by highlighting ongoing efforts that can be scaled up and built on. Since policy options are the output of this book, understanding country capacity becomes critical.
Box A1.1. Country capacity
Health system capacity is a function of the specifications of the service package required, the mix of resources used to deliver it, the ability to fully use each resource, and the ability to use the resources efficiently.
Several critical factors must be present for maximum capacity. If they are not, they must be introduced for capacity development. They include:
* Optimal division of labor for the tasks with a unit that is appropriately staffed and has an
organization home.
* Political and administrative leadership with management, technical, and professional expertise
that has authority over the organization.
* Leadership to provide direction, develop key strategies, plan, mobilize people and resources,
and articulate and communicate the direction to be taken.
* The ability to mobilize, allocate, and manage resources in line with the operational requirement and goals.
* The optimal number of human resources with the appropriate mix of skills and level of
competency in the right organizational locations who are motivated to work at full efficiency.
* The ability of the information systems and survey units to systematically determine the types
and sources of information needed by decision makers and managers and routinely collects
and analyzes this information.
* Proper infrastructure in line with its mandate and suitable operating conditions.
* A regulatory and institutional environment that allows leadership to divide labor and resources
optimally.
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