Service Delivery by Health Facilities in Papua New Guinea

10.1596/29824 ◽  
2018 ◽  
Author(s):  
Keyword(s):  
Service Delivery ◽  
Papua New Guinea ◽  
New Guinea ◽  
Health Facilities

scholarly journals Solutions to poor service delivery in Papua New Guinea

2018 ◽  
Vol 5 (3) ◽  
pp. 495-507
Author(s):  
Ron Duncan ◽  
Chris Banga
Keyword(s):  
Service Delivery ◽  
Papua New Guinea ◽  
New Guinea

scholarly journals Repeated mosquito net distributions, improved treatment, and trends in malaria cases in sentinel health facilities in Papua New Guinea

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Daniela Rodriguez-Rodriguez ◽  
Seri Maraga ◽  
Lina Lorry ◽  
Leanne J. Robinson ◽  
Peter M. Siba ◽  
...  
Keyword(s):  
Papua New Guinea ◽  
Malaria Incidence ◽  
Scale Up ◽  
Cumulative Effect ◽  
New Guinea ◽  
Malaria Prevalence ◽  
Health Facilities ◽  
Mosquito Net ◽  
Incidence Trends ◽  
Outdoor Biting

Abstract Background Long-lasting insecticidal nets (LLIN), improved diagnosis and artemisinin-based combination therapy (ACT) have reduced malaria prevalence in Papua New Guinea since 2008. Yet, national incidence trends are inconclusive due to confounding effects of the scale-up of rapid diagnostic tests, and inconsistencies in routine reporting. Methods Malaria trends and their association with LLIN and ACT roll-out between 2010 and 2014 in seven sentinel health facilities were analysed. The analysis included 35,329 fever patients. Intervention effects were estimated using regression models. Results Malaria incidence initially ranged from 20 to 115/1000 population; subsequent trends varied by site. Overall, LLIN distributions had a cumulative effect, reducing the number of malaria cases with each round (incidence rate ratio ranging from 0.12 to 0.53 in five sites). No significant reduction was associated with ACT introduction. Plasmodium falciparum remained the dominant parasite in all sentinel health facilities. Resurgence occurred in one site in which a shift to early and outdoor biting of anophelines had previously been documented. Conclusions LLINs, but not ACT, were associated with reductions of malaria cases in a range of settings, but sustainability of the gains appear to depend on local factors. Malaria programmes covering diverse transmission settings such as Papua New Guinea must consider local heterogeneity when choosing interventions and ensure continuous monitoring of trends.

Quality assessment of health facilities in rural Papua New Guinea

1990 ◽  
Vol 5 (1) ◽  
pp. 49-59 ◽  
Author(s):  
PAUL GARNER ◽  
JANE THOMASON ◽  
DAYL DONALDSON
Keyword(s):  
Quality Assessment ◽  
Papua New Guinea ◽  
New Guinea ◽  
Health Facilities

scholarly journals A Partnership Model for Improving Service Delivery in Remote Papua New Guinea: A Mixed Methods Evaluation

2018 ◽  
Vol 7 (10) ◽  
pp. 923-933
Author(s):  
Emma Field ◽  
Dominica Abo ◽  
Louis Samiak ◽  
Mafu Vila ◽  
Georgina Dove ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Service Delivery ◽  
Papua New Guinea ◽  
New Guinea ◽  
Partnership Model ◽  
Mixed Methods Evaluation

Evaluation of Community Health Workers’ Upskilling Training in Maternal and Newborn Care at Mount Hagen in Western Highlands Province, Papua New Guinea

2018 ◽  
Vol 1 (7) ◽  
Author(s):  
Jolly Kulimbua
Keyword(s):  
Community Health ◽  
Papua New Guinea ◽  
Community Health Workers ◽  
Health Workers ◽  
Newborn Care ◽  
New Guinea ◽  
Health Facilities ◽  
Care Providers ◽  
Maternal And Newborn Care ◽  
Maternal And Newborn

Background:   Community Health Workers (CHWs) in Western highlands Province were given a 6-month CHW upskilling training to enable them to provide essential maternal-newborn care, do timely referral of high risk clients and refer emergencies to hospital. Five trainings were conducted over the five year period. Forty seven (47) CHWs were upskilled over that five year period.   Aim:   To evaluate the effectiveness of the CHW Upskilling Training during 2012 – 2016.   Methods:    A post-training assessment was conducted by direct observations of the CHWs and the Officer in Charges (OICs) at their workplaces. Assessors observed the application of knowledge and skills and determined if there were improvements in the health facilities. Purposeful discussions were carried out to elicit qualitative feedback from CHWs OICs of the health facilities.   Findings:   The findings were impressive. The organisation of health facilities improved with specific schedules made for priority reproductive and maternal health services. The recording of maternal and newborn care services indicated great improvement. The ANC, family planning and labour ward registers indicated the kinds of services provided including management of life-threatening conditions. Records show reduced maternal and newborn deaths. Records also show reduced unnecessary referrals.   Conclusions:   The CHW Up skilling Training Program is an effective intervention to improve reproductive health and maternal-newborn services in remote areas of Papua New Guinea, particularly where there are no midwives, or higher category health care providers. It has contributed to improved maternal-newborn survival.   Recommendations:   The evaluation recommends that the CHW Upskilling Training should reach more CHWs to fill in gaps in health facilities where there are no midwives or doctor. In Papua New Guinea, the CHWs Upskilling program in maternal and newborn care is recommended for all CHWs.

New direction may follow Papua New Guinea election

2017 ◽  
Keyword(s):  
Service Delivery ◽  
Papua New Guinea ◽  
World Bank ◽  
Prime Minister ◽  
New Guinea ◽  
General Election ◽  
Election Campaign ◽  
Economic Management ◽  
Content Type ◽  
The Imf

Subject The 2017 general election in Papua New Guinea. Significance A two-week long general election in Papua New Guinea (PNG) ends on July 8. The election campaign has not gone as well as hoped for the incumbent government headed by Prime Minister Peter O’Neill, due to concerns about economic management, corruption and service delivery. Impacts There is some risk, though small, that an O’Neill win would prompt local unrest or calls for regional independence. Cancelling plans to host the APEC summit could become a symbol for moving spending priorities to education, health and infrastructure. The need for budgetary support from the IMF or World Bank might encourage more market-oriented policies.

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