title: Participatory system development. A case study from Urban Health Lahore component DFID second family health project.
abstract: To improve effectiveness and efficiency of urban health services there is a need clearly to identify policies and the functions of various stakeholders and individuals in the system. System development, which involves, analysis of situations and the developing of solutions to address the identified issues, is necessary and forms a crucial element of system reforms. Developing systems in a participatory manner along with management capacity building can yield better results in terms of applicability of the system, improved confidence and ability of managers and service providers and sustainability of the reforms.
authors.affiliation: Development and Training Services, British Council, Lahore, Pakistan.
authors.forename: S
authors.initials: S
authors.lastname: Azariah
mesh_terms: D003659:Decision Making, Organizational; D017598:Efficiency, Organizational; D005192:Family Health; D018166:Health Care Reform / Q000458:organization & administration*; D006801:Humans; D007318:Inservice Training; D019982:Organizational Case Studies; D016134:Organizational Policy; D010154:Pakistan; D011340:Problem Solving; D011635:Public Health Administration / Q000193:education*; D017749:Total Quality Management; D019037:Urban Health Services / Q000458:organization & administration*