Applicability of the world health organization's healthcare system framework: A consensus development study in Libya

Abstract

Introduction: The World Health Organization (WHO) Health Systems Framework (HSF) with its 6 building blocks is a widely accepted tool for accurate evaluation of health systems. However, its role in the developing world has not been widely assessed yet. Methods: Six Questionnaires with 5-point Likert-scale were designed and distributed to all the attendees of Libya Health 500 (LH500) Conference, and collected just before the group discussion of Libyan health system's session. Results: There were high levels of agreement of the respondents to the questionnaires items about the 6 building blocks. The application of evidencebased medicine and equal provision of health service to all, received the highest levels of agreement. Most of the attendees agreed that health services should be paid by the health insurance system, as it has many advantages, including the peace of mind for the public. The fairness and efficiency of the workforce and the establishment of regulatory mechanisms to address the needs of the health workforce had a high level of agreement. Moreover, a functioning health technology requires an effective supply and distribution system of technology elements. The participants agreed that health information technology is important to improve healthcare services and to prevent financial and administrative corruptions. Conclusion: It is feasible to adapt the WHO-HSF to identify the needs and ways to enhance health systems in the developing world. The Libyan healthcare providers were fully aware and committed to the need for the applicability of the WHOHSF to the National Health Service in Libya.

Applicability of the world health organization's healthcare systems framework in Libya (Letter)

“…To the Editor, I read with interest the study by Aburawi and colleagues (1), but remain rather unclear as to what the aim of the survey was; explore the views of healthcare workers on the WHO Health System Framework (WHO-HSF) 6 pillars model (2,3)? or their own views about Libyan healthcare system and the problems it faces?…”

Healthcare systems framework for Libya: A challenging but achievable task!

“…However, its role in the developing world has not been widely assessed yet (1). In the current issue of this Journal, a consensus development study on the applicability of the WHO healthcare system frameworks to Libya is reported (2). The study was a collaboration between the WHO-East Mediterranean Regional Office (WHO-EMRO) and the Libyan ministry of health.…”

Applicability of the world health organization's healthcare systems framework in Libya (Authors' Reply)

“…The aim of the survey was to explore the views of healthcare workers in Libya on the WHO Health System Framework (WHO-HSF) 6 pillars model (2)(3)(4). The attendants were encouraged to express their views about the Libyan healthcare system and the problems it faces.…”