a) Health Systems Strengthening is an approach designed to sustain improvements to the health system in poor countries, and is in contrast to an approach in which improvements “fall by the wayside” when external funding is withdrawn. What elements of the interventions described in this paper enhance the likelihood that they will be sustained over time?
According to WHO, the definition of Health Systems Strengthening is the process of policy and practice implementation that helps the country to have better health systems and better health outcome. The main purpose of Health Systems Strengthening is to have all level function well in the system.14
There are three main interventions described in this paper; mobilizing the health care delivery systems, creating rapid referral networks and overcoming conditions of poverty strategies. The elements of the interventions that enhance the likelihood that they will be sustained over time are in the process of creating rapid referral networks and overcoming conditions of poverty strategies.
“Creating rapid referral networks”, the intervention creates a network that can help identifying ill children and refer those children for care rapidly. Community organizers, religious leaders, educators were trained to detect the signs and importance of early diagnosis and treatment. Moreover, they’re also taught to pass forward this information to other community members. This strategy can create strength in the community and increase human
The health care system must change to improve our nation’s health and takes strong steps to address the unsustainable growth of health care costs in America. We still have a long way to go before our health system become effective. We still have population that do not have insurance, have difficulties accessing their health care, or their needs are not met within the healthcare system. It is an investment in prevention and wellness and increasing access to primary care physician.
Despite the countless advanced in technology and the abundance of health care organization popping up all over the place, whether they are free standing clinics, hospitals, urgent cares or etc, many people still lack the ability to receive quality health care. This has become a concern throughout the world, but especially a more vocal concern for residents of the United States in the past few years. In this paper we will discuss the reasons preventing access to quality health care and how we can overcome the many obstacles that stand in our way to provide quality health care to many who lack it today.
For this paper, Ms. Minister Melishia Bansa MPH was interviewed. She is a thirty year old African-American woman. Her occupation is the director of community outreach and provider Relations for “Coordination of Health Care for Complex Kids” (CHECK) Program and Project Coordinator of “Promoting Adolescent Health” (PATH) Study. She was interviewed about her work with the CHECK Program. The Coordination of Health Care for Complex Kids program aims to improve overall health and quality of life for underserved populations. This programs aims to fight the social injustice of unequal health systems for low socioeconomic communities. The CHECK program aims to increase doctor appointments and improve communication between the patient and the patient’s health provider. However, the program is focusing on young individuals with chronic illnesses within low socioeconomic communities.
WHO’s definition of a ‘setting’ in the context of Health Promotion is ‘the place or social context in which people engage in daily activities in which environmental, organisational and personal factors interact to affect health and wellbeing’ (WHO, 1998). The core concept of the approach is dictated in the Ottawa Charter for Health Promotion, 1986. It involves initiating and maintaining a ‘supportive environment for health’ (WHO, 1986) and supports broader efforts of health promotion interventions, incorporating multiple determinants of health at a time. The SBA to HP values public participation, supportive social networks, empowerment, community, and health awareness. This approach aims to achieve positive health outcomes by embedding a health promoting concept into the organisational structure of a central setting such as a school, workplace or prison. It acknowledges a key connection between environment and wellbeing and works to achieve a more sustainable and long-term
Step 1: Staff area hospitals and doctors’ offices with medical professionals who look like the people in the community they are serving. This will begin to build the first bridge of trust, not only that but when kids grow up surrounded by people of
Within the United States some populations groups face greater challenges then the general public with being able to access needed health care services in a timely fashion. These populations are at a greater risk for poor physical, psychological, and social health. The correct term would be underserved populations or medically disadvantaged. They are at a disadvantaged for many reason such as socioeconomic status, health, and geographic conditions. Within these groups are the racial and ethnic minorities, uninsured children, women, rural area residents, mentally ill, chronic illness and the disabled. These groups experience greater barriers in access to care, financing of care, and cultural acceptance. Addressing these
Hi Whitney! I have to agree with you that health system come together to improve health. Its goal is to deliver the safest and effective health intervetions to the people's need. Health workforce need to work in harmony and delivers information need to health status and system, by providing safe medical products, vaccines, and technologies and fund health program and protect the population from financial harm. Of course, through proper governance of the health
As a PHN, I am assigned to educate them on the importance of immunizing their children from two months and above. I will use different types of strategies to promote health to this group. I need to build trust among this population, before I can effectively provide care. I will apply the theories of “Thinking Upstream concept, by attacking community based problem and their roots, emphasize on the doing aspects of health and maximize the use of informal networks.” Page 457-459
This report will identify the different areas which make up health and how funding is a key element to improve health in the community. This report will also provide an evaluation on the contributing factors by which ill health can be developed. There are a number of element that contribute to the definition of Health these include physical, social and emotional health. Physical health can be defined as a state of well-being when all internal and external body parts, organs, tissues and cells are functioning efficiently.
Disparities in access to health services affect people and lead to unmet health needs, preventive medical services, and poor health. Low-income people are less able to afford the out-of-pocket costs of care, even if they have health insurance coverage. Public health insurance programs have expanded coverage for the poor and not enough to close the disparity gap. In order to improve health care services, we must make sure that the District 17 communities have usual and ongoing source of care as people with a usual source of care have better health outcomes. District Council 17 needs increased access to quality care regardless of their ability to pay, insurance status, or other potential barriers to
The program aimed to increase the number of the insured people and the number of the people accessing basic healthcare in the US. The inclusion of the economically challenged in the care program stimulated the need for reduced contribution to the model. The decreased contribution to the program translated to decreased payments of the services offered in the clinics by the insurer. To operate effectively with the reduced payments, the clinics adopted designs of healthcare delivery or advanced practices that are aligned to the amount paid by the insurer that significantly reduced the quality of the healthcare delivery (Estes et al., 2013).
Access and availability of primary care providers are just two of many drivers that are shaping the health care industry. Passage of the ACA will result in improved access however the challenge of having enough primary care physicians for poor communities has not been properly addressed. Health care administrators in impoverished communities will have to be resourceful in attracting primary care providers to serve in their communities. The lesson provided by Cuba has shown that through their network of neighborhood clinics, preventative care can be successful (Bourne, Keck, & Reed, 2006). Cuba has shown that low cost care can result in health care outcomes that are comparable to the US (Bourne, Keck, & Reed, 2006). US health care is undergoing a transformation that
engage rural communities, promote rural health care system development and create collaborative referral systems with urban
A health care system is a framework of interrelated, interacting, and interdependent descriptions of human development in a given country, region, or community. This system of human development functions as an organized measure to promote and provide treatment in which individuals reach their highest attainable level of physical, mental, and social well-being. All health care systems are grounded in the concept that genetic and biological factors must be taken into account to understand the problems and behaviors of a specific population. The interconnected factors that determine an individual’s health status includes personal features, social status, culture, environment, educational attainment, health behaviors, childhood development, access to care, and government policy. International collaboration of ideas on the progression of transnational health is greatly endorsed for the benefit of complete global health care. Health care has social, governmental, and financial implications that affect all members of the health care system and in countries within the Central American region specially, citizens have fallen victim to health disparities that have resulted from long-term neglect of the underlying factors that perpetuate this issue.
Worldwide, approximately 1.3 billion people do not have access to affordable and efficient healthcare and out of those who have access, almost 170 million are forced to spend around 40 % of their income on medical treatment (Asante et al,2016).In low and middle income countries (LMICs), the major constraint to the access of healthcare is financial burden, where out-of-pocket payments (OPP) contribute to approximately 50 % of total health expenditure (WHO, 2010). As a result, in these countries there is high probability of many households being pushed into poverty due to high medical expenses (McIntyre,2006).The matter of concern in LMICS is that poor and disadvantaged groups of population do not have access to adequate quality of healthcare.For instance, according to WHO (2010) up to 20 % of women in rich population are more likely to have a birth attended by skilled health worker than a poor woman. Therefore, taking an action to address health inequities faced in these countries would save up to 700,000 women.