Service delivery – effective, safe, quality personal and non-personal health interventions to those that need them, when and where needed, with minimum waste of resources
Health workforce – responsive, fair and efficient to achieve the best health outcomes possible, given available resources and circumstances
Health information system – production, analysis, dissemination and use of reliable and timely information on health determinants, health system performance and health status
Medicines and technologies – equitable access to essential medical products, vaccines and other technologies of assured quality, safety, efficacy and cost-effectiveness, and their scientifically sound and cost-effective use
Health care financing – adequate funds for health, in ways that ensure people can use needed services, and are protected from financial catastrophe or impoverishment associated with having to pay for them, with incentives for providers and users to be efficient
Leadership and governance – strategic policy frameworks combined with effective oversight, coalition building, regulation, attention to system design and accountability
Fekri O, Macarayan ER, Klazinga N. (2018). Health system performance assessment in the WHO European Region: Which domains and indicators have been used by Member States for its measurement?
World Health Organization (2007). Everybody's Business: Strenghtening health systems to improve health outcomes: WHO's framework for action.
World Health Organization (2010). Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies.