Stefanie Leung, Faculty of Medicine, The University of Sydney Rachel Chapman, Oncology, Prince of Wales Hospital Raimondo Bruno, Department of Psychology, University of Tasmania Michael Lenne, Monash University Accident Research Centre, Monash University Paul Haber, Drug Health Services, South Local Health District Nicholas Lintzeris, Drug and Alcohol Services, South Eastern Sydney Local Health...

DISTRICT DEVELOPMENT Integrated Services how well do they work in practice? S. Fonn , Women's Health Project, Dept of Community Health, University of Witwatersrand Transformation in health services in Tshepo and Kopano Districts, Free State C. Baez , Initiative for Sub-District Support, Health Systems Trust Research into Action: The experience of district health teams in the Eastern Cape J. Irl...

BACKGROUND The supply of appropriate health workers is a key building block in the World Health Organization's model of effective health systems. Primary care teams are stronger if they contain doctors with postgraduate training in family medicine. The contribution of such family physicians to the performance of primary care systems has not been evaluated in the African context. Family physicia...

Faculty members from the Department of Obstetrics & Gynaecology, College of Health Sciences [8] – University of Nairobi [9] Dr. Alfred Osoti [10] and Dr. Rose Kosgei [11], had a meeting with Consultants from Partnerships for Innovative Medical Education in Kenya (PRIME-K) [12] decentralized sites. Institutions represented were: Karatina District Hospital, Pumwani Maternity Hospital, Isiolo Dist...

BACKGROUND Many health policies developed internationally often become adopted at the national level and are implemented locally at the district level. A decentralized district health system led by a district health management team becomes responsible for implementing such policies. This study aimed at exploring the experiences of a district health management team in implementing Emergency Obst...

An efficient disease surveillance system is a prerequisite for an effective disease control programme. It is only when correct and timely reports about disease outbreaks reaches the responsible persons that prompt actions can be taken. Tanzania is in the process of strengthening its infectious disease surveillance system using an integrated approach. However, several constraints hamper the smoo...

BACKGROUND Universal Health Coverage (UHC) has emerged as a major goal for health care delivery in the post-2015 development agenda. It is viewed as a solution to health care needs in low and middle countries with growing enthusiasm at both national and global levels. Throughout the world, however, the paths of countries to UHC have differed. South Africa is currently reforming its health syste...

Abbreviations: A/C: Area in Charges; AFP: Acute Flaccid Paralysis; AFP: Acute Flaccid Paralysis; CNIC: Computerized National Identity Card; cVDPV2: Circulating Vaccine Derived Polio Vaccine Virus type 2; DDM: Direct Dis-imbursement Method; DEWS: Disease Early Warning System; DHMT: District Health Management Team; DHMT: District Health Management Team; DHOs: District Health Offices; DPT: Diphthe...

BACKGROUND Little is known about the barriers to disease prevention and health promotion at the community level--within a decentralized health system. OBJECTIVE This paper, therefore, presents and discusses findings on barriers (and opportunities) for instituting disease prevention and health promotion activities. DESIGN The study was conducted in Kongwa District, Tanzania, using an explora...

STUDY OBJECTIVE The aim was to develop indices of the degree of collaboration between district nurses, general practitioners, and health visitors. DESIGN Semistructured interviews were conducted with each member of a pair of professionals who had patients in common. In each district a stratified random sample of six general practitioners and six community nurses was drawn, and for each a "par...