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JICA projects focused on 'soft' assistance such as the workforce and governance building blocks, whereas 'hard' support for finance and medical products was not evident in the respective outputs and activities.
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The Governance building block received 5% (~$19 million USD) of the HSS resources.
Over half the funds dedicated to the Governance building block was for 'sector integration' , with a small amount (~1%, combined) for 'coordination' and 'harmonization' functions.
Within the Governance building block all the funds dedicated to training on sector integration, decentralization of management/resource control, and measures to increase accountability/transparency were implemented through activities that were deemed system-wide.
Although we describe 'strategic vision & policy design' and 'participation & consensus orientation' as inputs and the others as processes, these are all interlinked within the governance building block and are dynamic and interchangeable.
One budgeted activity that could only be resolved at the second-tier of the HSS Funding Assessment Framework, but is a good example of a system-wide activity in the Governance building block, was found in a grant from Tajikistan.
For example, the focus on improving data quality and use is expected to result in more effective, evidence-based use of limited resources (medical products, vaccines, and technology building block) and measurement capacity, stewardship, accountability, and transparency (leadership and governance building block) (Table 4) [ 6].
This paper takes the viewpoint of a close examination of consequences at district levels, and traces their causes within the governance and other building blocks of health systems.
It was clear that challenges noted in service delivery were linked to human resources, medical supplies, information flow, governance and finance building blocks either directly or indirectly.
Challenges noted in service delivery were linked to human resources, medical supplies, information flow, governance and finance building blocks either directly or indirectly.
Generally, the governance capabilities represent the main building blocks of operational governance processes and they are usually executed in IoT devices.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com