OBJECTIVES To understand the logistics and supply management system of drugs at different levels within the district health care delivery system of Dharbanga in Bihar. METHOD This was a cross-sectional study in 3 Primary Health Centres (PHCs), 3 Additional Primary Health Centres (APHCs) and 6 Subcentres (SCs) during September-December 2008. The study subjects were Civil Surgeon, Pharmacists, ...

conclusions torghabeh - shandiz district with a rural texture is endemic for anthroponotic cutaneous leishmaniasis (acl). further studies are recommended to discover the vectors and probable reservoirs in these areas. results of 164 samples obtained from the skin lesions of the patients referred to the torghabe - shandiz health centers, leishmania dna was isolated from 136 smears by pcr method....

Burundi recently introduced two fundamental reforms to its health system: a district health system (DHS) and performance-based financing (PBF) of the healthcare facilities. The authors of this article set out to conduct a simultaneous trial on implementation of DHS and PBF. The assessment refers to the six building blocks of health systems proposed by the WHO, and demonstrates that PBF can eith...

The basic strategy of the Ministry of Health to achieve Health For All In Indonesia 2010 is through health paradigm, decentralization, professionalism and health service management. Community health centers play an important role to achieve the goal. Unfortunately, underutilization of community health centers is still a problem in Purworejo. The purpose of this study was to know the utilization...

PROBLEM Maternal mortality in Uganda has remained unchanged at 500/100 000 over the past 10 years despite concerted efforts to improve the standard of maternity care. It is especially difficult to improve standards in rural areas, where there is little money for improvements. Furthermore, staff may be isolated, poorly paid, disempowered, lacking in morale, and have few skills to bring about cha...

Hypertensive disorders of pregnancy are the third most common cause of maternal mortality worldwide, and the proportion of deaths resulting from these disorders is increasing [1,2]. Proper management begins with correct diagnosis and appropriate referral decisions. Within maternity referral networks in low-resource countries, rural healthcare workers are the first to identify hypertension, whic...

South Africa made a decision in 2002 to develop so-called mid-level medical workers, now known as clinical associates. This article describes the background to this decision, and the national process of developing the profession and its scope of practice, which was aligned with the needs of the health service, particularly those of rural district hospitals. A common national curriculum was then...

BACKGROUND Robust health systems are required for the promotion of child and adolescent mental health (CAMH). In low and middle income countries such as Uganda neuropsychiatric illness in childhood and adolescence represent 15-30 % of all loss in disability-adjusted life years. In spite of this burden, service systems in these countries are weak. The objective of our assessment was to explore s...