Best practices, policy and innovations in the administration of healthcare in developing communities and countries. For administrators, academics, researchers and policy leaders. Includes peer reviewed research papers. Edited by Dr. Judith Shamian, President Emeritus, International Council of Nurses, Professor and Co-investigator with the Nursing Health Services Research Unit, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON
Action research was conducted in Bangladesh to determine whether a high level of fertility control behavior can be attained in a country of very low socioeconomic status, including very low levels of literacy and women's status, and if management training help can improve the performance of service delivery systems. 20 family planning officials participated in a 14-week, non-degree, management training program conducted in Dhaka. The research found that competently executed determined effort is a far faster and more effective alternative to socioeconomic development-led contraception in a developing population. A carefully designed and executed intervention can achieve a high level of contraceptive use, and thereby control fertility, without waiting for significant improvement in a country's socioeconomic indicators. For example, in the 19 experimental thanas, the contraceptive prevalence rate increased by an average of approximately 10 percentage points within 12 months of training. These findings demonstrate how a task-focused, well-designed, and properly conducted management training, backed by well organized and managed follow-up, can effect major improvement in a system's effectiveness and productivity, even if that system is staffed by a demoralized and apathetic work force.
Best practices, policy and innovations in the administration of healthcare in developing communities and countries. For administrators, academics, researchers and policy leaders. Includes peer reviewed research papers. Edited by Dr. Judith Shamian, President Emeritus, International Council of Nurses, Professor and Co-investigator with the Nursing Health Services Research Unit, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON
Research from both developed and developing countries has shown that various indicators of socioeconomic status (SES) are inversely associated with infant and child mortality. However, findings on the association between SES and morbidity are less clear. The impact of SES upon diarrheal and respiratory morbidity among children aged 5 years or less was assessed through a survey of mothers in 2 of Kuwait's 5 major residential areas. Findings are based upon interviews conducted during January-March 1994 with the mothers of 781 children of maximum age 5 years in a sample of Kuwaiti households. Only Kuwaiti nationals were included in the study. Higher SES women used health care facilities relatively more often. However, after controlling for relevant demographic factors, the effect of SES upon morbidity varied for diarrheal and respiratory illnesses. There were no significant differences in the reported morbidity due to diarrheal illness in either the 2 areas or the various SES groups. An inverse association was identified between SES level and morbidity due to respiratory illness, with children in the low and medium SES groups having higher respiratory morbidity than those in the high SES group.
Best practices, policy and innovations in the administration of healthcare in developing communities and countries. For administrators, academics, researchers and policy leaders. Includes peer reviewed research papers. Edited by Dr. Judith Shamian, President Emeritus, International Council of Nurses, Professor and Co-investigator with the Nursing Health Services Research Unit, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON
