The role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in Ghana

Abstract Background Early essential newborn care is one of the important interventions developed by the World Health Organization to reduce morbidities and mortalities in neonates. This study investigated the role of the public and private sector health facilities on factors associated with early essential newborn care practices following institutional delivery in Ghana. Methods We used data from the 2017/2018 multiple indicator cluster survey for our analysis. A total of 2749 mothers aged 15–49 years were included in the study. Logistic regression analysis was used to assess the factors associated with early essential newborn care in both public and private health sectors. Results The prevalence of good early essential newborn care in the public sector health facilities was 26.4 % (95 % CI: 23.55, 29.30) whiles that of the private sector health facilities was 19.9 % (95 % CI: 13.55, 26.30). Mothers who had a Caesarean section in the public sector health facilities had 67 % lower odds of early essential newborn care compared to mothers who had a vaginal delivery [adjusted prevalence odds ratios (aPOR) = 0.33, 95 % CI: 0.20, 0.53]. Mothers without a health insurance in the public sector health facilities had 26 % lower odds of early essential newborn care compared to mothers with a health insurance (aPOR = 0.74, 95 % CI: 0.56, 0.97). However, these associations were not observed in the private sector health facilities. Conclusions The findings suggest that the prevalence of good early essential newborn care in the public sector health facilities was higher than that reported in the private sector health facilities. Child health programs on early essential newborn care needs to be prioritized in the private healthcare sector. The Government of Ghana may also need to increase the coverage of the national health insurance scheme for women in reproductive age.

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Availability, prices, and affordability of selected essential cancer medicines in a middle-income country – the case of Mexico

10.21203/rs.2.18891/v1 ◽

2019 ◽

Author(s):

Daniela Moye-Holz ◽

Margaret Ewen ◽

Anahi Dreser ◽

Sergio Bautista-Arredondo ◽

Rene Soria-Saucedo ◽

...

Keyword(s):

Health Insurance ◽

Public Sector ◽

Private Sector ◽

Public Hospitals ◽

World Health ◽

Public And Private ◽

Middle Income ◽

The Public ◽

Middle Income Countries ◽

Public And Private Sector

Abstract Background: More alternatives have become available for the diagnosis and treatment of cancer in low- and middle-income countries. Because of increasing demands, governments are now facing a problem of limited affordability and availability of essential cancer medicines. Yet, precise information about the access to these medicines is limited, and the methodology is not very well developed. Objective: To assess the availability and affordability of essential cancer medicines in Mexico, and compare their prices against those in other countries of the region. Methods: We surveyed 21 public hospitals and 19 private pharmacies in 8 states of Mexico. Data were collected on the availability and prices of 49 essential cancer medicines. Prices were compared against those in Chile, Peru, Brazil, Colombia and PAHO’s Strategic Fund. Results: Of the various medicines, mean availability in public and private sector outlets was 61.2% and 67.5%, respectively. In the public sector, medicines covered by the public health insurance “People’s Health Insurance” were more available. Only seven (public sector) and five (private sector) out of the 49 medicines were considered affordable. Public sector procurement prices were 41% lower than in other countries of the region. Conclusions: The availability of essential cancer medicines, in the public and private sector, falls below World Health Organization’s 80% target. The affordability remains suboptimal as well. A national health insurance scheme could serve as a mechanism to improve access to cancer medicines in the public sector. Comprehensive pricing policies are warranted to improve the affordability of cancer medicines in the private sector.

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Availability, Prices and Affordability of Selected Essential Cancer Medicines in a Middle-Income Country: The Case of Mexico

Journal of Global Oncology ◽

10.1200/jgo.18.88900 ◽

2018 ◽

Vol 4 (Supplement 2) ◽

pp. 220s-220s

Author(s):

D. Moye Holz ◽

M. Ewen ◽

A. Dreser ◽

S. Bautista ◽

R. Soria ◽

...

Keyword(s):

Health Insurance ◽

Public Sector ◽

Private Sector ◽

Public Hospitals ◽

Public And Private ◽

Middle Income ◽

The Public ◽

Middle Income Countries ◽

Public And Private Sector ◽

Dose Form

Background: More alternatives are becoming available for the diagnosis and treatment of cancer in low- and middle-income countries. Yet, because of increasing demands, many governments are now facing the dilemma of making essential cancer medicines available to all while keeping them affordable. Precise information about current access to these medicines is limited, and there's no systematic methodology in place to do so. Aim: To assess the availability and affordability of essential cancer medicines in Mexico, and compare their prices (public sector procurement and patient prices) against those in other countries of the region. Methods: We adapted the WHO/HAI methodology. We surveyed 21 public hospitals and 19 private pharmacies in 8 states of Mexico. Data were collected on the availability and prices of 49 essential cancer medicines (each strength and dose-form specific). Prices were compared against those in Chile, Peru, Brazil, Colombia and PAHO's Strategic Fund. Results: Of the various medicines, mean availability in public and private sector outlets was 61.2% and 67.5%, respectively. In the public sector, medicines covered by the public health insurance “People's Health Insurance” (SPS) were slightly more available. Only 7 (public sector) and 5 (private sector) out of 49 medicines were deemed affordable. Overall, public sector procurement prices were 41% lower than in other countries of the region. Conclusion: The availability of essential cancer medicines, in the public and private sector, falls below WHO's 80% target. The affordability remains suboptimal as well. A national health insurance scheme could serve as a mechanism to improve access to cancer medicines in the public sector. Comprehensive pricing policies are warranted to improve the affordability of cancer medicines in the private sector.

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Availability, prices, and affordability of selected essential cancer medicines in a middle-income country – the case of Mexico

10.21203/rs.2.18891/v2 ◽

2020 ◽

Author(s):

Daniela Moye-Holz ◽

Margaret Ewen ◽

Anahi Dreser ◽

Sergio Bautista-Arredondo ◽

Rene Soria-Saucedo ◽

...

Keyword(s):

Health Insurance ◽

Public Sector ◽

Private Sector ◽

Public Hospitals ◽

World Health ◽

Public And Private ◽

Middle Income ◽

The Public ◽

Middle Income Countries ◽

Public And Private Sector

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Relationship between CSR motivations and corporate social performance: a study in the power industry in India

Employee Relations ◽

10.1108/er-01-2019-0091 ◽

2020 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Moumita Acharyya ◽

Tanuja Agarwala

Keyword(s):

Public Sector ◽

Private Sector ◽

Corporate Social Performance ◽

Social Performance ◽

Power Sector ◽

Public And Private ◽

Content Type ◽

The Public ◽

Self Interest ◽

Public And Private Sector

PurposeThe paper aims to understand the different motivations / reasons for engaging in CSR initiatives by the organizations. In addition, the study also examines the relationship between CSR motivations and corporate social performance (CSP).Design/methodology/approachThe data were collected from two power sector organizations: one was a private sector firm and the other was a public sector firm. A comparative analysis of the variables with respect to private and public sector organizations was conducted. A questionnaire survey was administered among 370 employees working in the power sector, with 199 executives from public sector and 171 from private sector.Findings“Philanthropic” motivation emerged as the most dominant CSR motivation among both the public and private sector firms. The private sector firm was found to be significantly higher with respect to “philanthropic”, “enlightened self-interest” and “normative” CSR motivations when compared with the public sector firms. Findings suggest that public and private sector firms differed significantly on four CSR motivations, namely, “philanthropic”, “enlightened self-interest”, “normative” and “coercive”. The CSP score was significantly different among the two power sector firms of public and private sectors. The private sector firm had a higher CSP level than the public sector undertaking.Research limitations/implicationsFurther studies in the domain need to address differences in CSR motivations and CSP across other sectors to understand the role of industry characteristics in influencing social development targets of organizations. Research also needs to focus on demonstrating the relationship between CSP and financial performance of the firms. Further, the HR outcomes of CSR initiatives and measurement of CSP indicators, such as attracting and retaining talent, employee commitment and organizational climate factors, need to be assessed.Originality/valueThe social issues are now directly linked with the business model to ensure consistency and community development. The results reveal a need for “enlightened self-interest” which is the second dominant CSR motivation among the organizations. The study makes a novel contribution by determining that competitive and coercive motivations are not functional as part of organizational CSR strategy. CSR can never be forced as the very idea is to do social good. Eventually, the CSR approach demands a commitment from within. The organizations need to emphasize more voluntary engagement of employees and go beyond statutory requirements for realizing the true CSR benefits.

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Baseline assessment of therapeutic injection practices in Pakistan in 2020: a cross-sectional study

Journal of the Pakistan Medical Association ◽

10.47391/jpma.0003 ◽

2021 ◽

pp. 16-21

Author(s):

Syed Sharaf Ali Shah ◽

Safdar Pasha ◽

Nikhat Iftikar ◽

Altaf Ahmed Soomro ◽

Nazia Farrukh ◽

...

Keyword(s):

Public Sector ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Health Facilities ◽

Cross Sectional ◽

Injection Equipment ◽

Public And Private ◽

Healthcare Facilities ◽

The Public ◽

Injection Safety

Objective: To assess the magnitude of the problem of injection safety in public and private health facilities in two districts of Sindh and Punjab provinces of Pakistan. Methods: A cross-sectional observational study was conducted between October and December 2020 among public and private health facilities of two districts of Pakistan: Gujarat in Punjab and Larkana in Sindh provinces. A convenient sample size of 60 healthcare facilities (30 from each district) was taken due to time and resource constraint. Six data collection tools were used which included structured observations and interviews with injection prescribers and providers based on WHO Revised Tool C, which were finalised after piloting. Results: Reuse of injection equipment was not observed in any of the 60 health facilities. In exit interviews of 120 patients, it was found that 27 (22.5%) patients reported receiving an injection, while 11 (9.2%) were prescribed intravenous (IV) drips. More injections and drips were prescribed in the private sector (n=15; 25.0%) in comparison with the public sector (n=12; 20.0%). Slightly higher proportion of IV drips were prescribed by the private providers when compared to public sector healthcare providers: 6 (10.0%) vs 5 (8.3%) respectively. Most of the prescribers (n=58; 96.7%) reported that patients who attended public and private health facilities demanded injectable medicines. Used syringes and drips were noted to be visible in open containers and buckets for final disposal in 20 (33.3%) assessed health facilities. Continuou...

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Research from China finds no significant difference in impact of public service motivation (PSM) in public and private sectors

Human Resource Management International Digest ◽

10.1108/hrmid-08-2021-0169 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Keyword(s):

Public Sector ◽

Private Sector ◽

Employee Performance ◽

Intention To Leave ◽

Public And Private ◽

Content Type ◽

The Public ◽

Significant Difference ◽

Set Up ◽

The Impact

Purpose The authors assumed PSM would be higher in the public sector, but they set up a trial to find out if this was the case. Design/methodology/approach To test their theories, the authors conducted two independent surveys. The first consisted of 220 usable responses from public sector employees in Changsha, China. The second survey involved 260 usable responses from private sector employees taking an MBA course at a university in the Changsha district. A questionnaire was used to assess attitudes. Findings The results found no significant difference between the impact of public sector motivation (PSM) on employee performance across the public and private sectors. The data showed that PSM had a significant impact on self-reported employee performance, but the relationship did not differ much between sectors. Meanwhile, it was in the private sector that PSM had the greatest impact on intention to leave. Originality/value The authors said the research project was one of the first to test if the concept of PSM operated in the same way across sectors. It also contributed, they said, to the ongoing debate about PSM in China.

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Public-Private-Academic Cooperation as a Trust Building Mechanism

Business Development Opportunities and Market Entry Challenges in Latin America ◽

10.4018/978-1-4666-8820-9.ch010 ◽

2016 ◽

pp. 199-223

Author(s):

Nicholas Virzi ◽

Juan Portillo ◽

Mariela Aguirre

Keyword(s):

Public Sector ◽

Private Sector ◽

Trust Building ◽

Public And Private ◽

The Public ◽

National Competitiveness ◽

Working Together ◽

The Government ◽

Innovation And Entrepreneurship

The chapter will be a case study from an Ordoliberal perspective of the conception, implementation and policy output of the newly created Private Council of Competitiveness (PCC) in Guatemala, a country wracked by mistrust of the public sector by the private sector. The PCC was founded as a private sector initiative, in conjunction with academia, to work with the government to spawn new efforts aimed at augmenting Guatemala's national competitiveness, by fomenting innovation, entrepreneurship and closer ties between academia and the public and private sectors. The chapter utilizes first hand interviews with the members of the PCC and key public sector players, academics, and other top representatives from the private sector to show how working together built the trust necessary to make the PCC a successful working body with the potential to produce important initiatives in matters of competitiveness, innovation and entrepreneurship.

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Underlying values and competencies of public and private sector managers

Asian Education and Development Studies ◽

10.1108/aeds-09-2015-0050 ◽

2016 ◽

Vol 5 (4) ◽

pp. 371-387 ◽

Cited By ~ 5

Author(s):

Sean D. Darling ◽

J. Barton Cunningham

Keyword(s):

Decision Making ◽

Public Sector ◽

Private Sector ◽

Critical Incident ◽

Visionary Leadership ◽

Political Environment ◽

Public And Private ◽

Content Type ◽

The Public ◽

Public And Private Sector

Purpose The purpose of this paper is to identify unique values and competencies linked to private and public sector environments. Design/methodology/approach This study is based on critical incident interviews with a sample of senior leaders who had experience in both the public and private sectors. Findings The findings illustrate distinct public and private sector relevant competencies that reflect the unique values of their organizations and the character of the organization’s environments. This paper suggests a range of distinct public sector competencies including: managing competing interests, managing the political environment, communicating in a political environment, interpersonal motivational skills, adding value for clients, and impact assessment in decision-making. These were very different than those identified as critical for the private sector environment: business acumen, visionary leadership, marketing communication, market acumen, interpersonal communication, client service, and timely and opportunistic decision-making. Private sector competencies reflect private sector environments where goals need to be specifically defined and implemented in a timely manner related to making a profit and surviving in a competitive environment. Public sector competencies are driven by environments exhibiting more complex and unresolvable problems and the need to respond to conflicting publics and serving the public good while surviving in a political environment. Originality/value A key message of this study is that competency frameworks need to be connected to the organization’s unique environments and the values that managers are seeking to achieve. This is particularly important for public organizations that have more complex and changing environments.

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Aggregate Public-Private Remuneration Patterns in South Africa

Atlantic Economic Journal ◽

10.1007/s11293-020-09684-0 ◽

2020 ◽

Author(s):

Andreas Wörgötter ◽

Sihle Nomdebevana

Keyword(s):

South Africa ◽

Public Sector ◽

Private Sector ◽

Inflation Targeting ◽

Public And Private ◽

The Public ◽

Causal Direction ◽

Long Run ◽

Causality Tests ◽

Public And Private Sector

AbstractThis paper investigates the public-private remuneration patterns in South Africa with time-series methods for the first time since the introduction of an inflation-targeting framework in 2000. Co-integration tests and analysis confirm that there is a stable, long-run relationship between nominal and real remuneration in the public and private sector. The adjustment to the deviations from this long-run relationship is strong and significant for public-sector remuneration, while private-sector wages neither respond to deviations from the long-run relationship nor lagged changes in public-sector remuneration. The causal direction from private- to public-sector remuneration does not change if real earnings are calculated with the gross domestic product deflator. This is confirmed by simple Granger-causality tests.

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The funding status of retiree health plans in the public sector

Journal of Pension Economics and Finance ◽

10.1017/s1474747211000059 ◽

2011 ◽

Vol 10 (2) ◽

pp. 291-314 ◽

Cited By ~ 5

Author(s):

ROBERT L. CLARK ◽

MELINDA SANDLER MORRILL

Keyword(s):

Labor Market ◽

Health Insurance ◽

Public Sector ◽

Private Sector ◽

Accounting Standards ◽

Health Plans ◽

The Public ◽

Government Accounting ◽

Retirement Benefit ◽

Unfunded Liabilities

AbstractWhile no longer common in the private sector, most public sector employers offer retiree health insurance (RHI) as a retirement benefit to their employees. While these plans are thought to be an important tool for employers to attract, retain, motivate, and ultimately retire workers, they represent a large and growing cost. This paper reviews what is currently known about RHI in the public sector, while highlighting many important unanswered questions. The analysis is informed by data produced in accordance with the 2004 Government Accounting Standards Board Rule 45 (GASB 45). We consider the extent of the unfunded liabilities states face and explore what factors may explain the variation in liabilities across states. The importance and sustainability of RHI plans in the public sector ultimately depend on how workers view and value this post-retirement benefit, yet little is known about how RHI directly impacts the public sector labor market. We conclude with a discussion of the future of RHI plans in the public sector.

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