The 2000 World Health Report
confirms, using strong technical evidence, the central role of
the state in ensuring equitable health systems that respond to
major public health problems.
How does the state deliver
on this role in the changing environment of state-non state interactions
outlined above? One dimension of this issue which receives increasing
attention is that of how the state regulates, interacts and partners
the private sector, particularly private for-profit health purchasers
and providers. This attention is due in part to the significant
financial and institutional resources for health which is consumed
within this sector.
Less attention has been directed
at other dimensions and social resources. The technical capacity
of the state and the resources of the market are, however, necessary
but not sufficient for health systems. To these must be added
the social norms and networks through which households access
and use health inputs.