Moving Beyond Diagonal and T-Shaped: Getting the Incentives Right for the Pie Not for the Slice

This paper makes the case for the need to go beyond approaches that try to bridge the vertical-horizontal divide in efforts to strengthen health systems. It argues that in order for vertical programmes to contribute to efforts to strengthen health systems there is a need for a paradigm shift and examine costs and benefits of investments at the level of the health system as a whole instead of at the programmatic level. Research is needed to develop indicators to help measure system level efficiency.

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Shroff ZC, Ghaffar A, Soucat, A. Moving Beyond Diagonal and T-Shaped: Getting the Incentives Right For the Pie Not For the Slice. Health Systems and Reform. 2017;3(4):261-7. doi: 10.1080/23288604.2017.1366964