Global Health Watch 1 in one file

6 The demise of health for all and equity.
district boundaries. Most important is that district-level health management
structures have the authority, status, skills and competencies to plan for and
manage health care delivery for their local population without constant interference
from central dictates and demands. Central-level policy makers and
managers in turn have to change their function from directly managing health
care services to developing guidelines, facilitating capacity development, providing
support, and supervising and monitoring.
Although WHO has recently called for the revitalization of the PHC
Approach, it did not set out an accompanying strategy for the organization
of health care systems – instead it seems to advocate tacking on the PHC
Approach to the various health sector reforms that have taken place since the
1980s.
Rebuilding trust The final recommendation involves promoting trust as a
conceptual basis for encouraging a higher level of ethical behaviour within
health care systems. Trust matters to health care systems for two reasons.
First, it represents a moral value in itself, which is important because health
care systems are social institutions that reflect and shape societal values and
Approaches to health care
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