**5.5 Practical steps for developing a strategy**

The following draws on the research reviewed to describe a series of steps which is likely to result in an effective strengthening strategy which is implementable:

	- Finance for health services
	- Human resources and management and planning
	- Employee and provider motivation and payment systems
	- Quality and performance improvement programmes and methods
	- Necessary changes to organisation
	- Drug supply and better prescribing
	- Management development and management system development especially for management information and use
	- Good governance including community participation in health services
	- Cross-sector interventions which strengthen health services
