MODERNIZATION OF PUBLIC ADMINISTRATION MECHANISMS IN THE PUBLIC HEALTH SYSTEM OF UKRAINE

Author(s):  
Svetlana Vovk ◽  
◽  
Tatyana Vovk ◽  

Today it is becoming obvious that ensuring high and sustainable rates of development of the country, achieving strategic goals of national significance is impossible without an interested partnership between the state and the private sector. Currently, programs focused on the use of budget funds do not allow ministries and departments to implement large-scale, strategic projects. At the same time, the growing weight, the growing importance of social infrastructure, the responsibility of the state for its development in conditions of insufficient financial opportunities, make it necessary to update and improve investment tools in order to increase cost efficiency and better meet the needs of society. Taking this into account, the use of reserves to improve the effectiveness and quality of Public Administration mechanisms in the medical sphere requires solving certain theoretical and practical problems, to which we refer: determining the content of the effectiveness of Public Administration mechanisms in the country's health system; determining the main theoretical and methodological factors that determine the conditions, trends and means of Public Administration mechanisms, that is, those basic provisions and tools that determine the development of PPP in the healthcare sector; scientific substantiation of mechanisms for using these factors to improve the efficiency of the medical industry and the state of Public Health. In practice, the fact that state, municipal and private health systems should be considered as elements (subsystems) of a larger entity – the National Health System-is often forgotten or ignored. The system of Organization of medical care to the population is a complex combination of programs, institutions, institutions that are designed to solve various tasks: from the treatment of acute and chronic diseases to prevention, from individual treatment to measures aimed at improving public health, from primary health care to inpatient treatment, from the provision of dental services to the treatment of occupational diseases, etc.

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Abdullahi Tunde Aborode ◽  
Ana Carla dos Santos Costa ◽  
Anmol Mohan ◽  
Samarth Goyal ◽  
Aishat Temitope Rabiu ◽  
...  

AbstractThe plague has been wreaking havoc on people in Madagascar with the COVID-19 pandemic. Madagascar’s healthcare sector is striving to respond to COVID-19 in the face of a plague outbreak that has created a new strain on the country’s public health system. The goal and activities of the gradual epidemic of plague in Madagascar during COVID-19 are described in this research. In order to contain the plague and the COVID-19 pandemic in this country, we have suggested long-term recommendations that can help to contain the outbreak so that it may spread to non-endemic areas.


PEDIATRICS ◽  
1963 ◽  
Vol 32 (3) ◽  
pp. 344-346

Recommendations were made in view of the following facts: (1) the need for further information on the mechanisms involved in the phenotypic expressions of phenylketonuria; (2) the present lack of adequate data on the effectiveness of the Guthrie Inhibition Assay, in terms of number of cases which may be missed, factors making for positive determinations and providing other information on which to evaluate the appropriateness of the large-scale screening program proposed; (3) the undesirability of deploying inordinate resources in the evaluation of the Guthrie Inhibition Assay to the detriment of the needs of other areas of child health including phenylketonuria; (4) the indications that a multi-faceted approach to phenylketonuria would be productive, not only in resolving the problems involving this disorder but also as a model for the investigation of and application to the treatment of other genetic diseases; (5) the possibility that the Guthrie Inhibition Assay could be a useful tool in the early detection, treatment and investigation of phenylketonuria; and (6) the fact that other state health departments are participating in the Guthrie Field Trials, indicating that the California State Department of Public Health should apply its resources to a more intensive study of PKU and detection methods. The consultants made the following recommendations, through resolution, to the California State Department of Public Health. It was resolved that: 1. The State of California not be responsible at this time for initiating or recommending that the Guthrie procedure be accomplished on a state-wide basis in all newborn nurseries (one dissent). 2. The State of California initiate and coordinate the development of pilot studies in selected hospitals and medical centers throughout the State in the investigation of phenylketonuria, utilizing the Guthrie Inhibition Assay or other tests. 3. A scientific committee be appointed immediately as an advisory committee to the State Department of Public Health to develop recommendations for carrying out the suggested investigations. 4. A registry for phenylketonuria and other diseases (as listed in the recommendations by the Subcommittee on Human Genetics) be established within the framework of the State organization.


with carrying out the decentralization reform public administration mechanisms play an important role in ensuring the comprehensive development of rural areas. Expanding the use of such mechanisms in the sphere of cooperation on the state level will facilitate development and support of small entrepreneurial forms, common use of material and technical basis, emerging new working places, building social infrastructure and engineering communications, providing qualitative services to citizens and preserving rural settlements. The objective of the article is to identify constituents of the comprehensive mechanism of public administration for development of service cooperation of rural areas in Ukraine and to integrate them into a coherent system which would facilitate realization of the state strategies and programmes to achieve the Sustainable Development Goals. The object of the research is a comprehensive mechanism of public administration for development of service cooperation. Research methodology is grounded upon the use of general scientific knowledge methods, in particular, logical and semantic, induction and deduction for formulating definitions, systemic and situational analysis for characterizing constituents of a comprehensive mechanism and identifying their interrelations. Based on the systemic approach it has been defined that comprehensive mechanism is an integrated system which combines interrelated and dependable functioning of legislative, institutional, organisational and economic, financial and credit, information and communication as well as staffing mechanisms in the sphere of developing cooperative movement in the rural localities. It is proved that every mechanism influences its particular direction and is formed at the international, national, regional and local levels based on cooperative values and generalized system of principles. Special attention is paid to the research of international and national legislation to generalize the system of principles of cooperation, intermunicipal cooperation, public authorities and public associations’ functioning, upon which the comprehensive mechanism for public administration of service cooperation development in rural areas of Ukraine is based.


2019 ◽  
Vol 70 (10) ◽  
pp. 3665-3670
Author(s):  
Simona Nicoleta Musat ◽  
Maria Roxana Nemes ◽  
Cosmin Alec Moldovan ◽  
Tudor Harsovescu ◽  
Ioan Sorin Tudorache ◽  
...  

Measles is an ever-growing threat, a major public health issue, being responsible for a large number of deaths, especially in children. This paper aims to study all cases of measles in Romanian hospitals, cases reported by National School of Public Health, Management and Professional Development, Bucharest on a two year period of time; the study focuses on frequency and pattern territorial distribution of cases, temporal evolution, complication rates and the social pressure the such an infectious disease is putting onto the national health system. Data gathered shows a total number of 2,985 for 2016, 10,181 for 2017 and 8,364 for the entire 2018, with a grand total of 21,530 patients analyzed by our study. The analysis clearly shows, on one hand, a descending rate in vaccination coverage, compared with the national assigned target and, on the other hand, a continuous drop in vaccination rates with the first dose of Measles-mumps-rubella vaccine (MMR), both being in equal manner dangerous situations for the entire health system in Romania.


Author(s):  
Peter Akongfeh Agwu ◽  
George Ushie Kati

Humanity has been hit in recent times, by unusual mortality provoked by the emergence of COVID-19. A report of 21 March 2020 by the Nigeria Centre for Disease Control (NCDC) confirmed 22 cases of the dreaded virus in the country. Desperate times they say require desperate measures. Facing the pandemic, the leadership of Nigeria has been more political than practical. Citizens resort to divers’ self-medication thus: Bathing with well-boiled Dogo Yaro leaves (Neem leaves); excessive consumption of bitter kola (Garcinia kola) or ginger (Zingiber) and the excessive consumption of alcohol. This study seeks to assess the level of preparedness by the Nigeria National Health System to combat the further spread of COVID-19 as apparently predicted in 1947 by Albert Camus in his work, The Plague. Our work further seeks to ascertain to what extent these self-aids have proven to be the effective panacea. It employs the conspiracy theory to argue that Nigerian leaders give priority to wealth accumulation over public health.


2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Niki Kalavrezou

<p>Access to the healthcare sector can<br />be mediated by a signifi cant number<br />of socioeconomic factors, giving rise<br />to inequalities among different social<br />groups. Gender consists one of the abovementioned<br />socioeconomic factors, with<br />women generally considered to be in less<br />advantaged position than men regarding this<br />particular issue. In this article we examine<br />the fi nancial, cultural and geographical<br />inequalities in access to healthcare between<br />men and women in Greece. We argue<br />that the signifi cant problems faced by the<br />National Health System in Greece are<br />refl ected, among other things, in the intense<br />presence of gender-related inequalities in<br />access to healthcare. The problem is further<br />intensifi ed by the absence of administrative<br />provisions and of a comprehensive policy of<br />dealing with this particular issue.</p>


2013 ◽  
Vol 16 (3) ◽  
pp. 658-669 ◽  
Author(s):  
Jesem Douglas Yamall Orellana ◽  
Paulo Cesar Basta ◽  
Maximiliano Loiola Ponte de Souza

Objective: To analyze mortality rates and to describe the demographic and epidemiological characteristics of suicides recorded in the state of Amazonas. Methods: A descriptive and retrospective study has been carried out with emphasis on municipalities, which have shown, simultaneously, a high mortality rates and a high proportion of self-reported indigenous population, based on 2005 - 2009 data as provided by the Informatics Department of the Unified National Health System. Results: Among the general population of the state of Amazonas, the mortality rate, by suicide, of 4.2/100.000 inhabitants has been reported, similar to that of Manaus (4.6/100.000 inhabitants). In contrast, at Tabatinga (25.2/100.000 inhabitants), at São Gabriel da Cachoeira (27.6/100.000 inhabitants) and at Santa Isabel do Rio Negro (36.4/100.000 inhabitants), municipalities, where the proportion of self-reported indigenous population is high, besides the taxes being notably higher, it was observed that most of the suicides has occurred among men; among young men aged between 15 - 24 years; at home; by hanging; during "weekend" and among the indigenous population. Discussion: Our findings have unveiled that suicide comes forth as a serious public health issue in some municipalities in the state of Amazonas, further indicating that the event occurs within very specific contexts, and that the dimension and the magnitude of the problem can be even more serious among populations or in territories exclusively inhabited by indigenous people.


2013 ◽  
Vol 19 (5) ◽  
pp. 428-435 ◽  
Author(s):  
Michael A. Stoto ◽  
Christopher Nelson ◽  
Melissa A. Higdon ◽  
John Kraemer ◽  
Lisle Hites ◽  
...  

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