The “new ferment” in national health policies: The case of Norway's nutrition and food policy

1979 ◽  
Vol 13 (1) ◽  
pp. 33-41 ◽  
Author(s):  
Knut Ringen
Author(s):  
Freddie Ssengooba ◽  
Lynn Atuyambe ◽  
Suzanne N Kiwanuka ◽  
Prasanthi Puvanachandra ◽  
Nancy Glass ◽  
...  

Author(s):  
Pascale Ondoa ◽  
Ankie Van der Broek ◽  
Christel Jansen ◽  
Hilde De Bruijn ◽  
Constance Schultsz

Background: The 2008 Maputo Declaration calls for the development of dedicated national laboratory policies and strategic plans supporting the enhancement of laboratory services in response to the long-lasting relegation of medical laboratory systems in sub-Saharan Africa.Objectives: This study describes the extent to which laboratories are addressed in the national health policies and plans created directly following the 2008 momentum for laboratory strengthening.Method: National health policies and plans from 39 sub-Saharan African countries, valid throughout and beyond 31 December 2010 were collected in March 2012 and analysed during 2013.Results: Laboratories were addressed by all countries. Human resources were the most addressed topic (38/39) and finances and budget were the least addressed (< 5/39). Countries lagging behind in national laboratory strategic planning at the end of 2013 (17/39) were more likely to be francophone countries located in West-Central Africa (13/17) and have historically low HIV prevalence. The most common gaps anticipated to compromise the implementation of the policies and plans were the disconnect between policies and plans, under-developed finance sections and monitoring and evaluating frameworks, absence of points of reference to define gaps and shortages, and inappropriate governance structure.Conclusion: The availability of laboratory policy and plan implementation can be improved by strictly applying a more standardised methodology for policy development, using harmonised norms to set targets for improvement and intensifying the establishment of directorates of laboratory services directly under the authority of Ministries of Health. Horizontal programmes such as the Global Health Security Agenda could provide the necessary impulse to take the least advanced countries on board.


1977 ◽  
Vol 47 (6) ◽  
pp. 803-809 ◽  
Author(s):  
Eli Ginzberg

✓ The 1977 Cushing Orator looks at the question of neurosurgical manpower and its relation to national health policies, proposed or abandoned. The impact on residency training as well as patient care and research effort require constant monitoring by the profession, so that the specialty will continue to contribute significantly to human betterment.


1999 ◽  
Vol 65 (5) ◽  
pp. 227-240
Author(s):  
Kazuaki MIYAGISHIMA ◽  
Daisaku SATO ◽  
Toshitaka NAKAHARA

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Sweta Dubey ◽  
Jeel Vasa ◽  
Siddhesh Zadey

Abstract Background Human Resources for Health (HRH) are crucial for improving health services coverage and population health outcomes. The World Health Organisation (WHO) promotes countries to formulate holistic policies that focus on four HRH dimensions—availability, accessibility, acceptability, and quality (AAAQ). The status of these dimensions and their incorporation in the National Health Policies of India (NHPIs) are not well known. Methods We created a multilevel framework of strategies and actions directed to improve AAAQ HRH dimensions. HRH-related recommendations of NHPI—1983, 2002, and 2017 were classified according to targeted dimensions and cadres using the framework. We identified the dimensions and cadres focussed by NHPIs using the number of mentions. Furthermore, we introduce a family of dimensionwise deficit indices formulated to assess situational HRH deficiencies for census years (1981, 2001, and 2011) and over-year trends. Finally, we evaluated whether or not the HRH recommendations in NHPIs addressed the deficient cadres and dimensions of the pre-NHPI census years. Results NHPIs focused more on HRH availability and quality compared to accessibility and acceptability. Doctors were prioritized over auxiliary nurses-midwives and pharmacists in terms of total recommendations. AAAQ indices showed deficits in all dimensions for almost all HRH cadres over the years. All deficit indices show a general decreasing trend from 1981 to 2011 except for the accessibility deficit. The recommendations in NHPIs did not correspond to the situational deficits in many instances indicating a policy priority mismatch. Conclusion India needs to incorporate AAAQ dimensions in its policies and monitor their progress. The framework and indices-based approach can help identify the gaps between targeted and needed dimensions and cadres for effective HRH strengthening. At the global level, the application of framework and indices will allow a comparison of the strengths and weaknesses of HRH-related policies of various nations.


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