Proposing the LEGS framework to complement the WHO building blocks for strengthening health systems: One needs a LEG to run an ethical, resilient system for implementing health rights|
Mfutso-Bengo, Joseph; Kalanga, Noel & Mfutso-Bengo, Eva Maria
The aim of this paper is to present a new framework to design and run a responsive and resilient health system. It can be used by
both private and public, profit and non-profit organizations in order to translate strategic goals of an organization into desirable and
intended best practice, and results. This includes the health sector. The framework is based on the four pillars of leadership, ethics,
governance and systems, hence called LEGS framework. It can complement the six World Health Organization building blocks that
guide inputs to help a health system achieve the intended goals. Despite all the strengths of the World Health Organization building
blocks for health systems strengthening, it is important to highlight a few challenges: Ethics is assumed but is not explicitly stated
as part of any building block. Furthermore, the World Health Organization framework lacks the flexibility to accommodate other
important factors which may differ in various settings and contexts. Hence, the World Health Organization building blocks are either
difficult to apply or insufficient in certain contexts, especially in countries with rampant corruption, weak rule of law and systems.
This paper explores areas to strengthen the existing framework so as to achieve the intended results efficiently in different contexts.
The authors propose LEGS (Leadership, Ethics, Governance and Systems Framework). This framework is very flexible, simple to use,
easy to remember, accommodates the existing six WHO building blocks and can better guide different health systems and actors to
achieve intended goals by taking into consideration the contextual factors like deficits in moral capital, rule of law or socioeconomic
determinants of health.