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Improving health system performance

This section contains RHL summaries of published systematic reviews on a wide variety of interventions and strategies to improve health system performance. This includes interventions to improve delivery of healthcare services, financial arrangements and leadership and governance arrangements. Also included are summaries prepared by the SUPPORT project.

WHO recommendation on task shifting components of antenatal care delivery

WHO recommendation on recruitment and retention of staff in rural and remote areas

WHO recommendation on antenatal care contact schedules

WHO recommendation on  the use of formal protocols for referral of women to a higher level of care

Pregnant women in a maternity waiting home, Zimbabwe

WHO recommendation on establishment of maternity waiting homes (MWHs)

Pregnant woman transported on a horse drawn trailer, India

WHO recommendation on community-organized transport schemes

Delivery of healthcare services

WHO recommendation on community mobilization and antenatal home visits

Pregnant woman in Bangladesh at an antenatal care visit.

Alternative packages of antenatal care for low-risk pregnant women

Doctors or mid-level providers for abortion

Financial arrangements

A woman paying for service at a clinic in the Philippines

Paying for performance to improve the delivery of health interventions in low- and middle-income countries

Pharmaceutical drugs on shelves at a clinic in Ethiopia.

Pharmaceutical policies: effects of cap and co-payment on rational drug use

An infant receives a medical checkup, India.

Capitation, salary, fee-for-service and mixed systems of payment: effects on the behaviour of primary care physicians

Leadership and governance arrangements

Health workers attending a meeting.

Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes

Implementation strategies

WHO recommendation on woman-held case notes during pregnancy

WHO recommendation on group antenatal care

WHO recommendation on facilitated participatory learning and action cycles with women`s groups during pregnancy