What is a bottleneck, and

why analyze it??

Six coverage determinants, from both supply and

demand side, applied to analyze health system
bottlenecks and develop strategies
Effective coverage -quality
Adequate coverage - continuity
Initial utilization first contact of multi contact
services
Accessibility physical access of services
Availability human resources
Availability essential health commodities
Target Population
2
Adapted from Tanahashi T. Bulletin of the World Health Organization,
1978, 56 (2)
http://whqlibdoc.who.int/bulletin/1978/Vol56-No2/bulletin_1978_56(2)_295-303.pdf

Target Population

The Tanahashi Model to assess system

bottlenecks
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Adapted from Tanahashi T. Bulletin of the World Health Organization,

1978, 56 (2)
3
http://whqlibdoc.who.int/bulletin/1978/Vol56-

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