Governance and Public Administration During the COVID-19 Pandemic: Issues and Experiences in Kenya’s Health System

Politikon ◽  
2021 ◽  
pp. 1-20
Author(s):  
Sandra Ochieng’-Springer
Author(s):  
Svetlana Vovk ◽  
◽  
Tatyana Vovk ◽  

Today it is becoming obvious that ensuring high and sustainable rates of development of the country, achieving strategic goals of national significance is impossible without an interested partnership between the state and the private sector. Currently, programs focused on the use of budget funds do not allow ministries and departments to implement large-scale, strategic projects. At the same time, the growing weight, the growing importance of social infrastructure, the responsibility of the state for its development in conditions of insufficient financial opportunities, make it necessary to update and improve investment tools in order to increase cost efficiency and better meet the needs of society. Taking this into account, the use of reserves to improve the effectiveness and quality of Public Administration mechanisms in the medical sphere requires solving certain theoretical and practical problems, to which we refer: determining the content of the effectiveness of Public Administration mechanisms in the country's health system; determining the main theoretical and methodological factors that determine the conditions, trends and means of Public Administration mechanisms, that is, those basic provisions and tools that determine the development of PPP in the healthcare sector; scientific substantiation of mechanisms for using these factors to improve the efficiency of the medical industry and the state of Public Health. In practice, the fact that state, municipal and private health systems should be considered as elements (subsystems) of a larger entity – the National Health System-is often forgotten or ignored. The system of Organization of medical care to the population is a complex combination of programs, institutions, institutions that are designed to solve various tasks: from the treatment of acute and chronic diseases to prevention, from individual treatment to measures aimed at improving public health, from primary health care to inpatient treatment, from the provision of dental services to the treatment of occupational diseases, etc.


2021 ◽  
Vol 9 (208) ◽  
pp. 1-16
Author(s):  
Rosana Pereira da Silva José

The present article has as its theme the decentralization of SUS in public administration, it highlights SUS as one of the infinite pillars of public policies practiced in Brazil, of which the impasse of consultation is, decentralization is real in public administration. Decentralization generates as a goal a municipalized administrative management in the area of health acts and systems, and there is thus an error of Brazilian politics in which the technocratic morphology of the centralizing State is obliged to deal with the administrative political autarchy of federated people, as art.18, caput, of CF / 88, in any case, such political formation brought positive points, as negative points in the construction of SUS. The system employed was a bibliographic review based on a legislative list (CF / 88, Law 8.080 / 90, Law 8.142 / 90, NOB-SUS 01/93, NOAS-SUS 01/2001), sources from the Ministry of Health, which is the good promoter of SUS, literature, magazines, lectures, models, scientific articles and several other materials that combined according to the theme. The database used was SciELO, the portal for theses and dissertations of UNICAMP and specialized publications suitable for the theme. organizational lines of the Brazilian State; decentralization of SUS and positive and negative SUS themes. By objective, it is identified that the administrative system of the Brazilian State is still very bureaucratic, including that political, economic and social ambitions say irregular aspects and the decentralization of the Unified Health System is proof of a concert to these oscillations.


2019 ◽  
Vol 17 (3) ◽  
pp. 471-493
Author(s):  
Ivan Radević ◽  
Miro Haček

The paper aims to assess the organisational design of the public health care system of Montenegro from the organisational and legal standpoint, and in particular from the position of a likelihood for the system decentralisation through an inclusion of local self-governments with the goal to increase the quality of health care. The qualitative analysis is based on the method of case study. The research covers the analysis of Montenegrin legislation, and in particular Montenegrin and European regulations and strategic documents that refer to local self-governments and health care system. Individual and group interviews were conducted with top executives in the Ministry of Health of Montenegro, Health Insurance Fund of Montenegro and Ministry of Public Administration. The research shows that Montenegrin health system is predominantly centralised, and lacks substantial involvement by local self-government in health care related services. The need for a stronger participation of municipalities (and private entities) is indicated, for the purpose of achieving a stronger level of quality of the health care services.


2020 ◽  
Vol 158 (6) ◽  
pp. S-1460-S-1461
Author(s):  
Shoma Bommena ◽  
Nael Haddad ◽  
Sumit Agarwal ◽  
Sarabdeep Mann ◽  
Layth AL-Jashaami ◽  
...  

1982 ◽  
Vol 37 (8) ◽  
pp. 966-970 ◽  
Author(s):  
George H. Wolkon ◽  
Carolyn L. Peterson ◽  
Patricia Gongla

Sign in / Sign up

Export Citation Format

Share Document