The shortage of adequate facilities and qualified staff at district and community level means that tertiary eye care services in Viet Nam have been overburdened by high volumes of patients, not all of whom needed tertiary-level care. In Quang Nam province, an additional challenge is the mountainous terrain, which makes travel very difficult. To help reduce the pressure on tertiary centres and i...

OBJECTIVE To determine differences in the incidence of epilepsy associated with deprivation. DESIGN Cross-sectional study of new cases of epilepsy presenting over 3 years linked to census based population and deprivation data. SETTING Norfolk UK. PATIENTS Children aged 29 days to 14 years presenting to the only district hospital serving the study area. INTERVENTIONS None. MAIN OUTCOME...

SETTINGS Partners In Health Rwanda, in collaboration with the Ministry of Health, leads a multipronged approach to develop research capacity among health workers, particularly in rural areas. OBJECTIVES To describe the characteristics of participants and to assess the impact of an introductory research seminar series in three district hospitals in rural Rwanda. DESIGN This was a retrospecti...

BACKGROUND The hierarchical pyramid inside Spanish public hospitals was radically changed by the Health Reform Law promulgated in 1986. According to it, the manpower of the hospitals was divided into three divisions (Medical, Nursing, General Services/Administration), which from then on occupied the same level, only subject to the general manager. Ten years after the implementation of the law, ...

This article investigates impacts of hospital autonomization in Viet Nam employing a "decision-space" framework that examines how hospitals have used their increased discretion and to what effect. Analysis suggests autonomization is associated with increased revenue, increasing staff pay, and greater investment in infrastructure and equipment. But autonomization is also associated with more cos...

Fig 1 is incorrect. The authors have provided a corrected version here. There is an error in the second sentence of the Results section. The correct sentence is: Our analysis is restricted to the 64 facilities offering delivery care: Eleven hospitals (one large public regional hospital, four public district hospitals, two private hospitals and four Christian hospitals), eleven private maternity...

The re-engineering of primary healthcare (PHC) is regarded as an essential precursor to the implementation of National Health Insurance in South Africa, but improvements in the provision of PHC services have been patchy. The authors contend that the role of well- functioning rural district hospitals as a hub from which PHC services can be most efficiently managed has been underestimated, and th...

Two year (1998 and 1999) extensive survey was carried out in Mandya district hospital, Karnataka for a period of three years to monitor the prevalence of Staphylococcus aureus, Pseudomonas aeruginosa (S. aureus and Ps. aeruginosa) from the indoor air samples of operation theater labor room, children's ward, male and female general wards postoperative wards etc. A rotary air sampler loaded with ...

About one-third of the general practices in the Oxfordshire Health District have access to beds in community hospitals as well as district general hospitals. Hospital Activity Analysis data were used to calculate the average number of hospital beds occupied daily by patients registered with each general practice in the district. Practices with and without access to community hospitals were comp...

BACKGROUND Most sub-Saharan African countries struggle to make safe surgery accessible to rural populations due to a shortage of qualified surgeons and the unlikelihood of retaining them in district hospitals. In 2002, Zambia introduced a new cadre of non-physician clinicians (NPCs), medical licentiates (MLs), trained initially to the level of a higher diploma and from 2013 up to a BSc degree. ...