Since 1974 the National Health Service (NHS) has been subject to successive reorganisations which have shaped and reshaped patterns of administration, clinical care and services. This paper uses two sources of oral evidence: a Witness Seminar with a group of administrators who attended the NHS National Administrators' Training Scheme in the late 1950s and a collection of interviews with doctors...

In the initial phase of a threefold research design, a survey was mailed to a random sample of 600 jails with capacities of between 20 and 50 (as rated in the 1991 American Jail Association’s directory of jail administrators) to gather information on the types of mental health services available, facility-specific characteristics, and overall effectiveness of mental health programs. Data for la...

BACKGROUND Health facility births contribute to the prevention of maternal deaths. Although theoretical and empirical evidence suggest that social network characteristics influence facility delivery, examination of this relationship in sub-Saharan Africa is limited. We determined whether network structural and functional characteristics were associated with, or had an interactive effect on heal...

This paper examines Head Start parents' perceptions of preventive health and healthy lifestyle choices and Head Start administrators' perceptions of the needs of parents they serve. To address the preventive health of the population, it is necessary that we explore perceptions, risks, and protective factors of preventive health. Focus groups were conducted with parents and administrators to eli...

Background. An effective designation of health facilities improves the facility’s ability to respond patients’ legitimate expectations. Limited evidence exists regarding association between system responsiveness and financial fairness in Sub-Saharan Africa, particularly Ethiopia. The purpose study was, therefore evaluate among insured uninsured outpatients primary healthcare determine insurance...

BACKGROUND Maternal mortality remains high in sub-Saharan Africa. Health facility intra-partum strategies with skilled birth attendance have been shown to be most effective to address maternal mortality. In Zambia, the health policy for pregnant women is to have facility childbirth, but less than half of the women utilize the facilities for delivery. 'Born before arrival' (BBA) describes childb...