Publications

The strive towards the attainment of good health is a high priority globally and is even more urgent for all WHO Member States in the African Region. This can only be realized through the attainment of multiple health and related targets across Sustainable Development Goal (SDG) 3. These targets are brought together under three interconnected themes for which results need to be attained: universal health coverage (UHC), health security and coverage of health determinants.

The aim of this review was to generate evidence on the most appropriate manner to re-pivot health system development in countries by exploring current change management practices, identifying the practices needed and eventually making proposals on what needs to be done for effective management of health systems at national and subnational levels. The overall goal was to consolidate the existing evidence on the areas where change was needed in the management approach to facilitate the attainment of the triple results. This included:

• Collation of evidence on the current state of management of health services at national, subnational and district levels in Africa, as well as globally, based on the McKinsey 7S framework;

• Analysis of the requirements for the management of health services and achievement of the triple results of UHC, health security and coverage of health determinants;

• Drawing up of recommendations on what is required to move from the current to the desired management practices across the 7S’s.

• Drawing up of recommendations on the standard ways of measuring the results for the 7S management approach for comparison with the findings and for evaluation.