Objectives We review the current status of pathology services in low- and middle-income countries and propose an “essential pathology package” along with estimated costs. The purpose is to provide guidance to policy makers as countries move toward universal health care systems. Methods Five key themes were reviewed using existing literature (role of leadership; education, training, and contin...

UNLABELLED OBJECTIVES To understand the roles of nurses with advanced training in paediatrics in the Solomon Islands, and the importance of these roles to child health. To understand how adequately equipped child health nurses feel for these roles, to identify the training needs, difficulties and future opportunities. DESIGN Semi-structured interviews. SETTINGS Tertiary hospital, distric...

PROBLEM In hospitals in rural, resource-limited settings, there is an acute need for simple, practical strategies to improve healthcare quality. SETTING A district hospital in remote western Nepal. KEY MEASURES FOR IMPROVEMENT To provide a mechanism for systems-level reflection so that staff can identify targets for quality improvement in healthcare delivery. Strategies for change To develo...

District nurse (DN) care delivery has undergone substantial change in recent years due to changing demographics and service delivery demands that have called for a move of care delivery from secondary to primary care. The title District Nurse is recorded with the Nursing and Midwifery Council (NMC) on completion of the Specialist Practice Qualification in District Nursing (SPQ DN), which purpor...

OBJECTIVE To evaluate the district health management fellowship training programme in the north-west of Iran. DATA SOURCES/STUDY SETTING The programme was introduced to build the managerial capacity of district health managers in Iran. Eighty-nine heads of units in the province's health centre, district health managers and the health deputies of the district health centres in the north-west p...

INTRODUCTION Health care managers and personnel should be aware and literate of health information system in order to increase the efficiency and effectiveness in their organization. Since accurate, appropriate, precise, timely, valid information and interpretation of information is required and is the basis for policy planning and decision making in various levels of the organization. This stu...

While the Health Management Information Systems (HMIS) at the national level in Malawi is integrated, separate health information subsystems operate independently at the district level. For instance computerized Information Systems, such as District Health Information System that stores health data and Drug Logistics Management Information System that stores drug logistics data, operate as sepa...

background avante zambéziais an initiative of a non-governmental organization (ngo), friends in global health, llc (fgh) and the vanderbilt institute for global health (vigh) to provide technical assistance to the mozambican ministry of health (moh) in rural zambézia province. avante zambézia developed a district level health management mentorship (hmm) program to strengthen health systems in t...

OBJECTIVES Several studies have reported the relationship between residents' perceived neighbourhood safety and their health outcomes. However, those studies suffered from unreliability of neighbourhood safety measure and potential residual confounding related to crime rates. In this study, using multilevel analysis to account for the hierarchical structure of the data, we examined associations...

OBJECTIVE To identify the strengths and weaknesses of the devolved district health system from the experiences of different stakeholders, and recommend direction for reforms in the existing system. METHODS Using qualitative exploratory design, the study was conducted in 3 cities of the province of Sindh in Pakistan--Karachi, Khairpur and Larkana--from January to March 2010. Nine in-depth inte...