scholarly journals Technical quality of delivery care in private- and public-sector health facilities in Enugu and Lagos States, Nigeria

2018 ◽  
Vol 33 (5) ◽  
pp. 666-674 ◽  
Author(s):  
Atsumi Hirose ◽  
Ibrahim O Yisa ◽  
Amina Aminu ◽  
Nathanael Afolabi ◽  
Makinde Olasunmbo ◽  
...  
Keyword(s):  
Public Sector ◽  
Health Facilities ◽  
Delivery Care ◽  
Technical Quality ◽  
Quality Of Delivery ◽  
Private And Public ◽  
Public Sector Health

scholarly journals Smart city initiatives in the context of digital transformation

2019 ◽  
Vol 24 (1) ◽  
pp. 39-54 ◽  
Author(s):  
Katarina Tomičić Pupek ◽  
Igor Pihir ◽  
Martina Tomičić Furjan
Keyword(s):  
Quality Of Life ◽  
Public Sector ◽  
Smart City ◽  
Local Governments ◽  
Smart Cities ◽  
Good Practice ◽  
Digital Transformation ◽  
Literature Analysis ◽  
Private And Public

Digital transformation is an emerging trend in developing the way how the work is being done, and it is present in the private and public sector, in all industries and fields of work. Smart cities, as one of the concepts related to digital transformation, is usually seen as a matter of local governments, as it is their responsibility to ensure a better quality of life for the citizens. Some cities have already taken advantages of possibilities offered by the concept of smart cities, creating new values to all stakeholders interacting in the living city ecosystems, thus serving as examples of good practice, while others are still developing and growing on their intentions to become smart. This paper provides a structured literature analysis and investigates key scope, services and technologies related to smart cities and digital transformation as concepts of empowering social and collaboration interactions, in order to identify leading factors in most smart city initiatives.

Factors Contributing to Low Tuberculosis Detection Rates among Children Accessing Health Services in Selected Public Sector Health Facilities in Zimbabwe

2020 ◽  
Vol 8 (4) ◽  
pp. 8-17
Author(s):  
Emmanuel Tachiwenyika
Keyword(s):  
Public Sector ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
African Countries ◽  
Cross Sectional ◽  
Detection Rates ◽  
Ethical Approval ◽  
Childhood Tb ◽  
Pediatric Tb ◽  
Public Sector Health

Introduction: Zimbabwe is one of 8 African countries with high per capita incidence of TB, TB/HIV and multi-drug resistant TB. Zimbabwe experienced a proportionate decline in childhood TB contribution to all notifications from 9% in 2011 to 5% in 2017. Methodology: Analytical cross-sectional study was conducted in 20 public sector health facilities. Data were collected from healthcare workers (HCWs) using structured questionnaires, interview guide for health managers and data abstraction tool for childhood TB data in registers. Protocol received ethical approval and written informed consent was obtained from participants. Results: Eighty-one HCWs and 18 managers were interviewed; data for 21,791 children were abstracted. About 3.1% of children were screened for TB, and 63.2% of presumptive TB children had TB diagnostic tests. A majority (71.9%) of TB tests were conducted on the Gen Xpert MTB Rif platform. Thirty-one out of 335 children with TB tests were diagnosed with TB, and 93.5% were initiated on treatment. Seven facilities offered TB testing, 5 had TB guidelines and 5 had pediatric TB job aides. Five out of 7 microscopes and 4/7 GeneXpert machines were functional. About 64.1% of HCWs had childhood TB training, 51% had ever received mentorship on childhood TB management, 53.1% had ever collected childhood TB diagnosis specimen and 23.3% had ever initiated children on TB treatment. Discussion: Childhood TB screening and diagnosis was suboptimal, and this was a result of low healthcare worker capacity, shortage and breakdown of TB diagnostic machines and weak TB diagnostic sample transportation system.

A tool to assess the quality perception of healthcare employees

2020 ◽  
Vol 33 (4/5) ◽  
pp. 291-307
Author(s):  
Ajayan Kamalasanan ◽  
Gurumoorthy Sathiyamurthi ◽  
Arun Vijay Subbarayalu
Keyword(s):  
Public Sector ◽  
Safety Management ◽  
Healthcare Quality ◽  
Reliability And Validity ◽  
Healthcare Services ◽  
Validity And Reliability ◽  
Content Type ◽  
Quality Perception ◽  
Private And Public

PurposeThe purpose of this project was to determine the validity and reliability of the Healthcare Quality Perception (HQP) questionnaire tool designed to capture employees' perceptions of healthcare quality in Indian hospitals.Design/methodology/approachTwo hundred employees in private and public sector hospitals in India were randomly selected and given the HQP tool. It consisted of 38 Likert-scale items and six different subscales: (1) Planning and Documentation (n = 7); (2) Employee Participation in Quality Management Activities (n = 5); (3) Existence of Policies/Procedures/Guidelines (n = 5); (4) Quality and Patient Safety Management (n = 9); (5) Perceived Effect of Quality Improvement (n = 7) and (6) Training and Development Opportunities (n = 5). 156 completed questionnaires were received, demonstrating a 78% response rate. HQP tool subjected to statistical analysis to measure its reliability and validity. A p-value of less than 0.05 was considered as “significant.”FindingsFactor analysis pulled out six factors that conjointly demonstrated 66.4 % of the variance in healthcare professionals' (HCPs') perception of healthcare service quality in selected Indian hospitals. The overall Cronbach's alpha coefficient was measured at 0.959 for internal consistency reliability. This study demonstrates that the identified six critical factors are important determinants influencing HCPs' perception of the quality of healthcare services in private and public sector hospitals in India.Originality/valueThis study provides evidence for the reliability and validity of the newly developed HCP Scale for the assessment of employee perception of the quality of services offered in selected hospitals in India, with potential applications in other contexts.

scholarly journals Costs of postabortion care in public sector health facilities in Malawi: a cross-sectional survey

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Janie Benson ◽  
Hailemichael Gebreselassie ◽  
Maribel Amor Mañibo ◽  
Keris Raisanen ◽  
Heidi Bart Johnston ◽  
...  
Keyword(s):  
Public Sector ◽  
Health Facilities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Postabortion Care ◽  
Public Sector Health

scholarly journals Management of Contracting Public Services and its Quality in Slovakia

2012 ◽  
Vol 5 (1) ◽  
pp. 55-74 ◽  
Author(s):  
Juraj Nemec ◽  
Beáta Mikušová Meričková ◽  
Zuzana Vozárová
Keyword(s):  
Public Sector ◽  
Research Question ◽  
Relevant Literature ◽  
Contract Management ◽  
Individual Choice ◽  
The Public ◽  
Contract Duration ◽  
Quality Of Delivery ◽  
Internal Reason

Abstract Contracting services in the public sector with private for-profit and non-profit firms is one of the most prevalent types of alternative service-delivering arrangements. Concerning the positive potential of contracting, the relevant literature proposes that contracting may, but need not, improve individual choice, cost-effectiveness and the quality of delivery, equity and to some extent also expenditure control. On the other hand, many authors provide important arguments describing weak points of contracting and some risks connected with contracting services in the public sector. The main “internal” reason why contracting does not produce the expected results and even creates perverse effects in the effectiveness and quality of contracted services, is the improper implementation of contract management. This paper seeks to answer the question of what factors account for success in contracting for services in the public sector by testing the relationship between contracting performance and selected factors connected with contract management such as competition, exante evaluation of bidders, contract monitoring, contract duration, contract payment and joint problem solving and communication between the principal and the agent. This study uses a quantitative approach to investigate the research question and to analyze the original collected survey data from our own research.The research was supported by the Czech Grant Agency projects P403 / 12 / 0366 and P403 / 10 / 1892

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