The Outcomes of an Exploration of Maternity Models of Care and Allied Health Service Delivery in the Public Sector across Victoria, Australia

2013 ◽  
Author(s):  
Melissa Buultjens ◽  
Priscilla Robinson ◽  
Gregory Murphy ◽  
Jeannette Milgrom
Keyword(s):  
Public Sector ◽  
Health Service ◽  
Service Delivery ◽  
Allied Health ◽  
Health Service Delivery ◽  
Models Of Care ◽  
The Public

scholarly journals Gender disparity in the physicians in public sector in Bangladesh: a mixed-method exploratory study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
I Tuly ◽  
D Bhattacharyya ◽  
S Shafique ◽  
S h Hossain ◽  
I Anwar
Keyword(s):  
Public Sector ◽  
Health Service ◽  
Service Delivery ◽  
Health Systems ◽  
Mixed Method ◽  
Exploratory Study ◽  
Health Service Delivery ◽  
Female Physicians ◽  
District Health ◽  
The Public

Abstract Background Gender equality is needed in health service delivery systems to support universal health coverage (UHC). Women are reluctant to visit male doctors for medical problems. However, number of female doctors is inadequate in many low and middle income countries (LMICs) which is a challenge for establishing gender-sensitive health system. We explored the production and distribution of female physicians in the public sector in Bangladesh to support policy for actions. Methodology This is a mixed-method exploratory study using documentary review; Key Informant Interviews and secondary data analysis. Multiple stakeholder consultations and a policy dialogue were organized to validate the study findings. Results An increasing trend of female medical students was observed since 2011 in admission. In 2018, out of total 5528 students enrolled, 54% were female whereas 46% were male. However, fewer female doctors were enrolled in the public service compared to their male peers. The male-female ratio was almost 2:1 in the public sector. Out of 471 sub-district health managers, 52 were female; out of 64 district health mangers only one was female; and out of 8 Division Directors only one was female. Female doctors reported to face practical problems in rural settings with regard to housing, safety and security. There is no provision of deploying married couples at the same or nearby health facilities. All these compelled female doctors to quit rural posting or even the government service. Moreover, female physicians prefer certain specialties such as obstetrics and gynaecology, medicine and certain basic subjects which may create more gender imbalance in service delivery system. Conclusions In adequate number of female physicians in public sector and their retention in rural areas is a major concern for the health systems in Bangladesh. Policy attention is needed to take necessary steps to make gender-responsive health systems to improve health service to achieve UHC. Key messages Poor presence of female physicians in deployed doctors in public sector in Bangladesh creates problems in health service delivery and is becoming a major concern for the health systems in Bangladesh. Policy needs to take remedial measures to make women-friendly working environment in the public sector hospitals in Bangladesh to provide health service delivery for all leaving no one behind.

The Politics of Health Devolution in the Philippines: Experiences of Municipalities in a Devolved Set-up

2004 ◽  
Vol 25 (1) ◽  
pp. 25-54
Author(s):  
Maria Ela L. Atienza
Keyword(s):  
Local Government ◽  
Health Service ◽  
Service Delivery ◽  
Health Service Delivery ◽  
The Philippines ◽  
The Public ◽  
Several Variables ◽  
Sociopolitical Context ◽  
Set Up ◽  
Intervening Variables

This paper analyzes the dynamics of health devolution in the Philippines within the context of the 1991 Local Government Code. The paper looks into how the present level of health devolution came about, the reform's impact on the public health system, and the factors involved in improving health service delivery in municipalities under a devolved set up. There are several variables that are tested as possible intervening variables. These are prioritization of health services in resource allocation and management, adequacy of formal health personnel and facilities, and citizens' participation in health service delivery. The sociopolitical context of the local government is also explored. Two case studies are presented to support the arguments of the paper.

scholarly journals Allied, scientific and complementary health professionals: a new model for Australian allied health

2009 ◽  
Vol 33 (1) ◽  
pp. 27 ◽  
Author(s):  
Catherine Turnbull ◽  
Karen Grimmer-Somers ◽  
Saravana Kumar ◽  
Esther May ◽  
Deborah Law ◽  
...  
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Staff Training ◽  
Health Professionals ◽  
Allied Health ◽  
Health Service Delivery ◽  
Comprehensive Model ◽  
New Model ◽  
Definition Of ◽  
Agreed Definition

There is no standard or agreed definition of ?allied health? nationally or internationally. This paper reviews existing definitions of allied health, and considers aspects of allied health services and service delivery in order to produce a new model of allied health that will be flexible in a changing health service delivery workforce. We propose a comprehensive model of allied, scientific and complementary (ASC) health professionals. This model recognises tasks, training, organisation, health sectors and professional regulation. It incorporates traditional and new services which are congruent with allied health foci, allegiances, responsibilities and directions. Use of this model will allow individual organisations to describe their ASC health workforce, and plan for recruitment, staff training and remuneration.

scholarly journals Innovation in Delivering Public Health Service: Practice In Banyuwangi Regency – Indonesia

2020 ◽  
Vol 8 (1) ◽  
pp. 12-21
Author(s):  
Anugerah Yuka Asmara ◽  
Amy Yayuk Sri Rahayu
Keyword(s):  
Public Health ◽  
Public Sector ◽  
Health Service ◽  
Service Delivery ◽  
Public Service ◽  
Public Management ◽  
Public Health Service ◽  
Local Communities ◽  
New Paradigm ◽  
The Public

Objective - The objective of this study is to elaborate that innovation in public sector organizations (PSOs), especially in delivery of public service, is not mostly determined by top management in the public sector. A new paradigm of public management has led to the creation of a new cooperation scheme across actors in forms of co-design, co-production, and collaboration between public service supplier(s) and users. In the public sector, interconnectedness among actors to make innovation in public service delivery is rare. Methodology/Technique – The method of this research is a case study of 3 different health agencies (Puskesmas) in the Regency of Banyuwangi, East Java Province, Indonesia. All three Puskesmas agencies represent 3 different cultures influencing the practice of innovation in public health service delivered by them. Finding - The findings reveals that the practice of innovation in public service delivery within new paradigm of public management by which interconnectedness between public agency and local communities has occured. The findings of this study show that there is strikingly different impact of innovation delivered by the 3 Puskesmas agencies. Novelty - This study contributes to existing literature on public or organizational management that culture values of local communities as target groups cannot be neglected in implementing innovation in PSOs. Type of Paper: Empirical. Keywords: Innovation, Public Service, Health Service, Banyuwangi, Indonesia. Reference to this paper should be made as follows: Asmara, A. Y; Rahayu, A.Y.S. 2020. Innovation in Delivering Public Health Service: Practice in Banyuwangi Regency – Indonesia, Global J. Bus. Soc. Sci. Review, 8(1): 12 – 21. https://doi.org/10.35609/gjbssr.2020.8.1(1) JEL Classification: H80, H89.

scholarly journals Animal Health Service Delivery in Crop-Livestock and Pastoral Systems in Ethiopia

2021 ◽  
Vol 8 ◽  
Author(s):  
Solomon Gizaw ◽  
Mengistu Woldehanna ◽  
Habtamu Anteneh ◽  
Gewado Ayledo ◽  
Fasil Awol ◽  
...  
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Odds Ratio ◽  
Latent Variable ◽  
Service Providers ◽  
Animal Health ◽  
Health Service Delivery ◽  
Access To Services ◽  
Pastoral Systems ◽  
The Public

Livestock diseases are a priority problem for livestock keepers throughout Ethiopia. Livestock keepers have also singled out poor animal health service delivery, which is largely the domain of the public sector, as the major constraint to improving animal health and productivity. In the current study, we describe the animal health service delivery system and compile from five questionnaire surveys involving 4,162 livestock keepers to characterize animal health service delivery in Ethiopia. The mapping of the animal health service delivery system along the livestock value chain clearly highlights the role of informal animal health services and variations of roles of the private sector. Also, the survey results clearly showed that livestock keepers' access to, use of and satisfaction with animal health services significantly varied across livestock production systems, geographic locations, socioeconomic strata, and service providers. Livestock keepers in crop-livestock and agropastoral systems had 5.5 (odds ratio = 5.453, P = 0.000) and 2.5 (odds ratio = 2.482, P = 0.000) times more access to services in reference to the pastoral system. In reference to private veterinary clinics, livestock keepers reported higher access to services provided by all the other service providers, particularly to services provided by extension agents, drug shops and CAHWs. Similarly, better access was reported by male than female (odds ratio = 1.098; P = 0.025) and wealthier than poorer (odds ratios = 1.40–1.79; P = 0.000) farmers and pastoralists. In general, low access to services was reported, 32.7, 25.2, and 19.3% of the respondents reporting access in crop-livestock, agropastoral and pastoral systems, respectively. Effective demand for services was evaluated through proxy variables, namely number of visits to service providers and health expenditures over a year. Highland farmers used the services more often than pastoralists (odds ratio = 2.86; P = 0.000), but pastoralists' expenses were significantly higher. Wealth (measured by livestock owned), gender and age also had significant effects on the use of services and expenditure on services. Satisfaction with services was evaluated based on four measures, namely availability (av), accessibility (ac), quality (qw), and timeliness (tm) of services. The average scores (out of 10) for av, ac, qw, and tm were 6.1, 5.9, 6.2, and 5.7, respectively. Principal component analysis was conducted to derive the latent variable “satisfaction” from the four measures, extracted only one factor, indicating the four variables are measuring the same construct (satisfaction). Regressing the latent variable satisfaction on the four measures gave significant (P = 0.000) b values of 0.22, 0.20, 0.13, and 0.14 for av, ac, qw, and tm, respectively, indicating strong relationships between the latent variable satisfaction and its measures. There was a significant dissatisfaction with the public sector, with average scores of 0.06 and 0.19 for the public and private service providers, respectively. It can be concluded that livestock keepers in remote regions of the country, pastoralists, women, poorer, and older livestock keepers have less access to services. Satisfaction with services is low to medium and the major concerns of livestock keepers appears to be availability and accessibility of services. Based on our findings, we recommend an integrated, multi-sectoral involvement to improve the veterinary service delivery through improved veterinary infrastructure, public-private partnership, and animal health information system across the various livestock production systems.

scholarly journals Decentralised clinical training in optometry: a developmental strategy for eye health in KwaZulu Natal?

2018 ◽  
Vol 20 ◽  
Author(s):  
Diane van Staden
Keyword(s):  
Public Health ◽  
South Africa ◽  
Public Sector ◽  
Health Service ◽  
Health Services ◽  
Clinical Training ◽  
Health Service Delivery ◽  
The Public ◽  
Eye Health ◽  
Kwazulu Natal

AbstractBackgroundDecentralised clinical training (DCT) in optometry is an emerging concept in South Africa. In 2016, the University of KwaZulu Natal (UKZN) implemented this adaptive model of clinical training for undergraduate health professions. The initiative, which emanated through an agreement between UKZN’s College of Health Sciences and the KwaZulu Natal Department of Health, centres on the placement of undergraduate optometry students within public health facilities for clinical training purposes. Optometry services in South Africa have, however, had a historical bias towards a private sector model of training and a curative practice approach resulting in access barriers for the rural poor and high levels of unmet need. It has further contributed to a general state of underdevelopment of eye health services within the public sector.DiscussionDCT challenges historical undergraduate programme structures and modes of teaching and learning in optometry. It is largely underpinned by a need to strengthen health service delivery through a primary health care-centred, community-based training approach and produce ‘fit-for-purpose’ graduates who have contextually appropriate competencies for effective, local health service delivery. The historical absence of optometry services within the public sector has, however, contributed to limited planning for, and development of eye health services in this sector. This has inadvertently contributed to the burden of avoidable vision impairment in the country. The public health system in South Africa, therefore, faces various developmental challenges which impact eye health services and student clinical training.ConclusionWhile the model is still in a developmental state and resourcing challenges potentially affecting DCT are noted, early experiences of the Discipline of Optometry at the UKZN are that DCT shows promise in terms of its potential contribution towards the development of eye health services within the public health sector from graduate readiness, resource strengthening, access improvement and health service development perspectives.

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