scholarly journals Internal control and quality service delivery in a public health sector: A case study of a Local Government in Uganda

2019 ◽  
Vol 13 (16) ◽  
pp. 557-563
Author(s):  
Otieno Ong’unya Gordon ◽  
Abbey Kalenzi
2020 ◽  
Vol 18 (2) ◽  
pp. 149
Author(s):  
Mohammed Mustapha Namadi

Corruption is pervasive in Nigeria at all levels. Thus, despite recent gains in healthcare provision, the health sector faces numerous corruption related challenges. This study aims at examining areas of corruption in the health sector with specific focus on its types and nature. A sample size of 480 respondents aged 18 years and above was drawn from the eight Metropolitan Local Government Areas of Kano State, using the multistage sampling technique. The results revealed evidence of corrupt practices including those related to unnecessary-absenteeism, diversion of patients from the public health facilities to the private sector, diverting money meant for the purchase of equipment, fuel and diesel, bribery, stealing of medications, fraud, misappropriation of medications and unjustifiable reimbursement claims. In order to resolve the problem of corrupt practices in the healthcare sector, the study recommended the need for enforcement of appropriate code of ethics guiding the conduct of the health professionals, adoption of anti-corruption strategies, and strengthening the government monitoring system to check corruption in public health sector in order to ensure equitable access to healthcare services among the under-privileged people in the society.


2019 ◽  
Vol 15 (3) ◽  
pp. 321-329
Author(s):  
Christian Díaz de León-Castañeda ◽  
Jéssica Gutiérrez-Godínez ◽  
Juventino III Colado-Velázquez ◽  
Cairo Toledano-Jaimes

Author(s):  
Ieva_Daniela Beinarovica

Due to globalization and continuous development and mutation and development of various pathogens, infectious diseases have transcended the public health sector and become issues of Global Public Health Security. Influenza – an infectious disease that is both a cyclical, yearly occurrence and the cause of several deadly global pandemics – regularly challenges the public health sector thus providing opportunities for policy learning and evidence bases policy change. By applying the Algorithm for continuous analysis of policy learning and change, this publication investigates whether and how policy learning and change took place in Latvia after the 2006/2007 influenza season, when a record number of infection cases was registered. Although the conclusions of this publication cannot be generalized, it provides valuable insights for future research, especially for the analysis of the management of the Covid-19 pandemic in Latvia.


2009 ◽  
Vol 25 (2) ◽  
pp. 430-435 ◽  
Author(s):  
M. Y. Makuch ◽  
C. A. Petta ◽  
M. J. D. Osis ◽  
L. Bahamondes

2020 ◽  
Vol 6 ◽  
pp. 1
Author(s):  
Mary W Theuri ◽  
Stephen Macharia ◽  
Alice Kamau ◽  
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Globally, the health sector is an area that any government must focus on since health is a right of every human being. Kenya particularly initiated the idea of devolution and the Big Four Agenda to ensure service delivery to citizens was achieved. Nevertheless, the situation in the public health sector has been encountering challenges due to dissatisfaction of personnel culminating in strikes. The objective of this study was to explore the effect of the working environment on service delivery in the health sector in Nyeri County, Kenya. The study was guided by the person–environment fit theory. The descriptive cross-sectional research design was used. The target population was derived from public hospitals in Nyeri County. Proportionate stratified random sampling was utilized, where 141 respondents were targeted, comprising doctors, clinical officers, and nurses. Data was collected using a closedended questionnaire. A pilot study was conducted at Mukurwe-ini Hospital to enhance the validity and reliability of the data-collection instrument. A Cronbach alpha coefficient of 0.7 was used to ascertain the reliability of the instrument. Data was analyzed using descriptive and inferential statistics from the 78.7% respondents. The findings established that the working environment had positive and significant effects on service delivery (β1 = 0.476, p-value = 0.000) at the 5% level of significance, hence rejecting the null hypothesis. The study further established that the public health sector in Kenya should address the drug shortage, medical staff working hours, and machine maintenance as they would adversely affect quality of service delivery. The study recommends that the public health sector should provide health workers a conducive working environment and all necessary tools and equipment to enable them to discharge their duties effectively with a view to enhance service delivery to patients. Future research should focus on the importance of on–the-job training for effective service delivery in the public health sector.


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