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...

Despite the fact that influenza vaccine is an important health resource, the structure and organization of the US vaccine manufacturing system has produced influenza vaccine shortages or distribution delays in five out of the last six influenza seasons. These shortages have produced the need for local public health officials to develop protocols for rationing and redistributing influenza vaccin...

background in early 1990s, tanzania like other african countries, adopted health sector reform (hsr). the most strongly held centralisation system that informed the nature of services provision including health was, thus, disintegrated giving rise to decentralisation system. it was within the realm of hsr process, user fees were introduced in the health sector. along with user fees, various typ...

Climate change will increase the frequency and magnitude of extreme weather events and create risks that will impact health care facilities. Health care facilities will need to assess climate change risks and adopt adaptive management strategies to be resilient, but guidance tools are lacking. In this study, a toolkit was developed for health care facility officials to assess the resiliency of ...

US health officials said yesterday that their agencies do not have enough money to respond to the threat to public health posed by the Zika virus and called on Congress to appropriate the $1.9bn (£1.3bn; €1.7bn) in emergency funding that President Barack Obama requested. The president sought the funding in February, but Republicans in Congress, who control the House of Representatives and the S...