scholarly journals Building capacity in health facility management: guiding principles for skills transfer in Liberia

2010 ◽  
Vol 8 (1) ◽  
Author(s):  
Laura A Rowe ◽  
Sister Barbara Brillant ◽  
Emily Cleveland ◽  
Bernice T Dahn ◽  
Shoba Ramanadhan ◽  
...  
Author(s):  
Olusesan Ayodeji Makinde ◽  
Aderemi Azeez ◽  
Samson Bamidele ◽  
Akin Oyemakinde ◽  
Kolawole A Oyediran ◽  
...  

Introduction: Routine Health Information Systems (RHIS) are increasingly transitioning to electronic platforms in several developing countries. Establishment of a Master Facility List (MFL) to standardize the allocation of unique identifiers for health facilities can overcome identification issues and support health facility management. The Nigerian Federal Ministry of Health (FMOH) recently developed a MFL, and we present the process and outcome.Methods: The MFL was developed from the ground up, and includes a state code, a local government area (LGA) code, health facility ownership (public or private), the level of care, and an exclusive LGA level health facility serial number, as part of the unique identifier system in Nigeria. To develop the MFL, the LGAs sent the list of all health facilities in their jurisdiction to the state, which in turn collated for all LGAs under them before sending to the FMOH. At the FMOH, a group of RHIS experts verified the list and identifiers for each state.Results: The national MFL consists of 34,423 health facilities uniquely identified. The list has been published and is available for worldwide access; it is currently used for planning and management of health services in Nigeria.Discussion: Unique identifiers are a basic component of any information system. However, poor planning and execution of implementing this key standard can diminish the success of the RHIS.Conclusion: Development and adherence to standards is the hallmark for a national health information infrastructure. Explicit processes and multi-level stakeholder engagement is necessary to ensuring the success of the effort. 


2019 ◽  
Vol 9 (2) ◽  
pp. 380-391 ◽  
Author(s):  
Nicole Weber ◽  
Molly Patrick ◽  
Arabella Hayter ◽  
Andrea L. Martinsen ◽  
Rick Gelting

Abstract Healthcare facilities (HCFs) in low- and middle-income countries frequently lack water, sanitation and hygiene (WASH) services that are adequate to implement infection prevention and control (IPC) practices, decrease healthcare-associated infections and antimicrobial resistance, and provide quality healthcare. The Water and Sanitation for Health Facility Improvement Tool (WASH FIT), initially published in 2017 and updated in 2018, is a risk-based, continuous improvement framework. The tool aims to improve WASH and related facility management and may contribute to quality of care (QoC) efforts. To date, there is no guidance available on how to monitor and evaluate the use of this tool nor is there rigorous evidence on its effectiveness. We developed a conceptual WASH FIT evaluation framework by drawing from the broader WASH, health systems strengthening, and QoC evidence base. This framework provides a common basis to plan, implement, monitor, and evaluate potential inputs, outputs, outcomes, and impacts from applying WASH FIT. Routine use of the tool, coupled with WASH infrastructure improvements as guided by the tool, can lead to better IPC practices, and may support improvements in occupational safety, QoC, global health security, and ultimately progress towards achieving Sustainable Development Goals 3 (good health and well-being) and 6 (clean water and sanitation).


Author(s):  
György Bèla Fritsche ◽  
Robert Soeters ◽  
Bruno Meessen ◽  
Cedric Ndizeye ◽  
Caryn Bredenkamp ◽  
...  

2017 ◽  
Vol 32 (7) ◽  
pp. 934-942 ◽  
Author(s):  
Elizabeth Palchik Allen ◽  
Wilson Winstons Muhwezi ◽  
Dorcus Kiwanuka Henriksson ◽  
Anthony Kabanza Mbonye

2007 ◽  
Vol 6 (1) ◽  
Author(s):  
Kwame O Buabeng ◽  
Mahama Duwiejua ◽  
Alex NO Dodoo ◽  
Lloyd K Matowe ◽  
Hannes Enlund

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Bart Jacobs ◽  
Kelvin Hui ◽  
Veasnakiry Lo ◽  
Michael Thiede ◽  
Bernd Appelt ◽  
...  

Abstract Background Knowledge of the costs of health services improves health facility management and aids in health financing for universal health coverage. Because of resource requirements that are often not present in low- and middle-income countries, costing exercises are rare and infrequent. Here we report findings from the initial phase of establishing a routine costing system for health services implemented in three provinces in Cambodia. Methods Data was collected for the 2016 financial year from 20 health centres (including four with beds) and five hospitals (three district hospitals and two provincial hospitals). The costs to the providers for health centres were calculated using step-down allocations for selected costing units, including preventive and curative services, delivery, and patient contact, while for hospitals this was complemented with bed-day and inpatient day per department. Costs were compared by type of facility and between provinces. Results All required information was not readily available at health facilities and had to be recovered from various sources. Costs per outpatient consultation at health centres varied between provinces (from US$2.33 to US$4.89), as well as within provinces. Generally, costs were inversely correlated with the quantity of service output. Costs per contact were higher at health centres with beds than health centres without beds (US$4.59, compared to US$3.00). Conversely, costs for delivery were lower in health centres with beds (US$128.7, compared to US$413.7), mainly because of low performing health centres without beds. Costs per inpatient-day varied from US$27.61 to US$55.87 and were most expensive at the lowest level hospital. Conclusions Establishing a routine health service costing system appears feasible if recording and accounting procedures are improved. Information on service costs by health facility level can provide useful information to optimise the use of available financial and human resources.


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