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Health workers at the core of the health system: Framework and research issues


  • Anand, Sudhir
  • Bärnighausen, Till


This paper presents a framework for the health system with health workers at the core. We review existing health-system frameworks and the role they assign to health workers. Earlier frameworks either do not include health workers as a central feature of system functioning or treat them as one among several components of equal importance. As every function of the health system is either undertaken by or mediated through the health worker, we place the health worker at the center of the health system.

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  • Anand, Sudhir & Bärnighausen, Till, 2012. "Health workers at the core of the health system: Framework and research issues," Health Policy, Elsevier, vol. 105(2), pages 185-191.
  • Handle: RePEc:eee:hepoli:v:105:y:2012:i:2:p:185-191
    DOI: 10.1016/j.healthpol.2011.10.012

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    References listed on IDEAS

    1. Mills, Anne, 1983. "Vertical vs horizontal health programmes in Africa: Idealism, pragmatism, resources and efficiency," Social Science & Medicine, Elsevier, vol. 17(24), pages 1971-1981, January.
    2. Léonard, Christian & Stordeur, Sabine & Roberfroid, Dominique, 2009. "Association between physician density and health care consumption: A systematic review of the evidence," Health Policy, Elsevier, vol. 91(2), pages 121-134, July.
    3. Valeria Oliveira-Cruz & Christoph Kurowski & Anne Mills, 2003. "Delivery of priority health services: searching for synergies within the vertical versus horizontal debate," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 67-86.
    4. Frenk, Julio, 1994. "Dimensions of health system reform," Health Policy, Elsevier, vol. 27(1), pages 19-34, January.
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    Cited by:

    1. Christopher J. Gerry & Igor Sheiman, 2016. "The Health Workforce of the Russian Federation in the Context Of the International Trends," HSE Working papers WP BRP 01/PSP/2016, National Research University Higher School of Economics.

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    Health system; Health worker;


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