scholarly journals Future Challenges of Nursing in Health System of Iran

2021 ◽  
Vol 9 ◽  
Author(s):  
Salman Barasteh ◽  
Maryam Rassouli ◽  
Mohammad Reza Karimirad ◽  
Abbas Ebadi
Keyword(s):  
Professional Development ◽  
Nursing Education ◽  
Health System ◽  
Universal Health Coverage ◽  
Health Coverage ◽  
Structured Interviews ◽  
Framework Analysis ◽  
The Future ◽  
Future Challenges ◽  
Universal Health

Purpose: Nursing development is considered as one of the most important ways to achieve the universal health coverage and sustainable development goals in different countries. Nursing in Iran has the potential to provide services at all levels of universal health coverage. Therefore, planning for nursing in Iran needs to recognize the future challenges. This study aims to explore the future challenges of nursing in the health system of Iran from the perspective of nursing experts.Methods: In this qualitative study, 11 semi-structured interviews were conducted with nursing experts by purposive sampling in 2017–2018. Interviews were recorded and transcribed and framework analysis method was used to analysis the data.Results: The results showed that a favorable future requires planning in three areas of nursing “governance challenges” including centralized nursing stewardship, policy-making and legislation, monitoring and evaluation, and cooperation and communication with other institutions, “inadequacy of professional development with social demands” including community-based nursing, nursing upgrades with disease patterns, expanding home care, expanding care centers, and use of technology, “human resource challenges “including nursing education tailored to the needs of the community, empowering nursing managers, recruiting and retaining nurses, and specialized nursing.Conclusions: A favorable future requires a coherent nursing government, professional development of nursing based on social demands, and enhancing human resources in line with the emerging needs of the future.

scholarly journals Future Challenges of Nursing in Health System of Iran

2021 ◽  
Author(s):  
Salman Barasteh ◽  
Maryam rassouli ◽  
Mohammad Reza Karimirad ◽  
Abbas Ebadi
Keyword(s):  
Nursing Education ◽  
Health System ◽  
Universal Health Coverage ◽  
Monitoring And Evaluation ◽  
Health Coverage ◽  
Structured Interviews ◽  
Framework Analysis ◽  
The Future ◽  
Future Challenges ◽  
Universal Health

Abstract Background: Nursing development is considered as one of the most important ways to achieve the universal health coverage and sustainable develop goals in different countries. Nursing in Iran has the potential to provide services at all levels of universal health coverage. Therefore, planning for nursing in Iran needs to recognize the future challenges. This study aims to explore the future challenges of nursing in the health system of Iran from the view of expertsMethods: In this qualitative study, 11 semi-structured interviews were conducted with nursing experts by purposive sampling in 2017-2018. Interviews were recorded and transcribed and framework analysis method were used to analysis the data.Results: The results showed that a favorable future requires planning in three areas of nursing governance challenges, including centralized nursing stewardship, policy-making and legislation, monitoring and evaluation, and cooperation and communication with other institutions, inadequacy of professional development with social demands, including community-based nursing, nursing upgrades with disease patterns, expanding home care, expanding care centers, and use of technology, the challenge of human resource management, including nursing education tailored to the needs of the community, empowering nursing managers, recruiting and retaining nurses, and specialized nursing.Conclusions: A favorable future requires establishing a coherent nursing government, professional developing of nursing based on social demands, and enhancing human resources in line with the emerging needs of the future.

scholarly journals Human Resource Requirement Under the Context of Universal Health Coverage (UHC) in Bangladesh: Current Situation and Future Challenges

2017 ◽  
Vol 6 (2) ◽  
pp. 34-39
Author(s):  
Md Humayun Kabir Talukder ◽  
Md Mahfuzar Rahman ◽  
Md Nuruzzaman
Keyword(s):  
Health System ◽  
Universal Health Coverage ◽  
Health Coverage ◽  
Resource Requirement ◽  
Medical College ◽  
Future Challenges ◽  
Disease Pattern ◽  
Rapid Transition ◽  
Universal Health ◽  
Overall Health Status

"Human resources" have been described as "the heart of the health system in any country". The fact of health worker shortage in Bangladesh is well documented and regarded as one of the major challenges of the country's health system as mentioned in the national health policy 2011 and also in the strategic plan for health, population and nutrition sector development programme (HPNSDP 2011-2016). Universal Health Coverage (UHC) has got immense attention around the world. This is true that Bangladesh has been able to achieve remarkable progresses on the overall health status. However, considering the growing needs of the health system and rapid transition in the disease pattern (e.g. from communica ble to non communicable), long way to go towards a responsive, competent and equity based health system.Anwer Khan Modern Medical College Journal Vol. 6, No. 2: July 2015, P 34-39

scholarly journals Analyzing efforts to synergize the global health agenda of universal health coverage, health security and health promotion: a case-study from Ethiopia

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Amare Worku Tadesse ◽  
Kassu Ketema Gurmu ◽  
Selamawit Tesfaye Kebede ◽  
Mahlet Kifle Habtemariam
Keyword(s):  
Health Promotion ◽  
Global Health ◽  
Health System ◽  
Universal Health Coverage ◽  
World Health ◽  
Health Coverage ◽  
Health Security ◽  
Universal Health ◽  
Health Agenda

Abstract Background Evidence exists about synergies among universal health coverage, health security and health promotion. Uniting these three global agendas has brought success to the country’s health sector. This study aimed to document the efforts Ethiopia has made to apply nationally synergistic approaches uniting these three global health agendas. Our study is part of the Lancet Commission on synergies between these global agendas. Methods We employed a case study design to describe the synergistic process in the Ethiopian health system based on a review of national strategies and policy documents, and key informant interviews with current and former policymakers, and academics. We analyzed the “hardware” (using the World Health Organization’s building blocks) and the “software” (ideas, interests, and power relations) of the Ethiopian health system according to the aforementioned three global agendas. Results Fragmentation of health system primarily manifested as inequities in access to health services, low health workforce and limited capacity to implementation guidelines. Donor driven vertical programs, multiple modalities of health financing, and inadequate multisectoral collaborations were also found to be key features of fragmentation. Several approaches were found to be instrumental in fostering synergies within the global health agenda. These included strong political and technical leadership within the government, transparent coordination, and engagement of stakeholders in the process of priority setting and annual resource mapping. Furthermore, harmonization and alignment of the national strategic plan with international commitments, joint financial arrangements with stakeholders and standing partnership platforms facilitated efforts for synergy. Conclusions Ethiopia has implemented multiple approaches to overcome fragmentation. Such synergistic efforts of the primary global health agendas have made significant contributions to the improvement of the country’s health indicators and may promote sustained functionality of the health system.

scholarly journals Towards universal health coverage: governance and organisational change in ministries of health

2019 ◽  
Vol 4 (5) ◽  
pp. e001735 ◽  
Author(s):  
Peter Berman ◽  
Azrina Azhar ◽  
Elizabeth J Osborn
Keyword(s):  
Health System ◽  
Universal Health Coverage ◽  
Organisational Change ◽  
Health Financing ◽  
Comparative Case Study ◽  
Health Coverage ◽  
Political Commitment ◽  
Middle Income ◽  
High Level ◽  
Universal Health

Countries have implemented a range of reforms in health financing and provision to advance towards universal health coverage (UHC). These reforms often change the role of a ministry of health (MOH) in traditionally unitary national health service systems. An exploratory comparative case study of four upper middle-income and high-income countries provides insights into how these reforms in pursuit of UHC are likely to affect health governance and the organisational functioning of an MOH accustomed to controlling the financing and delivery of healthcare. These reforms often do not result in simple transfers of responsibility from MOH to other actors in the health system. The resulting configuration of responsibilities and organisational changes within a health system is specific to the capacities within the health system and the sociopolitical context. Formal prescriptions that accompany reform proposals often do not fully represent what actually takes place. An MOH may retain considerable influence in financing and delivery even when reforms appear to formally shift those powers to other organisational units. MOHs have limited ability to independently achieve fundamental system restructuring in health systems that are strongly subject to public sector rules and policies. Our comparative study shows that within these constraints, MOHs can drive organisational change through four mechanisms: establishing a high-level interministerial team to provide political commitment and reduce institutional barriers; establishing an MOH ‘change team’ to lead implementation of organisational change; securing key components of systemic change through legislation; and leveraging emerging political change windows of opportunity for the introduction of health reforms.

scholarly journals 31.F. Workshop: Health system (performance) assessment: working towards a common approach

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Health System ◽  
Performance Assessment ◽  
Health Systems ◽  
Universal Health Coverage ◽  
System Performance ◽  
Health System Performance ◽  
Health Coverage ◽  
Health System Performance Assessment ◽  
Health Systems Performance ◽  
Universal Health

Abstract Since the publication of the World Health Report 2000, which aimed at assessing health systems performance globally, a number of health systems performance assessment (HSPA) frameworks and tools, designed for various purposes, have emerged. In 2017, the joint Universal Health Coverage 2030 Technical Working Group on Health Systems Assessment (TWG), consisting of health policy makers and global actors, such as the WHO, World Bank, USAID, Unicef, European Commission, OECD, etc., was formed with the aim to align the existing tools and develop a common approach to understanding and measuring health systems performance globally. As part of this work, the European Observatory on Health Systems and Policies (OBS) has developed a Health Systems Performance Assessment framework for Universal Health Coverage (HSPA Framework for UHC), that allows to evaluate health system performance, largely by drawing on the information available in the existing tools or through global data collection initiatives. Suggested approach is based on the detailed assessment of the four health system functions (governance, financing, resource generation and service delivery) and their sub-functions, the interaction of which jointly leads to the successes and failures in the achievement of health system goals. We propose distinct assessment areas for specific functions and sub-functions as a way to identify potential strengths and weaknesses, which can then be related to actions or responsibilities of specific actors within a health system, or linkages to other sectors. The objective of the workshop is to introduce the background, rationale, methods and process of developing of the HSPA framework for UHC; present a systematic approach to assessing various functions of health system and their interactions; relate the assessment areas of specific functions and sub-functions to the final health system goals; and, finally, to test the use of the framework in practice. The workshop is structured as follows: the workshop will start from the four 10-minute presentations (outlined below), followed by an interactive session with the audience to discuss the content of the framework and elaborate on its potential use for HSPA and applications globally. Key messages The HSPA framework for UHC is an approach that allows to bring together existing HSPA efforts and moves towards a more systematic and universally applicable health system performance assessment. The approach assesses performance through attribution of various health system outcomes to specific functions and sub-functions, allowing to identify strengths and weaknesses that affect performance.

Noncommunicable disease control program of Bangladesh: current status and future direction to achieve universal health coverage (Preprint)

2020 ◽  
Author(s):  
Khaleda Islam ◽  
Rumana Huque ◽  
K.M. Saif-Ur Rahman ◽  
AHM Enayet Hussain
Keyword(s):  
Service Delivery ◽  
Health System ◽  
Universal Health Coverage ◽  
Noncommunicable Disease ◽  
Health Coverage ◽  
Electronic Database ◽  
Policy Documents ◽  
Management Protocol ◽  
Key Policy ◽  
Universal Health

BACKGROUND Bangladesh is having 572,600 (67%) estimated deaths caused by noncommunicable diseases annually with 22% probable premature deaths. OBJECTIVE This study aimed to have a closer look into the overall readiness of Bangladesh to address NCDs, explore the barriers and suggest the best possible ways of reaching the target. METHODS The study reviewed relevant policy documents, NCDs related reports, publications, observed NCD service delivery at Upazila Health Complexes (UzHC) and validated the findings of desk review through discussion with key policy and program personnel. RESULTS NCDs are highlighted and prioritized in key policy documents, however, implementation of the policies remains weak with several gaps in service delivery systems. The operation plan (OP) indicators, which are the guiding factors of OP implementation, focus mostly on process not outcome or impact. Health system at primary health care facilities is not yet fully ready to deliver the NCD care, and mental health at primary care is rarely available. Health workforce (HWF) are getting oriented on national NCD management protocol though there is reluctance to follow the protocol. Record keeping is poor as it is manual. District health information software 2 (DHIS2) is not yet updated to capture the monthly service provision and tracking of indicators. CONCLUSIONS Weak health system is hampering delivery of NCD care at PHC, and tracking of indicators is difficult due to lack of electronic database. Implementation of NCD management protocol, ensuring availability of drugs, maintaining electronic database, and monitoring program and indicators are the way forward to achieve universal health coverage for NCD.

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