scholarly journals First catheter ablations in the Ministry of Health system of Peru: Report of the initial experience

2019 ◽  
Vol 24 ◽  
pp. 100402
Author(s):  
Raúl A. Montañez-Valverde ◽  
Luis Alberto More ◽  
Pablo Mendoza-Novoa
Keyword(s):  
Health System ◽  
Initial Experience ◽  
Ministry Of Health

scholarly journals Investigating the Cooperation Status Between the Health System and City Councils and Municipalities in Iran (Documents’ Analysis)

2020 ◽  
Author(s):  
Najmeh Khodadadi ◽  
Aidin Aryan Khesal ◽  
Mohamad Reza Maleki
Keyword(s):  
Health System ◽  
Sample Selection ◽  
City Council ◽  
Analysis Model ◽  
Ministry Of Health ◽  
Cross Sectional ◽  
City Councils ◽  
Model Sample ◽  
Collection Data ◽  
Health Related

Abstract Background: The present study is aimed at investigating the cooperation status between the health system and city councils and municipalities in Iran based on rules and documents.Methods: Altheide’s document analysis model (sample selection, data collection, data organization, data analysis, and reporting) was employed in order to prepare and analyze the documents pertaining to the cooperation level between the health system and municipalities and Islamic city councils. The documents were classified at three levels including the national rules, policies, and guidelines; Ministry of Health (MOH) and city council approvals; and eventually Tehran Municipality’s measures.Results: Overall, 78 documents were analyzed including 17 documents at the level of national rules, policies and guidelines; 8 documents at the level of Ministry of Health and city council approvals; and 53 documents at the level of Municipality’s measures.Conclusion: There are adequate legal capacities for designing, planning, executing, as well as creating interaction and cooperation between health system and city councils and municipalities. Moreover, the motive behind creating a purposeful and scheduled cooperation and participation is evident among the officials of health system and city councils and municipalities. Some mechanisms have been established for cross-sectoral cooperation between the health system and other health-related bodies on a cross-sectional basis, but these structures lack the necessary competence, appropriateness and adequacy to create the desired partnership, and especially sufficient attention to existing capacities in municipalities and The city council has not. Accordingly, it is necessary to have a fundamental review on the available structures and enough attention has to be paid to the evident and hidden legal capacities in city councils, and municipalities, as well as Ministry of Health to design an appropriate structure and create competent interaction and also provide more cooperation between the two organizations.

scholarly journals The Integration of Palliative Care in DR Congo “A Model Of Sustainability”: A Field Study

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 171s-171s
Author(s):  
A. Mubeneshayi Kananga
Keyword(s):  
Palliative Care ◽  
Health System ◽  
Capacity Building ◽  
Family Involvement ◽  
Health Professionals ◽  
Terminal Phase ◽  
National Guidelines ◽  
Dr Congo ◽  
Ministry Of Health ◽  
International Colloquium

Background and context: In DR Congo, many cancer patients in the terminal phase of their condition have minimal access to palliative care. There is a combined effect of poverty, the deterioration of the health system and the absence of a well-defined national policy on palliative care. Patients are for the most part abandoned to the care of inexperienced family members. Driven by the fact that the number of palliative patients has been increasing steadily over the past five years, the Palliafamilli association and its partners have taken leadership in the fight for palliative care. The major issue that blocks palliative care in RD Congo is the lack of knowledge about palliative care both in the population and even in health professionals. Most patients are treated at home with strong family involvement in many aspects of care. Aim: To promote good health practices at the community level and equip them with the knowledge and means to prevent their health problems, with a focus on palliative care and to contribute to the implementation of the Strategy for Strengthening the Health System of DR Congo by facilitating a program of access to palliative care for the entire Congolese population. Strategy/Tactics: During the last 7 years, we have organized conferences, congresses, various training sessions on pain management, sensitization activities, capacity building courses and advocacy activities within the Ministry of Health for national palliative care guidelines. Program/Policy process: - The organization of two International Congress of Palliative Care in Kinshasa in April 2013 (550 participants) and September 2015 (700 participants) - Training of 3 health professionals on the palliative approach in Uganda (2013) - Participation at the Second Francophone Palliative Care Congress in Montreal 2013 - A palliative care training course at the University of Kinshasa in 2015 (115 participants) - The organization of the International Colloquium of Pediatric Palliative Care in Kinshasa in 2015 - Participation in the 4th International Francophone Congress of Palliative Care in Geneva (2017) - Participating in the drafting of national guidelines for palliative care within the Ministry of Health (2017) - Capacity building for two members of PalliaFamilli thanks to the scholarship offered by the UICC. What was learned: In DR Congo, palliative care and pain relief require a cross-cutting approach, as resources are limited, many people are in need of care, and there are few nurses and doctors empowered to provide care. An effective approach is to involve community or volunteer caregivers supervised by health professionals, and Palliafamilli is successful due in its multidisciplinary and multisectoral approach, with adaptation to cultural, social and economic specificities and its integration with existing health systems, focusing on primary health care and community and home care.

Italy

2019 ◽  
pp. 189-194
Author(s):  
Claudia Palumbo ◽  
Umberto Volpe
Keyword(s):  
Cognitive Impairment ◽  
Older People ◽  
Health System ◽  
National Health System ◽  
Care Process ◽  
Ministry Of Health ◽  
Free Basis ◽  
Italian Regions ◽  
The World ◽  
Italian National Health

Italy is among countries in the world with the highest population of older people, with Italian elderly people accounting for over 20% of the total population of the country, and ranks second in Europe in terms of the ‘ageing index’ (i.e. the number of people aged 65 and above per 100 youths under the age of 15). In Italy, over 1 million people suffer from dementia, including approximately 600,000 cases of Alzheimer’s disease. Since 2000, a specific National Dementia Plan was initiated and Alzheimer’s Evaluation Units (UVAs) were introduced in all Italian regions to coordinate systematically the complex care process for dementia. Some Italian regions have recently deemed appropriate to change the denomination of UVAs to ‘Evaluation Units of Dementia’ (UVDs) and/or ‘Centres for Cognitive Impairment’. More recently, the Italian Ministry of Health launched an initiative aimed at improving the essential levels of assistance/care (LEA). The LEA represent all activities and services deemed essential to all Italian citizens and that the Italian national health system has to ensure are available, either on a free basis or by paying a participation fee, depending on patients’ situations.

scholarly journals Opportunities and Challenges for effective implementations of Karnali Province Health Policy

2021 ◽  
Vol 3 (1) ◽  
pp. i-iii
Author(s):  
Padam Prasad Simkhada ◽  
Sharada Prasad Wasti
Keyword(s):  
Health Policy ◽  
Health System ◽  
National Health ◽  
Local Governments ◽  
Local Level ◽  
Health Sector ◽  
Governance Structure ◽  
National Health Policy ◽  
Ministry Of Health ◽  
Healthcare Needs

The health sector is complex, involving many stakeholders, multiple goals, and different beneficiaries. Health policy is an instrument to decide, plan and action that are undertaken to achieve health care goals within a society to combat the health problems. It is crucial for understanding it influences on health systems and prioritizing the health needs of the population.1 In 2015, Nepal became a federal republic and replaced a unitary government with a federal government at the central level, seven provincial and 753 local governments having more authority and resources in planning and managing than before. In the spirit of Constitution of Nepal 2015 and with the vision to make the health services of the country universal and qualitative, Ministry of health and population of Nepal (2019) revised National health policy in 2019. National Health policy 2019 of Nepal has expanded its plan and strategies according to federal structure of the country to improve health sector.2 The revision of health policy paved the way forward towards health system reform in the country which is further supported by Local Government operation act 2017.3 With the new governance structure, accountability has also been divided among the three tiers and the local level is responsible for the program implementation responsibilities.4 5 The Ministry of Health and Population (MoHP) is responsible for managing the health system at the federal level, whereas at the provincial level leads by the Ministry of Social Development and local governments metro/sub-metropolitan, municipality and rural municipality are responsible for its management.6 This indicates that the health system must gear up to meet the escalating healthcare needs of every citizen and upgrading the system as per the structure of the country.

scholarly journals Analysis of the national health system of Cuba

2020 ◽  
Vol 28 (4) ◽  
pp. 737-750
Author(s):  
Yarima Pupo Ochoa
Keyword(s):  
Health System ◽  
National Health ◽  
User Satisfaction ◽  
Management Strategies ◽  
Health Sector ◽  
National Health System ◽  
Basic Structure ◽  
Ministry Of Health ◽  
Level Of Satisfaction ◽  
The Republic

This article discusses a set of issues relevant to the current state of the health care system of the Republic of Cuba. The purpose of the study is to give an idea of the dynamics of national health development and compare the results achieved in this sector from 2010 to 2018. The consideration of these problems begins with a description of the demographic context that reflects the general health status of the population. The basic structure of the health system, beneficiaries and benefits in the field of health, sources of financing and expenditures on health, available resources and user satisfaction with the services received were also taken into account. The paper also provides an assessment of the main problems that the Ministry of Health will have to solve in the short and medium term, which will entail the need to develop and implement new management strategies for health institutions. The study was based on a theory of analysis of the health sector adapted to the specifics of Cuban public health, providing guidance to the work of the Ministry of Health and health managers in order to achieve a higher level of satisfaction and quality.

scholarly journals Situation analysis on evidence-informed health policy-making in Poland

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
K Dubas-Jakóbczyk ◽  
E Kocot ◽  
A Domagała ◽  
T Mikołajczyk ◽  
J Adamski ◽  
...  
Keyword(s):  
Health Policy ◽  
Knowledge Translation ◽  
Health System ◽  
Information Exchange ◽  
Policy Making ◽  
Good Practice ◽  
Situation Analysis ◽  
Ministry Of Health ◽  
Proposed Model ◽  
Research And Policy

Abstract Background Over the last few years, increased international attention has been paid to bridging the gap between health research and policy-making. The situation analysis on evidence-informed policy-making (EIP) in Poland aims to increase understanding of interactions among a country’s research and policy-making communities, to determine where and how to best establish a knowledge translation platform (KTP), i.e. an organization or network that through its structure and functioning brings the worlds of research and policy together. Methods The methods were guided by the EVIPNet Europe Situation Analysis Manual and included a literature review, key-informant interviews and survey data analysis. Results In Poland, the existence of incentives or requirements stipulating the use of research evidence in health policy varies, depending on the type of policy. The use of evidence is a standard practice in drug policy, and in decisions related to the inclusion of services in the health benefit package. In other areas, some good practice examples of using evidence in policy can be identified. Yet these are rather individual, isolated and bottom-up initiatives, which neither occur systematically, nor routinely. Key challenges in view of strengthening a systemic approach to EIP relate to: overlapping mandates of key health system and research institutions, generally low research capacity and lack of knowledge translation skills. Conclusions Establishing and operationalizing a KTP can be an effective means of supporting sustainable EIP. Building such infrastructure, however, is a longer-term and complex process that needs to be based on the current characteristics of the country’s EIP landscape. The proposed model of a future KTP in Poland is a network with a joint secretariat within the Ministry of Health. Such form can take advantage of existing organizations’ competencies via information exchange and cooperation. Key messages Although systemic mechanisms for evidence-informed health policy are missing in Poland, its importance is recognized among major health system stakeholders. The proposed model of a future knowledge translation platform in Poland is a network with a joint secretariat within the Ministry of Health.

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