Restructing the Health Sector: Economic Perspectives in Developing Countries

Health Policy ◽  
1992 ◽  
Vol 21 (1) ◽  
pp. 91
Author(s):  
Wahyu Sulistiadi ◽  
Siti Nurhidayah ◽  
Al Asyary

An emergency can happen anywhere and anytime, especially in developing countries with a high potential for emergencies, such as Eastern European countries as well as Indonesia. This study aimed to find out the quality of PSC 119 Si Slamet as a prehospital emergency service innovation. The data collection in this study was carried out in a location, namely, Batang Regency, Indonesia, in May–June 2018. The qualitative data collection methods used in this study are in-depth interviews and document reviews. This study was using Service Quality (Servqual) questionnaire. The results show that PSC 119 Si Slamet provides easy access to emergency services to the community 24 hours a day and 7 days a week by simply calling 119 numbers, sending messages via SMS and WhatsApp, or using the Android-based application, with a maximum response time target of 10 minutes. Batang is one of the regencies (rural area) in Central Java province, located on the main coastline, with a hilly geographic condition with many derivatives, climbs, and sharp curves, which is one of the causes of the high number of traffic accidents in the area. This emergency care information systems, with Android-based application, was aimed at improving the quality of services in the health sector, especially emergency services. This service is of good quality as seen from the tangible, reliability, responsiveness, assurance, and empathy dimensions. However, in the implementation, the socialization aspect is not the best to some people. The recommendation given was the need to increase the PSC 119 socialization of Si Slamet not only regionally but also internationally to be massive, especially in developing countries.


2019 ◽  
Vol 17 (1) ◽  
pp. 133-152
Author(s):  
Nurat Kehinde Adeyemi

Despite concerted efforts made by United Nations and other health agencies to reduce Maternal Mortality Rate (MMR) through Skilled Birth Attendants (SBAs) and use of healthcare facilities, report reveals that Traditional Birth Attendants (TBAs) still have a place in maternal healthcare in developing countries. This paper examines causes, treatment and consequences of Post-Partum Haemorrhage (PPH) from TBAs’ perspectives in Osun State, Southwestern Nigeria. The study adopted qualitative method of data collection (In-depth Interview and Focus Group Discussion). Results show some similar (Tone, Trauma, Tissue and Thrombin) as obtained from medical literature and some divergent causes of PPH which includes: consumption of Potassium, intoxicants, dairy product, junks and iron tablets at advanced stage of pregnancy. This implies that substance/food consumption has implication on maternal health. TBAs’ treatment techniques for PPH include: use of powdery substances, concoctions, herbs and roots, and sometimes use of animal parts. Consequences of PPH include: organ failure, respiratory disorder, infection, fever, vomiting, anaemia and loss of fertility. WHO has revealed that misoprostol is effective in treating PPH in home delivery in developing countries. Reducing MMR due to PPH and achieving development in health sector in Nigeria therefore, requires training Nigeria TBAs on the proper administration of misoprostol.


2012 ◽  
pp. 14-33
Author(s):  
Roberta Bernardi

The objective of the chapter is to discuss how Information Technology can mitigate constraints to policy implementations stemming from a highly contested context. Main recommendations have been drawn by discussing main challenges met by Kenya in the restructuring of its health Information Systems as demanded by health sector reforms. The discussion will focus on how Information Technology can be used to limit the drawbacks of a highly contested policy context, mediate between global and local interests, and mitigate resistance to change. The chapter concludes with main recommendations on how to extend research on the implications of software designs in implementing public sector reforms and other policies in developing countries.


2021 ◽  
pp. 301-322
Author(s):  
Thein T. Htay ◽  
Yu Mon Saw ◽  
James Levinson ◽  
S.M. Kadri ◽  
Ailbhe Helen Brady ◽  
...  

The purpose of this chapter is to underscore the role of an integrated stewardship process and decentralization of healthcare services through high standards of governance towards effective health policies in developing countries. Changing disease patterns and challenging health status in developing countries calls for a rigorous monitoring and evaluation of prevailing health systems so that their new health policies be able to tackle these emerging health needs. Three stages of health transition and globalization have highlighted their impacts on health problems and health policies. The optimal composition and interactions of actors in health policy have influenced the strategic directions and policy implementation. In implementing the global and national health policies within the context of health system strengthening, national policies will better assure that health priorities in local settings are addressed and country-led while international assistance supports the health sector priorities. With the creation of the Millennium Development Goals (MDGs) and now the Sustainable Development Goals (SDGs), more attention is being given in these countries to policies and programmes which are results- and outcome-oriented. Possible strategies to improve health policy and the overall status of health in developing countries are recommended including Universal Health Coverage and the SDGs, among others.


Author(s):  
Aradhana Srivastava

This chapter highlights the major issues in the use of broadband technologies in health care in developing countries. The use of Internet technologies in the health sector has immense potential in developing countries, especially in the context of public health programs. Some of the main uses of information and communication technologies (ICT) in health include remote consultations and diagnosis, information dissemination and networking between health providers, user groups, and forums, Internet-based disease surveillance and identification of target groups for health interventions, facilitation of health research and support to health care delivery, and administration. The technology has immense potential, but is also constrained by lack of policy direction, problems with access to technology, and lack of suitable infrastructure in developing nations. However, given its crucial role in public health, comprehensive efforts are required from all concerned stakeholders if universal e-health is to become a reality.


1990 ◽  
Vol 11 (1) ◽  
pp. 335-358 ◽  
Author(s):  
W H Mosley ◽  
D T Jamison ◽  
D A Henderson

2012 ◽  
Vol 2 (1) ◽  
Author(s):  
Masita Rinaldia Hidajah R

Indonesia is one of the developing countries and  listed as number seven rank in the world as a country with problems with the disease. Increasing prosperity in developing countries and changes in lifestyle lead to increased prevalence of degenerative diseases one of them with diabetes mellitus (DM). Patients with diabetes mellitus need support from other families also need support from professionals in the health sector such as doctors, nurses, pharmacy. With the support - support that is given so that it can improve the quality of life of people and with diabetes mellitus.             This study aimed to profile the compliance in the use of oral hypoglycemic glibenclamide. This research was conducted using descriptive research design. Samples were taken from patients with type 2 diabetes mellitus patients in health centers Kedungkandang Malang. Research done by giving questionnaires and visits from the remaining drug count glubenklamid obtained.             From the description of the questions is obtained for 73.3% never received an explanation from the pharmacist and 70% of patients did not request an explanation from the pharmacist. Amounted to 86.7% of patients knew the use of drug glibenclamide. 56.7% of patients returned to the clinic every drug out and amounted to 50% of patients received support from family. Patients using the drug each day with a percentage of 53.3% and 66.7% of information on how to read and drink a patient using the drug in accordance with the percentage dose of 70% and use drug the morning before eating with a percentage of 46.7% and 63.33% and patients who never experienced drug side effects of 76.7%. From the calculation of drug remaining is calculated from the sum of all the samples showed results of 83.3% compliance. So the usage of drug compliance glibenclamide in patients with type 2 Diabetes in Primary Health Care Melllitus Kedungkandang Malang by 83.3%.


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