Today, health systems in both high-income and low-middle income countries play more significant role in improving as well as maintaining community health (WHO, 2007). Nevertheless, the efforts to develop well-functioning and highly integrated health systems are not easy since the most countries; especially developing countries have to deal with abundant challenges in public health. For instance, inequalities in the access to health care still exist in many countries due to various obstacles such as the inadequacies of the health resources and the discrepancy between the rich and the poor (Barten et al., 2007). To address those challenges, the health system must be reformed to improve the health coverage for all people as well as to conduct
Decentralization could also be expected to contribute to key elements of good governance, such as increasing people's opportunities for participation in economic, social and political decisions; assisting in developing people's capacities; and enhancing government responsiveness, transparency and accountability.”(UNDP, September
Unique governance challenges affecting Global Health Governance from the need to address factors across geographical boundaries and involve a broad range of interests and actors, to addressing health determinants through a multi-sectoral perspective (Dodgson et al., 2002). Lee K. et al (2009) extensively expounded five areas of weaknesses that are detrimental to attaining good GHG. These are policy coherence and coordination; transparency and accountability;
Shifts and some changes in the healthcare industry can affect every sector including outpatient clinics, acute care hospitals, long-term care facilities, and so on. Something like the well published health reform implementation present challenges for providers on a variety of levels be their financial, operational, or otherwise. Those healthcare which absence of strategic planning actually is the best way for an organization to ensure a negative outcome. A lack of financial sustainability resulting from a ‘trial and error’ approach rather than a due diligence focused healthcare strategic planning process. To establish the sustainability of their health or medical services organization, they did not properly vet their plans or even once prepare a valid financial feasibility
Malawian health system weakness to provide effective and high-quality services has led to the failure of many healthcare programs to achieve the desired goals. One of these programs is cervical cancer secondary prevention program. This essay will use the WHO health
(UNDP ) The lack of decentralisation in Mali is tightly linked to the weak service providing from government institutions. African countries with low levels of urbanisation have been facing problems of control over some areas such as northern
While cons of decentralizing can create competition among senior nurses and misinterpretation standards differently, pros to carry out the goal to treat and preserve human life does not waver. This infrastructure has nurtured a culture which sustains the vision at the organization and unit levels (Huber,
The ongoing cutbacks to the public health service, lack of specialist services and the slow progress of filling vacant positions of occupational therapists, psychology and social work in order to provide a more holistic approach has been hampering the progress of the frameworks implementation. However there has also seen some positive results since the framework was developed. There is new and innovative youth friendly service and other mental health service s being developed through partnership between statutory and voluntary sectors. There has also seen the opportunity to appoint a director of mental health services which would encourage the creation of a directorate as was hoped in the development of A Vision for
Nigeria has been under this system of centralised administrative governance since 1914 when the northern and the southern protectorate were coaxed under a single administrative control by the colonial government. Since then, the country’s administrative system has shown that its capacity to operate a decentralised federal system has been hampered by the rigidity and imbalance in the country’s composition and structure. Attempts to decentralise on many occasions have been thwarted through different political strategies. Some political leaders have capitalised on a malfunctioning system to mismanage resources under state
4.1 Evidence Gap for Quality of Private vs. Public Hospitals China’s 2009 health reform has made impressive progress in expanding insurance and public health coverage, but it has not yet fundamentally changed its public-hospital-dominated health delivery system despite widely-reported problems in quality and efficiency. Since 2011, the government has prioritized county hospital reform in an effort to seek breakthroughs in its hospital sector reforms. Concurrently, the new wave of reform encouraged private investment in hospitals partly in order to promote public hospital reform by creating competition from the private sector. Consequently, the government has gradually relaxed restrictions on private hospitals in terms of health regional