scholarly journals Does Motivation Contribute on Health Care Provision?

2018 ◽  
Vol 8 (2) ◽  
pp. 315
Author(s):  
Elizabeth Landa
Keyword(s):  
Public Health ◽  
Social Security ◽  
Working Condition ◽  
Health Centre ◽  
Team Work ◽  
Social Security Fund ◽  
Customer Care ◽  
Significant Difference ◽  
Health Centres ◽  
Security Fund

This study aimed to examine the contribution of employee motivation on provision of customer care in public health centres, in Morogoro Municipality. Data were collected from four selected public health institutions namely Morogoro General Hospital, Nunge Health Centre, Mafiga Health Centre and Kingolwila Health Centre respectively. The sample of 124 respondents were used, that is; employees and heads of the health centres. Collected data were coded using SPSS, where frequencies, percentages and chi-square were employed. The study identified that career development, training, appreciation, recognition, membership to the Social Security Fund, team work, working condition, paid leave, housing allowances and acting allowance were, the motivation schemes provided to public health employees. However public health workers are motivated by being a member on social security fund, medical cover, supervision, and job security. The result shows that there is significant difference between the employee who are motivated and those who are not motivated with regard to their provision of customer care to patients. The study concludes that most of the employees are not motivated by the existing motivation schemes which consequences lower their ability to provide the appropriate health services. The study recommends that strategies for improving motivation of employee to improve customer care include increase salary, improve working condition, pay housing allowance to all employees, allowance such as leave, overtime should be paid on time, promotion should be made in appropriate time and fair.

scholarly journals Knowledge and practices regarding malaria and the National Treatment Guidelines among public health workers in Equatorial Guinea

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Marta Blanco ◽  
Pablo Suárez-Sanchez ◽  
Belén García ◽  
Jesús Nzang ◽  
Policarpo Ncogo ◽  
...  
Keyword(s):  
Public Health ◽  
Treatment Guidelines ◽  
Health Workers ◽  
Health Centre ◽  
Regional Hospital ◽  
Malaria Treatment ◽  
Diagnosis And Treatment ◽  
Equatorial Guinea ◽  
Public Health Facilities ◽  
Health Centres

Abstract Background In 2018, an estimated 228 million cases of malaria occurred worldwide. Countries are far from having achieved reasonable levels of national protocol compliance among health workers. Lack of awareness of treatment protocols and treatment resistance by prescribers threatens to undermine progress when it comes to reducing the prevalence of this disease. This study sought to evaluate the degree of knowledge and practices regarding malaria diagnosis and treatment amongst prescribers working at the public health facilities of Bata, Equatorial Guinea. Methods A cross-sectional survey was conducted in October-December 2017 amongst all public health professionals who attended patients under the age of 15 years, with suspected malaria in the Bata District of Equatorial Guinea. Practitioners were asked about their practices and knowledge of malaria and the National Malaria Treatment Guidelines. A bivariate analysis and a logistic regression model were used to determine factors associated with their knowledge. Results Among the 44 practitioners interviewed, 59.1% worked at a Health Centre and 40.9% at the District Hospital of Bata. Important differences in knowledge and practices between hospital and health centre workers were found. Clinical diagnosis was more frequently by practitioners at the health centres (p = 0.059), while microscopy confirmation was more frequent at regional hospital (100%). Intramuscular artemether was the anti-malarial most administrated at the health centres (50.0%), while artemether-lumefantrine was the treatment most used at the regional hospital (66.7%). Most practitioners working at public health facilities (63.6%) have a low level of knowledge regarding the National Malaria Treatment Guidelines. While knowledge regarding malaria, the National Malaria Treatment Guidelines and treatment resistances is low, it was higher amongst hospital workers than amongst practitioners at health centres. Conclusions It is essential to reinforce practitioners’ knowledge, treatment and diagnosis practices and use of the National Malaria Treatment Guidelines in order to improve malaria case management and disease control in the region. A specific malaria training programme ensuring ongoing updates training is necessary in order to ensure that greater experience does not entail obsolete knowledge and, consequently, inadequate diagnosis and treatment practices.

Is the Social Security Fund Solvent?

Challenge ◽  
1958 ◽  
Vol 6 (11-12) ◽  
pp. 25-29
Author(s):  
Edwin E. Witte
Keyword(s):  
Social Security ◽  
Social Security Fund ◽  
The Social ◽  
Security Fund

scholarly journals Understanding equity of institutional delivery in public health centre by level of care in India: an assessment using benefit incidence analysis

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Sanjay K. Mohanty ◽  
Radhe Shyam Mishra ◽  
Suyash Mishra ◽  
Soumendu Sen
Keyword(s):  
Public Health ◽  
Concentration Index ◽  
Institutional Delivery ◽  
Health Centre ◽  
Secondary Level ◽  
Wealth Quintile ◽  
Level Of Care ◽  
Public Subsidy ◽  
Health Centres ◽  
Incidence Analysis

Abstract Background The National Health Mission (NHM), the largest ever publicly funded health programme worldwide, used over half of the national health budget in India and primarily aimed to improve maternal and child health in the country. Though large scale public health investment has improved the health care utilization and health outcomes across states and socio-economic groups in India, little is known on the equity concern of NHM. In this context, this paper examines the utilization pattern and net benefit of public subsidy for institutional delivery by the level of care in India. Methods Data from the most recent round of the National Family Health Survey (NFHS 4), conducted during 2015–16, was used in the study. A total of 148,645 last birth delivered in a health centre during the 5 years preceding the survey were used for the analyses. Out-of-pocket (OOP) payment on delivery care was taken as the dependent variable and was analysed by primary care and secondary level of care. Benefits Incidence Analysis (BIA), descriptive statistics, concentration index (CI), and concentration curve (CC) were used to do the analysis. Results Institutional delivery from the public health centres in India is pro-poor and has a strong economic gradient. However, about 28% mothers from richest wealth quintile did not pay for delivery in public health centres compared to 16% among the poorest wealth quintile. Benefit incidence analyses suggests a pro-poor distribution of institutional delivery both at primary and secondary level of care. In 2015–16, at the primary level, about 32.29% of subsidies were used by the poorest, 27.22% by poorer, 20.39% by middle, 13.36% by richer and 6.73% by the richest wealth quintile. The pattern at the secondary level was similar, though the magnitude was lower. The concentration index of institutional delivery in public health centres was − 0.161 [95% CI, − 0.158, − 0.165] compared to 0.296 [95% CI, 0.289, 0.303] from private health centres. Conclusion Provision and use of public subsidy for institutional delivery in public health centres is pro-poor in India. Improving the quality of service in primary health centres is recommended to increase utilisation and reduce OOP payment for health care in India.

Policies to control the COVID-19 pandemic in Costa Rica

2020 ◽  
Vol 128 (S2) ◽  
pp. S218-S226
Author(s):  
Ronald Evans ◽  
Roger Bonilla ◽  
Roberto Salvatierra
Keyword(s):  
Costa Rica ◽  
Social Security ◽  
Costa Rican ◽  
Mitigation Measures ◽  
Social Security Fund ◽  
Effective Suppression ◽  
Security Fund ◽  
The Government ◽  
Second Wave ◽  
Made In

The objective of this paper is to present a series of policies for the control of the COVID-19 pandemic by the Costa Rican authorities. An exhaustive review of the pandemic control policies was made in the official government media, mainly the Ministry of Health and the Costa Rican Social Security Fund and some collective media. The first wave of the pandemic in Costa Rica was quite mild, allowing the government to address it with a series of quite effective suppression and mitigation measures, which had the unrestricted support of the population. The second wave grew aggressively, causing social discontent due to the economic impact. Due to the ineffectiveness of the “hammer and dance” strategy, the Costa Rican government has rethought that strategy, lifting certain restrictions while recognizing the risk involved in terms of the increase in cases of COVID-19 in cases and deaths.

The Social Security Program and the Private Sector Alternative: Lessons from History

1987 ◽  
Vol 25 (3) ◽  
pp. 239-246
Author(s):  
Jill Quadagno
Keyword(s):  
Social Security ◽  
Private Sector ◽  
The United States ◽  
Social Security Program ◽  
Old Age Security ◽  
Social Security Fund ◽  
The Social ◽  
Security Fund ◽  
Older Citizens ◽  
Relationship Of

As the Social Security program in the United States emerged from the crisis of the 1970s with a solid set of reforms intended to guarantee the program's financial solvency into the twenty-first century, a new attack on the system arose in the form of debates centering around the relationship of the Social Security fund to the federal deficit. Conservative economists used concerns about the national economy as fuel for their own arguments that Social Security has negatively affected the economy and that heavier reliance should be placed on private sector benefits. This paper uses historical evidence to analyze how adequately private sector benefits functioned in the past. Among the conclusions reached are that the private sector failed to provide adequate protection for older citizens, and that benefits were inequitably distributed on the basis of gender and social class. Any tendency toward heavier reliance on the private sector for provisions for old age security would only exacerbate existing inequalities.

scholarly journals E-Government as a Major Factor in the Development of Social Insurance Funds in Ukraine

2020 ◽  
Vol 9 (512) ◽  
pp. 198-204
Author(s):  
D. P. Feklistova ◽  
◽  
D. M. Zagorska ◽  
Keyword(s):  
Social Security ◽  
Social Insurance ◽  
Pension Fund ◽  
Insurance Fund ◽  
Social Insurance System ◽  
Social Security Fund ◽  
Social Insurance Fund ◽  
The Social ◽  
Security Fund ◽  
Security Funds

Social insurance as a system of guaranteeing material support in case of occurrence of insured cases undergoes the process of reforming, the State uses a variety of methods of influence, including achievements of scientific-technological progress. Social security funds were created to provide citizens with a full range of services that provide a decent life. The article is aimed at analyzing the opportunities of social security funds to provide electronic services. The latest changes in the reform of the social insurance system of Ukraine are illuminated. The functions performed by these establishments are considered in order to understand their essence. The concept of «e-government» is described and it is defined that its application influences the improvement of effectiveness of the government policy. The analysis of services of the Pension fund of Ukraine, the Social insurance fund and the Social insurance fund in case of unemployment was carried out. The largest number of electronic services is now provided by the Pension fund of Ukraine, which successfully implements e-government. The Social security fund does not yet provide the opportunity to receive services remotely. The Social security fund in case of unemployment in the aspect of e-government focuses on the employment services of citizens. Recommendations for further development of the social insurance system using electronic services are provided.

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