**5. Qualities of a responsive health care system**

Optimal health systems are those that respond to the needs of the people who rely on such services, which explains the regional and country variations of availability of services. As an example, when the global number of HIV infections were rising, HIV related services at primary health care levels were strengthened, which enabled an increased number of patients to access treatment nearer their homes and communities. Primary health care services were also improved to offer comprehensive HIV related services, which were not limited to the contracting the virus, but included services such as prevention of HIV, promotion of positive behavior change and health literacy about HIV [22]. The development of extensive community health services were also trained at this level, which further increased access to PHC services and cater for community health needs [23]. This approach was effective because it utilized local community workers who were able to identify relevant community needs [24], and the model can be duplicated for the promotion of mental health and prevention of mental disorders.
