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Strengthening health systems by health sector reforms.

Glob Health Action · 2014 · PMC4651248 · PMID 24560261

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an overall trendno p-value reported
Data in general has shown an overall trend of improvement of equity in access and outcomes due to many health sector reforms and health systems interventions, such as ensuring that services are free at the point of delivery; engaging communities and civil society organizations in the planning and delivery of health services; and introduction of a decentralization agenda in the delivery of services ( 17 , 26 ).

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.