Suchergebnisse

A corruption event in 2009 led to changes in how donors supported the Zambian health system. Donor funding was withdrawn from the district basket mechanism, originally designed to pool donor and government financing for primary care. The withdrawal of these funds from the pooled financing mechanism raised questions from Government and donors regarding the impact on primary care financing during this period of aid volatility. Financial data were extracted from Government documents and adjusted for inflation. Budget and expenditure for the district level over the period 2006 to 2017 were disaggregated by programmatic area for analysis. Despite the withdrawal of donor funding from the district basket after 2009, funding for primary care allocated to the district level more than doubled from 2006 to 2017. However, human resources accounted for this increase. The operational grant, on the other hand, declined.

While the healthcare aspects of chronic conditions have been well researched, the issues experienced in the workplace for emerging adults with chronic conditions are less understood. With the increase in type 1 diabetes (T1D) and changing technology for self-management, such research is essential. This qualitative study integrates Arnett's features of emerging adulthood with a social-ecological approach to explore the workplace environment and workplace relationships on T1D management among emerging adults. Participants (n = 12) were assigned into two focus groups that were recorded and transcribed verbatim. Participants were 24 ± 2.24 years old with a mean hemoglobin A1c of 7.9 ± 2.65. Using a thematic analysis four themes were identified: sharing information about their T1D in the workplace, dealing with workplace T1D discrimination, keeping up workplace appearances, and receiving and accepting support in the workplace. Creating an inclusive workplace environment with protective policies may open communication and improve the well-being of those with T1D.