Public health and health care systems

Public health and health care systems are impacted by globalization the exchange of
new ideas, and opportunities to influence the larger field of global health. As you consider
the factors related to globalization, discuss how low-income and middle-income countries
should navigate the balance in building strong public health systems alongside an efficient
health care system. What three pieces of advice would you give the Minister of Health in a
country like Zambia or Nepal when it comes to the structure and integration of health care
and public health?
It takes multiple organizations to establish and build a health system. These various
organizations all have different purposes to contribute to ensure that a strong health
system is created. These organizations perform a range of functions that directly or
indirectly affect health, for example: identifying current and emerging health challenges;
prioritizing needs; making and analyzing policy; performing research; organizing social
movements; providing services; promoting health behavior change; and training health
professionals (Swanson, et al. (2015). I think that three pieces of advice I would give to the
Minister of Health in these countries would be 1. Assess your communities to determine
what matters most to the people living there. Health systems should also take into account
the needs, experiences, and preferences of people and their right to be treated with respect
(The Lancet Global Health, 2018). 2. Determine what kind of health outcomes you are
looking to accomplish within your communities. 3. Providing universal care for all
members of a community to ensure that no one is left out and everyone has access to equal
Kruk ME, Gage AD, Arsenault C, et al. High-quality health systems in the
Sustainable Development Goals era: time for a revolution [published correction appears in
Lancet Glob Health. 2018 Sep 18;] [published correction appears in Lancet Glob Health.
2018 Nov;6(11): e1162]. Lancet Glob Health. 2018;6(11): e1196‐e1252.

Reply to
Hi Claudia,

Your piece of work is perfect, considering the way you have elaborated on how to
establish a robust health care system. It is a fact that multiple organizations must join forces to
invent a healthcare system. Besides, different organizations have various purposes in
contributing to the development of a robust health care system in a country. Interprofessional
collaboration in any health care system also helps in preventing errors in medication and
improving patients’ experience, leading to better outcomes. Nevertheless, the mergers, coalitions,
and joint ventures of organizations may not improve the overall performance and outcome unless
there is effective leadership before, during, and after these ventures(Schleifer, 2016).
As you have mentioned, I would also advise the ministry of health in Zambia to seek a
collaborative approach in solving our health care problems. They must first assess their
communities to know what they are going through in their health facilities. This will enable them
to recognize the right organizations to collaborate within solving out the problem. This is
paramount in setting up a robust health care system. Above all, leadership without manipulation
remains at the center of everything.


Schleifer, D. (2016). Credible to collaborators themselves. Collaboration across Health Research
and Medical Care, 81-98.