scholarly journals Rationalizing Mongolia’s Hospital Services: Experiences, Lessons Learned, and Future Directions

2021 ◽  
Author(s):  
Jigjidsuren, Altantuya ◽  
Oyun Bayar ◽  
Habib Najibullah

Before the 1990s, Mongolia had a health care system that largely depended on hospital-based services. The country’s hospital sector was characterized by the extensive use of an excessive number of acute beds, a large number of medically unjustified admissions, and lengthy hospital stays. In the early 1990s, the Government of Mongolia started socioeconomic reforms as part of the transition to a market economy. It requested the Asian Development Bank (ADB) to support health sector reforms in the country. This paper describes the hospital sector in Mongolia along with the reforms and results achieved, challenges that remain, and ongoing and future directions for ADB support to better respond to the needs of the people.

2021 ◽  
Author(s):  
Altantuya Jigjidsuren ◽  
Bayar Oyun ◽  
Najibullah Habib

ince the early 1990s, the Asian Development Bank (ADB) has broadly supported health sector reforms in Mongolia. This paper describes primary health care (PHC) in Mongolia and ADB support in its reform. It highlights results achieved and the lessons drawn that could be useful for future programs in Mongolia and other countries. PHC reform in Mongolia aimed at facilitating a shift from hospital-based curative services toward preventive approaches. It included introducing new management models based on public–private partnerships, increasing the range of services, applying more effective financing methods, building human resources, and creating better infrastructure. The paper outlines remaining challenges and future directions for ADB support to PHC reform in the country.


2021 ◽  
Vol 14 ◽  
pp. 13-25
Author(s):  
Poonam R L Rana

The research study focuses on the impact of Covid-19 on Tourism in Nepal and looks into the challenges to face in the path of recovery and to bring to light the lessons learned from COVID 19. It is qualitative in nature including both primary and secondary sources. 50 respondents were chosen as samples. The results showed that, there was drastic impact on tourism sector affecting national economy, It has brought to light various challenges to be faced in path of recovery and the greatest lesson learnt is that the government should develop its health sector and the people should always be strong and prepared to face any disaster or pandemics at all times. Solutions are provided in form of recommendations.


Currently, utilizing of Information and Communication technology (ICT) in medical sector has been gained a lot of interests in global community i,e. developed, developing and under developed countries. Now-a-days, ICT intervention in almost all arena of medical services is very evident in Bangladesh and stakeholders are getting its benefits with this IT-assisted medical services. As a matter of fact, the government of Bangladesh already has declared ICT as one of its priority sectors; hence a large amount of budget for enhancing ICT in medical sector have been allocated. This paper explains the present scenario of the use of IT in medical sector of Bangladesh as well as this is an initiative to provide some guidelines and recommendation for possible socio – economic improvement of Bangladesh through exploiting the potential of IT in health sector. In addition to that, this work also gives a brief summery and comparative study about the scenario of health services in developed and developing countries. Finally, this research tries to comprehensively focus on ICT potentials in medical area in order to find future visionary direction for the ICT based medical services that match the socio-economic constraint of the people at Bangladesh.


2003 ◽  
Vol 24 (2) ◽  
pp. 183-192 ◽  
Author(s):  
M. A. Mannan

Food and nutrition policy activities directed toward improvement of the nutritional status of the people of Bangladesh began in the 1980s. The government formulated a national food and nutrition policy and approved it in 1997. Qualitative methods, including observational techniques, in-depth interviews of the key informants, and focus group discussions, were used to collect information on the strengths, weaknesses, opportunities, and threats (SWOT) of the policy. The information obtained has been transcribed and analyzed using this model. The strengths of the policy are that it is a consensus document that emphasizes human rights, was formulated by a multisectoral approach, complements other government policies, and has broad goals and wide-ranging objectives. The weaknesses include lack of implementation, monitoring, and evaluation guidelines; lack of strong government commitment; inadequate support of policy makers; perhaps an excessively ambitious target; and ignorance of past lessons learned. The opportunities include the scope of social mobilization, the wide scope of the policy, suggested programs and measures to improve nutritional status, a congenial policy environment, and the ability to modify the scope of the policy as needed. The threats to the policy are lack of knowledge of the policy, lack of resources to implement the policy, tension between technical people and bureaucrats, vested business interests, and, possibly, discontinuity of political commitment. The key to reducing the weaknesses of the food and nutrition policy of Bangladesh and minimizing the threats to it is for the stakeholders in the policy to coordinate efforts to use the strengths and opportunities of the policy to effectively implement it.


2021 ◽  
Vol 4 (1) ◽  
pp. 34-49
Author(s):  
Yusuf Nakaduna ◽  
Abdullahi Ayoade Ahmad ◽  
Moyosore Olalekan Mohammed

 Nigeria is one of the countries affected by the "COVID-19" outbreak. The severe economic obstacles caused by the pandemic are likely to exacerbate an already perceived brittle political fragility. A country of more than 206 million, with a fragile democracy, a weak health care system, and an inundated economy, vulnerable to the outrageous impact of COVID-19, politically and economically. Hence, the present study aims to scrutinize the pandemic's politico-economic implications on the Nigerian state. This study is qualitative research which employed secondary sources of data in scrutinizing Covid-19 potential impacts on Nigeria's politico-economic wellbeing, such as library information, documents from journal articles, books, newspapers, and reports, among others, to provide a comprehensive outlook of the phenomenon. The study posits that the Coronavirus continuously shapes and cripples the Nigerian economy, causing a substantial decline in GDP, political lurch, the outrageous effect on the health sector with a less coordinated response from the government, which makes the first and second wave more challenging for the people and government to bear. The study proposes an integrated approach between public and private stakeholders in the area of health and economy to deal with the deadly phenomenon, thereby curtailing its anticipated effects in the future. Keywords: COVID-19 Pandemic, Political, Economic Impacts, Nigeria


2021 ◽  
Vol 2 (2) ◽  
pp. 248-253
Author(s):  
Ni Komang Rosi Triana Ayu Nuratih ◽  
I Ketut Kasta Arya Wijaya ◽  
Ida Ayu Putu Widiati

Health is an important aspect and become a measure of the welfare of the people of a country. The development of national development, one of them is in the health sector, must be in accordance with and based on Pancasila and the 1945 Constitution of the Republic of Indonesia. The purpose of this research is to reveal the government's responsibility for handling Covid-19 patients and legal protection for Covid-19 patients medical services in the hospital. The research method used is normative. The assessment is carried out by means of a literature study which is specifically related to law in the health sector. The data sources used were prmiary, secondary and tertiary sources and were analyzed systematically. The result of this research indicates that the responsibility of the government for Covid-19 patients provides rights to patients regulated in related regulations. If the government and parties who violate the rights that should be received by Covid-19 patients, they can be subject to sanctions in accordance with applicable regulations. Legal protection or the issuance of legal rules regarding the rights of Covid-19 patients aims to protect the community itself.


Author(s):  
M Riswan

The CKD as a serious public health hazard in Sri Lanka, which is the cause of poverty and underdevelopment among affected families in various parts of the country. CKD has become a new challenge for the health sector and driven people to the loss of livelihood, productivity, and increase the cost of treatment. This paper emphasized the prevalence of CKD and unequal frequencies of the disease in different health regions (MOHs) in Polonnaruwa district, Sri Lanka. Based on primary and secondary data analysis, the results of the findings were produced in a descriptive way in which tables, maps, and charts were also administered. The study mainly used ArcGIS (ArcMap 10.3) software to identify the different distribution of CKD unequally in different health regions (seven MOH divisions) in the district. The study found that the endemic of CKD and affected patients, HD patients, and death rate also occurred unequally in each MOH division in different means. The distribution of CKD occurred due to the geographical setting, social, economic patterns of the people in the study area.Nevertheless, this study only focused on understanding the different prevalence of CKD in each MOH division in a particular district. However, the study needs to be extended further to identify the factors and impacts due to this chronic health issue in the district and country as a whole. The study suggested that CKD has become a major obstacle to the ongoing development activities in the district; thus, the government needs to identify disseminate methods to prevent CKD from this study area, as well as from Sri Lanka


2021 ◽  
Vol 7 (2) ◽  
pp. 320
Author(s):  
Akhiyar Meideri ◽  
Syaiful Anwar

<div><p class="Els-history-head">Reserve Components are National Resources that have been prepared to be mobilized to enlarge and strengthen the capabilities of the Main Components and Supporting Components. The theory used in this research is the theory of national defense, threat theory, and empowerment. The COVID-19 pandemic is a global health crisis problem that not only affecting the population health sector but also security. The decline in living conditions and people's welfare then also affects the security sector where there is an increase in the number of criminal acts that can threaten public security and order in Indonesia. Therefore, this study aims to find out how the government will empower the reserve components to help protect the country's sovereignty, maintain state security when the COVID-19 pandemic occurs and what steps have been taken by the Indonesian government. The result shows that the Indonesian Military Reserve Component including empowering Indonesian citizens that are implemented by participating and complying with various policies made by the government to reduce the spread of the virus, by implementing health protocols, online learning, enforcing lockdowns, and conducting social distancing. Meanwhile, the government also empowers the national facilities and infrastructure in controlling the COVID-19 virus, one of which is by improving the function of hospital services, cooperate with the mass media to spread information for the people. The government also use information technology to give health service for Indonesian to provide accurate information about COVID-19.</p></div>


Author(s):  
Onkar S Kemkar ◽  
Dr. P.B. Dahikar

Health Care sector in India has witnessed significant growth during the last few years, both in quality and capacity. In spite of such developments, heath care facilities in the country remain inadequate to meet the needs of the citizens, particularly in rural areas, where approximately 70% of the people live. To address this problem, the government has launched major national initiatives such as National Rural Health Mission, establishment of six new AIIMS like institutions, up gradation of existing public hospitals and labs, etc. As the health sector is poised for major growth in next decade, the sheer size of healthcare sector in the country will necessitate extensive use of information and communication technology (ICT) infrastructure, services and databases for policy planning and implementation. Such a framework would require services based on inter-operable and sharable technology, connecting various institutions and service providers. This paper states our vision & proposed solution for rural populace of India.


2020 ◽  
Vol 14 (1) ◽  
pp. 41-64
Author(s):  
Lutfi Fahrul Rizal

AbstractTransmission of the Covid-19 epidemic is a State problem categorized in the defense aspect in the public health sector. Covid-19's handling policy as a health emergency accompanied by a civil emergency policy is considered inappropriate, with reasons for interpretation, problem context, situation, conditions and ways of handling that are completely different. The research method used is Normative-Empirical, which combines facts with legal events that have been arranged in such a way in the context of the problem under study, using the Live Case Study approach, which is a review of cases or the implementation of regulations into events that are still ongoing until now this. The handling of Covid-19 requires serious collaboration between the Government and the people, in Siyasah al-Syar'iyyah this problem can be categorized as a form of jihad. On the one hand the Government must take an appropriate decision and policy for the benefit of the community and on the one hand the community is required to show the attitude of obedience and discipline in carrying out the policies that have been set, by ruling out political primodialism, religious fanaistem and others. AbstrakPenularan wabah Covid 19 merupakan permasalahan Negara yang dikate­gori­kan pada aspek pertahanan pada bidang kesehatan masya­rakat. Kebijakan pe­na­­nganan Covid-19 sebagai keadaan darurat kese­hatan yang didampingi de­n­g­an kebijakan darurat sipil dinilai kurang tepat, dengan alasan interpretasi, kon­teks masalah, situasi, kondisi dan cara penanganan yang berbeda sama sekali. Metode penelitian yang digunakan yaitu Normatif-Empiris, yakni meng­gabung­kan antara fakta dengan peristiwa hukum yang telah diatur sedemikian rupa dalam konteks permasalahan yang dikaji, dengan menggunakan pende­ka­tan Live Case Study, yakni penelaahan terhadap kasus atau implementasi per­atu­ran ke dalam peristiwa yang masih berjalan sampai dengan saat ini. Pena­nga­nan Covid-19 membutuhkan kerjasama yang serius antara Pemerintah ber­sama dengan rakyat, dalam Siyasah al-Syar’iyyah masa­lah ini dapat dika­tego­ri­kan se­ba­gai bentuk jihad. Pada satu sisi Peme­rintah harus mengambil sebuah ke­­pu­tusan dan kebijakan yang tepat demi kemaslahatan masyarakat dan pada satu sisi pula masya­rakat ditun­tut untuk menunjukkan sikap keta’atan dan ke­di­­­siplinan dalam men­jalanakan kebijakan yang telah ditetapkan tersebut, de­ng­an menge­sampingkan primodialisme politik, fanaistem agama dan yang lain­nya.


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