MPH/HSMP 2007-2008: CC1: DHS: Local Health System: Big picture

this topic is the part of CC1: Local health system by Professor JP Unger

             There are 14 topics focusing in local health system lecture as following,

1.     Two policy options for international aid to developing countries health sector: Dominant (Neoliberal) international aid policy & Social-and-democrat international aid policy

2.     Districts and Local Health System: health care, health service, health system, health policy and reference model of LHS

3.     Improving the quality of health care in LHS: clinical decision making, patient centredness, patient’s autonomy, reflexive practices

4.     Supervision: definition of supervision & intervision, basic methodology

5.     Coverage and access to health centers: improve access to care, improve coverage of preventive care

6.     Coverage plan: concept and implementation; definition & goals, strategies (geographic spreading, extension by level of care, extension in checkerboard), integration (extension of the activity package: minimum interdependent set-up or MIS)

7.     Pharmacy management: problem, Bamako initiative, pharmacy organization, management of funds, improved prescription, axis of pharmaceutical strategy

8.     Financial management: cost recovery, system management of district finances

9.     Human resource management: problem, strategies for managing HR, motivation, reorganization to improve HR utilization, teamwork

10. Information systems: IS component, information at HC & Hospital, epidemiology surveillance

11. Community participation: types, in HC, in hospital, in other settings, developing community participation in health facilities

12.The District Executive team and LHS team: function & member, strategies to set up LHS team

13.  Strategies of LHS development: general priorities of strategic action, extension of coverage

14.  How to manage the side-effects of the health sector reform locally: health care reform, health care privatization, cost recovery in MOH & municipality facilities, decentralization & deconcentration & municipalization 

"Notice that improving of the quality of health care in the health center is a prerequisite for improvement of accessibility to health care."

By JP Unger

Phichet Banyati

November 23, 2007.

Verbondstrat 52, Antwerp