The consultants in the South West Surrey District Health Authority are totally opposed to the cuts in acute services that they are expected to sustain. During their campaign against the cuts the consultant from the acute unit management team has spoken at three meetings of the district health authority. The editor and health reporter of the local newspaper have been kept informed and there have...

BACKGROUND To bring down its high maternal mortality ratio, Burkina Faso adopted a national health policy in 2007 that designed to boost the assisted delivery rate and improving quality of emergency obstetrical and neonatal care. The cost of transportation from health centres to district hospitals is paid by the policy. The worst-off are exempted from all fees. METHODS The objectives of this ...

Background Decentralisation in the health sector has been promoted in low- and middle-income countries (LMICs) for many years. Inherently, decentralisation grants decision-making space to local level authorities over different functions such as: finance, human resources, service organization, and governance. However, there is paucity of studies which have assessed the actual use of decisi...

INTRODUCTION As part of ongoing efforts to restructure the health sector and improve health care quality, the Ministry of Health and Social Services (MoHSS) in Namibia sought to update staffing norms for health facilities. To establish an evidence base for the new norms, the MoHSS supported the first-ever national application of the Workload Indicators of Staffing Need (WISN) method, a human re...

Ipswich Hospital Emergency Department played a vital role in the Post Acute Treatment in the Home Program (PATH) of West Moreton District Health Service. PATH used two strategies to reduce the district reliance on acute hospital beds: a short-stay unit for rapid assessment, treatment and early discharge of patients with simple conditions; and a hospital-in-the-home program utilising community h...

Background In today’s local health systems in lowand middle-income countries, district health management teams, together with local authorities, bear the responsibility for health sector performance. This infers not only a responsibility for coordination of the multiple actors in pluralistic health systems and the organisation of services and programmes, but also for ensuring accountability tow...

Aim:-Hospital based study from April 2005 to March 2011 conducted among the population to determine the prevalence of cataract in Thiruvananthapuram district of Kerala state of India. Methodology:-The data’s collected from registers of ophthalmology department of district hospital Regional Institute of Ophthalmology and private hospital in Thiruvananthapuram district to access the gender preval...

OBJECTIVE The cost burden (called full cost) of providing health services at a referral, a district and a mission hospital in Ghana were determined. METHODS Standard cost-finding and cost analysis tools recommended by World Health Organization are used to analyse 2002 and 2003 hospital data. Full cost centre costs were computed by taking into account cash and non-cash expenses and allocating ...

BACKGROUND Improving maternal health is one of the eight Millennium Development Goals. It is widely accepted that the use of maternal health services helps in reducing maternal morbidity and mortality. The utilization of maternal health services is a complex phenomenon and it is influenced by several factors. Therefore, the factors at different levels affecting the use of these services need to...