Scaling Up Health Service Delivery

From Pilot Innovations to Policies and Programmes

Author: Ruth Simmons,Peter Fajans,Laura Ghiron

Publisher: World Health Organization

ISBN: 9241563516

Category: Medical

Page: 183

View: 3884

"The focus here is on ways to increase impact of health service innovations that have been tested in pilot or experimental projects so as to benefit more people and to foster policy and programme development on a lasting, sustainable basis." -- p.i Preface.

Improving Health Service Delivery in Developing Countries

From Evidence to Action

Author: David H. Peters

Publisher: World Bank Publications

ISBN: 0821379437

Category: Medical

Page: 338

View: 4083

Reliable information on how health service strategies affect the poor is in short supply. In an attempt to redress the imbalance, 'Improving Health Service Delivery in Developing Countries' presents evidence on strategies for strengthening health service delivery, based on systematic reviews of the literature, quantitative and qualitative analyses of existing data, and seven country case studies. The authors also explore how changes in coverage of different health services affect each other on the national level. Finally, the authors explain why setting international targets for health services has been not been successful and offer an alternative approach based on a specific country's experience.The book's findings are clear and hopeful: There are many ways to improve health services. Measuring change and using information to guide decisions and inform stakeholders are critically important for successful implementation. Asking difficult questions, using information intelligently, and involving key stakeholders and institutions are central to the "learning and doing" practices that underlie successful health service delivery.

Health Care Delivery and Clinical Science: Concepts, Methodologies, Tools, and Applications

Concepts, Methodologies, Tools, and Applications

Author: Management Association, Information Resources

Publisher: IGI Global

ISBN: 1522539271

Category: Medical

Page: 1596

View: 9480

The development of better processes to provide proper healthcare has enhanced contemporary society. By implementing effective collaborative strategies, this ensures proper quality and instruction for both the patient and medical practitioners. Health Care Delivery and Clinical Science: Concepts, Methodologies, Tools, and Applications is a comprehensive reference source for the latest scholarly material on emerging strategies and methods for delivering optimal healthcare and examines the latest techniques and methods of clinical science. Highlighting a range of pertinent topics such as medication management, health literacy, and patient engagement, this multi-volume book is ideally designed for professionals, practitioners, researchers, academics, and graduate students interested in healthcare delivery and clinical science.

The New Public Health and STD/HIV Prevention

Personal, Public and Health Systems Approaches

Author: Sevgi O. Aral,Kevin A. Fenton,Judith A. Lipshutz

Publisher: Springer Science & Business Media

ISBN: 1461445264

Category: Medical

Page: 439

View: 2468

Despite effective approaches to prevention, STD and HIV infection rates remain fairly constant. Targeting, implementation, and monitoring of interventions have posed widespread problems, and the recent spate of cuts to prevention budgets has made these roadblocks even more challenging. It is clear that working in sexual health requires both a deeper understanding of STI/HIV epidemiology and an ongoing quest for up-to-date, realistic prevention strategies. The New Public Health and STD/HIV Prevention offers readers leading-edge access to both. Focusing on social determinants of sexual health, at-risk populations, critical factors in approaches to prevention, and reviews of new research, this authoritative volume explores areas as varied as HPV prevention, technology-based interventions, migration as a factor in disease transmission, and competencies key to effective leadership in the field. Dispatches from the frontlines of theory, research, and practice in the U.S. and abroad include: Personal risk, public impact: balancing individual rights and STD/HIV prevention. Distribution of prevention resources and its impact on sexual health. Prevention measures in diverse populations of women. Toward a better approach to preventive interventions with men who have sex with men. Adolescent sexual health and STIs. Reducing disparities in sexual health: lessons from the campaign to eliminate infectious syphilis. Public health professionals of all backgrounds interested in or working in improving sexual health will find The New Public Health and STD/HIV Prevention an indispensable guide to conceptualizing the problems and clarifying possible solutions.

Knowledge Translation in Health Care

Moving from Evidence to Practice

Author: Sharon Straus,Jacqueline Tetroe,Ian D. Graham

Publisher: John Wiley & Sons

ISBN: 1118413571

Category: Medical

Page: 424

View: 8973

Knowledge Translation in Health Care is a practical introduction to knowledge translation for everyone working and learning within health policy and funding agencies, and as researchers, clinicians and trainees. Using everyday examples, it explains how to use research findings to improve health care in real life. This new second edition defines the principles and practice of knowledge translation and outlines strategies for successful knowledge translation in practice and policy making. It includes relevant real world examples and cases of knowledge translation in action that are accessible and relevant for all stakeholders including clinicians, health policy makers, administrators, managers, researchers, clinicians and trainees. From an international expert editor and contributor team, and fully revised to reflect current practice and latest developments within the field, Knowledge Translation in Health Care is the practical guide for all health policy makers and researchers, clinicians, trainee clinicians, medical students and other healthcare professionals seeking to improve healthcare practice.

Innovating for the Global South

Towards an Inclusive Innovation Agenda

Author: Dilip Soman,Janice Gross Stein,Joseph Wong

Publisher: University of Toronto Press

ISBN: 144266648X

Category: Business & Economics

Page: 192

View: 5096

Despite the vast wealth generated in the last half century, in today’s world inequality is worsening and poverty is becoming increasingly chronic. Hundreds of millions of people continue to live on less than $2 per day and lack basic human necessities such as nutritious food, shelter, clean water, primary health care, and education. Innovating for the Global South offers fresh solutions for reducing poverty in the developing world. Highlighting the multidisciplinary expertise of the University of Toronto’s Global Innovation Group, leading experts from the fields of engineering, medicine, management, and global public policy examine the causes and consequences of endemic poverty and the challenges of mitigating its effects from the perspective of the world’s poorest of the poor. Can we imagine ways to generate solar energy to run essential medical equipment in the countryside? Can we adapt information and communication technologies to provide up-to-the-minute agricultural market prices for remote farming villages? How do we create more inclusive innovation processes to hear the voices of those living in urban slums? Is it possible to reinvent a low-cost toilet that operates beyond the water and electricity grids? Motivated by the imperatives of developing, delivering, and harnessing innovation in the developing world, Innovating for the Global South is essential reading for managers, practitioners, and scholars of development, business, and policy.

Zambia Health Sector Public Expenditure Review

Accounting for Resources to Improve Effective Service Coverage

Author: Oscar F. Picazo,Feng Zhao

Publisher: World Bank Publications

ISBN: 0821378058

Category: Medical

Page: 92

View: 3408

This book portrays the performance of the health sector in Zambia using quantitative techniques. While there have been a number of health sector assessments in the country, they have relied on qualitative and anecdotal evidence for the most part. For the first time, this pubic expenditure review of the health sector brings together the results of three separate but related analytical efforts: multi-year national health accounts, a public expenditure tracking and quality of service delivery survey, and resource and impact modeling using the Marginal Budgeting for Bottlenecks software. These exercises combine to yield more powerful findings on the weaknesses and prospects of the Zambian health system.

Shaping Academia for the Public Good

Critical Reflections on the CHSRF/CIHR Chair Program

Author: Louise Potvin,Pat Armstrong

Publisher: University of Toronto Press

ISBN: 144266665X

Category: Education

Page: 320

View: 1791

With increasing demands for evidence-based decision-making, the academic community must be ready to train researchers who can reduce the gap between health care research and practice. One program dedicated to promoting such training is the Canadian Health Services Research Foundation (CHSRF, now the Canadian Foundation for Healthcare Improvement) and Canadian Institutes for Health Research (CIHR) Chair Program. Participants of these programs were selected to develop innovative research programs that bridge this divide, as well as to mentor the next generation on building partnerships with organizations outside the university through applied research. The CHSRF/CIHR Chairs have come together in Shaping Academia for the Public Good to draw out valuable lessons learned throughout its first decade. It includes chapters on funding, knowledge transfer, policy frameworks, working with multiple stakeholders, and managing organizational settings, among other topics. Shaping Academia for the Public Good will be a helpful resource for those interested in the potential of new research approaches to improve our healthcare system.

Scaling Up Excellence

Getting to More Without Settling for Less

Author: Robert I. Sutton,Huggy Rao

Publisher: Crown Business

ISBN: 0385347030

Category: Business & Economics

Page: 368

View: 6323

Wall Street Journal Bestseller "The pick of 2014's management books." –Andrew Hill, Financial Times "One of the top business books of the year." –Harvey Schacter, The Globe and Mail Bestselling author, Robert Sutton and Stanford colleague, Huggy Rao tackle a challenge that determines every organization’s success: how to scale up farther, faster, and more effectively as an organization grows. Sutton and Rao have devoted much of the last decade to uncovering what it takes to build and uncover pockets of exemplary performance, to help spread them, and to keep recharging organizations with ever better work practices. Drawing on inside accounts and case studies and academic research from a wealth of industries-- including start-ups, pharmaceuticals, airlines, retail, financial services, high-tech, education, non-profits, government, and healthcare-- Sutton and Rao identify the key scaling challenges that confront every organization. They tackle the difficult trade-offs that organizations must make between whether to encourage individualized approaches tailored to local needs or to replicate the same practices and customs as an organization or program expands. They reveal how the best leaders and teams develop, spread, and instill the right mindsets in their people-- rather than ruining or watering down the very things that have fueled successful growth in the past. They unpack the principles that help to cascade excellence throughout an organization, as well as show how to eliminate destructive beliefs and behaviors that will hold them back. Scaling Up Excellence is the first major business book devoted to this universal and vexing challenge and it is destined to become the standard bearer in the field.

Implementation Research in Health

A Practical Guide

Author: David H. Peters,Nhan T. Tran,Taghreed Adam

Publisher: World Health Organization

ISBN: 9241506210

Category: Medical

Page: 67

View: 4010

Interest in implementation research is growing, largely in recognition of the contribution it can make to maximizing the beneficial impact of health interventions. As a relatively new and, until recently, rather neglected field within the health sector, implementation research is something of an unknown quantity for many. There is therefore a need for greater clarity about what exactly implementation research is, and what it can offer. This Guide is designed to provide that clarity. Intended to support those conducting implementation research, those with responsibility for implementing programs, and those who have an interest in both, the Guide provides an introduction to basic implementation research concepts and language, briefly outlines what it involves, and describes the many opportunities that it presents. The main aim of the Guide is to boost implementation research capacity as well as demand for implementation research that is aligned with need, and that is of particular relevance to health systems in low- and middle-income countries (LMICs). Research on implementation requires the engagement of diverse stakeholders and multiple disciplines in order to address the complex implementation challenges they face. For this reason, the Guide is intended for a variety of actors who contribute to and/or are impacted by implementation research. This includes the decision-makers responsible for designing policies and managing programs whose decisions shape implementation and scale-up processes, as well as the practitioners and front-line workers who ultimately implement these decisions along with researchers from different disciplines who bring expertise in systematically collecting and analyzing information to inform implementation questions. The opening chapters (1-4) make the case for why implementation research is important to decision-making. They offer a workable definition of implementation research and illustrate the relevance of research to problems that are often considered to be simply administrative and provide examples of how such problems can be framed as implementation research questions. The early chapters also deal with the conduct of implementation research, emphasizing the importance of collaboration and discussing the role of implementers in the planning and designing of studies, the collection and analysis of data, as well as in the dissemination and use of results. The second half of the Guide (5-7) detail the various methods and study designs that can be used to carry out implementation research, and, using examples, illustrates the application of quantitative, qualitative, and mixed-method designs to answer complex questions related to implementation and scale-up. It offers guidance on conceptualizing an implementation research study from the identification of the problem, development of research questions, identification of implementation outcomes and variables, as well as the selection of the study design and methods while also addressing important questions of rigor.

Scaling Up Scaling Down

Overcoming Malnutrition in Developing Countries

Author: Thomas J. Marchione

Publisher: Routledge

ISBN: 1134390971

Category: Political Science

Page: 322

View: 3837

The individual and institutional capacities required for the prevention and reduction of nutritional insecurity and hunger in lesser-developed countries as the twenty-first century approaches are identified in this book. Household nutritional "security" can be defined as the successful The essays in this book champion the idea of increasing, or scaling up, grass roots operations to provide nutritional security, while scaling down the efforts of national and international institutions. Scaling up involves strengthening local capacities to improve and expand upon current successful programs by building upon existing local culture and organizations. This, in turn, enables the programs to strengthen relationships with national governments, international bilateral/multilateral donors, as well as non-governmental organizations. Scaling down concerns the ways and means by which these various organizations encourage and complement the local development. Therefore, as local capacities are scaled up, the national/international control over decisions and functions is, ideally, scaled down. The volume also directly addresses the resultant complication: how to create programs that are both culturally specific and that will flourish well into the future.

Reimagining Global Health

An Introduction

Author: Paul Farmer,Arthur Kleinman,Jim Kim,Matthew Basilico

Publisher: Univ of California Press

ISBN: 0520954637

Category: Medical

Page: 508

View: 3281

Bringing together the experience, perspective and expertise of Paul Farmer, Jim Yong Kim, and Arthur Kleinman, Reimagining Global Health provides an original, compelling introduction to the field of global health. Drawn from a Harvard course developed by their student Matthew Basilico, this work provides an accessible and engaging framework for the study of global health. Insisting on an approach that is historically deep and geographically broad, the authors underline the importance of a transdisciplinary approach, and offer a highly readable distillation of several historical and ethnographic perspectives of contemporary global health problems. The case studies presented throughout Reimagining Global Health bring together ethnographic, theoretical, and historical perspectives into a wholly new and exciting investigation of global health. The interdisciplinary approach outlined in this text should prove useful not only in schools of public health, nursing, and medicine, but also in undergraduate and graduate classes in anthropology, sociology, political economy, and history, among others.

Systems Thinking for Health Systems Strengthening

Author: Don De Savigny,Taghreed Adam,World Health Organization

Publisher: World Health Organization

ISBN: 9241563893

Category: Education

Page: 107

View: 2786

This report investigates how systems thinking can deepen the conceptual and practical underpinnings of system strengthening initiatives. This Flagship Report from the Alliance for Health Policy and Systems Research makes the case for systems thinking in an easily accessible form for a broad interdisciplinary audience, including health system stewards, programme implementers, researchers, evaluators and funding partners. It presents: What systems thinking is, and what it means for the health system; A health systems case illustration that demonstrates the "Ten Steps to Systems Thinking" - practical guidance in applying the systems perspective; The challenges and opportunities to applying systems thinking in real-world settings; An agenda for expanding the use of systems thinking for health systems strengthening.

Scaling Up Scaling Down

Overcoming Malnutrition in Developing Countries

Author: Thomas J. Marchione

Publisher: Routledge

ISBN: 1134390904

Category: Political Science

Page: 322

View: 8307

The individual and institutional capacities required for the prevention and reduction of nutritional insecurity and hunger in lesser-developed countries as the twenty-first century approaches are identified in this book. Household nutritional "security" can be defined as the successful The essays in this book champion the idea of increasing, or scaling up, grass roots operations to provide nutritional security, while scaling down the efforts of national and international institutions. Scaling up involves strengthening local capacities to improve and expand upon current successful programs by building upon existing local culture and organizations. This, in turn, enables the programs to strengthen relationships with national governments, international bilateral/multilateral donors, as well as non-governmental organizations. Scaling down concerns the ways and means by which these various organizations encourage and complement the local development. Therefore, as local capacities are scaled up, the national/international control over decisions and functions is, ideally, scaled down. The volume also directly addresses the resultant complication: how to create programs that are both culturally specific and that will flourish well into the future.

Strategic Issues and Challenges in Health Management

Author: K V Ramani,Dileep V Mavalankar,Dipti Govil

Publisher: SAGE Publications India

ISBN: 8132100204

Category: Medical

Page: 256

View: 8143

The Indian health system has a poor global ranking. A new perspective on health system planning and development is required to improve the situation and build a health system responsive to the needs of the country. Strategic Issues and Challenges in Health Management addresses these concerns while also highlighting the challenges in delivering efficient and effective health services. The book discusses health sector reforms like financing, Public-Private Partnership (PPP), higher efficiency and cost-effectiveness. It deals with national health programmes, focusing on maternal and child health, infectious diseases, tuberculosis and malaria. The problems of urban health in the context of transition of the demographic and disease pattern in urban areas is also brought to the fore. Critical issues related to health and economic development, future challenges facing health systems, the policy challenges facing the implementation of the PPP approach, the issue of equity in health financing, as well as the roadblocks to efficient establishment of PPP are analysed. The book also deals with restructuring of the health system, while exploring capacity development as a process of health management. Written by well-known academics, health policy makers and health managers, this volume shall be of interest to health professionals, students and scholars of health economics, as well as those working in the areas of health and strategic management.

Investing in Maternal Health

Learning from Malaysia and Sri Lanka

Author: Indra Pathmanathan,Jerker Liljestrand

Publisher: World Bank Publications

ISBN: 9780821353622

Category: Political Science

Page: 182

View: 4969

This study provides the most comprehensive and detailed analysis available on factors behind the decline in maternal mortality in Malaysia and Sri Lanka in the past 50 to 60 years and the magnitude of health system expenditures on maternal health. The main findings are that a modest investment in maternal health services, combined with other poverty reduction measures leads to a fairly rapid decline in the maternal mortality ratio (MMR), defined as the number of maternal deaths per 100,000 live births. The strategies of Malaysia and Sri Lanka changed over time, from an initial emphasis on expanding the provision of services, especially in underserved areas, to increasing utilization and, finally, to emphasizing the improvement of quality. Removing financial barriers to maternal care for clients was an important step in both countries. Professional midwives constitute the backbone of maternal care in Malaysia and Sri Lanka. The MMR reduction in developing countries is feasible with modest public expenditures when appropriate policies are adopted, focused wisely, and adapted incrementally in response to environmental conditions and systems capacity. [World Bank]

Achieving Effective Integrated E-Care Beyond the Silos

Author: Meyer, Ingo

Publisher: IGI Global

ISBN: 1466661399

Category: Medical

Page: 366

View: 3214

Recent global and national debates have shown that demographic change, the rising incidence of chronic disease, and the unmet need for more personalized care are trends demanding a new, integrated approach to health and social care. The advancement and adoption of technology in both health and social care settings is a valuable tool for encouraging change and improving the quality and efficiency of care provided to patients and care clients.Achieving Effective Integrated E-Care Beyond the Silos presents a collection of real-life examples, frameworks, business models, financial implications, and methods of evaluating the technological tools that are enabling a more human-centered approach to health and social care. Based on relevant research in the field of integrated e-care, this publication is ideally designed for use by practitioners, researchers, and decision-makers in the care field.

Aid Scaling Up

Do Wage Bill Ceilings Stand in the Way?

Author: Ms. Annalisa Fedelino,Mr. Gerd Schwartz,Marijn Verhoeven

Publisher: International Monetary Fund

ISBN: 1451909004

Category: Business & Economics

Page: 37

View: 3753

This paper assesses whether the scaling up of aid and the resulting increase in government spending that is needed to meet the Millennium Development Goals (MDGs) would be hampered by wage bill ceilings that are often part of government programs supported by the IMF''s Poverty Reduction and Growth Facility (PRGF). Based on country case studies for 2003-05, the paper suggests that, in the past, wage bill ceilings have not restricted the use of available donor funds. Yet the paper offers a number of suggestions for further enhancing the flexibility of wage bill conditionality in PRGF-supported programs to respond to higher aid flows that may result in the future.

Scaling Up Multiple Use Water Services

Accountability in Public Water Sector Performance for Health and Wealth

Author: Barbara Van Koppen,Stef Smits,Cristina Rumbaitis Del Rio

Publisher: N.A

ISBN: 9781853398292

Category: Business & Economics

Page: 104

View: 8589

Poor people in developing countries need water for many purposes: for drinking, bathing, irrigating vegetable gardens, and watering livestock. However, responsibility for water services is divided between different government agencies, the WASH (Water, Sanitation and Hygiene) and irrigation sub-sectors, with the result that people’s holistic needs are not met. Multiple use water services (MUS) is a participatory water services approach that takes account of poor people’s multiple water needs as a starting point of planning, and the approach has been implemented in at least 22 countries in Africa, Asia and Latin America. Scaling up Multiple Use Water Services argues that by designing cost-effective multi-purpose infrastructure MUS can have a positive impact on people’s health and livelihoods. It analyses and explains the success factors of MUS, using a framework of accountability for public service delivery, and it also examines why there has been resistance against scaling up MUS. A stronger service delivery approach can overcome this resistance, by rewarding more livelihood outcomes, by fostering discretionary decision-making power of local-level staff and by allowing horizontal coordination.This book should be read by government and aid agency policy makers in the WASH and agriculture sectors, by development field workers, and by academics, researchers and students of international development.