scholarly journals Shifting Focus of Primary Health Care in the Context of Health Systems Reform in Resource Poor Settings

2011 ◽  
Vol 01 (01) ◽  
Author(s):  
GA Nnaji
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Systems ◽  
Primary Health ◽  
Resource Poor ◽  
Health Systems Reform

scholarly journals Performance evaluation and ranking of regional primary health care and public health systems in Iran

2020 ◽  
Author(s):  
Arash Rashidian ◽  
Nader Jahanmehr ◽  
Farshad Farzadfar ◽  
Ardeshir Khosravi ◽  
Mohammad Shariati ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health Systems ◽  
Average Score ◽  
Medical Sciences ◽  
Frontier Analysis ◽  
Average Performance ◽  
Public Health Systems ◽  
Primary Health

Abstract Background The present study has been undertaken with the aim to evaluate performance and ranking of various universities of medical sciences that are responsible for providing public health services and primary health care in Iran. Methods Four models; Weighted Factor Analysis (WFA), Equal Weighting (EW), Stochastic Frontier Analysis (SFA), and Data Envelopment Analysis (DEA) have been applied for evaluating the performance of universities of medical sciences. This study was commenced based on the statistical reports of the Ministry of Health and Medical Education (MOHME) census data from the Statistical Center of Iran, indicators of Vital Statistics, results of Multiple Indicator of Demographic and Health Survey 2010, and results of the National Survey of Risk Factors of non-communicable diseases. Results The average performance scores in WFA, EW, SFA, and DEA methods for the universities are 0.611, 0.663, 0.736 and 0.838, respectively. Based on the ranking of Gilan University, with an average score of 4.75, and Rafsanjan University, with an average score of 0.41, these universities have obtained the first and the last rank in the performance of their primary health care and public health systems, respectively. According to the results of all four models, the Universities of Gilan, Ardebil, and Bojnourd were the strongest ranking in this regard and the Universities of Rafsanjan, Kerman, Ahvaz, and Jiroft ranked weakest in performance. Conclusions The average performance of the universities of medical sciences is not acceptable at the present level in which they stand in Iran. Of course, this condition is not prevalent in all universities and there is much dispersion in the performance of universities at the country level today. Designing the evaluation system and annual ranking of universities of medical sciences by using the methodology of the present study can lead to the improvement of performance of this system and, consequently, the improvement of heath indicators, by attracting the society and attention of policymakers to the domain of primary and public health care and creating a healthy competition among different regions of the country.

scholarly journals Universal Health Care and political economy, neoliberalism and effects of COVID-19 -- a view of systems and complexity

2021 ◽  
Author(s):  
Chris Peterson ◽  
Christine Walker
Keyword(s):  
Health Care ◽  
Political Economy ◽  
Primary Health Care ◽  
Social Services ◽  
Health Systems ◽  
Complexity Theory ◽  
Universal Health Care ◽  
Primary Health ◽  
Universal Health

Sturmberg and Martin’s application of systems and complexity theory to understanding Universal Health Care (UHC) and Primary Health Care (PHC) is evaluated in the light of the influence of political economy on health systems. Further the role that neoliberal approaches to governance have had in creating increased inequities is seen as a key challenge for UHC. COVID-19 has emphasized long standing discrepancies in health and these disadvantages require government will and cooperation together with adequate social services to redress these discrepancies in UHC.

scholarly journals Building health system resilience in the context of primary health care revitalization for attainment of UHC: proceedings from the Fifth Health Sector Directors’ Policy and Planning Meeting for the WHO African Region

2020 ◽  
Vol 14 (S19) ◽  
Author(s):  
Prosper Tumusiime ◽  
Humphrey Karamagi ◽  
Regina Titi-Ofei ◽  
Michelle Amri ◽  
Aminata Binetou Wahebine Seydi ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Health Systems ◽  
Health Sector ◽  
Health Systems Strengthening ◽  
Health Coverage ◽  
African Region ◽  
Health Service Provision ◽  
Primary Health

Abstract Background The recent 2018 Declaration of Astana recognized primary health care (PHC) as a means to achieve universal health coverage (UHC) and the health-related Sustainable Development Goals (SDGs). Following this declaration, country progress on operationalization of the PHC agenda and attainment of UHC has been stalled by the new challenges posed by the COVID-19 pandemic. The pandemic has also disrupted the continuity of essential health service provision and tested the resilience of the region’s health systems. Methods In accordance with this, the WHO Regional Office for Africa convened the Fifth Health Sector Directors’ Planning and Policy Meeting across the 47 Member States of the Region. The two-day forum focused on building health system resilience to facilitate service continuity during health threats, PHC revitalization, and health systems strengthening towards UHC. Results The Regional Forum provided evidence on building resilient health systems in the WHO African Region and engaged participants in meaningful and critical discussion. It is from these discussions that four key themes emerged: (1) working multisectorally/intersectorally, (2) moving from fragmentation to integration, (3) ensuring implementation and knowledge exchange, and (4) rethinking resilience and embracing antifragility. These discussions and associated groupings by thematic areas lend themselves to recommendations for the WHO. Conclusions This paper details the proceedings and key findings on building resilient health systems, the four themes that emerged from participant deliberation, and the recommendations that have emerged from the meeting. Deliberations from the Regional Forum are critical, as they have the potential to directly inform policy and program design, given that the meeting convenes health sector technocrats, who are at the helm of policy design, action, and implementation.

Communicable diseases, health systems and humanitarian aid in Africa

1994 ◽  
Vol 34 (301) ◽  
pp. 360-367
Author(s):  
Antoine Degrémont
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Present Article ◽  
Health Systems ◽  
Humanitarian Aid ◽  
Present Situation ◽  
Communicable Diseases ◽  
Primary Health

What is the present situation, what are the lessons to be learned and what strategies should be adopted in the field of communicable diseases? These are the issues now facing us, some 15 years past two milestones in the evolution of health care: the Alma Ata Declaration on primary health care and the discovery of the last case of smallpox worldwide. The present article will attempt to address these issues, on the basis of the experience of the Swiss Tropical Institute in Africa.

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