FUNCTIONS OF THE HEALTH SYSTEM

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FUNCTIONS OF THE HEALTH SYSTEM
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Harmonization of Service Delivery

• 7.1 Yes
• HA will provide strategic direction but the
  regional action /work plan may differ from region
  to region depending on epi. and demo. profile
  geared to meeting national targets.
• Some MOH policies are lagging behind regional
  initiatives and there should be harmonization.

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Harmonization of Service Delivery

• Use of best practices in the region to inform
  national policies.
• 7.2 yes There is some duplicity but the majority
  is complimentary services
• Duplication does not necessarily means
  fragmentation
• 7.3 Basic health standards should be updated,
  reviewed and new standards designed for
  introduction of new services. These should be
  implemented at all levels of care.

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Harmonization of Service Delivery

• 7.4 The term integration should be rephrased to
  Comprehensive care.
• This can only be assured through an effective ME
  programme with specific indicators

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Gaps Gender, Ethnicity Age

• The gender disparity exists in both sexes and
  needs to be recognized.
• There should be a gap analysis so the programmes
  can be designed for specific groups and to aid in
  policy adjustment.

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Quality Assurance

• Even though basic health care standards are
  stipulated it is not enough to guarantee
  implementation of standards and quality of
  services.
• There are no indicators to tell whether they are
  being used at the appropriate levels
• Countries are at various levels in terms of
  accreditation, licensing and certification

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Quality Assurance

• There is a need to review the legislations to
  have the ability to evaluate private
  institutions.
• Most countries have identified external
  accreditation bodies but they are expensive and
  hence the region is looking at a regional
  accreditation body especially in the light of
  CSME.
• Instruments to measure performance There are
  fragmented initiatives in several countries to
  address this but no comprehensive standardized
  instrument

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Quality Assurance

• The question is relevant but most countries dont
  have an effective complaint mechanism.
• Standards for measuring health services
  performance in terms of Human, financial and
  technological resources relevant.
• Methodology should include
• Community participation Encourage advocacy and
  consumer groups health as a human right
• Questions about existence of patient charts