A preliminary assessment of financial stability, efficiency, health systems and health outcomes using performance-based contracts in Belize

2013 ◽  
Vol 8 (9) ◽  
pp. 1063-1074 ◽  
Author(s):  
Diana M. Bowser ◽  
Ramon Figueroa ◽  
Laila Natiq ◽  
Adeyemi Okunogbe
Keyword(s):  
Health Outcomes ◽  
Health Systems ◽  
Financial Stability ◽  
Preliminary Assessment ◽  
Performance Based Contracts

scholarly journals The impact of economic sanctions on health and health systems in low- and middle-income countries

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Suhrcke ◽  
M Pinna Pintor ◽  
C Hamelmann
Keyword(s):  
Health Outcomes ◽  
Health System ◽  
Health Systems ◽  
Grey Literature ◽  
Economic Sanctions ◽  
Political Crisis ◽  
Middle Income ◽  
Financial Flows ◽  
Adverse Health ◽  
The Impact

Abstract Background Economic sanctions, understood as measures taken by one state or a group of states to coerce another into a desired conduct (eg by restricting trade and financial flows) do not primarily seek to adversely affect the health or health system of the target country's population. Yet, there may be indirect or unintended health and health system consequences that ought to be borne in mind when assessing the full set of effects of sanctions. We take stock of the evidence to date in terms of whether - and if so, how - economic sanctions impact health and health systems in LMICs. Methods We undertook a structured literature review (using MEDLINE and Google Scholar), covering the peer-reviewed and grey literature published from 1970-2019, with a specific focus on quantitative assessments. Results Most studies (23/27) that met our inclusion criteria focus on the relationship between sanctions and health outcomes, ranging from infant or child mortality as the most frequent case over viral hepatitis to diabetes and HIV, among others. Fewer studies (9/27) examined health system related indicators, either as a sole focus or jointly with health outcomes. A minority of studies explicitly addressed some of the methodological challenges, incl. control for relevant confounders and the endogeneity of sanctions. Taking the results at face value, the evidence is almost unanimous in highlighting the adverse health and health system effects of economic sanctions. Conclusions Quantitatively assessing the impact of economic sanctions on health or health systems is a challenging task, not least as it is persistently difficult to disentangle the effect of sanctions from many other, potentially major factors at work that matter for health (as, for instance, war). In addition, in times of severe economic and political crisis (which often coincide with sanctions), the collection of accurate and comprehensive data that could allow appropriate measurement is typically not a priority. Key messages The existing evidence is almost unanimous in highlighting the adverse health and health system effects of economic sanctions. There is preciously little good quality evidence on the health (system) impact of economic sanctions.

scholarly journals Health System Strategies and Adolescent Sexual Health: A Systematic Review of the Literature using Rodgers Concept Analysis Framework

2021 ◽  
Vol 14 (1) ◽  
pp. 526-536
Author(s):  
Wilfred Njabulo Nunu ◽  
Lufuno Makhado ◽  
Jabu Tsakani Mabunda ◽  
Rachel Tsakani Lebese
Keyword(s):  
Sexual Health ◽  
Health Outcomes ◽  
Health System ◽  
Conceptual Framework ◽  
Health Systems ◽  
Concept Analysis ◽  
Sexual Practices ◽  
Analysis Framework ◽  
Adolescent Sexual Health ◽  
Antecedents And Consequences

Background: Health Systems Strategies play a key role in determining Adolescent Sexual Health outcomes. This study aims to review the literature on the relationship between Health Systems Strategies and Adolescent Sexual Health issues guided by Rodger's evolutionary concept analysis framework. The study further develops a Conceptual Framework that would guide a study that seeks to “Develop strategies to facilitate safe sexual practices in adolescents through Integrated Health Systems in selected Districts in Zimbabwe.” Methods: Adolescents, Health Systems, Sexual Health, and Strategies were used to search for published literature (in English) on Google Scholar, PUBMED, EBSCO, Cochran Library, and Science Direct. A total of 142 Articles and 11 reports were obtained, and the content was screened for relevance. This led to 42 articles and 03 reports being found suitable and relevant, and thus, the content was reviewed. Thematic analysis was done to identify attributes, antecedents, and consequences of Health Systems Strategies on Adolescent Sexual Health. These findings were then used to inform the development of the Conceptual Framework. Results: Key attributes, antecedents and consequences of Health System Strategies on Adolescent Sexual Health were identified. Strategies to Improve Adolescent Sexual Health outcomes were also identified. Conclusions: Different contextual factors influence policy changes and the consequences are mixed, with both positive and negative outcomes.

Community Involvement in Health Systems Strengthening to Improve Global Health Outcomes: A Review of Guidelines and Potential Roles

2017 ◽  
Vol 37 (3-4) ◽  
pp. 139-149 ◽  
Author(s):  
Emma Sacks ◽  
Robert C. Swanson ◽  
Jean J. Schensul ◽  
Anna Gleave ◽  
Katharine D. Shelley ◽  
...  
Keyword(s):  
Global Health ◽  
Health Outcomes ◽  
Health Systems ◽  
Community Involvement ◽  
Health Systems Strengthening

Organizations matter in local governance: evidence from health sector decentralization in Honduras

2020 ◽  
Author(s):  
Elisabeth Dowling Root ◽  
Alan Zarychta ◽  
Bertha Bermudez Tapia ◽  
Tara Grillos ◽  
Krister Andersson ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Health Systems ◽  
Longitudinal Research ◽  
Local Governance ◽  
Health Sector ◽  
Developed Countries ◽  
Health Systems Strengthening ◽  
Reform Process ◽  
Local Health ◽  
Persistent Problem

Abstract Health systems strengthening is at the forefront of the global health agenda. Many health systems in low-resource settings face profound challenges, and robust causal evidence on the effects of health systems reforms is lacking. Decentralization has been one of the most prominent reforms, and after more than 50 years of implementation and hundreds of studies, we still know little about whether these policies improve, harm or are inconsequential for the performance of health systems in less-developed countries. A persistent problem in existing studies is the inability to isolate the effect of decentralization on health outcomes, struggling with heterogeneous meanings of decentralization and missing counterfactuals. We address these shortcomings with a quasi-experimental, longitudinal research design that takes advantage of a unique staggered reform process in Honduras. Using three waves of household survey data over 10 years for a matched sample of 65 municipalities in Honduras, we estimated difference-in-difference models comparing changes in outcomes over time between local health systems that were decentralized using one of three types of organizations [municipal governments, associations of mayors or non-governmental organization (NGOs)] and those that remained centrally administered. We find evidence of overall improvements between 2005 and 2016 in several service delivery-related outcomes, and additional improvements in decentralized municipalities governed by NGOs. NGO-led municipalities saw a 15% decrease in home delivery relative to centralized municipalities in 2016, a 12.5% increase in MCH facility delivery and a 7% increase in the use of a skilled birth attendant. There were no detectable positive treatment effects for vaccination, and a slight decline in the weight-for-length z-scores in NGO municipalities, but we find no systematic evidence of decentralization negatively impacting any maternal and child health outcomes. These findings highlight the importance of considering implementation context, namely organization type, when assessing the effects of decentralization reform.

scholarly journals Evaluation and Measurement in Data Science in Medical Science and Healthcare

2019 ◽  
Vol 8 (2S11) ◽  
pp. 3832-3836
Keyword(s):  
Public Health ◽  
Global Health ◽  
Health Outcomes ◽  
Health Systems ◽  
Health Professionals ◽  
Data Science ◽  
Medical Science ◽  
The Past

In the system of healthcare functioning well the data is very important factor. In the countries around the globe in the development of infrastructures of data over the past few years the huge strides have been made. To promote better health outcomes and to improve programs on the need to use this data the global health professionals place enhancing the pressure. Across the planet to support health systems to emphasis on data is emerging like a huge source of available data. It can say as the tsunami of data in both extent and scope. Due to sheer scale of this massive wave of information it is a challenging task to improve public health and support.

Multimorbidity And Health Outcomes In Older Adults In Ten European Health Systems, 2006–15

2019 ◽  
Vol 38 (4) ◽  
pp. 613-623 ◽  
Author(s):  
Raffaele Palladino ◽  
Francesca Pennino ◽  
Martin Finbarr ◽  
Christopher Millett ◽  
Maria Triassi
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Health Systems ◽  
European Health

How can we realise the full potential of animal health systems for delivering development and health outcomes?

2021 ◽  
Vol 40 (2) ◽  
pp. 483-495
Author(s):  
S. CLEAVELAND ◽  
F. LANKESTER ◽  
H. AUTY ◽  
A. DAVIS ◽  
E. SWAI ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Health Systems ◽  
Animal Health ◽  
Full Potential

scholarly journals Reverse-Surge Planning During the COVID-19 Pandemic: A Cautionary Ramp-up for the Otolaryngologist

2020 ◽  
Vol 163 (6) ◽  
pp. 1137-1139
Author(s):  
Taha Z. Shipchandler ◽  
B. Ryan Nesemeier ◽  
Kaitlyn J. Barnes ◽  
Leah R. Kelly ◽  
Cecelia E. Schmalbach ◽  
...  
Keyword(s):  
Best Practices ◽  
Health Systems ◽  
Financial Stability ◽  
Implementation Process ◽  
The United States ◽  
Patient Access ◽  
Upper Aerodigestive Tract ◽  
Health Care Teams ◽  
Population Densities ◽  
Open Communication

As the coronavirus disease 2019 (COVID-19) pandemic continues to evolve through the United States and other countries, differing rates of progression and decline are occurring based on varied population densities. While some health systems are reaching a steady state of new patient cases, others are seeing a leveling off or decline, allowing for restoration of normal practices. This “reverse-surge” planning and implementation process is a colossal undertaking for health systems trying to reacquire patient access and financial stability while preserving necessary resources and maintaining precautions for another potential surge. For the otolaryngologist, reverse-surge planning involves additional workflow adjustments in the outpatient and operating room settings given the abundance of COVID-19 virus in the upper aerodigestive tract. As the reverse-surge best practices are still under development, open communication between otolaryngology colleagues and health system leadership is paramount to optimize efficiency and maintain an adequate measure of safety for patients and our health care teams.

System change in the spirit of reconciliation in action: The All Nations Health Partnership

2019 ◽  
Vol 33 (2) ◽  
pp. 61-64
Author(s):  
Ray J. Racette
Keyword(s):  
Health Disparities ◽  
Health Outcomes ◽  
Health System ◽  
Health Systems ◽  
System Change ◽  
Health District ◽  
System Reform ◽  
Health Partnership ◽  
Working Together ◽  
Improve Health

The urgency for reforming our health systems to improve health outcomes and service pathways is pressing and must be championed by leaders. Coalitions of the willing must be created to lead this movement. The All Nations Health Partners in Kenora, Ontario, have formed to lead health system reform in the Kenora Health District and are doing so in the spirit of Reconciliation in Action. All nations and organizations working together to reduce health disparities and improve health outcomes for all people.

Sign in / Sign up

Export Citation Format

Share Document