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Book ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Health Management)
Source: Journal of Health Management - September 17, 2009 Category: Health Management Tags: Articles Source Type: journals

This Benevolent Hand Gives You Soap: Reflections on Global Handwashing Day from an International Development PerspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article offers a critical reassessment of the Global Handwashing Day, its origins and its implications, and challenges the campaign's significance for its alleged beneficiaries and benefactors. (Source: Journal of Health Management)
Source: Journal of Health Management - September 17, 2009 Category: Health Management Authors: Plyushteva, A. Tags: Articles Source Type: journals

Universal Primary Education for All Towards Millennium Development Goal 2: Bangladesh PerspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article focused on the problem, challenges and policy issues to achieve the second goal of MDGs. (Source: Journal of Health Management)
Source: Journal of Health Management - September 17, 2009 Category: Health Management Authors: Rahman, Md. O., Islam, M. T. Tags: Articles Source Type: journals

The Millennium Development Goalposts: Researching the Score on and off the FieldEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The United Nations’ Millenium Development Goals (MDGs) work in pervasive and powerful ways in the international imagination, by naturalising a strategic set of goals, indicators and targets, and in doing so, either opening up, or precluding and prescribing particular possibilities for understanding the state of the world and people's experiences. Our departure point for exploring the need for alternative research routes is therefore an engagement with the conceptualisation of ‘development’, the hopeful product of the 2015 target. This conceptual critique is three-fold: 1. There is a slippage in the discou...
Source: Journal of Health Management - September 17, 2009 Category: Health Management Authors: Bradbury, J., Clark, J. Tags: Articles Source Type: journals

Danger and Disease in Sex Education: The Saturation of 'Adolescence' with Colonialist AssumptionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The United Nations Development Programme's (UNDP) Millennium project argues for the importance of sexual and reproductive health in the achievement of all Millennium Development Goals (MDGs). Sex education programmes, aimed principally at the youth, are thus emphasised and are in line with the specific MDGs of reducing the incidence of HIV and improving maternal health. In this article, I analyse recent South African sex education and Life Orientation (a learning area containing sex education) manuals. Danger and disease feature as guiding metaphors for these manuals, with early reproduction and abortion being depicted as ...
Source: Journal of Health Management - September 17, 2009 Category: Health Management Authors: Macleod, C. Tags: Articles Source Type: journals

Listening to Oral Traditions in a Re-searching for Praxis in a Non-western ContextEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The relevance and appropriateness of western oriented psychology in practice and research is a concern in developing and non-western contexts. It is difficult to address this problem from any alternative position other than the western academic frame if one is situated in a tertiary educational institution in South Africa. In acknowledgement, this article explores the academic context including some local voices from the field in a search for possible congruent research methodologies, which may echo knowledge systems of the traditions of the local context in South Africa and its broader context in the continent. Constraini...
Source: Journal of Health Management - September 17, 2009 Category: Health Management Authors: Eskell-Blokland, L. M. Tags: Articles Source Type: journals

Is it Possible to Eradicate Poverty without Attending to Mental Health? Listening to Migrant Workers in Chile through their Idioms of DistressEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article argues for the need to develop alternative and culturally sensitive approaches to mental health, in order to support the everyday struggles of the poor. (Source: Journal of Health Management)
Source: Journal of Health Management - September 17, 2009 Category: Health Management Authors: C., L. N. Tags: Articles Source Type: journals

Frustrated Potential, False Promise or Complicated Possibilities? Empowerment and Participation Amongst Female Health Volunteers in South AfricaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a longitudinal case study of lay women's participation in a project seeking to facilitate home-based care of people dying of AIDS in a rural community in South Africa, drawing on four sets of interviews conducted with volunteers over a five-year period. We link participation in the project to three dimensions of women's agency: their knowledge and skills, their confidence; and their personal experiences of efficacy. We show that whilst the experience of participation enhanced each of these dimensions of volunteers’ agency at various stages of the project, the empowerment that did take place appeared to be ...
Source: Journal of Health Management - September 17, 2009 Category: Health Management Authors: Campbell, C., Gibbs, A., Nair, Y., Maimane, S. Tags: Articles Source Type: journals

Bottlenecks and Benevolence: How the World Bank is Helping Communities to 'Cope' with HIV/AIDSEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article looks at how Goal 6 of the United Nations (UN) Millennium Development Goals (MDGs) impacts on the well-being of the people affected by Human Immunodeficiency Virus/ Acquired Immune Deficiency Syndrome (HIV/AIDS). The focus is on a specific aspect : how the aid emphasised by Goal 6 is channelled towards community groups responding to the HIV/AIDS crisis. It does so by exploring the institutional mechanisms used by one of the key international organisations involved in the realisation of the MDGs—the World Bank and its Multi-Country HIV/AIDS Programme (MAP) in Kenya, Tanzania and Uganda. The article explor...
Source: Journal of Health Management - September 17, 2009 Category: Health Management Authors: Harman, S. Tags: Articles Source Type: journals

Disability and the Millennium Development Goals: A Missing LinkEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this article is to locate disability issues within the discourse of the Millennium Development Goals (MDGs). The idea is to question the failure of the goals addressing disability. MDGs cannot work as a universal remedy. It is critical to foreground the meaning of disability and underscore the reasons for the disabled people's absence from the agenda of the MDGs. Further, I discuss the ways in which state policy has addressed ‘disability’ in a globalising context. Finally, I outline the paradox of identity politics and its nuances based upon an understanding of the issues and related questions ...
Source: Journal of Health Management - September 17, 2009 Category: Health Management Authors: Ghai, A. Tags: Articles Source Type: journals

EditorialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We welcome readers to the second special issue (11.2) of the Journal of Health Management in 2009. We hope the readers find the articles and various reviews enriching and provocative, both in terms of the range of ideas and critical approaches addressed. The key theme of this double issue concerns the political limits of mega-development projects such as the Millennium Development Goals (MDGs). The primary focus of the articles collected here is to provide an insightful, constructive and in-depth critique of the United Nations (UN) MDGs along with critical deliberations on their short- and long-term implications not only f...
Source: Journal of Health Management - September 17, 2009 Category: Health Management Authors: Kumar, M., Burman, E. Tags: Articles Source Type: journals

Book ReviewsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Health Management)
Source: Journal of Health Management - August 17, 2009 Category: Health Management Tags: Article Source Type: journals

How the Poor Develop (in Spite of the Rich): A CommentaryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Health Management)
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Nieuwenhuys, O. Tags: Article Source Type: journals

Hitting the Target and Missing the Point: Is the United Nations Playing Games with the World's most Vulnerable?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article examines the policy of using target-setting and measurement to deliver on the United Nations’ (UN) development goals. Using evidence from similar monitoring and management strategies in the United Kingdom (UK), we question the purpose of using process and outcome targets and suggest that this approach can be counter-productive. It can also lead to a situation where maintaining public relations and image is prioritised at the expense of making real impacts on key development issues. While the UN's aims are praiseworthy, we suggest that the somewhat simplistic methodology adopted is damaging to the very pe...
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Webb, L., Ryan, T. Tags: Article Source Type: journals

Vulnerability Effects in the Criminal Justice System on Women Who Suffer Physical Abuse in their Couple Relationships (Spain)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article aims to explore the psychosocial practices in one of the sites that respond to vulnerable women who suffer abuse in their couple relationships: the criminal justice system. A discursive theoretical–methodological perspective is used (Foucault 1969; Ibáñez and Iñiguez 1997; Wetherell and Potter 1993), based on the discourse analysis and their positions that can be found in the practices of professionals in the criminal justice system (judges, prosecutors, lawyers, police), as well as in some of the narratives of vulnerable women. These accounts have been gathered through participant o...
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Albertin, P. Tags: Article Source Type: journals

Challenges in Developing Community Mental Health Services in Sri LankaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There are several issues to be faced in developing mental health services in South Asia if they are to be culturally and socially appropriate to the needs of the communities in the region. The meanings of mental health relevant to culturally appropriate service development can be obtained by exploring local notions of well-being, systems of care available to people and current practices among those seeking help for mental health problems. Participatory research carried out in communities in Sri Lanka affected by prolonged armed conflict and by the 2004 tsunami clarified the nature of well-being as perceived by communities ...
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Fernando, S., Weerackody, C. Tags: Article Source Type: journals

Democratic Decentralisation and the Millennium Development Goals for Health: An Analysis of Outcomes for Women in Two South Indian StatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the context of the targets for primary health identified by the MDGs this article evaluates the link between decentralisation and positive outcomes for women and children. Using India as a case study, the article traces the changes in health attainments as a result of decentralisation reforms. The evidence presented, drawn from the experiences of two states, speaks to the relevance of such a link. Despite the heterogeneity of contexts and in implementation, in general democratic decentralisation has enhanced health outcomes for women in the selected village Panchayats. However, the article unearths significant differenc...
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Mohan, N. Tags: Article Source Type: journals

Community 'Participation', Resistance and the Water WarsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Water is essential to human life, health and development. Prepaid water metres are a popular yet controversial approach to extending water services to the poor. They operate on an upfront payment system which automatically disconnects water if households do not have enough money to replenish supplies. While prepaid water metres have been criticised on a number of levels, this article focuses on the equally problematic discourses used to promote them amongst the poor. By drawing on a case study of a poor South African community's struggle against prepaid water metres, this article highlights how prepaid metres were promoted...
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Barnes, B. Tags: Article Source Type: journals

Policies to Eradicate Extreme Poverty in Chile: A Critical Analysis of the Puente ProgrammeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The present article analyses the association between the way in which public policy conceptualises poverty (in discourse and practice), the conception of poverty of people who live in extreme poverty conditions and the strategies they develop to affront it, in the light of their participation in the Puente Programme in Chile. The data emanate from research work carried out from a qualitative perspective using in-depth interviews with people considered to be living in extreme poverty and including a gendered analytic.The ‘Puente Programme’ is part of Chilean public policy aimed to reduce levels of poverty and ex...
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Urrutia, B. B., Labrin, S. M. Tags: Article Source Type: journals

Global Development? Monitored Object(ive)s, Omitted Subject(ivitie)sEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this article I critically reflect on the hegemonic modernist framework of development by focusing on its reflection and application in the United Nations’ (UN) Millennium Development Goals (MDGs) and practices. Not only do I find it falling short of explaining, understanding or bringing about global development, but quite the opposite, since it feeds into and reproduces the status quo. While I plead for serious (re)definitions, and genuine global commitment towards the (re)solution, of the current micro/macro social problems, which are interdependent and need to be treated in connection and at once, I pick four ur...
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Gulerce, A. Tags: Article Source Type: journals

MDG 6--What about Disabled People?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article will use the case study of the relationship of disabled people in Mozambique to HIV & AIDS to draw out the reasons for disabled people being ignored throughout HIV & AIDS policy and services and then provide recommendations to bring about disabled people's inclusion. (Source: Journal of Health Management)
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Godziek, S. Tags: Article Source Type: journals

Health Inequality in Resource Poor Environments and the Pursuit of the MDGs: Traditional versus Modern Healthcare in Rural IndonesiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The article examines health inequalities and the impact of changing healthcare provision in rural Indonesia. Traditional medicine is often the only source of medical care for a majority of the population in rural Indonesia. However, the pursuit of the Millennium Development Goals (MDGs) requires the provision and implementation of modern healthcare systems. Using case studies from four rural districts in Kaledupa, a remote island in southeast Sulawesi in Indonesia, the study shows that although modern healthcare facilities are present in the sampled island, they seem to be remote with limited access in comparison with the ...
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Assan, J. K., Assan, S. K., Assan, N., Smith, L. Tags: Article Source Type: journals

A Case for Intercultural Inquiry and Cognitive Justice in the Internationalisation of HIV/AIDS: A South African ExampleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article critically analyses the mechanisms through which international expertise has come to influence the practice of rapid testing within the South African context. Through this analysis the article aims to illustrate the unintended consequences of the process of HIV/AID globalisation and internationalisation. While the article argues that knowledge claims about the pandemic are always produced through an interaction of local and international processes, it contends that these interactions are characterised by inequalities when the experiences of local people and contextual factors are not adequately fed into the pr...
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Frizelle, K.L. Tags: Article Source Type: journals

The Orthodoxy of Gender Mainstreaming: Reflecting on Gender Mainstreaming as a Strategy for Accomplishing the Millennium Development GoalsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reflects on a gender mainstreaming intervention in the East African region to explore the role that gender mainstreaming can play in achieving the Millennium Development Goals. In this article we discuss how gender mainstreaming has, at times, functioned as a retreat from women's equality and is used to render feminist perspectives more palatable to those who resist them. Far from being a simple critique of gender mainstreaming this reflects the broader tensions and debates that are shaping what gender has come to mean in different contexts. This brings difficult tensions over who develops a gender mainstreami...
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Palmary, I., Nunez, L. Tags: Article Source Type: journals

MDGs in a Global World: Gender Equity and Empowerment in Service Provision for Migrant Women in BarcelonaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this article we reflect upon the relationship between the Millennium Development Goals (MDGs) formulated by the United Nations (2000) and the migration phenomena that is characteristic of the present globalised society. First, we argue that the Millennium Goals have not sufficiently considered migration processes as a structural phenomenon. Development goals must take in account this emergent phenomenon in post-industrial societies in order to achieve human rights and social equity and to promote the well-being of all people in their origin and host societies.Second, by interpreting the results of an ethnographic study ...
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Montenegro, M., Montenegro, K., Yufra, L., Calaz, C. Tags: Article Source Type: journals

The Erased and MDG Implementation: The Production of a Medical Anomy in SloveniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses how Erasure came to be and its consequences. The plight of those Erased who are without legal status even today is discussed with regard to issues concerning health and access to health services from which they are excluded through a combination of nationalist and neo-liberal policies. As such, they not only form a section of society that can be completely overlooked by the implementation strategies of the Millennium Development Goals (MDGs), but can also be seen as indicative of some of the conditions that may also effect other vulnerable individuals and groups such as those emerging from various co...
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Jeffs, N., Cebron, U. L. Tags: Article Source Type: journals

What's Millennial about the MDGs? Discursive Boundaries of Public Health in Southeast AsiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Millennium Development Goals are framed within the post-war discourses of development that also gave us Basic Human Needs and Human Security. The Goals set out a consideration of the failures of earlier strategies along with an agenda for the accelerated reduction of poverty and its accompanying human insecurities. Though the more critical aspects of the MDG discourse were sorely needed, they also left space for the repetition of earlier top–down development strategies, and, more generally, for a (re)vision and wider implementation of globalised intervention by developed countries into the less-developed. In this...
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Thiesmeyer, L. Tags: Article Source Type: journals

EditorialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We welcome readers to the first special issue (11.1) of the Journal of Health Management. We hope the readers find the articles and various reviews enriching and provocative, both in terms of the range of ideas and critical approaches addressed. The key theme of this double issue concerns the political limits of mega-development projects such as the Millennium Development Goals (MDGs). The primary focus of the articles collected here is to provide an insightful, constructive and in-depth critique of the United Nations (UN) MDGs along with critical deliberations on their short- and long-term implications not only for health...
Source: Journal of Health Management - August 17, 2009 Category: Health Management Authors: Kumar, M., Burman, E. Tags: Article Source Type: journals

AbstractsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Health Management)
Source: Journal of Health Management - March 27, 2009 Category: Health Management Tags: Article Source Type: journals

Book ReviewsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Health Management)
Source: Journal of Health Management - March 27, 2009 Category: Health Management Authors: Nathawat, S.S, Venkataraman, H. Tags: Article Source Type: journals

A Study on Health Awareness in Chars of AssamEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article studies the situation of health awareness among the inhabitants of Chars (river islands) of Nalbari, Borpeta and Jorhat districts of Assam. The health awareness is measured by health expenditure. The findings reveal that all the variables—caste-residence compound status, educational attainment, economic consideration of the family, family structure and primary occupation of the families have desirable impact on health awareness. In particular, the inhabitants of Char areas of Nalbari and Borpeta districts are seen to be least health aware. Thus on the basis of the findings of this study, it can be stated...
Source: Journal of Health Management - March 27, 2009 Category: Health Management Authors: Barua, P., Hazarika, J. Tags: Article Source Type: journals

A Status Report on the Health Care Sector in FranceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, the government plays a significant role in providing health care and regulating the pharmaceutical industry. (Source: Journal of Health Management)
Source: Journal of Health Management - March 27, 2009 Category: Health Management Authors: Lalitha, N, Guennif, S. Tags: Article Source Type: journals

Development of a Scale to Determine Barriers to Paediatric Eye CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article explains the procedure adopted in developing a scale to determine the barriers to paediatric eye care. A 22-item barrier to paediatric eye care scale was specifically developed. The scale, along with the full-length questionnaire, was pre-tested and later administered to 207 parent-respondents at Sadguru Netra Chikitshalaya (SNC), Chitrakoot, in the state of Madhya Pradesh (India). A fiveround factor analysis variable deletion process resulted in a three factor structure. Although this procedure reduced the number of items in the scale from 22 to 9, the variance explained by the factors increased from 61 to 78...
Source: Journal of Health Management - March 27, 2009 Category: Health Management Authors: Krishnatray, P., Bisht, S. S., Guha, K., Pinto, S. Tags: Article Source Type: journals

Addressing RTI/STI and HIV/AIDS, and Gender Discrimination in Treatment in IndiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this article an attempt is made to demonstrate the level of awareness of Reproductive Tract Infection (RTI)/Sexually Transmitted Infections (STI) and Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) and the extent of discrimination in treatment seeking behaviour among men and women who have got symptoms of RTI/STI in India. The awareness about RTI among women is higher than that among men by 8 percentage points, but the level of awareness about STI among men is higher than that among women by 7 percentage points. The awareness about HIV/AIDS among men is higher than that among women by 18 pe...
Source: Journal of Health Management - March 27, 2009 Category: Health Management Authors: Buragohain, T. Tags: Article Source Type: journals

AbstractsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Health Management)
Source: Journal of Health Management - December 8, 2008 Category: Health Management Tags: Article Source Type: journals

Book ReviewsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Health Management)
Source: Journal of Health Management - December 8, 2008 Category: Health Management Tags: Article Source Type: journals

Gender Responsive BudgetingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Health Management)
Source: Journal of Health Management - December 8, 2008 Category: Health Management Authors: Sodani, P.R., Sharma, S. Tags: Article Source Type: journals

Making Drugs Affordable for the Poor in a Tertiary Care Hospital: A Case StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The public sector health care facilities are expected to provide health care services including medicines at low costs. The costs are escalating and the poor population is unable to afford them. The most important factor for high costs is prescribing of expensive newer drugs irrationally due to the pressure of pharmaceutical companies. An attempt to promote rational prescribing through interventions, such as essential drugs lists, clinical protocols and training has not been very effective. The margin of profit manufacturer to retailers is high. Two attempts to supply medicines at low cost, one through a not-for-profit ass...
Source: Journal of Health Management - December 8, 2008 Category: Health Management Authors: Singh, O. P., Bapna, J. S. Tags: Article Source Type: journals

Is Lifestyle Influencing Morbidity among Elderly?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The main focus of the article was to examine the type of lifestyle adopted by the elderly and its effects on their health conditions and this was based on the data available from the National Family Health Survey–2 (NFHS–2). The study found that lifestyle adversely affected health and increased morbidity conditions among the elderly. Lifestyles such as alcohol consumption, regular smoking and tobacco chewing had adverse effects on one's ability to control diseases. It was observed that asthma was higher among the elderly who smoked regularly, consumed alcohol and chewed tobacco. About 144 persons per 1,000 popu...
Source: Journal of Health Management - December 8, 2008 Category: Health Management Authors: Mutharayappa, R., Bhat, T.N. Tags: Article Source Type: journals

Patient Safety, Knowledge Creation and the Absorptive Capacity of Rural HospitalsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article applies the concepts of organisational learning in general and absorptive capacity in particular to the efforts by rural hospitals to continuously improve patient safety performance. Strategies are discussed through which rural hospitals might better identify patient safety related information, techniques and technologies and convert them to organisational use. (Source: Journal of Health Management)
Source: Journal of Health Management - December 8, 2008 Category: Health Management Authors: Godkin, L., Adcock, M., Duva, T., Verrett, D., Godkin, J. Tags: Article Source Type: journals

When Staff Create the Organisational Culture: A Case Study in the Spanish Emergency Health Care SystemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Emergency units suffer from continuous overload because all types of users demand the service. The literature shows that in general, the percentage of non-urgent users varies from 20 per cent to 80 per cent, depending on the type of centre analysed, the research approach or the methodology. While some studies have analysed this phenomenon focusing on the users, the current research adopts a different perspective. In this article, we try to explain how the break-down in the emergency services affects the work that the staff do. Drawing on evidence obtained from a six-month ethnographic study in two Spanish public hospitals,...
Source: Journal of Health Management - December 8, 2008 Category: Health Management Authors: Rey Pino, J. M., Gardey, G. S., Hagen, I. Tags: Article Source Type: journals

AbstractsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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Source: Journal of Health Management - August 18, 2008 Category: Health Management Tags: Article Source Type: journals

Book ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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Source: Journal of Health Management - August 18, 2008 Category: Health Management Tags: Article Source Type: journals

Measuring Hospital Performance through Data Envelopment Analysis: Understanding Basic Concepts to Help Novice ResearchersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Attempting to assess the performance of organisations that are health service providers is not only a difficult task, but also requires specialised evaluation techniques because of the non-parametric measurable characteristics of their product. Data envelopment analysis (DEA) is a unique technique used for studying the comparative operating efficiency of an organisation in terms of scale and technical efficiencies that are beyond the scope of conventional measures of performance. The knowledge of these efficiencies reveal those ‘black spots’ that can then be targeted for improvement. Though being a very powerfu...
Source: Journal of Health Management - August 18, 2008 Category: Health Management Authors: Sodani, P.R., Madnani, G.M.K. Tags: Article Source Type: journals

A Study of Drug Expenditure at a Tertiary Care Hospital: An ABC-VED AnalysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article analyses the annual drug expenditure at Goa Medical College Hospital using ABC-VED analysis in order to identify drug categories requiring greater supervisory monitoring.Inventory control techniques ABC, VED and ABC-VED matrix analysis were utilised to study the drug expenditure at the hospital. The data was collected for the financial year 2005–6.Out of the 348 drugs, around 12.93 per cent of the drugs were found to account for 69.45 per cent of the annual drug expenditure (45 drugs) and were classified as category A drugs. Another 19.54 per cent of the drugs (68 drugs) consumed 20.48 per cent of the bu...
Source: Journal of Health Management - August 18, 2008 Category: Health Management Authors: Vaz, F.S., Ferreira, A.M., Kulkarni, M.S., Motghare, D.D., Pereira-Antao, I. Tags: Article Source Type: journals

Socio-economic Factors and Household Health Expenditure: The Case of OrissaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Health is influenced by socio-economic factors like whole life-course, the neighbourhood in which one lives, past socio-economic factors, stress history, diet, income, education and many other factors. In this connection, the present article is a micro-level study based on primary data to find out the impact of income and education on household health expenditure in Orissa. It is found that income and education have positive and significant influence on health. Therefore, to tackle poverty—and, hence, health—it is necessary to consider the individual as well as the community. Community development projects that...
Source: Journal of Health Management - August 18, 2008 Category: Health Management Authors: Rout, H. S. Tags: Article Source Type: journals

Introduction of User Fees: A Viable Means of Health Care Financing?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
One of the priorities of the Bangladesh Health and Family Planning Programme is to focus on a cost recovery policy by the introduction of user fees to improve quality and financial sustainability. To assist the policy we propose an operations research-based cost recovery model to find the best ‘service mix’ from outdoor, indoor, emergency and diagnostic services for sub-district-level health facilities. The model considers budget, patient flow patterns, resource availability, service demand and equity principal constraints. The study offers proposals to assist the decision-making process for the introduction of...
Source: Journal of Health Management - August 18, 2008 Category: Health Management Authors: Ahsan, M. K., Bartlema, J. Tags: Article Source Type: journals

Public Financing of Health Services in India: An Analysis of Central and State Government ExpenditureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article examines the levels, trends and patterns of public expenditure on health during 1995 to 2006 in India, both at the national and state levels. We find that public expenditure on health as a proportion of GDP has remained stagnant over the years, and revenue expenditure accounting for the larger share. Among the states, the relatively poor ones were found to be spending more on health, both per capita and as a proportion of GSDP, compared to the richer states. It was seen that expenditure on health by the state had not grown adequately along the path of overall economic prosperity, and private out-of-pocket expe...
Source: Journal of Health Management - August 18, 2008 Category: Health Management Authors: Guruswamy, M., Mazumdar, S., Mazumdar, P. Tags: Article Source Type: journals

Why is the Rate of Cesarean Section in Urban China so High? Is the Price Transparency Policy Working?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aims to prove that demand and supply factors may cause the high NCS rate, thus affecting the consequences of this policy, and causing a waste of resources and increased delivery expenditure. We conducted a multinomial logistic regression analysis to identify factors related to the high NCS rate, ANOVA and ANCOVA to compare the resource waste among the different delivery modes or hospitals. It was confirmed that the high NCS rate (37.7 per cent) in urban China might be predicted based not only on the demand factors (region of residence, parity, maternal age and weight gain), but al...
Source: Journal of Health Management - August 18, 2008 Category: Health Management Authors: Hong, X. Tags: Article Source Type: journals

A Comparison of Costs to Patients with Tuberculosis Treated in a DOTS Programme with Those in a Non-DOTS Programme in South IndiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Tuberculosis is a curable disease, yet it is the largest single infectious cause of death among adults in the world. India accounts for one-third of the global TB burden. Its economic burden in India is enormous as it perpetuates and exacerbates poverty. The revised national Tuberculosis Control Programme (the DOTS Strategy) is currently being implemented in India. The purpose of this study was to compare the costs to tuberculosis patients treated in a DOTS Programme with the costs to patients treated in a non-DOTS Programme in south India.Patients registered between June and December 2000 (455 in DOTS area, 441 in non-DOT...
Source: Journal of Health Management - August 18, 2008 Category: Health Management Authors: Muniyandi, M., Rajeswari, R., Balasubramanian, R., Narayanan, P.R. Tags: Article Source Type: journals