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. 2022 Oct 3;100(11):709–716. doi: 10.2471/BLT.21.287499

Fig. 1.

Institutional architecture for health system strengthening framework

Notes: Institutional architecture for health systems strengthening refers to the processes, actors and resources that interact – or fail to interact – to create health system improvements. The architecture includes activities to generate, analyse and use evidence to formulate health systems strengthening solutions, manage their adoption and implement the change. The framework helps countries to self-assess essential capacities to perform key health systems strengthening functions, plan for building capacities and track improvements. For this article, we adapted this framework to map processes, actors and resources that are necessary to implement selected policies for strategic health purchasing and perform a combination of functions outlined in the framework. Policy-makers can use this mapping to understand the stakeholder landscape and resource requirements of strategic purchasing initiatives.

Fig. 1