Suchergebnisse

This Public Expenditure Review (PER) is the first for Namibia's health sector. Namibia is an upper-middle income country that has made major progress in improving the standard of living for its population and reducing poverty. Still, with one of the highest Gini coefficients in the world, the society is highly unequal. In addition, the size of Namibia, combined with a low population density, makes it challenging for the health sector to provide universal access to quality health services across the country. The recent economic downturn has put fiscal pressure on the government and heightened the need for spending efficiency. Although government spending on health has been consistently close to the Abuja target of 15 percent, health outcomes are poor. The country faces a double burden of both communicable and non-communicable disease (NCDs), with high HIV/AIDS, stunting and maternal mortality rates that predominately affect the poor, and an increasing prevalence in non-communicable diseases that will contribute to costly treatments and growing health expenditures in the future. The Namibian government is committed to improve health outcomes. Namibia's 5th National Development Plan (NDP5) for 2017-2022 aims to provide access to quality health care for its population, to increase Health Adjusted Life Expectancy (HALE) from currently 59 to 67.5 years, and to reduce mortality for mothers and children. To achieve this goal, the Ministry of Health and Social Services (MoHSS) has identified three strategic pillars for the health sector: (i) people's wellbeing; (ii) operational excellence; and (iii) talent management. This health PER identifies several areas for the Namibian government to address in view of its goals.

By the late 1970s most of China's rural population had access to basic health services at a reasonable cost. Since then the transition to a market economy has affected the rural health services in a number of ways. This article outlines how changes in the system of health finance and a radical decentralisation of public administration have led to cost increases and deterioration of some health services. It argues that policy makers need to redefine government's role in the health sector in the context of the emerging market economy. (IDS/DÜI)

The Zambian government has outlined an ambitious rights-based approach to health care provision as outlined in its national health policy. Specifically, the government is determined to achieve universal health coverage (UHC) by providing all its citizens with access to free quality health care services through the public health system. To examine trends and patterns in health expenditures and to identify opportunities for achieving value for money and equity, the Zambian government, with technical and financial support from the World Bank and the U.K. Department for International Development (DFID), conducted a public expenditure review (PER) of the health sector. This review covers 2006−2016 and builds on the PER that was produced in 2009. This report shares the results of the PER and provides key policy recommendations on how to address the existing challenges.

The paper assesses the financial situation of the health sector in the Slovak Republic. It also evaluates the efficiency of health expenditures and service delivery in comparison to the OECD and other new EU member states and suggests avenues for cost recovery and reform. The health sector of the Slovak Republic is plagued by financial problems. To turn around health system finances and achieve larger gains in health outcomes, the efficiency of health spending needs to increase and the mix and quality of real health resources need to be improved. Although Slovak's overall health spending effic

Public Private Partnership PPP is coordinated effort between the general population and private area that empowers satisfaction of certain normal objectives by beating the noticeable confinements. In view of studies and test studies led, the Government has the rotate part of confining wellbeing approaches and projects particular to the prerequisite of every nation. Nonetheless, finished the years the wellbeing area has seen a request supply confuse ascribed to a few variables. The private part has filled in as an impetus to convey these administrations to the general population by methods for more noteworthy productivity, better administration aptitudes and centered procedures and more grounded asset base whether as far as money related assets or HR. This paper expects to give a review of the advancement of the Public Private Partnership. At the Global Level, it examines the cases of prevalent Public Private Partnerships particularly in Asian and African states and assesses its prosperity. Coming down to the National Level, it gives a rundown of the current PPP models in India. The positives and negatives of the plan are featured. At long last the difficulties of PPP in the wellbeing area are surveyed advancing some significant proposals. Urvashi Gupta "Public - Private Partnership in Health Sector in India" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-2 | Issue-5 , August 2018, URL: https://www.ijtsrd.com/papers/ijtsrd17145.pdf

The background of India's health policies, since independence, shows a systematic documentation that envisaged ambitious health governance comprising of the delivery of a public health program by the central government and primary, as well as secondary health care by the state governments. It is therefore surprising to find that none of the ambitions has been realized. The delivery of public health programme today is limited and uncoordinated, whilst primary and especially secondary care is of a poor quality and unaffordable to the bulk of the population. The health care sector has required much more intervention. Recent reforms have made some progress in addressing some of the lacunae but are still handicapped by the pervasive dominance of the private sector which severely limits the choice of policy tools available to the government. An attempt is made to assess India's health policy reforms and argue that the policy instruments used were inconsistent with the goals it was trying to achieve.

Background Health sector plays important role in health promotion for older population (HP4OP). The institutions involved constitute a very differentiated sphere: variety of models, structures, financing methods, different forms of providers and payers. HP4OP requires engagement of health sector and medical/public health professionals. Methods Literature review was used: systematic reviews for English-language papers on HP4OP and sectorial institutions activities (incl.PubMed and the healthPROelderly database). Questionnaires, individual interviews and templates were provided for collecting information from country experts. Due to the low feedback for template distribution personal interviews and desk research methods were used. Results Health sector institutions have been indicated and analysed proving the importance of primary care role, institutional and inter-sectorial cooperation, specifically with local governments and NGOs. The important results showed that the medical professional's approach has to be changed. Moreover, innovations, new technologies used by professionals and patients may significantly improve activities of health sector oriented on effective and long lasting HP4OP. Conclusions: The research performed provided a set of information for the description of the sectorial role in HP4OP, including barriers and limitations, the prerequisites for the cooperation, good practices regarding health promotion projects/ programs focused on old population. The paper, based on EU project, presents the overall picture of health sector involvement in HP4OP and the statement that various institutional arrangements in EU do not contravene the idea of good practices applicability and importance for the effective implementation of HP4OP programs.