Governance of Health Care Services: A Critical Understanding of Federal Experiences from Central Nepal

2020 ◽  
Vol 10 ◽  
pp. 63-79
Author(s):  
Kapil Babu Dahal
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Sector ◽  
Health Governance ◽  
Critical Window ◽  
Care Services ◽  
Central Nepal ◽  
Multiple Voices ◽  
Micro Level ◽  
The Government

People in different locality interact, perceive, and experience the government and governance through the government’s various service delivery mechanisms mainly, which affect them in their locale. Governance in the health sector can serve as an essential and critical window through which we can glance at the situation of governance in a given society. Multiple voices from the actors involved in delivering health care services and health service users portray the current emerging situation of health governance, especially, during the initial years of implementation of federal system in Nepal. In portraying the current health governance scenario in the study areas, this article shows how people’s experience of forms of governance affects their uptake of health care services. It uses micro-level ethnographic information to look at the broader issue of health governance.

scholarly journals Future Perspectives of Health Care: Closing Remarks

2021 ◽  
pp. 375-380
Author(s):  
Gørill Haugan ◽  
Monica Eriksson
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Health Care Services ◽  
Health Care Systems ◽  
Health Sector ◽  
Care Services ◽  
Care Systems ◽  
Health Promoting ◽  
Professional Leadership ◽  
Salutogenic Model

AbstractThe Covid-19 pandemic has demonstrated the vulnerability of our health care systems as well as our societies. During the year of 2020, we have witnessed how whole societies globally have been in a turbulent state of transformation finding strategies to manage the difficulties caused by the pandemic. At first glance, the health promotion perspective might seem far away from handling the serious impacts caused by the Covid-19 pandemic. However, as health promotion is about enabling people to increase control over their health and its determinants, paradoxically health promotion seems to be ever more important in times of crisis and pandemics. Probably, in the future, pandemics will be a part of the global picture along with the non-communicable diseases. These facts strongly demand the health care services to reorient in a health promoting direction.The IUHPE Global Working Group on Salutogenesis suggests that health promotion competencies along with a reorientation of professional leadership towards salutogenesis, empowerment and participation are required. More specifically, the IUHPE Group recommends that the overall salutogenic model of health and the concept of SOC should be further advanced and applied beyond the health sector, followed by the design of salutogenic interventions and change processes in complex systems.

scholarly journals Prison Health as Public Health in Ontario Corrections

2020 ◽  
Vol 5 (1) ◽  
pp. 19
Author(s):  
Yoko Murphy ◽  
Howard Sapers
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Services ◽  
Care Needs ◽  
Term Care ◽  
Care Services ◽  
Prison Health ◽  
Independent Review ◽  
Recent Reform ◽  
The Government

The majority of incarcerated individuals in Canada, and especially in Ontario provincial correctional institutions, are released into the community after a short duration in custody. Adult correctional populations have generally poor health, including a heightened prevalence of mental health and substance use disorders. There are legal and ethical obligations to address health care needs of incarcerated individuals, and also public health benefits from ensuring adequate, appropriate, and accessible health services to individuals in custody. The Independent Review of Ontario Corrections recommended the transformation of health care in Ontario provincial corrections in 2017, including transferring health service responsibilities to the Ministry of Health and Long-Term Care. The Correctional Services and Reintegration Act, 2018, would affirm the provincial government’s obligation to provide patient-centred, equitable health care services for individuals in custody. We encourage the Government of Ontario to proclaim the Act and continue the momentum of recent reform efforts in Ontario.

scholarly journals THE HEALTH-CARE NEEDS AMONG OLDER PERSONS IN AN INDONESIAN URBAN SETTING

2017 ◽  
Vol 10 (7) ◽  
pp. 233
Author(s):  
Setiawan E ◽  
Poedjibudojo J K ◽  
Tondok Ms
Keyword(s):  
Health Care ◽  
Older Persons ◽  
Health Care Services ◽  
Capital City ◽  
Urban Setting ◽  
Health Care Needs ◽  
Care Needs ◽  
Care Services ◽  
Unmet Health Care Needs ◽  
The Government

Objective: The unmet health-care needs among older persons population should be identified and anticipated due to hideous potential impacts. Ironically, no published study regarding this phenomenon was found in Indonesia. Derived from the Indonesian population and civil data, this study was conducted to identify the health-care needs of urban older people living on Java Island, the most populated island in Indonesia.Methods: A qualitative study was conducted in 3 subdistricts in Surabaya, the capital city of East Java, namely, Rungkut, Kenjeran, and Tenggilis. There were 9 focus group discussions (FGDs) conducted during March-August 2015. Participants in this study were recruited purposively, i.e., person in charge of “Karang Werda,” and the discussion explored thematically various topics in the area of unmet health needs phenomena related to: (1) Availability, (2) accessibility, and (3) acceptability. A FGD guide was developed to ensure in-depth discussion.Results: There were 90 older persons serving as volunteers who participated in this study. The unmet health-care needs addressed by participants in this study were (1) Integrated and specialized health-care services for older persons and (2) skillful yet age-friendly health-care personnel were needed by participants. Our findings pointed out that the unmet health-care needs in Indonesian urban settings were classified as primarily availability, accessibility, and acceptability issues.Conclusion: The government needs to take actions to solve the challenges related to the fulfillment of health-care needs among older persons in Indonesia. Further study of the health care personnel’s beliefs and attitudes in providing care among older persons needs to be conducted to provide a more holistic picture of the phenomena before making any strategy for the future Indonesia’s health-care system.

scholarly journals (A3) Health Care Facilities Affected by the Earthquake in Chile

2011 ◽  
Vol 26 (S1) ◽  
pp. s1-s2
Author(s):  
C. Bambaren
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Sector ◽  
Health Care Facilities ◽  
Cold Chain ◽  
Care Services ◽  
Biomedical Equipment ◽  
Care Facilities ◽  
Health Care Infrastructure ◽  
The Impact

IntroductionOn February 27, 2010, a 8,8 MW earthquake struck the central and southern coast of Chile, that was followed by a tsunami that destroyed some cities such as Constitution, Ilaco, Talcahuando and Dichato. The national authorities reported 512 dead and 81,444 homes were affected. It was the one of the five most powerful earthquakes in the human modern history. The most affected regions were Maule (VII) and Bio (VIII).ResultsThe impact of the quake in the health sector was enormous especially on the health care infrastructure. The preliminary evaluations showed that 18 hospitals were out of service due severe structural and no-structural damages, interruption of the provision of water or because they were at risk to landslides. Another 31 hospitals had moderate damage. The Ministry of Health lost 4249 beds including 297 (7%) in critical care units. Twenty-two percent of the total number of beds and thirty-nine surgical facilities available in the affected regions were lost in a few minutes due to quake. At least eight hospitals should be reconstructed and other hospitals will need complex repair.ConclusionThe effect of the earthquake was significant on hospital services. It included damages to the infrastructure and the loss of furniture and biomedical equipment. The interruption of the cold chain caused loss of vaccines. National and foreign field hospitals, temporary facilities and the strengthening of the primary health care facilities had been important to assure the continuation of health care services. *Based on information from PAHO – Chile.

Addressing inequities in access to primary health care: lessons for the training of health care professionals from a regional medical school

2011 ◽  
Vol 17 (4) ◽  
pp. 362 ◽  
Author(s):  
Sarah Larkins ◽  
Tarun Sen Gupta ◽  
Rebecca Evans ◽  
Richard Murray ◽  
Robyn Preston
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Professional Education ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Underserved Populations ◽  
Health Sector ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

Attention to the inequitable distribution and limited access to primary health care resources is key to addressing the priority health needs of underserved populations in rural, remote and outer metropolitan areas. There is little high-quality evidence about improving access to quality primary health care services for underserved groups, particularly in relation to geographic barriers, and limited discussion about the training implications of reforms to improve access. To progress equity in access to primary health care services, health professional education institutions need to work with both the health sector and policy makers to address issues of workforce mix, recruitment and retention, and new models of primary health care delivery. This requires a fundamental shift in focus from these institutions and the health sector, to each view themselves as partners in an integrated teaching, research and service-oriented health system. This paper discusses the challenges and opportunities for primary health care professionals, educators and the health sector in providing quality teaching and clinical experiences for increasing numbers of health professionals as a result of the reform agenda. It then outlines some practical strategies based on theory and evolving experience for dealing with some of these challenges and capitalising on opportunities.

scholarly journals An epidemiological study regarding availability and utilization of public health care services in slum in Amritsar city

2019 ◽  
Vol 6 (6) ◽  
pp. 2396
Author(s):  
Richa Verma ◽  
Tejbir Singh ◽  
Mohan Lal ◽  
Jasleen Kaur ◽  
Sanjeev Mahajan ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Economic Status ◽  
Health Indicators ◽  
Public Health Care ◽  
Cross Sectional ◽  
Government Health ◽  
Care Services ◽  
The Government

Background: Low level of education of the slum dwellers along-with poor socio- economic status and pathetic environmental conditions lead to their poor health indicators. Since the National Urban Health Mission (NUHM) was launched in 2013, the health services are still in their initial stages. Assessment of the availability as well as the utilization of health care services of the urban slums is the need of the hour.Methods: The cross-sectional study was conducted in randomly selected slum in Amritsar city. All the houses were enumerated and visited by the interviewer herself. The eldest adult member of the family was selected as key respondent and written, informed consent was obtained. Predesigned questionnaire was used to collect the data which was then compiled and analyzed using statistical tests.Results: Out of the total respondents, one third respondents had knowledge about the government health center nearby (statistically significant) while out of these, only one third utilized the services at the center (statistically non-significant). Almost half of the respondents had knowledge about the medical camps and out of these, two-thirds utilized the services at medical camps.Conclusions: Overall utilization of services is poor. More respondents were aware of the medical camps than the static government health facility and utilization of medical camps was also more. So the static health services under NUHM need to be further strengthened.

scholarly journals GAMBARAN PELAKSANAAN PELAYANAN KESEHATAN PEDULI REMAJA (PKPR) DI PUSKESMAS DUPAK SURABAYA

2019 ◽  
Vol 7 (1) ◽  
pp. 78
Author(s):  
Tamara Avilla
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
National Standard ◽  
Government Programs ◽  
Descriptive Research ◽  
Care Services ◽  
Health Community ◽  
Qualitative Descriptive ◽  
The Government ◽  
Observation Method

Background: Adolescent health services is one of the government programs aimed at teenagers in Indonesia with the intention that teenagers have a comfortable place to grip or help deal with all sorts of teenage problems that are being faced. This PKPR is implemented in every Health Care. Purpose: the aims of this study was seen implementation  PKPR in Dupak Health Care, Surabaya. Methods: This study was conducted at Dupak Health Care, Surabaya using qualitative descriptive research with observation method and in-depth interview at Head of Dupak Health Care Surabaya, holder of UKBM program (The Effort of Health Community Based Services) in Health Care, PKPR program holder, and some teenagers working area of Health Care. Results: The results and discussion in this journal that describes the implementation of health care services adolescents at Puskesmas Dupak Surabaya Health Center by adjusting the reference of National Standard PKPR 2014 and in line with previous similar research. Conclusion: There is a mismatch between the implementation of PKPR and the national standard of health care for adolescents that is influenced by various factors.

scholarly journals Health care services and challenges among transgender in India

2021 ◽  
Vol 8 (6) ◽  
pp. 3143
Author(s):  
Shagirunisha Rizvana A. M. ◽  
Karthikeyan K. ◽  
Thenmozhi . ◽  
Rock Britto ◽  
Neethu George ◽  
...  
Keyword(s):  
Health Care ◽  
Gender Identity ◽  
Hiv Infection ◽  
Health Care Services ◽  
Male And Female ◽  
Care Services ◽  
The Government

Transgender is a term defined as individuals with gender identity is different compared with those who are born with male and female anatomies. There are facing shame, disgrace, exclusion from society, so they are more prone for HIV infection and neglected from society. Even though the government made a various schemes and bills for transgender rights to make them socially equal in the community, but they are neglected by society because of less awareness about the transgender.

Law Protection on Patients Toward The Health Services Conducted by Social Security Administrator for Health (Ssah) or BPJS in Accordance With The Limitation on Cataract Surgery

SOEPRA ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Chori Diah Astuti ◽  
Suherman Suherman ◽  
Arrisman Arrisman
Keyword(s):  
Health Care ◽  
Health Services ◽  
Social Security ◽  
Cataract Surgery ◽  
Health Care Services ◽  
Legal Protection ◽  
Secondary Data ◽  
The State ◽  
Care Services ◽  
The Government

Health is a primary right of every individual and must be guaranteed by the state; therefore, the state has regulated the health of its citizens as stipulated in the 1945 Constitution Article 28 Section 3 which is further regulated in law No. 40 Year 2004 concerning the national social security system. One of the concerns of the government is that many Indonesians who have reached the age of 50-60 years who experience vision problems due to cloudy eye lense or cataract. The government concern is can be seen from their attention on health problems by passing Minister of Health Regulation No. 29 Year 2016. Concerning with eye Health Care Services at the Health Care Amanities and the Director of Health Service Security on Health (SSAH) passed a regulationNo. 2 Year 2018 concering with cataract service security service.The Method Used in this study is a normative juridical method, using secondary data consisting of primary, secondary and tertiary legal materials. The end purpose of this study is to get clarity about the legal protection of patients against health services by the Health amenities and SSAH or BPJS with the existence of restrictions on cataract surgery and to find out the claim procedures concerning with this restriction.Keywords: Legal Protection, BPJS or SSAH, Cataract Surger.

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