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Health Systems Strengthening in Fragile and Conflict-affected States: Introduction

Dereck Brinkerhoff, Health Systems 20/20
Global Health Council


February 7, 2012

Poor countries in general suffer from service delivery and institutional weaknesses, including health services. These weaknesses are indicators of state fragility when: a country’s service provision/coverage is significantly below average performance for countries with similar income levels, and service provision/coverage is inequitably distributed and exclusionary.