District health care challenges for planning, organisation and evaluation in developing countries
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
London u.a.
Macmillan
1984
|
| Ausgabe: | 1. publ. |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
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| 245 | 1 | 0 | |a District health care |b challenges for planning, organisation and evaluation in developing countries |c R. Amonoo-Lartson ... |
| 250 | |a 1. publ. | ||
| 264 | 1 | |a London u.a. |b Macmillan |c 1984 | |
| 300 | |a X, 208 S. |b Ill., graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 500 | |a Literaturangaben | ||
| 650 | 7 | |a Districten |2 gtt | |
| 650 | 7 | |a Gezondheidszorg |2 gtt | |
| 650 | 4 | |a Entwicklungsländer | |
| 650 | 4 | |a Gesundheitswesen | |
| 650 | 4 | |a Community Health Services |x organization & administration | |
| 650 | 4 | |a Developing Countries | |
| 650 | 4 | |a Health Planning | |
| 650 | 4 | |a Medical care |z Developing countries | |
| 650 | 0 | 7 | |a Medizinische Versorgung |0 (DE-588)4038270-9 |2 gnd |9 rswk-swf |
| 651 | 7 | |a Entwicklungsländer |0 (DE-588)4014954-7 |2 gnd |9 rswk-swf | |
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| 689 | 0 | 1 | |a Medizinische Versorgung |0 (DE-588)4038270-9 |D s |
| 689 | 0 | |5 DE-188 | |
| 700 | 1 | |a Amonoo-Lartson, R. |e Sonstige |4 oth | |
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Datensatz im Suchindex
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|---|---|
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| DE-BY-UBG_katkey | 878826 |
| DE-BY-UBG_media_number | 013100950824 |
| _version_ | 1824051226472349696 |
| adam_text | Contents
Preface ix
1 The Need for Management in District Health Care 1
Who is this book for? In what district? 1
Why is a new approach to health care needed? How have the old
approaches failed? 4
Health services continue to grow yet health problems and health
service inadequacies persist 4
Why no improvement in health? 9
Extra problems exacerbating the difficulties of health care
planning 12
A new approach to health care and its management requirements 14
The origins of the new approach 14
Features of primary health care 14
Management requirements for successful primary health care 15
Further Reading 25
2 Finding Out About Health Needs in the District 26
Who? What? Where? When? Why? in ill health 27
Which age groups contain most people and which age group is
increasing fastest? 27
Who gets sick? Who dies? 27
Who needs maternity care? 28
What are the health problems? 29
Where are the health problems in the district? 33
When does ill-health occur? 36
Why does ill-health occur? 36
What is wrong with the existing health services? 41
Are the services coping? 41
Coverage 42
Are people utilising the services? 43
Is the at-risk’ concept being used in provision of health services? 44
Is there adequate quality of care? 45
v
VI
Contents
Is staff morale high?
Do staff interact? 46
Is there regular health services evaluation? 47
Identifying local resources 47
Who is providing health care? Who do people go to for advice?
Where? When? At what cost? 48
People other than health workers as resources 56
Resources of material and labour 58
Financial resources 59
Natural resources 60
Further Reading 65
3 Making a Health Plan for the District 67
What is a plan? 67
The planning process 68
The health planning and implementation cycle 68
Dangers of planning and why planning sometimes fails 68
Planning is a learning process 70
Key concepts in effective district health planning 72
Examples of different elements of a district health plan 86
Further Reading 101
4 Building the Health Organisation in the District 102
Formal and informal organisation 102
An organisation as a skill pyramid 104
An organisation as a network of individuals 105
An organisation as a system or series of systems for getting things
done 106
Some key principles in an effective organisation 109
The key elements of an effective organisation 113
What it means to manage a district health organisation 115
Managing within the local socio-cultural environment 118
Further Reading 120
5 Practical Management: Putting Plans into Action 121
Management by objectives 121
Standards 126
Personal skills of the manager 128
Managing time 128
Delegation 131
Teamwork 133
Meetings 137
Group Effectiveness Assessment 138
Contents vii
Motivation 139
Communication 141
Management of change 145
Introducing change 146
Recognising the need for change 147
Planning the change 147
Implementing the change 147
Checking and monitoring change 148
Checklist for organisational change 149
Managing conflicts 151
The problem-solving approach 152
Bargaining 152
Use of ‘third parties’ 153
Avoiding or ignoring the conflict 153
Giving support to supervisors 153
The job of supervisors * 154
Support for supervisors 155
Personnel — the management of health workers 155
Recruitment and selection 156
Induction and training 156
Allocation work 156
Supervision 156
Discipline and grievance 156
Good communications 156
Counselling and guidance 156
Promotion and career development 156
Manpower planning 157
Training 158
Staff development 159
Maintaining standards and discipline 162
Disciplinary rules 163
A disciplinary procedure 163
Counselling — or helping staff with their problems 164
Finance *65
Sources of finance 165
Operating budgets 167
Costing information 168
Financial reports 169
Buildings 169
Supplies and stores 171
Drugs, vaccines and other pharmaceuticals 173
Vaccines 174
Transport 175
Further Reading 176
Contents
viii
6 Getting Feedback: Monitoring and Evaluation 178
Why do we need feedback? 178
What should be evaluated? 180
What needs to be evaluated depends on the community diagnosis
of problems and resources 180
What needs to be evaluated depends on the plan of action for the
health team in the district 180
What are the key components of evaluation which often get
neglected? 181
What are the essential elements of primary health care which need
to be evaluated? 181
Which level? Which component?—levels of evaluation 184
What level of feedback and which component in a programme? 184
Which specific questions can feedback from a health care pro-
gramme consider? 185
How can data be obtained to find out what is going on? 185
Quick or long? and what disciplines in getting feedback on a
programme? 186
Examples of data collection forms and systems used in local
communities 188
Choice of evaluation method 188
Experiment design 188
Quasi-experimental design 188
Patient care evaluation 189
Who is to obtain the feedback information 191
Where should the feedback be done? 195
When should feedback information be obtained? 195
Constraints on getting feedback 195
Further Reading 195
7 Future Prospects: Challenges for Change 196
Management issues likely to arise during the next decade 198
Obstacles and constraints 200
Opportunities for further growth 201
The untapped resources 203
Beyond primary health care? 204
Index
205
|
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| geographic | Entwicklungsländer (DE-588)4014954-7 gnd |
| geographic_facet | Entwicklungsländer |
| id | DE-604.BV005267976 |
| illustrated | Illustrated |
| indexdate | 2025-02-14T17:32:46Z |
| institution | BVB |
| isbn | 033336600X 0333366018 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-003281517 |
| oclc_num | 11495721 |
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| physical | X, 208 S. Ill., graph. Darst. |
| psigel | TUB-nseb |
| publishDate | 1984 |
| publishDateSearch | 1984 |
| publishDateSort | 1984 |
| publisher | Macmillan |
| record_format | marc |
| spellingShingle | District health care challenges for planning, organisation and evaluation in developing countries Districten gtt Gezondheidszorg gtt Entwicklungsländer Gesundheitswesen Community Health Services organization & administration Developing Countries Health Planning Medical care Developing countries Medizinische Versorgung (DE-588)4038270-9 gnd |
| subject_GND | (DE-588)4038270-9 (DE-588)4014954-7 |
| title | District health care challenges for planning, organisation and evaluation in developing countries |
| title_auth | District health care challenges for planning, organisation and evaluation in developing countries |
| title_exact_search | District health care challenges for planning, organisation and evaluation in developing countries |
| title_full | District health care challenges for planning, organisation and evaluation in developing countries R. Amonoo-Lartson ... |
| title_fullStr | District health care challenges for planning, organisation and evaluation in developing countries R. Amonoo-Lartson ... |
| title_full_unstemmed | District health care challenges for planning, organisation and evaluation in developing countries R. Amonoo-Lartson ... |
| title_short | District health care |
| title_sort | district health care challenges for planning organisation and evaluation in developing countries |
| title_sub | challenges for planning, organisation and evaluation in developing countries |
| topic | Districten gtt Gezondheidszorg gtt Entwicklungsländer Gesundheitswesen Community Health Services organization & administration Developing Countries Health Planning Medical care Developing countries Medizinische Versorgung (DE-588)4038270-9 gnd |
| topic_facet | Districten Gezondheidszorg Entwicklungsländer Gesundheitswesen Community Health Services organization & administration Developing Countries Health Planning Medical care Developing countries Medizinische Versorgung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=003281517&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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