The NHI plans to re-engineer the health system to improve the accessibility and quality of health care services for all citizens in addition to providing financial risk protection against health related cost which can be ruinous to the individual. (Baleta, 2012: 1185 & Matsoso, & Fryatt, 2013: 156). This will ensure that health care services are accessible to all based on their need and not on their capability to pay. (Keeton, 2010: 804). Furthermore there is focused on health promotion and prevention at a household and community level.
I look forward to learning skills that help them to handle adequately complex challenges such as working within tight budgets, initiating health care policy change to eliminate health disparities, and improving health care outcomes at all levels of care. As a DNP, I will practice health promotion, health maintenance, and prevention in the facilities where I work. DNP provided me with the knowledge of where to seek to fund when carrying out a research project from The National Institute on Minority Health and Health Disparities (NIMHD) and the National Institute of Health (NIH). These institutes work together to improve minority health and eliminate health disparities through scientific research that is federally funded. (AANC,
Introduction Quality improvement in healthcare has become a priority in many countries. Resource limited countries in particular have in the in the recent years focussed their attention on human resources required to deliver healthcare in an effort to achieve targets for the United Nations Millennium Development Goals (MDGs). More emphasis is now being placed on health worker performance and motivation (Chen et al., 2004). Quality of care embraces the utilization of essential resources to provide health, including essential drugs and equipment and health workforce, as well as patient involvement. Access to health to services and quality of healthcare is solely dependent on the health workforce and therefore their performance and productivity in healthcare provision is of utmost importance (Dieleman et al., 2006).
Leadership and governance (Governance and Health Care Financing) • To strengthen leadership and governance systems, in order to ensure highest standards of transparency and accountability at all levels. (National Health Strategic Plan 2006-10), (National Health Strategic Plan 2011-14) c) Explain how the four approaches of Public health could be used to attain the objectives outlined in b). Public health is the science and art of preventing disease, prolonging life, and promoting health through organized efforts of society - The Acheson Report (1988) Therefore, the public health approach principles provide a useful framework for investigating and understanding the causes and effects of Health related conditions and for planning there mitigation interventions through primary prevention programmes, policy interventions and advocacy. This public health approach to prevention seeks to improve the health and safety of all individuals by addressing underlying risk factors that increase the likelihood that an individual will become vulnerable to these health conditions. The approach consists of four steps: 1.
CONCEPT 10: COMMUNITY HEALTH NURSING This concept is taken from module 11 of block 7 entitled “General Nursing”. 10.1 Significance of the Concept Community health nursing is the synthesis of nursing and public health practice applied to promote and protect the health of population. It combines all the basic elements of professional, clinical nursing with public health and community practice (Basavanthappa, 2007). Community health nursing is very essential particularly at this time because it maximizes the health status of individuals, families, groups and the community through direct approach with them. Community health nursing ensures nursing care of family in sick and health.
Health care system and services may vary from one country to another, given the health care policies of that certain state. In highly industrialized countries, health care system has been advance and the amount of services to its people is highly recognized. Health care is a very important factor to determine the physical and mental well-being of the people, that is why it is also highly recognized as a great contributor to a country’s economy. Health care services offered whether by public or private sectors are those services such as the diagnosis, prevention of the diseases, the treatment of illnesses, injuries and other health impairment of the people around the world. People do not want to get ill, however all got sick once in a while in their lives.
Dimensions of Quality Any health organization should pursue to make developments in six areas or dimensions of quality. These dimensions require that health care be: (a) Effective - Providing health care that is advocate to an evidence base and results in enhanced health outcomes for individuals and communities, based on need. (b) Efficient - Providing health care in a way which make best use of the resources and avoids waste. (c) Accessible - Delivering health care that is well-timed, geographically practical, and provided in a setting where abilities and assets are appropriate to medical
Only through a deeper understanding of the intricate factors shaping behavioural practices can health promotion programmes and or interventions successfully be introduced into the realities of the people’s lives to bring about changes in health behaviour. Behaviour change theories and models such as the Health Belief Model (HBM), Theory of Reasoned Action (TRA), Theory of Planned Behaviour (TPB), and the Transtheoretical Model have been widely applied in public health in an attempt to explain or predict health seeking behaviours. Their use enables identification and understanding of people’s health-seeking behaviour beyond their knowledge, attitudes and practices. HBM is a health specific behavioural cognitive model The model is based on the idea that people are more likely to change their behaviour and adhere to treatments if: (i) they perceive that they are at risk of contracting the disease (perceived susceptibility), (ii) they perceive the disease might have an unfavourable outcome (perceived severity), (iii) they perceive the proposed health behaviour to be both effective and practical (perceived benefits), (iv)they perceive the barriers to adopting the behaviour to be minimal (perceived barriers),(v) they perceive themselves to have the ability of applying and practicing the specific behaviour proposed
Identification of Concepts/Theories 1. Concepts • Public Health Management can defined as set of activities which are planning (very important) and decision making, organizing (continous) ,leading and controlling that are directed at an organization resources such as human, financial, physical and information. This concept of management helps us understand the structure and operations of the health system and provide an opportunity to manage the complex nature of the health systems and rationale for quality management of the needed resources. • The concept of strategic management which is a set of managerial decisions and actions that determines the long-run performance of an organization such as FHI360 etc which includes internal and external environment scanning; strategy formulation, strategy implementation and ;evaluation and control. The concept helps to
It focuses on the number of people exposed, and the potential for spread within the community to enable implementation of appropriate actions to prevent additional cases or recurrences of the disease. (Brownson, 2011) Application - Epidemiology provides useful scientific basis for prevention of diseases and injury and the promotion of health. (Soph.uab.edu, 2016) Roles of epidemiology Epidemiology is considered a tool for collecting data that enable public health surveillance, disease investigation, analytic studies and program evaluation. Public Health Surveillance Public health surveillance is essential for rapid detection investigation and identification of disease outbreaks. The common source of surveillance data is reports of disease cases received from health-care providers and from communities.