Proposed Framework for Health System Governance in Yemen as an Entry Point to Improve the Quality of Health Services 10.35781/1637-000-147-006

Abstract

Health systems in Yemen face complex structural and institutional challenges that have adversely affected the quality of health services, with weak governance representing one of the key factors underlying this deterioration. This research aims to propose an integrated framework for governing the health system in Yemen as a methodological entry point for improving the quality of health services. The research adopts a descriptive–analytical approach through a systematic review of the literature and previous studies, alongside an analysis of international and regional models and experiences in health system governance, followed by aligning the derived dimensions with the specific characteristics of the Yemeni context. The research results in the development of a proposed framework based on ten core principles of health governance that are functionally linked to improving key dimensions of service quality, particularly efficiency, equity, safety, service accessibility, and beneficiary satisfaction. The research concludes that adopting a health governance framework aligned with the Yemeni context can contribute to enhancing the efficiency of the health system and improving the quality and sustainability of its services, while offering practical recommendations to support decision-makers in the health sector Keywords: Health system governance, quality of health services, Yemen.