The main pillars of the health system must be present simultaneously and continuously across the entire network - including hard to reach places - in order for the health system to function efficiently.
Evidence based policy that seeks to maximise health outcomes for the most vulnerable and to address the underlying causes of poor health.
Adequately trained and supported health workers who are available and accountable.
Affordable and appropriate commodities including essential medecines, vaccines, contraceptives, diagnostic material and basic equipment consistently in stock.
A good health financing system which raises adequate funds for health in ways that ensure people can use needed services, and are protected from financial catastrophe or impoverishment associated with having to pay for them.
Essential for district health systems and necessary for budgeting, planning and decision making. Reliable information makes the difference to using scarce resources efficiently.
Political will to prioritise prevention, the health of the poorest and efficient use of resources.
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