This section provides some information on the work carried out in the Region to strengthen health system support elements for the delivery of quality child health care services. It is not meant to be a review of health systems. A short description of health system issues affecting child health programme performance is provided under each topic as an introduction to the work specifically undertaken by public child health programme managers in the Region and the CAH unit of this Regional Office to address them. Additional information on work carried out in this area by individual countries, including some of the tools developed, is available in the section on implementation. Key issues in the area of health systems to be considered when planning for IMCI are described in the IMCI planning guide developed by CAH headquarters.  Top