The Health Care Delivery System in Libya with Special Emphasis on Public Health Care Services in Benghazi

1996 ◽  
Vol 27 ◽  
pp. 99-123
Author(s):  
Salem F. Salem

AbstractThis paper outlines the main features of the Libyan health care delivery system in general and the development of the primary health care system in particular. In spite of achieving tremendous success for extending health care coverage to meet continuous and mounting demand for health care services all over the country, health status levels in the country as a whole have not yet reached the required target that should make them comparable with the developed world. Three major reasons are thought to be responsible for this deficiency — the lack of appointment systems, a proper referral system and reliable health care information centres both locally and nationally. Moreover, despite the fact that a hierarchy of health care delivery system exists in the country, it is not well-defined with a fixed division of functions and strict referral routes between health care facilities as conceptualised in most parts of the developed world.

Author(s):  
Vistolina Nuuyoma ◽  
Daniel Opotamutale Ashipala

Primary health care is an approach adopted for the delivery of health services to the Namibian population. In terms of this approach, these services are made universally available, accessible, affordable, acceptable, and appropriate to meet the needs of communities. The health care delivery system in Namibia comprises services provided by both the Ministry of Health and Social Services (MoHSS) and the private sector. In addition to these services, some people consult traditional health care providers. All in all, health care comprises a combination of promotive, preventive, curative, and rehabilitative services. In addition to government funding, donations and technical support are also provided by non-governmental organisations. The MoHSS health care delivery system is coordinated at national, regional and district levels. This chapter elaborates on the Namibian health care delivery system, the structure and functions of each coordinating level, primary health care services in Namibia, as well as successes and challenges experienced.


2017 ◽  
Vol 19 (6) ◽  
pp. 313-321 ◽  
Author(s):  
Chungyi Chiu ◽  
Malachy Bishop ◽  
J.J. Pionke ◽  
David Strauser ◽  
Ryan L. Santens

Background: Individuals with multiple sclerosis (MS) face a range of barriers to accessing and using health-care services. The aim of this review was to identify specific barriers to accessing and using health-care services based on a continuum of the health-care delivery system. Methods: Literature searches were conducted in the PubMed, PsycINFO, CINAHL, and Web of Science databases. The following terms were searched as subject headings, key words, or abstracts: health care, access, barriers, physical disability, and multiple sclerosis. The literature search produced 361 potentially relevant citations. After screening titles, abstracts, and citations, eight citations were selected for full-text review. Results: Health-care barriers were divided into three continuous phases of receiving health care. In the before-visit phase, the most commonly identified barrier was transportation. In the during-visit phase, communication quality was the major concern. In the after-visit phase, discontinued referral was the major barrier encountered. Conclusions: There are multiple interrelated barriers to accessing and using health-care services along the health-care delivery continuum for people with MS and its associated physical disabilities, ranging from complex and long-recognized barriers that will likely require extended advocacy to create policy changes to issues that can and should be addressed through relatively minor changes in health-care delivery practices, improved care coordination, and increased provider awareness, education, and responsiveness to patients' needs.


2018 ◽  
Vol 37 (2) ◽  
pp. 142-152 ◽  
Author(s):  
Sandy Oelschlegel ◽  
Kelsey Leonard Grabeel ◽  
Emily Tester ◽  
Robert E. Heidel ◽  
Jennifer Russomanno

2007 ◽  
Vol 42 (2) ◽  
pp. 908-927 ◽  
Author(s):  
Mark C. Hornbrook ◽  
Evelyn P. Whitlock ◽  
Cynthia J. Berg ◽  
William M. Callaghan ◽  
Donald J. Bachman ◽  
...  

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