scholarly journals Development of Government Health System in Sri Lanka during Last Three Decades

2021 ◽  
pp. 1-19
Author(s):  
K. A. N. K. Karunarathna ◽  
J. Sriranganesan
Keyword(s):  
Sri Lanka ◽  
Human Resources ◽  
Health System ◽  
System Development ◽  
Pearson Correlation ◽  
Health Sector ◽  
Annual Reports ◽  
Government Health ◽  
Physical Resources ◽  
Funds Allocation

Aims: Several aspects are associated with the health system. Development in each aspect in health sector is required parallel to the growth of the population of patients. This study was carried out with the intention of investigating the development in physical resources, human resources, and funds allocation for government health system in Sri Lanka. Methodology: This study considered the development within the period from 1987 to 2019. Necessary data were collected from the annual reports of central bank of Sri Lanka. Data for physical resources, human resources, patients, and expenditures were gathered. Parallel developments of these aspects were analyzed by using descriptive and confirmatory techniques: Pearson’ correlation and canonical correlation. Apart from that some graphical techniques and summary measures were also used in the analysis. Results: Number of both in-patients and out-patients has rapidly increased during this period, while expenditure on the health system also has exponentially grown. However, percentage of GDP allocated for health system has remained almost same. There can be seen a reasonable development in both human resources and physical resources. Conclusion: Even though, health system has been developed to a greater extent, developments in some aspects are not parallel to the development in other aspects. However, further development is needed to meet the growing demand for health services due to increasing population of patients.

scholarly journals Examining health sector stakeholder perceptions on the efficiency of county health systems in Kenya

2021 ◽  
Vol 1 (12) ◽  
pp. e0000077
Author(s):  
Lizah Nyawira ◽  
Rahab Mbau ◽  
Julie Jemutai ◽  
Anita Musiega ◽  
Kara Hanson ◽  
...  
Keyword(s):  
Human Resources ◽  
Health System ◽  
Health Systems ◽  
Human Resources For Health ◽  
Health Sector ◽  
System Efficiency ◽  
Finance Management ◽  
Political Interests ◽  
Management Capacity ◽  
Health System Efficiency

Efficiency gains is a potential strategy to expand Kenya’s fiscal space for health. We explored health sector stakeholders’ understanding of efficiency and their perceptions of the factors that influence the efficiency of county health systems in Kenya. We conducted a qualitative cross-sectional study and collected data using three focus group discussions during a stakeholder engagement workshop. Workshop participants included health sector stakeholders from the national ministry of health and 10 (out 47) county health departments, and non-state actors in Kenya. A total of 25 health sector stakeholders participated. We analysed data using a thematic approach. Health sector stakeholders indicated the need for the outputs and outcomes of a health system to be aligned to community health needs. They felt that both hardware aspects of the system (such as the financial resources, infrastructure, human resources for health) and software aspects of the system (such as health sector policies, public finance management systems, actor relationships) should be considered as inputs in the analysis of county health system efficiency. They also felt that while traditional indicators of health system performance such as intervention coverage or outcomes for infectious diseases, and reproductive, maternal, neonatal and child health are still relevant, emerging epidemiological trends such as an increase in the burden of non-communicable diseases should also be considered. The stakeholders identified public finance management, human resources for health, political interests, corruption, management capacity, and poor coordination as factors that influence the efficiency of county health systems. An in-depth examination of the factors that influence the efficiency of county health systems could illuminate potential policy levers for generating efficiency gains. Mixed methods approaches could facilitate the study of both hardware and software factors that are considered inputs, outputs or factors that influence health system efficiency. County health system efficiency in Kenya could be enhanced by improving the timeliness of financial flows to counties and health facilities, giving health facilities financial autonomy, improving the number, skill mix, and motivation of healthcare staff, managing political interests, enhancing anticorruption strategies, strengthening management capacity and coordination in the health sector.

scholarly journals Examining Health Sector Stakeholder Perceptions on the Efficiency of County Health Systems in Kenya

2020 ◽  
Author(s):  
Lizah Nyawira ◽  
Rahab Mbau ◽  
Julie Jemutai ◽  
Kara Hanson ◽  
Sassy Molyneux ◽  
...  
Keyword(s):  
Public Finance ◽  
Human Resources ◽  
Health System ◽  
Health Systems ◽  
Human Resources For Health ◽  
Health Sector ◽  
System Efficiency ◽  
Efficiency Gains ◽  
Finance Management ◽  
Health System Efficiency

Efficiency gains is a potential strategy to expand Kenyas fiscal space for health. We explored health sector stakeholders understanding of efficiency and their perceptions of the factors that influence the efficiency of county health systems in Kenya. We collected data during a stakeholder engagement workshop. Workshop participants included health sector stakeholders from the national ministry of health and 10 (out 47) county health departments, and non-state actors in Kenya. We divided stakeholders into three groups and carried out facilitated group discussions followed by whole group feedback and discussion session. A total of 25 health sector stakeholders participated. We analysed data using a thematic approach. Health sector stakeholders indicated the need for the outputs and outcomes of a health system to be aligned to community health needs. They felt that both hardware aspects of the system (such as the financial resources, infrastructure, human resources for health) and software aspects of the system (such as health sector policies, public finance management systems, actor relationships) should be considered as inputs in the analysis of county health system efficiency. They also felt that while traditional indicators of health system performance such as intervention coverage or outcomes for infectious diseases, and reproductive, maternal, neonatal and child health (RMNCH) are still relevant, emerging epidemiological trends characterized by an increase in the burden of non-communicable diseases (NCDs) should also be considered. The stakeholders identified public finance management, human resources for health, political interests, corruption, management capacity, and poor coordination as factors that influence the efficiency of county health systems. An in-depth examination of the factors that influence the efficiency of county health systems could illuminate potential policy levers for generating efficiency gains. Mixed methods approaches could facilitate the study of both hardware and software factors that are considered inputs, outputs or factors that influence health system efficiency.

scholarly journals Community context of health system development: implications for health sector reform in Pakistan

2021 ◽  
Vol 9 (3) ◽  
pp. 464-471
Author(s):  
M. A. Mahmood ◽  
J. Moss ◽  
R. Karmaliani
Keyword(s):  
Health System ◽  
System Development ◽  
Health Sector ◽  
Organizational Factors ◽  
Community Context ◽  
Health Sector Reform ◽  
Health Providers ◽  
Urban District ◽  
Sector Reform ◽  
Health Service Provision

To describe local sociopolitical and organizational factors that influence health system development in Karachi, Pakistan, we conducted participant observation while working with health providers and communities in one urban district to reorient services towards a primary health care district health system. We found that the community characteristics, particularly the diverse socialpolitical and cultural make-up and organizational complexity that involved multiple levels of government, influenced efforts towards collaboration and shaped the development of the health system. We conclude that for effective implementation of health sector reform there is a need to comprehend fully the community context and complexity of existing health service provision

scholarly journals The Relationship Between Distribution of Human Resources Distribution and Performance Indicators of Hospitals Before and After Implementation of Health System Evolution Plan in Iran

2020 ◽  
Author(s):  
Hossein Dargahi ◽  
Golsa Shaham
Keyword(s):  
Human Resources ◽  
Health System ◽  
Performance Indicators ◽  
Pearson Correlation ◽  
Public Hospitals ◽  
Medical Sciences ◽  
System Evolution ◽  
Before And After ◽  
And Performance ◽  
The Relationship

The implementation of the Health System Evolution Plan has resulted in an increase in the rate of patient’s referral to hospitals of medical universities, and thus, hospitals’ performance indicators. The aim of the present study is to investigate the changes in hospital indicators after the implementation of the Health System Evolution Plan and the relationship between this plan and distribution of human resources in hospitals of Tehran University of Medical Sciences. This was a descriptive-analytical and cross-sectional study. The research population consisted of information about human resources and performance indicators before and after the implementation of the Health System Evolution Plan in the hospitals. The research tool was a data collection form. The collected data were analyzed in SPSS software, and analytical results were obtained using the Pearson correlation test and Two Sample t-test. The results showed that there was a significant relationship between hospitals performance indicators and the distribution of human resources after the implementation of the Health System Evolution Plan. In fact, this plan has increased the deficit of nursing and paraclinical staff. In addition, the results showed as hospitals’ performance indicators have increased, more human resources has been recruited in these hospitals. The success of Implementation of Health System Evolution Plan and development of general hospitals indicators need comprehensive. Planning for retainment of all groups of health workers and paying attention to appropriate distribution of physicians, nurses, and paraclinical staff in public hospitals and finally a comprehensive review of human resources standards by the Iranian Ministry of Health. © 2019 Tehran University of Medical Sciences. All rights reserved. Acta Med Iran 2019;57(8):510-517.

Data Visualization Indicator Disease (Malaria, Dengue Fever, and Measles) in The Year 2012-2015

2017 ◽  
Vol 4 (2) ◽  
pp. 87-93
Author(s):  
Immanuel Luigi Da Gusta ◽  
Johan Setiawan
Keyword(s):  
Data Mining ◽  
Human Resources ◽  
Data Visualization ◽  
Health Sector ◽  
Medical Personnel ◽  
Database Systems ◽  
Process Time ◽  
Acceptance Test ◽  
Visual Data Mining ◽  
The Government

The aim of this paper are: to create a data visualization that can assist the Government in evaluating the return on the development of health facilities in the region and province area in term of human resources for medical personnel, to help community knowing the amount of distribution of hospitals with medical personnel in the regional area and to map disease indicator in Indonesia. The issue of tackling health is still a major problem that is not resolved by the Government of Indonesia. There are three big things that become problems in the health sector in Indonesia: infrastructure has not been evenly distributed and less adequate, the lack of human resources professional health workforce, there is still a high number of deaths in the outbreak of infectious diseases. Data for the research are taken from BPS, in total 10,600 records after the Extract, Transform and Loading process. Time needed to convert several publications from PDF, to convert to CSV and then to MS Excel 3 weeks. The method used is Eight-step Data Visualization and Data Mining methodology. Tableau is chosen as a tool to create the data visualization because it can combine each dasboard inside a story interactive, easier for the user to analyze the data. The result is a story with 3 dashboards that can fulfill the requirement from BPS staff and has been tested with a satisfied result in the UAT (User Acceptance Test). Index Terms—Dashboard, data visualization, disease, malaria, Tableau REFERENCES [1] S. Arianto, Understanding of learning and others, 2008. [2] Rainer; Turban, Introduction to Information Systems, Danvers: John Wiley & Sons, Inc, 2007. [3] V. Friedman, Data Visualization Infographics, Monday Inspirition, 2008. [4] D. A. Keim, "Information Visualization and Visual Data Mining," IEEE Transactions on Visualization and Computer Graphics 8.1, pp. 1-8, 2002. [5] Connolly and Begg, Database Systems, Boston: Pearson Education, Inc, 2010. [6] E. Hariyanti, "Pengembangan Metodologi Pembangunan Information Dashboard Untuk Monitoring kinerja Organisasi," Konferensi dan Temu Nasional Teknologi Informasi dan Komunikasi untuk Indonesia, p. 1, 2008. [7] S. Darudiato, "Perancangan Data Warehouse Penjualan Untuk Mendukung Kebutuhan Informasi Eksekutif Cemerlang Skin Care," Seminar Nasional Informatika 2010, pp. E-353, 2010.

Governance

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Global Health ◽  
Health System ◽  
Global Governance ◽  
Health Sector ◽  
Nation State ◽  
System A ◽  
Health Strategy ◽  
External Forces ◽  
Globalized World ◽  
Global Governance For Health

This chapter focuses on governance, a key building block of a health system. A government is responsible for the health of its people. It sets the health strategy and oversees the implementation of health programs. External forces and actors influence the governance of the health sector. This chapter explores governance of health from the perspective of the nation-state coordinating its own health system (sometimes called governance for global health). The chapter examines the internal and external forces that influence national governance for global health. The chapter also looks beyond the level of the nation-state to explore the concept of global governance for health. In the interconnected and globalized world, global governance for health is needed to coordinate the geopolitical forces that impact health and its social determinants.

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