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      Systemic capacity building: a hierarchy of needs

      Health Policy and Planning
      Oxford University Press (OUP)

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          Abstract

          'Capacity building' is the objective of many development programmes and a component of most others. However, satisfactory definitions continue to elude us, and it is widely suspected of being too broad a concept to be useful. Too often it becomes merely a euphemism referring to little more than training. This paper argues that it is more important to address systemic capacity building, identifying a pyramid of nine separate but interdependent components. These form a four-tier hierarchy of capacity building needs: (1) structures, systems and roles, (2) staff and facilities, (3) skills, and (4) tools. Emphasizing systemic capacity building would improve diagnosis of sectoral shortcomings in specific locations, improve project/programme design and monitoring, and lead to more effective use of resources. Based on extensive action research in 25 States, experience from India is presented to illustrate how the concept of the capacity building pyramid has been put to practical use.

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          Author and article information

          Journal
          Health Policy and Planning
          Health Policy and Planning
          Oxford University Press (OUP)
          1460-2237
          September 01 2004
          September 01 2004
          : 19
          : 5
          : 336-345
          Article
          10.1093/heapol/czh038
          15310668
          e149adef-fd8a-43d4-ac5a-c74665e39b12
          © 2004
          History

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