scholarly journals India’s RMNCH+A Strategy: approach, learnings and limitations

2019 ◽  
Vol 4 (3) ◽  
pp. e001162 ◽  
Author(s):  
Gunjan Taneja ◽  
Vegamadagu Suryanarayana-Rao Sridhar ◽  
Jaya Swarup Mohanty ◽  
Anurag Joshi ◽  
Pranav Bhushan ◽  
...  
Keyword(s):  
Health Planning ◽  
Healthcare Delivery ◽  
Monitoring And Evaluation ◽  
Healthcare Services ◽  
Evaluation Framework ◽  
Public Healthcare ◽  
Healthcare Delivery System ◽  
District Health ◽  
Public Health Challenges ◽  
The Government

Building on the gains of the National Health Mission, India’s Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) Strategy, launched in 2013, was a milestone in the country’s health planning. The strategy recognised the interdependence of RMNCH+A Interventions across the life stages and adopted a comprehensive approach to address inequitable distribution of healthcare services for the vulnerable population groups and in poor-performing geographies of the country. Based on innovative approaches and management reforms, like selection of poor-performing districts, prioritisation of high-impact RMNCH+A healthcare interventions, engagement of development partners and institutionalising a concurrent monitoring system the strategy strived to improve efficiency and effectiveness within the public healthcare delivery system of the country. 184 High Priority Districts were identified across the country on a defined set of indicators for implementation of critical RMNCH+A Interventions and a dedicated institutional framework comprising National and State RMNCH+A Units and District Level Monitors supported by the development partners was established to provide technical support to the state and district health departments. Health facilities based on case load and available services across the High Priority Districts were prioritised for strengthening and were monitored by an RMNCH+A Supportive Supervision mechanism to track progress and generate evidence to facilitate actions for strengthening ongoing interventions. The strategy helped develop an integrated systems-based approach to address public health challenges through a comprehensive framework, defined priorities and robust partnerships with the partner agencies. However, lack of a robust monitoring and evaluation framework and sub-optimal focus on social determinants of health possibly limited its overall impact and ability to sustain improvements. Guided by the learnings and limitations, the Government of India has now designed the ‘Aspirational Districts Program’ to holistically address health challenges in poor-performing districts within the overall sociocultural domain to ensure inclusive and sustained improvements.

Market-Based Governance in Public Healthcare Delivery

2020 ◽  
pp. 1-35
Keyword(s):  
Public Health ◽  
Health Services ◽  
New Public Management ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Informal Networks ◽  
Public Health Services ◽  
The Government ◽  
The Uk

This chapter analyses the market-based reforms introduced in the UK. From 1979 onwards, it is clear that market governance has been central in the delivery of public healthcare services in the UK. The move towards using private sector techniques to run public health services has been reinforced over the last few decades, and New Public Management (NPM) reforms have often been more pronounced than in many other European countries. The chapter considers how public health services have been reconfigured within the changing boundaries between the state and its citizens. The government still continues to play a major role in the running of health services and decision making, even in the new configuration of public health services and the extension of informal networks, but health policy is also now formulated through a variety of different actors. This chapter will finish by presenting how healthcare is organised today in the UK following these reforms.

scholarly journals The Marketing Challenges of Healthcare Entrepreneurship: An Empirical Investigation in Nigeria

2013 ◽  
Vol 1 (2) ◽  
pp. 1-16
Author(s):  
Hart O. Awa ◽  
Sunday C. Eze
Keyword(s):  
Pearson Correlation ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Independent Variables ◽  
Government Guarantee ◽  
Long Time ◽  
Technology Market ◽  
The Government

This paper investigated the effects of such independent variables as technology, market segmentation and cost reduction on the delivery of the consumer-endorsed services with special interest on healthcare entrepreneurs in Aba and Umuahia metropolis. 96 questionnaires were administered randomly among medical doctors, pharmacists/laboratory technicians and qualified nurses/midwives of 12 hospitals in Umuahia and 20 hospitals in Aba metropolis. Out of the 74 copies returned, 72 were found usable for analysis. Analyzing the data using simple percentages, t-test and Pearson Correlation Coefficient, it was found that the interactions between the aforementioned independent variables and the delivery of patient-endorsed healthcare services were statistically significant. Therefore successful healthcare delivery requires the challenges of channeling competencies to market segments where competitive advantage is enduring as opposed to spreading thin across various fronts. Based on the financial setbacks of private healthcare providers and the need to further liberalize the economy, the government was advised to borrow the conspiracy theory of the Japanese. This involves the tripartite of the government, the banks and the entrepreneurs whereby the last can borrow money for a long time to acquire latest equipment and other resources with the help of government guarantee. Also, government was advised to intensify more effort on making the public healthcare providers more proficient and more humane in the delivery of patientendorsed services since their private counterparts charge high and worst still they rarely have the necessary resources in place.

Evaluation of outpatient satisfaction and service quality of Pakistani healthcare projects

2018 ◽  
Vol 8 (4) ◽  
pp. 462-480 ◽  
Author(s):  
Saad Ahmed Javed ◽  
Sifeng Liu
Keyword(s):  
Service Quality ◽  
Private Sector ◽  
Healthcare Delivery ◽  
Grey System Theory ◽  
Public Healthcare ◽  
Grey System ◽  
Healthcare Delivery System ◽  
Public And Private ◽  
Content Type ◽  
The Public

PurposeThe purpose of this paper is to analyse the relationship between outpatient satisfaction and the five constructs of healthcare projects’ service quality in Pakistan using Deng’s grey incidence analysis (GIA) model, absolute degree GIA model (ADGIA), a novel second synthetic degree GIA (SSDGIA) model and two approaches of decision-making under uncertainty.Design/methodology/approachThe study proposes a new synthetic GIA model and demonstrates its feasibility on data (N=221) collected from both public and private sector healthcare projects of Punjab, the most populous province of Pakistan, using a self-administered questionnaire developed using the original SERVQUAL approach.FindingsThe results of decision analysis approach indicated that outpatients’ satisfaction from the private sector healthcare projects is higher as compared to the public healthcare projects’. The results from the proposed model revealed that tangibility and reliability play an important role in shaping the patient satisfaction in the public and private sectors, respectively.Originality/valueThe study is pioneer in evaluating a healthcare system’s service quality using grey system theory. The study proposes the SSDGIA model as a novel method to evaluate parameters comprehensively based on their mutual association (given by absolute degree of grey incidence) and inter-dependencies (given by Deng’s degree of grey incidence), and tests the new model in the given scenario. The study is novel in terms of its analysis of data and modelling. The study also proposes a comprehensive structure of the healthcare delivery system of Pakistan.

Managers do it their way: How managers act in a decentralised healthcare services provider organisation – a mixed methods study

2021 ◽  
pp. 095148482110654
Author(s):  
Mikael Ohrling ◽  
Sara Tolf ◽  
Karin Solberg-Carlsson ◽  
Mats Brommels
Keyword(s):  
Content Analysis ◽  
Service Delivery ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Management Model ◽  
Public Healthcare ◽  
Healthcare Organisation ◽  
Programme Theory ◽  
Local Conditions ◽  
Community Healthcare

Purpose: Decentralisation is considered a way to get managers more committed and more prone to respond to local needs. This study analyses how managers perceive a decentralised management model within a large public healthcare delivery organisation in Sweden. Design/methodology/approach: A programme theory evaluation was performed applying direct content analysis to in-depth interviews with healthcare managers. Balance score card data were used in a blinded comparative content analysis to explore relations between performance and how the delegated authority was perceived and used by the managers. Findings: Managers’ perceptions of the decentralised management model supported its intentions to enable the front-line to make decisions to better meet customer needs and flexibly adapt to local conditions. The managers appreciated and used their delegated authority. Central policies and control on human resources and investments were accepted as those are to the benefit of the whole organisation. Leadership development and organisation-wide improvement programmes were of support. Units showing high organisational performance had proactive managers, although differences in manager perceptions across units were small. Originality: This, one of the first of its kind, study of a decentralisation in service delivery organisation shows a congruence between the rationale of a management model, the managers’ perceptions of the authority and accountability as well as management practises. These observations stemming from a large public primary and community healthcare organisation has not, to our knowledge, been reported and provide research-informed guidance on decentralisation as one strategy for resolving challenges in healthcare service delivery organisations.

Active and Healthy Aging

2017 ◽  
pp. 369-391
Author(s):  
Emine Özmete
Keyword(s):  
Qualitative Research ◽  
Delivery System ◽  
Healthy Aging ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Capital City ◽  
Elderly Persons ◽  
Healthcare Delivery System ◽  
Care And Support ◽  
Depth Interviews

This study aims to investigate the difficulties experienced by elderly persons in accessing healthcare services and their satisfaction with issues as regards the healthcare system. In this study, qualitative research was carried out to assess the difficulties regarding the healthcare delivery system and satisfaction with the healthcare services. This qualitative research was performed through in-depth interviews with 6 men and 4 women aged 65+ years, in Ankara, the capital city of Turkey. It was discovered that elderly persons required the support of others to access a doctor, a health institution or hospital and the care and support of others for the regular intake of their drugs with increasing age. They were satisfied with the current family physician program. The most significant challenges experienced by elderly persons regarding the healthcare delivery system included crowded hospitals, difficulty walking, the unavailability of wheel chairs, and inadequate assistance from support staff.

Simulation Modeling of Healthcare Delivery

2011 ◽  
pp. 69-89
Author(s):  
Ian W. Gibson
Keyword(s):  
Simulation Modeling ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Healthcare Delivery System ◽  
Scarce Resources ◽  
Power Simulation ◽  
Modeling Analysis ◽  
Management Techniques ◽  
The Cost ◽  
Delivery Models

Healthcare has delivered incredible improvements in diagnosis and treatment of diseases but faces challenges to improve the delivery of services. Healthcare is a complex system using expensive and scarce resources. Benchmarking, experience, and lean management techniques currently provide the basis for developing service delivery models and facility planning. Simulation modeling can supplement these methods to enable a better understanding of the complex systems involved. This provides the basis for developing and evaluating options to provide improved healthcare delivery. Simulation modeling enables a better understanding of the processes and the resources used in delivering healthcare services and improving healthcare delivery systems. Options to improve the cost effectiveness can be evaluated without experimenting with patients. This chapter reviews the current challenges and methods including the use of simulation modeling. Analysis of emergency patient flows through a major hospital shows the capability of simulation modeling to enable improvement of the healthcare delivery system. This chapter enables healthcare managers to understand the power simulation modeling brings to the improvement of healthcare delivery.

Management of public healthcare facilities in the Philippines: issues and concerns

2019 ◽  
Vol 25 (10) ◽  
pp. 1-17 ◽  
Author(s):  
Ramiro Z Dela Cruz ◽  
Ruth A Ortega-Dela Cruz
Keyword(s):  
Healthcare Delivery ◽  
Healthcare Services ◽  
The Philippines ◽  
Public Hospitals ◽  
Public Health Care ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
Descriptive Research ◽  
Primary Means ◽  
Insufficient Knowledge

Background/Aims Public hospitals are the primary means of healthcare delivery in developing countries. Given the pressing need for efficient health services, it is imperative to know the extent to which a country's public healthcare institutions meet an ever increasing public demand. This study aimed to assess the state of hospital facilities among public health care institutions in a developing country. Methods Descriptive research methods were used, including needs analysis along with management and client satisfaction surveys, in order to analyse information on issues that related to the management of hospital facilities in the Philippines. Various members of the hospital community were selected to assess different aspects of hospital management. Results The results of this study show that most concerns stemmed from the lack of financial resources, materials, equipment and technological innovations; insufficient knowledge, skills and human resources; and problems that related to processes and methodologies. Conclusions Public hospitals are in dire need of facility upkeep to maintain their operations. This has become a more pressing concern because of the very limited resources at the disposal of public hospitals. This study also highlighted the crucial role played by the national government in finding effective and efficient ways to address these issues and concerns to ensure successful delivery of healthcare services in the country.

QUALITY CONTROL AND THE COMMUNITY PHYSICIAN IN ENGLAND: AN AMERICAN PERSPECTIVE

1976 ◽  
Vol 6 (1) ◽  
pp. 79-102 ◽  
Author(s):  
Dianne Miller Wolman
Keyword(s):  
United States ◽  
Health Care ◽  
Quality Control ◽  
Control Function ◽  
Health Planning ◽  
Monitoring And Evaluation ◽  
The United States ◽  
Health Providers ◽  
Community Physician ◽  
The Government

The quality of health care is becoming an issue of increasing public importance in both England and the United States. As the government role in providing health care grows and citizen demands increase, the effective and efficient use of health care resources and their equitable distribution become crucial. Although government responsibilities, particularly for health care, differ in both countries, as do traditions of quality control, cross-national comparisons are nonetheless useful. An examination of the role of the new English community medicine specialist and his potential for quality control may indicate what tools and powers should be introduced into a health planning and quality control system in the United States. The study concludes that at the district level of the National Health Service, where the basic planning, monitoring, and evaluation of services are to take place, the District Community Physician has very limited tools to carry out his quality control function. Although he has a formal position in the unified decision-making structure, it is unlikely that he will be able to effect any substantial reallocation of resources without the voluntary support and cooperation of the consultants, general practitioners, and other health providers.

Hepatitis C elimination in Pakistan is a distant dream unless government controls the health sector

2020 ◽  
pp. 1-8
Author(s):  
Arshad Altaf ◽  
Safdar Kamal Pasha
Keyword(s):  
Hepatitis C ◽  
Delivery System ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Health Sector ◽  
World Health Organisation ◽  
World Health ◽  
Short Report ◽  
Healthcare Delivery System ◽  
The Government

Abstract The World Health Organisation (WHO) has set an ambitious target to eliminate hepatitis C virus (HCV) by 2030. Pakistan is one of the focused countries because of the high prevalence of HCV. The prices of direct-acting antiviral drugs(DAA)have significantly reduced to between 11-25 dollars for a month’s treatment. To achieve the 2030 elimination target, Pakistan has to provide treatment to one million HCV-infected patients every year, beginning from 2018. This short report highlights a key barrier to achieve this target,i.e. the unsafe practices by regulated and unregulated healthcare delivery system comprising trained and untrained healthcare providers who can continue to churn out new patients with their unsafe healthcare practices and increase the possibility of re-infection in those who have been treated. Only the government has the power and authority to regulate and control the healthcare delivery system. Continuous...  

scholarly journals Made in Russia

Acta Naturae ◽  
2012 ◽  
Vol 4 (4) ◽  
pp. 11-16
Author(s):  
Acta Naturae
Keyword(s):  
Russian Federation ◽  
Healthcare Services ◽  
The State ◽  
Public Healthcare ◽  
Production Cycle ◽  
State Program ◽  
Draft Resolution ◽  
The Russian Federation ◽  
The Government ◽  
Made In

By the end of 2012, the Government of the Russian Federation is to approve the State Program Development of the Pharmaceutical and Medical Industries for 20132020, which includes the current Federal Target-Oriented Program Pharma-2020. One of the objectives within the State Program prepared by the Ministry of Industry and Trade is to increase the share of domestically produced drugs and medicinal products in overall consumption by the public healthcare services of the Russian Federation by 48%. However, the term domestically produced drug still remains to be legislatively defined. According to the draft resolution issued by the Ministry of Industry and Trade in May 2012, a domestic drug should mean a drug whose production cycle in the territory of the Russian Federation starts from a substance or a ready-toconsume formulation. Until 2014, the Ministry was ready to regard even those drugs whose packaging was made in Russia as Russian ones. However, no further steps followed. Therefore, the question pertaining to which drugs and which produced by which pharmaceutical companies should be regarded as domestic drugs remains open. Actors of the Russian pharmaceutical industry share their opinions.

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