Ambulance services as part of the district health system in low-income countries: a feasibility study from Cambodia

2015 ◽  
Vol 31 (4) ◽  
pp. 414-429 ◽  
Author(s):  
Bart Jacobs ◽  
Cheanrithy Men ◽  
Oeun Sam Sam ◽  
Sjoerd Postma
Keyword(s):  
Health System ◽  
Feasibility Study ◽  
Low Income ◽  
Low Income Countries ◽  
District Health ◽  
District Health System

scholarly journals A job analysis of selected health workers in a district health system in KwaZulu Natal - Part two: Job analysis of nurses in primary health care settings

Curationis ◽  
2003 ◽  
Vol 26 (3) ◽  
Author(s):  
S Mbambo
Keyword(s):  
Health System ◽  
Current Practice ◽  
Health Workers ◽  
Job Analysis ◽  
District Health ◽  
District Health System ◽  
Primary Health ◽  
Kwazulu Natal ◽  
Descriptive Survey ◽  
Primary Health Care Settings

The aim of this descriptive survey was to do a job analysis of different categories of nurses in a District Health System in order to clarify job expectations, describe current practice of nurses in hospitals and clinics and to make recommendations about skills mix in district services. This article deals with the clinics only.

The district health system

2018 ◽  
pp. 81-98
Author(s):  
Geoff Meads ◽  
Michiyo Iwami ◽  
Yvonne Carter
Keyword(s):  
Health System ◽  
District Health ◽  
District Health System

scholarly journals A job analysis of selected health workers in a district health system in KwaZulu Natal - Part one: Job analysis of nurses in hospital settings

Curationis ◽  
2003 ◽  
Vol 26 (3) ◽  
Author(s):  
L.R. Uys
Keyword(s):  
Health System ◽  
Current Practice ◽  
Health Workers ◽  
Job Analysis ◽  
District Health ◽  
District Health System ◽  
Job Expectations ◽  
Kwazulu Natal ◽  
Descriptive Survey

The aim of this descriptive survey was to do a job analysis of different categories of nurses in a District Health System in order to clarify job expectations, describe current practice of nurses in hospitals and clinics and to make recommendations about skills mix in district services.

scholarly journals Study on Epidemiology of Chronic Obstructive Pulmonary Disease (COPD) at Western Regional Hospital, Pokhara

2017 ◽  
Vol 9 (2) ◽  
pp. 65-69
Author(s):  
Vivek Ghosh ◽  
S Lamichhane ◽  
SB Thakuri ◽  
KCS Khadka ◽  
SS Teli ◽  
...  
Keyword(s):  
Health System ◽  
Regional Hospital ◽  
Chronic Obstructive ◽  
System Management ◽  
District Health ◽  
Obstructive Pulmonary Disease ◽  
District Health System ◽  
Medical College ◽  
Third Phase ◽  
Western Regional

According to the curriculum of Bachelor of Medicine and Bachelor of Surgery (MBBS) program of the Tribhuvan University (TU), Institute of Medicine (IOM), the Department of Community Medicine of Gandaki Medical College (GMC) has been conducting the District Health System Management (DHSM) study for the students of MBBS, third phase (4th year). This program provides us an opportunity for clinical and community orientation to develop skills to become a competent medical professional to work at different levels of hospitals and district health system. This course enables us to assess resource potentials and constraints, prioritize the health problems and set strategies for solving them. It also enables us to be able to work in promotive, preventive, curative and rehabilitative health services as part of district health team. The program begins with theory classes on management and orientation classes at the college and placement of the students in three different places with rotation along with field supervisions in between. Here we are presenting our investigations on epidemiology of chronic obstructive pulmonary disease made at Western Regional Hospital during our District Health System Management (DHSM) study in third phase (Fourth year).Journal of Gandaki Medical College Volume, 09, Number 2, July December  2016, Page: 65-69 

scholarly journals Efficacy of Trans-Abdominis Plane Block for Post Cesarean Delivery Analgesia in Low-Income Countries: A Phase Three Feasibility Study

2021 ◽  
Vol 04 (04) ◽  
Author(s):  
Evans A Sanga ◽  
Ansbert Sweetbert Ndebea ◽  
Shuweikha Salim ◽  
Mwemezi Kaino ◽  
Bernard Njau ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Feasibility Study ◽  
Low Income ◽  
Low Income Countries

scholarly journals Assessing the implementation of the family care team in the district health system of health region 2, Thailand

2018 ◽  
Vol 6 (1) ◽  
pp. 39-50
Author(s):  
Nithra Kitreerawutiwong ◽  
Sunsanee Mekrungrengwong ◽  
Artitaya Wongwonsin ◽  
Chakkraphan Phetphum
Keyword(s):  
Health System ◽  
Family Care ◽  
Care Team ◽  
District Health ◽  
District Health System ◽  
Health Region ◽  
The Family

‘It makes you someone who changes with the times’: health worker and client perspectives on a smartphone-based counselling application deployed in rural Tanzania

2019 ◽  
Vol 34 (4) ◽  
pp. 307-315 ◽  
Author(s):  
Kristy Hackett ◽  
Mina Kazemi ◽  
Curtis Lafleur ◽  
Peter Nyella ◽  
Lawelu Godfrey ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health System ◽  
Data Management ◽  
Low Income ◽  
Community Intervention ◽  
Health Workers ◽  
Low Income Countries ◽  
Maternal And Newborn Health ◽  
Pregnancy And Childbirth

AbstractMobile health (mHealth) applications have been developed for community health workers (CHW) to help simplify tasks, enhance service delivery and promote healthy behaviours. These strategies hold promise, particularly for support of pregnancy and childbirth in low-income countries (LIC), but their design and implementation must incorporate CHW clients’ perspectives to be effective and sustainable. Few studies examine how mHealth influences client and supervisor perceptions of CHW performance and quality of care in LIC. This study was embedded within a larger cluster-randomized, community intervention trial in Singida, Tanzania. CHW in intervention areas were trained to use a smartphone application designed to improve data management, patient tracking and delivery of health messages during prenatal counselling visits with women clients. Qualitative data collected through focus groups and in-depth interviews illustrated mostly positive perceptions of smartphone-assisted counselling among clients and supervisors including: increased quality of care; and improved communication, efficiency and data management. Clients also associated smartphone-assisted counselling with overall health system improvements even though the functions of the smartphones were not well understood. Smartphones were thought to signify modern, up-to-date biomedical information deemed highly desirable during pregnancy and childbirth in this context. In this rural Tanzanian setting, mHealth tools positively influenced community perceptions of health system services and client expectations of health workers; policymakers and implementers must ensure these expectations are met. Such interventions must be deeply embedded into health systems to have long-term impacts on maternal and newborn health outcomes.

Health system reconstitution syndrome: an often misunderstood phenomenon in global health practice

2019 ◽  
Vol 34 (8) ◽  
pp. 618-624
Author(s):  
Anatole Manzi ◽  
Alyssa Ierardo ◽  
Jean Claude Mugunga ◽  
Cate Oswald ◽  
Patrick Ulysse ◽  
...  
Keyword(s):  
Global Health ◽  
Health System ◽  
Low Income ◽  
Program Implementation ◽  
Quality Care ◽  
Building Blocks ◽  
Health Systems Strengthening ◽  
Low Income Countries ◽  
Global Movement ◽  
Active Implementation

Abstract The beginning of the 21st century was marked by the new definition and framework of health systems strengthening (HSS). The global movement to improve access to high-quality care garnered new resources to design and implement comprehensive HSS programs. In this effort, billions of dollars flowed from novel mechanisms such as The Global Fund to Fight AIDS, Tuberculosis and Malaria; Gavi, the Vaccine Alliance; and several bilateral funders. However, poor health outcomes, particularly in low-income countries, raise questions about the effectiveness of HSS program implementation. While several evaluation projects focus on the ultimate impact of HSS programs, little is known about the short- and mid-term reactions occurring throughout the active implementation of HSS interventions. Using the well-documented WHO framework of six HSS building blocks, we describe the evolution and phases of health system reconstitution syndrome (HSRS), including: (1) quiescent phase, (2) reactive phase, (3) restorative phase and (4) stability phase. We also discuss the implications of HSRS on global health funding, implementation, policy and research. Recognizing signs of HSRS could improve the rigour of HSS program design and minimize premature decisions regarding the progress of HSS interventions.

scholarly journals Out-of-Pocket Expenditures on Health: A Global Stocktake

2020 ◽  
Vol 35 (2) ◽  
pp. 123-157 ◽  
Author(s):  
Adam Wagstaff ◽  
Patrick Eozenou ◽  
Marc Smitz
Keyword(s):  
Health System ◽  
Low Income ◽  
Poverty Line ◽  
Low Income Countries ◽  
Two Measures ◽  
Per Capita ◽  
Summary Measures ◽  
The Rich ◽  
Catastrophic Expenditures ◽  
Highly Correlated

Abstract This paper provides an overview of research on out-of-pocket health expenditures by reviewing the various summary measures and the results of multi-country studies using these measures. The paper presents estimates for 146 countries from all World Bank income groups for all summary measures, along with correlations between the summary measures and macroeconomic and health system indicators. Large differences emerge across countries in per capita out-of-pocket expenditures in 2011 international dollars, driven in large part by differences in per capita income and the share of GDP spent on health. The two measures of dispersion or risk—the coefficient of variation and Q90/Q50—are only weakly correlated across countries and not explained by our macroeconomic and health system indicators. Considerable variation emerges in the out-of-pocket health expenditure budget share, which is highly correlated with the incidence of “catastrophic expenditures”. Out-of-pocket expenditures tend to be regressive and catastrophic expenditures tend to be concentrated among the poor when expenditures are assessed relative to income, while expenditures tend to be progressive and catastrophic expenditures tend to be concentrated among the rich when expenditures are assessed relative to consumption. At the extreme poverty line of $1.90-a-day, most impoverishment due to out-of-pocket expenditures occurs among low-income countries.

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