WorldWideScience

Sample records for buck health sector

  1. Suriname: Health Sector Assessment

    OpenAIRE

    Rena Eichler

    1999-01-01

    This study assesses the health sector in Suriname, with the goal of assisting policy makers to develop a better understanding of problems and to propose a range of solutions. This study presents the analytical framework used to assess the health sector, reviews the major findings, and presents key recommendations. The focus is on the complex inter-relationships between the major actors in the health sector: policy leaders, consumers, providers, and payers. This market-oriented framework was c...

  2. Technological Ecosystems in Health Sector

    OpenAIRE

    García-Holgado, Alicia

    2016-01-01

    [EN]Presentation about the technological ecosystems applied to the health sector related to dementia and other mental disorders. This presentation was made in the INTERDEM meeting in Budapest, April 21, 2016.

  3. Health: Sector Strategy (2004)

    OpenAIRE

    Inter-American Development Bank (IDB)

    2004-01-01

    The objective of this Health Strategy (GN-2321) is to help Latin American and the Caribbean countries improve the health of their populations, attaining national health objectives and tailoring Millennium Development Goals to conditions in each country. The priorities areas of Bank Actions include: 1) Supporting the establishment and scope of strategic national health objectives adapted to the conditions in each country that seek to satisfy the needs of the very poor and to promote inclusion ...

  4. Private Health Sector Assessment in Kenya

    OpenAIRE

    Barnes, Jeff; O'Hanlon, Barbara; Feeley, Frank III; McKeon, Kimberly; Gitonga, Nelson; Decker, Caytie

    2010-01-01

    Kenya private sector is one of the most developed and dynamic in Sub Saharan Africa. In this context, USAID/Kenya requested that the Private Sector Partnerships-One project (PSP One) conduct an assessment of the private health sector in Kenya. The scope of work involved assessing the role of the private sector in the overall health system, considering the potential of the private sector to...

  5. Medical and health care sector

    International Nuclear Information System (INIS)

    The medical and health care sector in general supplies products and provides services that can be categorized as diagnostic radiology, therapeutic application and nuclear medicine (both, diagnostic and/ or therapeutic). The institutions offer different categories of services. Some provide only one category of service, for example, diagnostic radiology. Others may provide more than one categories, for example, diagnostic nuclear medicine and therapeutic nuclear medicine services. A total of 90 entities comprising 65 public agencies and 34 private companies were selected in this study for this sector. The majority of the entities, 75.6 %, operate in Peninsular Malaysia. The remainders operate in Sabah and Sarawak. The findings of the study on both public agencies and private companies are presented in subsequent sections of this chapter. (author)

  6. Public health assessment for Revere Chemical Company, Nockamixon, Bucks County, Pennsylvania, Region 3. Cerclis No. PAD051395499. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1994-01-06

    The Revere Chemical National Priorities List (NPL) site is located on the southeast side of Pennsylvania State Route 611, approximately three quarters of a mile south of the town of Revere in Nockamixon Township, Bucks County, Pennsylvania. Operations at the Revere Chemical site were initiated in 1963 and reportedly involved the recycling of spent chromic acid solutions, the recovery of copper from electric plating solution, and the reclamation of metals from printed circuit boards. The process area soils are contaminated with volatile organic compounds and metals. Soil contamination decreases markedly with distance from the process area. Trichloroethene (TCE) and 1,2,4-trichlorobenzene (TCB) were detected in on-site monitoring well MW-4 at concentrations of 110 micrograms per liter and 41 micrograms/liter, respectively. The Revere Chemical site currently represents an indeterminate public health hazard since groundwater flow direction has not been fully characterized and not all residential wells near the site have been sampled.

  7. Egypt : Health Sector Reform and Financing Review

    OpenAIRE

    World Bank

    2004-01-01

    In 1997, the Ministry of Health and Population (MOHP) of the Government of Egypt (GOE) launched a comprehensive Health Sector Reform Program (HSRP) aiming to develop a national health system, based on social insurance that would address existing problems in equity, access, efficiency, quality and financial sustainability. The purpose of the Health Sector Reform and Financing Review is to p...

  8. Private Health Sector Assessment in Tanzania

    OpenAIRE

    White, James; O’Hanlon, Barbara; Chee, Grace; Malangalila, Emmanuel; Kimambo, Adeline; Coarasa, Jorge; Callahan, Sean; Levey, Ilana Ron; McKeon, Kim

    2013-01-01

    Tanzania exemplifies the developing world's struggle to achieve 'middle-income' country status while confronting widespread poverty and substantial health challenges-such as persistently high child and maternal mortality, human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS), tuberculosis (TB), and malaria. In this context, Tanzania's National Public Private Partnership (PPP) policy and second Health Sector Strategic Plan (HSSP) included a call for a private health secto...

  9. Strengthening health systems by health sector reforms

    OpenAIRE

    Senkubuge, Flavia; Modisenyane, Moeketsi; Bishaw, Tewabech

    2014-01-01

    Background: The rising burden of disease and weak health systems are being compounded by the persistent economic downturn, re-emerging diseases, and violent conflicts. There is a growing recognition that the global health agenda needs to shift from an emphasis on disease-specific approaches to strengthening of health systems, including dealing with social, environmental, and economic determinants through multisectoral responses.Methods: A review and analysis of data on strengthening health se...

  10. Gender Issues in Health Sector

    OpenAIRE

    Prakash Prabhakarrao Doke

    2015-01-01

    Gender wise analysis of data brings out biological, behavioural and social variables which indicate inequality in the health parameters in male and female sex. There is discrimination against women. Right to birth is denied by sex selective elimination, right to survival is denied by the neglect of girl child resulting in declining trend of child sex ratio which has reached an alarming low level of 914 in 2011 in spite of the fact that the female sex is biologically st...

  11. Gender Issues in Health Sector

    Directory of Open Access Journals (Sweden)

    Prakash Prabhakarrao Doke

    2015-04-01

    Full Text Available Gender wise analysis of data brings out biological, behavioural and social variables which indicate inequality in the health parameters in male and female sex. There is discrimination against women. Right to birth is denied by sex selective elimination, right to survival is denied by the neglect of girl child resulting in declining trend of child sex ratio which has reached an alarming low level of 914 in 2011 in spite of the fact that the female sex is biologically stronger. The mortality and morbidity indicators are unfavourable to the females. Maternal mortality in developing countries including India is unacceptably high. There is a failure of achievement of Millennium Development Goals in relation to maternal mortality and gender equality and empowerment of women. Crime against women is increasing. Violence is domestic or at workplace or occurring in public places. Social factors like male dominance and subordinate status of women make them vulnerable to unfair treatment, discrimination, denial of basic human rights to survival, education, health, inheritance, etc. The preventive measures in the form of education of masses for effective change in behaviour against gender discrimination, provision of facilities for achieving gender equality, and legislative measures for controlling violence against women at domestic and public level need intensification to achieve social justice of gender equality.

  12. Abnormal economics in the health sector.

    Science.gov (United States)

    Hsaio, W C

    1995-01-01

    The implosion of centrally-planned economies has led to a widespread and uncritical belief that a free market is the best mechanism for structuring the economic and social sectors. Many international agencies have pushed this belief on the developing nations. This paper offers a critical analysis of the effectiveness of using free market principles to structure the health sector. We try to answer two questions: in what spheres can the market operate freely? In what spheres is government action required? According to economic theory, the market is only appropriate for producing and distributing private goods. This study analyzed health care and subdivides it into three categories (public, merit, and private goods) to clarify where the market has a legitimate role. Next, we analyze two of the five markets in the health sector--financing and delivery--and assess the respective roles of the market and government Competitive markets have certain prerequisites. We identify the major market failures by evaluating where these conditions are not satisfied. Next, we draw on international experience to ascertain the seriousness of those failures and the capacity of government action to correct them. Lessons are drawn for developing nations about the appropriateness of market strategies to finance and deliver health care. PMID:10156633

  13. [Health, hospitality sector and tobacco industry].

    Science.gov (United States)

    Abella Pons, Francesc; Córdoba Garcia, Rodrigo; Suárez Bonel, Maria Pilar

    2012-11-01

    To present the strategies used by the tobacco industry to meet government regulatory measures of its products. To demonstrate the relationship between tobacco industry and the hospitality sector. Note that the arguments and strategies used routinely by the hospitality industry have been previously provided by the tobacco industry. Location of key documents by meta-search, links to declassified documents, specific websites of the tobacco and hospitality industry, news sources and published articles in health journals. This review reveals the close relationship between tobacco industry and hospitality sector. It highlights the strategies carried out by the tobacco industry, including strategic hoarding of information, public relations, lobbying, consultation program, smoker defence groups, building partnerships, intimidation and patronage. The arguments and strategies used by the hospitality industry to match point by point that used by the tobacco industry. These arguments are refutable from the point of view of public health as it is scientifically proven that totally smoke-free environments are the only way to protect non-smokers from tobacco smoke exposure and its harmful effects on health. PMID:22257526

  14. The Health Sector in the Slovak Republic; Efficiency and Reform

    OpenAIRE

    Victoria Gunnarsson; Sergio Lugaresi; Marijn Verhoeven

    2007-01-01

    The paper assesses the financial situation of the health sector in the Slovak Republic. It also evaluates the efficiency of health expenditures and service delivery in comparison to the OECD and other new EU member states and suggests avenues for cost recovery and reform. The health sector of the Slovak Republic is plagued by financial problems. To turn around health system finances and achieve larger gains in health outcomes, the efficiency of health spending needs to increase and the mix an...

  15. Working in the health sector: implementation of workplace health promotion

    Directory of Open Access Journals (Sweden)

    Eliana Castro S

    2011-11-01

    Full Text Available Objective: to discuss issues that are relevant to the implementation of workplace health promotion (whp in organization processes of the health sector as a strategic tool to manage health and safety at the workplace. Methods: after a conceptual review of whp in 2009, a qualitative case study on the development of this strategy in third level hospitals of Bogotá was carried out. This descriptive and cross-sectional study was approved by the Ethics Committee of the Faculty of Nursing at the National University of Colombia. Results: although there are occupational health programs that convey the spirit of whp in their content, its level of development is not consistently linked to it. The following criteria were analyzed: strategy and commitment, human resources and organization, social responsibility, planning, and development and results, all of which were not well valued by workers. Final considerations: the traditional approach to occupational health and the poor integration of the WHP principles into organizational processes are reflected in the actions taken and the expectations regarding the subject. Therefore, actions should be taken in terms of public policies to strengthen the institutional capacity to ensure the feasibility of whp in the health sector.

  16. Tribute to Paul Buck

    Directory of Open Access Journals (Sweden)

    Constance Murray

    2008-12-01

    Full Text Available Paul Buck passed away on January 16, 2008. Respected and admired by his colleagues and friends, he left a legacy of lifelong commitment to ecology and botany. Paul was a founding member of the Board of Directors of the Oklahoma Native Plant Society in 1987, and, after serving on its board for several subsequent terms, he was the second recipient of the ONPS Service Award.

  17. Tribute to Paul Buck

    OpenAIRE

    Constance Murray

    2008-01-01

    Paul Buck passed away on January 16, 2008. Respected and admired by his colleagues and friends, he left a legacy of lifelong commitment to ecology and botany. Paul was a founding member of the Board of Directors of the Oklahoma Native Plant Society in 1987, and, after serving on its board for several subsequent terms, he was the second recipient of the ONPS Service Award.

  18. Growing Healthy : A Review of Vietnam's Health Sector

    OpenAIRE

    World Bank

    2001-01-01

    Recently, the Ministry of Health formulated its strategic directions for the period 1998-2000, whose key objectives for the health sector are: improved health status, as reflected by morbidity, and mortality reductions; greater access to public health services, especially the poor; and, increased quality, and cost-effectiveness of health services. This raises a number of policy questions, ...

  19. Using climate information in the health sector

    Directory of Open Access Journals (Sweden)

    T. A. Ghebreyesus

    2010-09-01

    Full Text Available Many infectious and chronic diseases are either directly or indirectly sensitive to the climate. Managing this climate sensitivity more effectively requires new working relationships between the health sector and the providers of climate data and information. In Africa, where communities are particularly vulnerable, Ministries of Health and National Meteorological Services need to collaborate to reduce the burden of climate related ill health. The Ministry of Health and the National Meteorological Agency of Ethiopia have made significant progress towards the development of a climate-informed early warning and response system for diseases such as malaria and other climate-sensitive diseases. An important enabling mechanism is a Climate and Health Working Group, which is a multi-sectoral partnership created to spearhead the use of climate information for health interventions. While this is a work in progress, the key ingredients necessary to sustain such a joint venture are described to encourage similar activities in other countries faced with a growing climate-sensitive disease burden, to facilitate networking and to increase the return from the investment.De nombreuses infections et maladies chroniques sont sensibles, directement ou indirectement, au climat. Une gestion plus efficace de cette sensibilité au climat passe par l’instauration d’une coopération entre le secteur de la santé et les fournisseurs de données et d’informations sur le climat. En Afrique, où les communautés sont particulièrement vulnérables, le ministère de la Santé et les Services de météorologie nationale doivent collaborer pour réduire le fardeau des maladies liées au climat.Le ministère de la Santé et l’Agence de météorologie nationale d’Ethiopie ont fait des progrès considérables dans le développement d’un système d’alerte et de réponse précoces basé sur les informations climatiques pour des maladies comme le paludisme et d

  20. Market Orientation in the Public Health Sector of Mutare, Zimbabwe

    OpenAIRE

    Noah Ariel Mutongoreni; Nelson Jagero

    2014-01-01

    This study undertook an assessment of market orientation in the Public Health Sector of Mutare, Zimbabwe. This study focused on five health centers in Mutare which are Mutare General Hospital, Sakubva Hospital, Dangamvura Clinic, Chikanga clinic and Mutare Infectious Disease Hospital. A total of 50 questionnaires were sent out and 35 questionnaires were returned. This represented a total return of 70%.The principal finding of the research is that the Public Health Sector in Mutare, Zimbabwe e...

  1. Health Sector:Public Expenditure Review 2010/11

    OpenAIRE

    Kikuli, Regina; Ally, Mariam

    2012-01-01

    The main objective of Health Sector Public Expenditure Review for fiscal year (FY) 2011 (PER FY11) was to assess the budgetary allocations and expenditures to inform stakeholders about progress made in key health financing milestones over the 2006/07–2011/12 period. Specifically, the Health Sector PER sets out to provide: A review of PER FY10 findings and actions taken by the sector in response to those findings, indicating unaccomplished/pending actions, and identifying follow-up actions fo...

  2. Competition in the Dutch Health Care Sector

    OpenAIRE

    Schut, Erik

    1995-01-01

    textabstractFor more than two decades, Dutch health policy has been marked by a search for a suitable market order in health care. Suitable in the sense of maintaining universal access, containing the growth of health care expenditure and improving the technical and allocative efficiency of health care delivery. This search was spurred by the seemingly uncontrollable escalation of health care expenditure during the early 1970s. The solution initially put forward to control health care cost in...

  3. Competition in the Dutch Health Care Sector

    NARCIS (Netherlands)

    F.T. Schut (Erik)

    1995-01-01

    textabstractFor more than two decades, Dutch health policy has been marked by a search for a suitable market order in health care. Suitable in the sense of maintaining universal access, containing the growth of health care expenditure and improving the technical and allocative efficiency of health c

  4. Health Care Reform Hinges on Private-Sector Collaboration

    OpenAIRE

    Novelli, Bill

    2009-01-01

    America's health care system is characterized by rising costs, increasing numbers of Americans who lack health insurance coverage, and poor quality of health care delivery. The convergence of these factors is adversely affecting not only the health of Americans but also the ability of businesses to compete successfully in a global marketplace. AARP and other nonprofit organizations are collaborating with the private sector to have more people covered by health insurance and to educate them to...

  5. How Does Retiree Health Insurance Influence Public Sector Employee Saving?

    OpenAIRE

    Clark, Robert L.; Mitchell, Olivia S.

    2013-01-01

    Economic theory predicts that employer-provided retiree health insurance benefits crowd-out household wealth accumulation. Nevertheless, there is little research on the impacts of retiree health insurance on wealth accruals, so this paper utilizes a unique data file on three baseline cohorts from the Health and Retirement Study to explore how employer-provided retiree health insurance may influence net household wealth among public sector employees, where retiree healthcare benefits are still...

  6. Organizing the health sector for response to disasters

    Directory of Open Access Journals (Sweden)

    Kimberley Shoaf

    2014-09-01

    Full Text Available Each year millions of people around the world are affected by natural and manmade disasters. The consequences of natural disasters in terms of health are complex. Disasters directly impact the health of the population resulting in physical trauma, acute disease, and emotional trauma. Furthermore, disasters may increase the morbidity and mortality associated with chronic and infectious diseases due to the impact on the health system. The health sector must be organized for adequate preparedness, mitigation, response and recuperation from a plethora of potential disasters. This paper examines the various potential impacts of disasters on health, the components of the health sector and their roles in emergency medical care and disaster situations, as well as the coordination and organization necessary within the system to best meet the health needs of a population in the aftermath of a disaster.

  7. Kosovo : Report on Management Accountability in the Health Sector

    OpenAIRE

    Gaumer, Gary

    2007-01-01

    This report assesses the opportunities for improving the performance of the government health sector in Kosovo through better management and improved information for managers. Specifically, it concerns the kinds of information used by managers in the health system, and indications of demand for additional data and performance measures. Overall, we try to assess the need for new investments...

  8. Ideologies in the Swedish health sector today

    DEFF Research Database (Denmark)

    Diderichsen, Finn

    1982-01-01

    Sweden has a long tradition of social democracy and corporate cooperation. Social problems are treated as technological questions that always should be solved through rational and neutral means. Today Sweden faces a crisis of economy as well as a crisis of medicine. In the spirit of consensus, the...... state has proposed a new health reform emphasizing the responsibility of the public health service to prevent disease and provide equal access to care. It is claimed that improved health planning, based on epidemiological knowledge on inequalities, can solve the crisis in medicine within an improved...

  9. Strategic Planning in a Health Leadership Sector: A Report from UNESCO Chair in Health Education, Iran

    Directory of Open Access Journals (Sweden)

    K Bidad

    2009-12-01

    Full Text Available "nStrategic planning defines the formal decision of a company for its future. Like all organizations, health care sectors need to prepare their strategic planning and act according to it. UNESCO chair in health edu­cation as a leader health sector, describes the course and steps for preparing its strategic planning based on SWOT analysis technique. 

  10. Strategic Planning in a Health Leadership Sector: A Report from UNESCO Chair in Health Education, Iran

    OpenAIRE

    K Bidad; F Farzadi; Z. Pourpak; M. Moin

    2009-01-01

    "nStrategic planning defines the formal decision of a company for its future. Like all organizations, health care sectors need to prepare their strategic planning and act according to it. UNESCO chair in health edu­cation as a leader health sector, describes the course and steps for preparing its strategic planning based on SWOT analysis technique. 

  11. Exploring corruption in the South African health sector.

    Science.gov (United States)

    Rispel, Laetitia C; de Jager, Pieter; Fonn, Sharon

    2016-03-01

    Recent scholarly attention has focused on weak governance and the negative effects of corruption on the provision of health services. Employing agency theory, this article discusses corruption in the South African health sector. We used a combination of research methods and triangulated data from three sources: Auditor-General of South Africa reports for each province covering a 9-year period; 13 semi-structured interviews with health sector key informants and a content analysis of print media reports covering a 3-year period. Findings from the Auditor-General reports showed a worsening trend in audit outcomes with marked variation across the nine provinces. Key-informants indicated that corruption has a negative effect on patient care and the morale of healthcare workers. The majority of the print media reports on corruption concerned the public health sector (63%) and involved provincial health departments (45%). Characteristics and complexity of the public health sector may increase its vulnerability to corruption, but the private-public binary constitutes a false dichotomy as corruption often involves agents from both sectors. Notwithstanding the lack of global validated indicators to measure corruption, our findings suggest that corruption is a problem in the South African healthcare sector. Corruption is influenced by adverse agent selection, lack of mechanisms to detect corruption and a failure to sanction those involved in corrupt activities. We conclude that appropriate legislation is a necessary, but not sufficient intervention to reduce corruption. We propose that mechanisms to reduce corruption must include the political will to run corruption-free health services, effective government to enforce laws, appropriate systems, and citizen involvement and advocacy to hold public officials accountable. Importantly, the institutionalization of a functional bureaucracy and public servants with the right skills, competencies, ethics and value systems and whose

  12. Nursing leadership and health sector reform.

    Science.gov (United States)

    Borthwick, C; Galbally, R

    2001-06-01

    The political, technological and economic changes that have occurred over the past decade are increasingly difficult to manage within the traditional framework of health-care, and the organisation of health-care is seen to need radical reform to sweep away many of the internal barriers that now divide one form of health-care, and one profession, from another. Nursing must equip itself with skills in advocacy and political action to influence the direction the system will take. Nursing currently suffers from a weakness in self-concept that goes hand in hand with a weakness in political status, and nursing leadership must build the foundations for both advocacy for others and self-advocacy for the nursing movement. The profession faces tensions between different conceptions of its role and status, its relationship to medicine, and its relationship to health. Health indices are tightly linked to status, and to trust, hope, and control of one's own life. Can nurses help empower others when they are not particularly good at empowering themselves? What will the role of the nurse be in creating the information flows that will guide people toward health? Nursing's long history of adaptation to an unsettled and negotiated status may mean that it is better fitted to make this adaptation than other more confident disciplines. PMID:11882205

  13. Health sector employment growth calls for improvements in labor productivity.

    Science.gov (United States)

    Hofmarcher, Maria M; Festl, Eva; Bishop-Tarver, Leslie

    2016-08-01

    While rising costs of healthcare have put increased fiscal pressure on public finance, job growth in the health sector has had a stabilizing force on overall employment levels - not least in times of economic crises. In 2014 EU-15 countries employed 21 million people in the health and social care sector. Between 2000 and 2014 the share of employed persons in this sector rose from 9.5% to 12.5% of the total labor force in EU-15 countries. Over time labor input growth has shifted towards residential care activities and social work while labor in human health activities including hospitals and ambulatory care still comprises the major share. About half of the human health labor force works in hospital. Variation of health and social care employment is large even in countries with generally comparable institutional structures. While standard measures of productivity in health and social care are not yet comparable across countries, we argue that labor productivity of a growing health work force needs more attention. The long-term stability of the health system will require care delivery models that better utilize a growing health work force in concert with smart investments in digital infrastructure to support this transition. In light of this, more research is needed to explain variations in health and social care labor endowments, to identify effective policy measures of labor productivity enhancement including enhanced efforts to develop comparable productivity indicators in these areas. PMID:27370916

  14. The Role of the Private Sector in Reproductive Health Services in Bangladesh

    OpenAIRE

    Ahmed Al-Sabir; Bushra Binte Alam; Sameh El-Saharty

    2014-01-01

    The key actors in Bangladesh's Health, Population and Nutrition Sector Development Program (HPNSDP) are the public sector, nongovernmental organizations (NGOs), the non-profit private sector, and the for-profit private sector. The public health infrastructure is considered one of the largest in the health sector; RH providers and facilities are available at all levels. Several NGOs are active in Bangladesh's health sector, including international organizations such as CARE, Save the Children ...

  15. Performance of private sector health care: implications for universal health coverage.

    Science.gov (United States)

    Morgan, Rosemary; Ensor, Tim; Waters, Hugh

    2016-08-01

    Although the private sector is an important health-care provider in many low-income and middle-income countries, its role in progress towards universal health coverage varies. Studies of the performance of the private sector have focused on three main dimensions: quality, equity of access, and efficiency. The characteristics of patients, the structures of both the public and private sectors, and the regulation of the sector influence the types of health services delivered, and outcomes. Combined with characteristics of private providers-including their size, objectives, and technical competence-the interaction of these factors affects how the sector performs in different contexts. Changing the performance of the private sector will require interventions that target the sector as a whole, rather than individual providers alone. In particular, the performance of the private sector seems to be intrinsically linked to the structure and performance of the public sector, which suggests that deriving population benefit from the private health-care sector requires a regulatory response focused on the health-care sector as a whole. PMID:27358251

  16. Fifteen years of sector-wide approach (SWAp) in Bangladesh health sector: an assessment of progress.

    Science.gov (United States)

    Ahsan, Karar Zunaid; Streatfield, Peter Kim; Ijdi, Rashida-E-; Escudero, Gabriela Maria; Khan, Abdul Waheed; Reza, M M

    2016-06-01

    The Ministry of Health and Family Welfare (MOHFW) of the Government of Bangladesh embarked on a sector-wide approach (SWAp) modality for the health, nutrition and population (HNP) sector in 1998. This programmatic shift initiated a different set of planning disciplines and practices along with institutional changes in the MOHFW. Over the years, the SWAp modality has evolved in Bangladesh as the MOHFW has learnt from its implementation and refined the program design. This article explores the progress made, both in terms of achievement of health outcomes and systems strengthening results, since the implementation of the SWAp for Bangladesh's health sector. Secondary analyses of survey data from 1993 to 2011 as well as a literature review of published and grey literature on health SWAp in Bangladesh was conducted for this assessment. Results of the assessment indicate that the MOHFW made substantial progress in health outcomes and health systems strengthening. SWAps facilitated the alignment of funding and technical support around national priorities, and improved the government's role in program design as well as in implementation and development partner coordination. Notable systemic improvements have taken place in the country systems with regards to monitoring and evaluation, procurement and service provision, which have improved functionality of health facilities to provide essential care. Implementation of the SWAp has, therefore, contributed to an accelerated improvement in key health outcomes in Bangladesh over the last 15 years. The health SWAp in Bangladesh offers an example of a successful adaptation of such an approach in a complex administrative structure. Based on the lessons learned from SWAp implementation in Bangladesh, the MOHFW needs to play a stronger stewardship and regulatory role to reap the full benefits of a SWAp in its subsequent programming. PMID:26582744

  17. Adaptation to climate change in the Ontario public health sector

    Directory of Open Access Journals (Sweden)

    Paterson Jaclyn A

    2012-06-01

    Full Text Available Abstract Background Climate change is among the major challenges for health this century, and adaptation to manage adverse health outcomes will be unavoidable. The risks in Ontario – Canada’s most populous province – include increasing temperatures, more frequent and intense extreme weather events, and alterations to precipitation regimes. Socio-economic-demographic patterns could magnify the implications climate change has for Ontario, including the presence of rapidly growing vulnerable populations, exacerbation of warming trends by heat-islands in large urban areas, and connectedness to global transportation networks. This study examines climate change adaptation in the public health sector in Ontario using information from interviews with government officials. Methods Fifty-three semi-structured interviews were conducted, four with provincial and federal health officials and 49 with actors in public health and health relevant sectors at the municipal level. We identify adaptation efforts, barriers and opportunities for current and future intervention. Results Results indicate recognition that climate change will affect the health of Ontarians. Health officials are concerned about how a changing climate could exacerbate existing health issues or create new health burdens, specifically extreme heat (71%, severe weather (68% and poor air-quality (57%. Adaptation is currently taking the form of mainstreaming climate change into existing public health programs. While adaptive progress has relied on local leadership, federal support, political will, and inter-agency efforts, a lack of resources constrains the sustainability of long-term adaptation programs and the acquisition of data necessary to support effective policies. Conclusions This study provides a snapshot of climate change adaptation and needs in the public health sector in Ontario. Public health departments will need to capitalize on opportunities to integrate climate change into

  18. How to improve collaboration between the public health sector and other policy sectors to reduce health inequalities? – A study in sixteen municipalities in the Netherlands

    OpenAIRE

    Storm, Ilse; den Hertog, Frank; van Oers, Hans; Schuit, Albertine J

    2016-01-01

    Background The causes of health inequalities are complex. For the reduction of health inequalities, intersectoral collaboration between the public health sector and both social policy sectors (e.g. youth affairs, education) and physical policy sectors (e.g. housing, spatial planning) is essential, but in local practice difficult to realize. The aim of this study was to examine the collaboration between the sectors in question more closely and to identify opportunities for improvement. Method ...

  19. Health Services in Denmark: Co-operation between different sectors?

    DEFF Research Database (Denmark)

    Singla, Rashmi

    interventions and individual activities by the few health workers with a special interest in the migrant health. TTT is an illustration of providing psychosocial services to ethnic minority youth and their families based on combination of citizen volunteer work with partly state funding. This mental health NGO......COST Lisbon meeting on the 3rd & 4th June, 2009 The role of NGOs & CSOs in the health care for migrants and ethnic minorities Health Services in Denmark: Co-operation between different sectors? This paper proposes to throw light on some aspects of the NGOs providing health   services for the ethnic...... partly related to undermining of trust in the medical profession’s ability to effectively manage health related risks, e.g. immigrant psychiatric patients´ experience of more enforced admittance  than the native Danish patients. However, NGOs are in a very limited number and mainly part of the local...

  20. Promoting Occupational Safety and Health for Cambodian Entertainment Sector Workers.

    Science.gov (United States)

    Hsu, Lee-Nah; Howard, Richard; Torriente, Anna Maria; Por, Chuong

    2016-08-01

    Cambodia has developed booming textile, garment, tourism, and entertainment service industries since the mid-1990s. The 2007 global financial crisis pushed many garment workers, who lost their jobs, into the entertainment sector. Entertainment workers are typically engaged informally by their employers and are subjected to long working hours, sexual harassment, and violence. Many who sell beverages are forced into excessive alcohol consumption as part of their work. Many are also expected by their employers and clients to provide sexual services. To address unsafe and unhealthy working conditions for these workers, an innovative occupational safety and health regulation was adopted in 2014. This first-of-its-kind occupational safety and health regulation was developed jointly by the Cambodian Ministry of Labour and Vocational Training and employers' and workers' organizations in the entertainment sector. The implementation of this regulation can also be a viable contribution of occupational safety and health to HIV interventions for these workers. PMID:27242184

  1. Climate change and eHealth: a promising strategy for health sector mitigation and adaptation

    OpenAIRE

    Holmner, Åsa; Ng, Nawi; Nilsson, Maria; Rocklöv, Joacim

    2012-01-01

    Climate change is one of today’s most pressing global issues. Policies to guide mitigation and adaptation are needed to avoid the devastating impacts of climate change. The health sector is a significant contributor to greenhouse gas emissions in developed countries, and its climate impact in low-income countries is growing steadily. This paper reviews and discusses the literature regarding health sector mitigation potential, known and hypothetical co-benefits, and the potential of health inf...

  2. Health sector reform in Brazil: a case study of inequity.

    Science.gov (United States)

    Almeida, C; Travassos, C; Porto, S; Labra, M E

    2000-01-01

    Health sector reform in Brazil built the Unified Health System according to a dense body of administrative instruments for organizing decentralized service networks and institutionalizing a complex decision-making arena. This article focuses on the equity in health care services. Equity is defined as a principle governing distributive functions designed to reduce or offset socially unjust inequalities, and it is applied to evaluate the distribution of financial resources and the use of health services. Even though in the Constitution the term "equity" refers to equal opportunity of access for equal needs, the implemented policies have not guaranteed these rights. Underfunding, fiscal stress, and lack of priorities for the sector have contributed to a progressive deterioration of health care services, with continuing regressive tax collection and unequal distribution of financial resources among regions. The data suggest that despite regulatory measures to increase efficiency and reduce inequalities, delivery of health care services remains extremely unequal across the country. People in lower income groups experience more difficulties in getting access to health services. Utilization rates vary greatly by type of service among income groups, positions in the labor market, and levels of education. PMID:10707303

  3. Buck-Buck- Boost Regulatr (B3R)

    Science.gov (United States)

    Mourra, Olivier; Fernandez, Arturo; Landstroem, Sven; Tonicello, Ferdinando

    2011-10-01

    In a satellite, the main function of a Power Conditioning Unit (PCU) is to manage the energy coming from several power sources (usually solar arrays and battery) and to deliver it continuously to the users in an appropriate form during the overall mission. The objective of this paper is to present an electronic switching DC-DC converter called Buck-Buck-Boost Regulator (B3R) that could be used as a modular and recurrent solution in a PCU for regulated or un- regulated 28Vsatellite power bus classes. The power conversion stages of the B3R topology are first described. Then theoretical equations and practical tests illustrate how the converter operates in term of power conversion, control loops performances and efficiency. The paper finally provides some examples of single point failure tolerant implementation using the B3R.

  4. Co-operative bidding of SMEs in health care sector.

    Science.gov (United States)

    Mezgár, István; Kovács, György; Bonfatti, Fabio

    2002-01-01

    Tendering become an important process for customers in the health care sector to select products and services from the market for the lowest price, with the highest quality and with the shortest delivery time. The number of SMEs (Small and Medium-sized Enterprises) delivering products or services for the health care sector is increasing, but they have usually limited capital and expertise to participate in tenders. The paper introduces a possible solution for this problem, when SMEs form special groups, so called Smart Bidding Organisations (SBO), to prepare a bid for the tender jointly. The SBO appears for the customer (tender issuer) as a single enterprise and the bidding procedure will be faster and less expensive in this way. PMID:15460809

  5. Patient Satisfaction Before and After Executing Health Sector Evolution Plan

    OpenAIRE

    Behrouz Hashemi; Alireza Baratloo; Mohammad Mehdi Forouzafar; Maryam Motamedi; Mohammadreza Tarkhorani

    2015-01-01

    Introduction: After long discussions, carrying out health sector evolution (HSE) plan began on May 5, 2014 throughout Iran. Shohadaye Tajrish Hospital, Tehran, was also included in this plan. This study aimed to evaluate the level of emergency department patient satisfaction, before and after running this plan. Methods: This cross-sectional study analyzed the data extracted from a standard questionnaire filled out by the patients presented to the emergency department of Shohadaye Tajrish Hosp...

  6. Financial health of agricultural enterprises in the organic sector

    OpenAIRE

    Brozova, Ivana

    2011-01-01

    The present research was aimed at evaluating the economic performance of organic farm enterprises (legal entities) in the Czech Republic on the basis of their production base and financial health. The evaluation was carried out by means of specific financial indicators. The results recorded in the organic farming sector were confronted with those of the conventional agriculture. It stemmed from the analysis that conventionally farming legal entities, as opposed to the organically farming ones...

  7. New patterns in health sector aid to India.

    Science.gov (United States)

    Jeffery, R

    1986-01-01

    Criticisms of health aid have largely been derived from African and Latin American experiences. It is suggested that such analyses, while valuable, cannot be applied wholesale to India without detailed examination of the patterns of health sector aid which have actually characterized the period since 1947. This article brings together material on the scale and form that this assistance has taken, and demonstrates that its focus has been preventive in emphasis and oriented towards the primary care sector. In some periods it has contributed a substantial share of total public sector expenditures, and in some spheres, it has played a major role, particularly the control of communicable diseases. However, the impact of less substantial sums going to prestige medical colleges or to population control programs should not be ignored; and several of the aid categories have been of dubious origin (PL-480 counterpart funds and U.S. food surpluses as the prime examples). However, the "new" health aid programs do not deserve the ready dismissal they have received in some quarters. PMID:3957509

  8. Climate change and eHealth : a promising strategy for health sector mitigation and adaptation

    OpenAIRE

    Åsa Holmner; Joacim Rocklöv; Nawi Ng; Maria Nilsson

    2012-01-01

    Climate change is one of today's most pressing global issues. Policies to guide mitigation and adaptation are needed to avoid the devastating impacts of climate change. The health sector is a significant contributor to greenhouse gas emissions in developed countries, and its climate impact in low-income countries is growing steadily. This paper reviews and discusses the literature regarding health sector mitigation potential, known and hypothetical co-benefits, and the potential of hea...

  9. Increased fairness in priority setting processes within the health sector

    DEFF Research Database (Denmark)

    Zulu, Joseph M.; Michelo, Charles; Msoni, Carol;

    2014-01-01

    enhance legitimate and fair PS was introduced by researchers and decision makers within the health sector in the EU funded research project entitled 'Response to Accountable priority setting for Trust in health systems' (REACT). The project aimed to strengthen fairness and accountability in the PS...... processes of health systems at district level in Zambia, Tanzania and Kenya. This paper focuses on local perceptions and practices of fair PS (baseline study) as well as at the evolution of such perceptions and practices in PS following an AFR based intervention (evaluation study), carried out at district...... administration, in non-governmental organizations (NGO) and in health facilities. RESULTS: During the baseline study, concepts of legitimacy and fairness in PS processes were found to be grounded in local values of equity and impartiality. Government and other organizational strategies strongly supported...

  10. Club Goods in the Health and Wellness Sector

    Directory of Open Access Journals (Sweden)

    Roger Lee Mendoza

    2012-04-01

    Full Text Available This study applies club theory to privately-provided and publicly-funded services within the health and wellness sector. Specifically, it examines the theoretical and practical premises and dilemmas of club provision, production, distribution and regulation using illustrations derived from cross-cultural settings. Because health and wellness contain public or merit good aspects and the quality of services in this sector is difficult to systematically evaluate even from a regulatory standpoint, tensions inevitably and constantly arise between efficiency and equity objectives. These tensions often have broader and longer-term policy implications, for excludability is both the cardinal virtue and vice of health and wellness clubs offering vital social resources rather than durable or non-durable goods and their complimentary goods. Although many of the club issues we explore in health care present opportunities for public policy intervention, the study sounds a cautious note. It proposes a set of efficiency and accountability criteria to establish, or at least gauge, the necessity, extent and consequences of such intervention. To the famous idiom, “if it ain’t broke, don’t fix it,” we therefore hasten to add “and, if it’s broke, think more than twice before you even try to fix it.”

  11. Health sector responses to intiate partner violence: A literature review

    Directory of Open Access Journals (Sweden)

    Kate Rees

    2014-01-01

    Full Text Available Background: Intimate partner violence (IPV is a common and serious public health concern, particularly in South Africa, but it is not well managed in primary care.Aim: This review aims to summarise the current state of knowledge regarding health sector-based interventions for IPV, their integration into health systems and services and the perspectives of service users and healthcare workers on IPV care, focusing on the South African context.Method: PubMed, CINAHL, PsycINFO and Google Scholar were searched betweenJanuary 2012 and May 2014. All types of study design were included, critically appraised and summarised.Results: Exposure to IPV leads to wide-ranging and serious health effects. There is suffiient evidence that intervening in IPV in primary care can improve outcomes. Women who have experienced IPV have described an appropriate response by healthcare providers to be non-judgmental, understanding and empathetic. IPV interventions that are complex, comprehensive and utilise systems-wide approaches have been most effective, but system- andsociety-level barriers hamper implementation. Gender inequities should not be overlooked when responding to IPV.Conclusion: Further evaluations of health sector responses to IPV are needed, in order to assist health services to determine the most appropriate models of care, how these can be integrated into current systems and how they can be supported in managing IPV. The need for this research should not prevent health services and healthcare providers from implementing IPV care, but rather should guide the development of rigorous contextually-appropriate evaluations.

  12. What is the Meaning of Public Sector Health?

    DEFF Research Database (Denmark)

    Waldorff, Susanne Boch

    2013-01-01

    This study explores the dynamics involved in establishing discourses necessary for constructing organizational change within the public sector. Drawing upon critical discourse analysis, the study identifies two competing discourses – a ‘patient’ and a ‘healthy citizen’ discourse, which exist...... as strategic resources in health care. The case study focuses on a municipality in Denmark and the way the organizational actors translated meaning into the development of a new healthcare centre. The analysis contributes to our understandings of translation by focusing on discursive legitimizing strategies...... in the context of public sector change. First, the study shows that discourses not only provide different senses of meaning and warrant particular social actors a louder voice than others, but that these actors also develop discursive legitimizing strategies and translate particular meanings...

  13. Pesticide Vendors in the Informal Sector: Trading Health for Income.

    Science.gov (United States)

    Rother, Hanna-Andrea

    2016-08-01

    South African low-income communities face many challenges (e.g., insufficient housing, poor service delivery, and abject poverty); additionally, a silent challenge of pest infestation plagues these areas resulting in disease risks, nuisances, and stigma. Consequently, an enterprising urban informal sector business has emerged providing residents with highly toxic, effective, cheap, and illegal "street pesticides." These pesticides pose acute and chronic health risks for vendors and residents. The economic opportunity provided by the high demand for effective and cheap pest control results in the high risk of health effects being traded for income. Current measures to control and "regulate" the massive street pesticide sales result in toxic stockpiles and government's "turning a blind eye." Solutions will only be achieved through open dialog identifying and developing non-toxic pest control strategies while ensuring vendors' income; and relevant stakeholder recognition that pest infestation is a social and environmental health determinant needing acknowledgement in different government policies. PMID:27235997

  14. Climate change and eHealth: a promising strategy for health sector mitigation and adaptation

    Directory of Open Access Journals (Sweden)

    Åsa Holmner

    2012-06-01

    Full Text Available Climate change is one of today's most pressing global issues. Policies to guide mitigation and adaptation are needed to avoid the devastating impacts of climate change. The health sector is a significant contributor to greenhouse gas emissions in developed countries, and its climate impact in low-income countries is growing steadily. This paper reviews and discusses the literature regarding health sector mitigation potential, known and hypothetical co-benefits, and the potential of health information technology, such as eHealth, in climate change mitigation and adaptation. The promising role of eHealth as an adaptation strategy to reduce societal vulnerability to climate change, and the link's between mitigation and adaptation, are also discussed. The topic of environmental eHealth has gained little attention to date, despite its potential to contribute to more sustainable and green health care. A growing number of local and global initiatives on ‘green information and communication technology (ICT’ are now mentioning eHealth as a promising technology with the potential to reduce emission rates from ICT use. However, the embracing of eHealth is slow because of limitations in technological infrastructure, capacity and political will. Further research on potential emissions reductions and co-benefits with green ICT, in terms of health outcomes and economic effectiveness, would be valuable to guide development and implementation of eHealth in health sector mitigation and adaptation policies.

  15. Climate change and eHealth: a promising strategy for health sector mitigation and adaptation.

    Science.gov (United States)

    Holmner, Asa; Rocklöv, Joacim; Ng, Nawi; Nilsson, Maria

    2012-01-01

    Climate change is one of today's most pressing global issues. Policies to guide mitigation and adaptation are needed to avoid the devastating impacts of climate change. The health sector is a significant contributor to greenhouse gas emissions in developed countries, and its climate impact in low-income countries is growing steadily. This paper reviews and discusses the literature regarding health sector mitigation potential, known and hypothetical co-benefits, and the potential of health information technology, such as eHealth, in climate change mitigation and adaptation. The promising role of eHealth as an adaptation strategy to reduce societal vulnerability to climate change, and the link's between mitigation and adaptation, are also discussed. The topic of environmental eHealth has gained little attention to date, despite its potential to contribute to more sustainable and green health care. A growing number of local and global initiatives on 'green information and communication technology (ICT)' are now mentioning eHealth as a promising technology with the potential to reduce emission rates from ICT use. However, the embracing of eHealth is slow because of limitations in technological infrastructure, capacity and political will. Further research on potential emissions reductions and co-benefits with green ICT, in terms of health outcomes and economic effectiveness, would be valuable to guide development and implementation of eHealth in health sector mitigation and adaptation policies. PMID:22679398

  16. AN ANALYSIS OF THE HEALTH SECTOR IN ROMANIA

    OpenAIRE

    Ibrahim ALMAASHI

    2014-01-01

    The paper intends to present an analysis of the efficiency and the performance of health sector in Romania. The research efforts are based on the description of the operational mechanism and analyses of the financing or underfinancing of the above system. Romania has a significant issue in terms of poverty and fairness. Among EU States, it was ranked second in 2008 in terms of the share of the population exposed the risk of poverty, with a share close to the value of 23%, Latvia, with a...

  17. The problem of wastes in the health sector

    International Nuclear Information System (INIS)

    The article presents the management of hospital wastes in Lebanon. Hospital wastes considered as solid wastes, are divided into three main categories: radioactive wastes, contaminated wastes and chemical wastes. The treatment of wastes in the health sector in Lebanon is reduced to the incinerators. This method causes the major air pollution by emitting toxic substances as Dioxin. Advantages and disadvantages of alternate methods of wastes treatment are discussed such as: steam sterilization, bio-conversion, coal-burning, electronic radiation sterilization and chemical sterilization

  18. Health sector reforms for 21 st century healthcare

    Directory of Open Access Journals (Sweden)

    Darshan Shankar

    2015-01-01

    Full Text Available The form of the public health system in India is a three tiered pyramid-like structure consisting primary, secondary, and tertiary healthcare services. The content of India′s health system is mono-cultural and based on western bio-medicine. Authors discuss need for health sector reforms in the wake of the fact that despite huge investment, the public health system is not delivering. Today, 70% of the population pays out of pocket for even primary healthcare. Innovation is the need of the hour. The Indian government has recognized eight systems of healthcare viz., Allopathy, Ayurveda, Siddha, Swa-rigpa, Unani, Naturopathy, Homeopathy, and Yoga. Allopathy receives 97% of the national health budget, and 3% is divided amongst the remaining seven systems. At present, skewed funding and poor integration denies the public of advantage of synergy and innovations arising out of the richness of India′s Medical Heritage. Health seeking behavior studies reveal that 40-70% of the population exercise pluralistic choices and seek health services for different needs, from different systems. For emergency and surgery, Allopathy is the first choice but for chronic and common ailments and for prevention and wellness help from the other seven systems is sought. Integrative healthcare appears to be the future framework for healthcare in the 21 st century. A long-term strategy involving radical changes in medical education, research, clinical practice, public health and the legal and regulatory framework is needed, to innovate India′s public health system and make it both integrative and participatory. India can be a world leader in the new emerging field of "integrative healthcare" because we have over the last century or so assimilated and achieved a reasonable degree of competence in bio-medical and life sciences and we possess an incredibly rich and varied medical heritage of our own.

  19. Health sector reforms for 21(st) century healthcare.

    Science.gov (United States)

    Shankar, Darshan

    2015-01-01

    The form of the public health system in India is a three tiered pyramid-like structure consisting primary, secondary, and tertiary healthcare services. The content of India's health system is mono-cultural and based on western bio-medicine. Authors discuss need for health sector reforms in the wake of the fact that despite huge investment, the public health system is not delivering. Today, 70% of the population pays out of pocket for even primary healthcare. Innovation is the need of the hour. The Indian government has recognized eight systems of healthcare viz., Allopathy, Ayurveda, Siddha, Swa-rigpa, Unani, Naturopathy, Homeopathy, and Yoga. Allopathy receives 97% of the national health budget, and 3% is divided amongst the remaining seven systems. At present, skewed funding and poor integration denies the public of advantage of synergy and innovations arising out of the richness of India's Medical Heritage. Health seeking behavior studies reveal that 40-70% of the population exercise pluralistic choices and seek health services for different needs, from different systems. For emergency and surgery, Allopathy is the first choice but for chronic and common ailments and for prevention and wellness help from the other seven systems is sought. Integrative healthcare appears to be the future framework for healthcare in the 21(st) century. A long-term strategy involving radical changes in medical education, research, clinical practice, public health and the legal and regulatory framework is needed, to innovate India's public health system and make it both integrative and participatory. India can be a world leader in the new emerging field of "integrative healthcare" because we have over the last century or so assimilated and achieved a reasonable degree of competence in bio-medical and life sciences and we possess an incredibly rich and varied medical heritage of our own. PMID:25878456

  20. Just How Big is the Schism Between the Health Sector and the Water and Sanitation Sector in Developing Countries?

    Directory of Open Access Journals (Sweden)

    A. A. Cronin

    2008-01-01

    Full Text Available Water, sanitation and hygiene are all key aspects to a healthy environment but often they suffer from a lack of coherence within the sector itself and also a lack of synergy with the health sector. This is not acceptable given one quarter of all child deaths are directly attributable to water-borne disease. This lack of synergy is evident at many different layers including planning, resource allocation and donor commitment. Developing countries must, in consultation with their communities, examine their biggest health risks and allocate resources accordingly. Sustained dialogue and increased in-depth analysis are needed to find consensus and an improved synergy across these vital sectors.

  1. AN ANALYSIS OF THE HEALTH SECTOR IN ROMANIA

    Directory of Open Access Journals (Sweden)

    Ibrahim ALMAASHI

    2014-06-01

    Full Text Available The paper intends to present an analysis of the efficiency and the performance of health sector in Romania. The research efforts are based on the description of the operational mechanism and analyses of the financing or underfinancing of the above system. Romania has a significant issue in terms of poverty and fairness. Among EU States, it was ranked second in 2008 in terms of the share of the population exposed the risk of poverty, with a share close to the value of 23%, Latvia, with a rate of 26 %. Given this inequality, it would be advisable for the Government to devise specific policies in plane to ensure access for the poor population to health care. Theoretically, Romania provides such protection through the exemption of those registered in the program concerning the guaranteed minimum income from the payment of contributions and of copayments. However, in practice this mechanism is insufficient.

  2. Trends in nanotechnology patents applied to the health sector.

    Science.gov (United States)

    Antunes, Adelaide Maria de Souza; Alencar, Maria Simone de Menezes; da Silva, Cicera Henrique; Nunes, Jeziel; Mendes, Flavia Maria Lins

    2012-01-01

    The aim of the article is to present a method for identifying trends in patent applications for nanotechnology applied to the health sector around the world, based on the International Patent Classification. This classification divides the sector into: dental care, drugs, diagnostic kits, and medical apparatus & medical care. The Derwent database was mined for patent documents using nanotechnology terms associated with the IPC subclasses from the health subsectors. The number of patents was found to be rising, led by the United States, particularly universities and R centers. In the dental care subsector, nanotechnology was found to be used in composite material for manufacturing dental appliances. In drugs, the focus is on the use of nanoparticulate compositions comprising agents that are useful for a variety of diseases. In diagnostic kits, nanostructures have been patented that are capable of detecting target analytes. Meanwhile, in medical apparatus & medical care, patent applications have been made for nanocapsules and/or nanocomposite materials inserted in devices and guide catheters. A study was also made of patents in Brazil, where the same assignees and the same country (United States) as in the survey of global patents were found to be the leading patent applicants / holders. PMID:21875404

  3. Health Information Management System for Elderly Health Sector: A Qualitative Study in Iran

    Science.gov (United States)

    Sadoughi, Farahnaz; Shahi, Mehraban; Ahmadi, Maryam; Davaridolatabadi, Nasrin

    2016-01-01

    Background: There are increasing change and development of information in healthcare systems. Given the increase in aging population, managers are in need of true and timely information when making decision. Objectives: The aim of this study was to investigate the current status of the health information management system for the elderly health sector in Iran. Materials and Methods: This qualitative study was conducted in two steps. In the first step, required documents for administrative managers were collected using the data gathering form and observed and reviewed by the researcher. In the second step, using an interview guide, the required information was gathered through interviewing experts and faculty members. The convenience, purposeful and snowball sampling methods were applied to select interviewees and the sampling continued until reaching the data saturation point. Finally, notes and interviews were transcribed and content analysis was used to analyze them. Results: The results of the study showed that there was a health information management system for the elderly health sector in Iran. However, in all primary health care centers the documentation of data was done manually; the data flow was not automated; and the analysis and reporting of data are also manually. Eventually, decision makers are provided with delayed information. Conclusions: It is suggested that the steward of health in Iran, the ministry of health, develops an appropriate infrastructure and finally puts a high priority on the implementation of the health information management system for elderly health sector in Iran.

  4. Health Sector Evolution Plan in Iran; Equity and Sustainability Concerns.

    Science.gov (United States)

    Moradi-Lakeh, Maziar; Vosoogh-Moghaddam, Abbas

    2015-10-01

    In 2014, a series of reforms, called as the Health Sector Evolution Plan (HSEP), was launched in the health system of Iran in a stepwise process. HSEP was mainly based on the fifth 5-year health development national strategies (2011-2016). It included different interventions to: increase population coverage of basic health insurance, increase quality of care in the Ministry of Health and Medical Education (MoHME) affiliated hospitals, reduce out-of-pocket (OOP) payments for inpatient services, increase quality of primary healthcare, launch updated relative value units (RVUs) of clinical services, and update tariffs to more realistic values. The reforms resulted in extensive social reaction and different professional feedback. The official monitoring program shows general public satisfaction. However, there are some concerns for sustainability of the programs and equity of financing. Securing financial sources and fairness of the financial contribution to the new programs are the main concerns of policy-makers. Healthcare providers' concerns (as powerful and influential stakeholders) potentially threat the sustainability and efficiency of HSEP. Previous experiences on extending health insurance coverage show that they can lead to a regressive healthcare financing and threat financial equity. To secure financial sources and to increase fairness, the contributions of people to new interventions should be progressive by their income and wealth. A specific progressive tax would be the best source, however, since it is not immediately feasible, a stepwise increase in the progressivity of financing must be followed. Technical concerns of healthcare providers (such as nonplausible RVUs for specific procedures or nonefficient insurance-provider processes) should be addressed through proper revision(s) while nontechnical concerns (which are derived from conflicting interests) must be responded through clarification and providing transparent information. The requirements of

  5. Health Sector Evolution Plan in Iran; Equity and Sustainability Concerns

    Directory of Open Access Journals (Sweden)

    Maziar Moradi-Lakeh

    2015-10-01

    Full Text Available In 2014, a series of reforms, called as the Health Sector Evolution Plan (HSEP, was launched in the health system of Iran in a stepwise process. HSEP was mainly based on the fifth 5-year health development national strategies (2011-2016. It included different interventions to: increase population coverage of basic health insurance, increase quality of care in the Ministry of Health and Medical Education (MoHME affiliated hospitals, reduce out-of-pocket (OOP payments for inpatient services, increase quality of primary healthcare, launch updated relative value units (RVUs of clinical services, and update tariffs to more realistic values. The reforms resulted in extensive social reaction and different professional feedback. The official monitoring program shows general public satisfaction. However, there are some concerns for sustainability of the programs and equity of financing. Securing financial sources and fairness of the financial contribution to the new programs are the main concerns of policy-makers. Healthcare providers’ concerns (as powerful and influential stakeholders potentially threat the sustainability and efficiency of HSEP. Previous experiences on extending health insurance coverage show that they can lead to a regressive healthcare financing and threat financial equity. To secure financial sources and to increase fairness, the contributions of people to new interventions should be progressive by their income and wealth. A specific progressive tax would be the best source, however, since it is not immediately feasible, a stepwise increase in the progressivity of financing must be followed. Technical concerns of healthcare providers (such as nonplausible RVUs for specific procedures or nonefficient insurance-provider processes should be addressed through proper revision(s while nontechnical concerns (which are derived from conflicting interests must be responded through clarification and providing transparent information. The

  6. The Role of Branding in the Health Sector

    Directory of Open Access Journals (Sweden)

    Shahriar Shafiee

    2010-05-01

    Full Text Available A services brand is essentially a promise about the nature of a future experience with an organization or individual service provider. A strong services brand is built and sustained primarily by customers' interactions with the provider. From the inter relationships among the presented brand, external communications, and customers' experiences emerge brand awareness, meaning, and, ultimately, equity. Customers' experience-based perceptions prevail if external information and personal experience are conflicting. Great services brands are built on excellent customer experiences. Building a strong identity in the health care category comes with a unique set of branding challenges. Consider that a successful branding strategy must address how to:"n•Re-shape the consumers' perceptions of the health care organization by signaling a new future-focused strategy"n•Consolidate and coordinate existing identities"n•Preserve the equity residing with keystone health care identities and lever those equities to build trust and equity in the new identity"n•Incorporate the values of the organization to reinforce "living the brand""nBrand building in health services insures the patients (clients with the quality of treatment they receive via creating, extending, and protecting value under the name of powerful brands. This cannot be achieved without an unwavering commitment to the customers' well-being. Today's health care environment requires a branding process that goes beyond the traditional, corporate identity process. It is a process that focuses on building brand equity with health care consumers. Managers in the healthcare sector may benefit from branding through:"n•Enrichment of organizational values"n•Manifesting the brand core values in each and every effective contact point"n•Amplifying patients' word-of-mouth (turning customers into marketers

  7. Mobility and health sector development in China and India.

    Science.gov (United States)

    Holdaway, Jennifer; Levitt, Peggy; Fang, Jing; Rajaram, Narasimhan

    2015-04-01

    China and India are both attempting to create comprehensive healthcare systems in the context of rapid but uneven economic growth and rapidly changing burdens of disease. While in each country the referencing of international policies and work experience abroad have been part of this process, research has yet to examine the kind of knowledge that is exchanged or the various actors involved in knowledge circulation. Based on a study of two sub-national contexts, this article focuses on the role Chinese and Indian health professionals who have studied and worked overseas play in introducing ideas and practices about healthcare provision and health education. We found that experience abroad influenced individuals, institutions, and each society differently and with some contradictory effects. International experience clearly contributed to personal growth and led individuals to support the adoption of new institutional practices, such as more egalitarian relations between doctors and patients and between students and teachers. However, the content of what individuals learned overseas and the mechanisms through which this knowledge was introduced back into homeland settings often reinforced rather than ameliorated institutional hierarchies and social inequalities. While the scope of this research was limited, we suggest that more explicit analysis of the role professional migrants play in transferring ideas and practices within the health sector would be valuable for policymakers and funders seeking to support a more productive interaction between local and global knowledge. PMID:25734612

  8. Chiropractic practice in the Danish public health care sector

    DEFF Research Database (Denmark)

    Myburgh, Corrie

    2009-01-01

    This commentary offers preliminary considerations around a phenomenological investigation of chiropractic services in a Danish public sector setting. In this narrative description, the main venue for chiropractic public (secondary) sector practice in the Danish context is briefly described and...

  9. Implementing performance management in the Irish Health Sector.

    Science.gov (United States)

    Byrne, Michael

    2006-01-01

    To realize the goals of successive health strategies, managers in the Irish Health Sector will have to proactively facilitate optimal employee performance in line with policy objectives. Along with developing employee and teams' capabilities, these managers have begun to implement performance management to achieve the latter. However, there typically are a variety of foundational organizational characteristics required for the successful implementation of performance management. These include providing top-down support for line management buy-in, providing ongoing managerial and performance management training so that trusting relationships and a culture of consensus and cooperation are developed, and appropriately managing expectations. Agreement on employee role definitions and provision of team-based conflict resolution training is also needed to facilitate performance management. There is a need for negotiated performance indicators that are of various types, specific, measurable, and aligned with strategy objectives. Associated reward systems need to be holistic and imaginative, and personal development plans need to have a broader focus than merely improving current job skills and performance. Performance review needs to be ongoing, conducted in a transparent manner, and allocated sufficient discussion time. Managers also need to be mindful of managing overperformance. PMID:16699325

  10. Returns to Treatment in the Formal Health Care Sector: Evidence from Tanzania*

    OpenAIRE

    Achyuta Adhvaryu; Anant Nyshadham

    2014-01-01

    Improving access to the formal health care sector is a primary public health goal in many low-income countries. But the returns to this access are unclear, given that the quality of care at public health facilities is often considered inadequate. We exploit temporal and geographic variation in the cost of traveling to formal sector health facilities to show that treatment at these facilities improves short-term health outcomes for acutely ill children in Tanzania. Our results suggest that the...

  11. Patient Satisfaction Before and After Executing Health Sector Evolution Plan

    Directory of Open Access Journals (Sweden)

    Behrouz Hashemi

    2015-02-01

    Full Text Available Introduction: After long discussions, carrying out health sector evolution (HSE plan began on May 5, 2014 throughout Iran. Shohadaye Tajrish Hospital, Tehran, was also included in this plan. This study aimed to evaluate the level of emergency department patient satisfaction, before and after running this plan. Methods: This cross-sectional study analyzed the data extracted from a standard questionnaire filled out by the patients presented to the emergency department of Shohadaye Tajrish Hospital over 6-month periods before and after the beginning of HSE. Results: 3665 patients were surveyed. After the execution of the plan, satisfaction decreased significantly regarding pre-discharge training (p = 0.03, hospitalization room condition (p = 0.0002, restroom sanitation (p = 0.007, waiting time to be visited by the physician (p = 0.04, accuracy and duration of physical examination (p = 0.007, feeling confident and desirable outcome (p = 0.03, commitment to religious and moral principles (p = 0.01, and handling financial affairs (p = 0.03. Conclusion: Based on the results of the present study, after execution of HSE plan, patient satisfaction has decreased significantly regarding pre-discharge training, hospitalization room condition, restroom sanitation, timely visit of the physicians, accuracy and duration of physical examination, suggestions for wellbeing of the patient, handling financial affairs, and commitment to religious and moral principles.

  12. Health behaviour and safety in the construction sector.

    Science.gov (United States)

    Meliá, José L; Becerril, Marta

    2009-08-01

    Workers' health behaviour includes habits or actions related to physical exercise, nutrition, smoking, and drug or alcohol consumption. Unhealthy behaviour, and especially alcohol consumption, has been considered a source of accidents and injuries among construction workers. However, unhealthy behaviour can also be seen as a result of the safety and risk conditions of these jobs. The purpose of this paper is to contrast the role of unhealthy behaviour as a source or as an outcome of safety and risk in the construction sector. Data was collected from 180 workers belonging to a Spanish construction company. Two path models representing these two hypotheses were tested. The model in which unhealthy behaviour is an antecedent of injuries did not fit the data (Chi square=73.798, df=3, p<0.001). Results support the hypothesis of unhealthy behaviour as a result of safety and risk factors through the mediating effect of the experience of tension (Chi-square=4.507, df=2, p=.212). This model not only corroborates the stressful nature of exposure to risk and the absence of supervisors' safety response, but it also makes it possible to consider injuries as a cause of tension that, in turn, affects the employees' unhealthy behaviour. PMID:19622324

  13. Management of the human resources in the health sector

    Directory of Open Access Journals (Sweden)

    Matina Stavropoulou

    2010-07-01

    Full Text Available There are many common points between the theory of the management of human resources and other general fields such as the business theory and the management theory. Especially, the management of nurses includes all the procedures which are involved in order to hire the right people for the job. The necessary procedures are in chronicle sequence the attraction of employees, the choice between the most skilful of them, their control and certification, the proper delegation of duties and the preservation of this personnel or its promotion to the next level.The aim the present study is the analysis of the parameters relative to management strategies in nurse departments.Method: This study was based on a search which was carried out through relative bibliographical references both from international and Greek textbooks and also through the Internet in recognized databases.Conclusions: The foundation stone in the theory of nursing management is the idea that the employees have to meet a double challenge. This challenge is the maximization of their productivity and at the same time the fulfillment of the organization purposes. The efficiency of human resources at the health sector is resultant of many powers. These are the hierarchical promotion, the motives, the employee’s satisfaction, the working conditions and the in-service training which should be provided for life.

  14. Comparative Study of 4-Switch Buck-Boost Controller and Regular Buck-Boost

    Directory of Open Access Journals (Sweden)

    Taufik Taufik

    2011-01-01

    Full Text Available A very important characteristic that dc-dc converters require is the ability to efficiently regulate an output voltage with a wide ranging value of input voltages. A recently developed solution to this requirement is a synchronous 4-Switch Buck-Boost controller developed by Linear Technology. The Linear Technology’s LTC3780 controller chip enables  the adoption of a 4-Switch switching topology as opposed to the traditional single-switch Buck-Boost topology. In this paper, the LTC3780’s 4-Switch BuckBoost topology is analyzed and its performance is compared against those of the regular single-switch Buck-Boost topology. Results from computer simulations demonstrate the benefits of using the 4-switch approach than the conventional buck-boost method.

  15. People Management Practices in the Public Health Sector: Developments from Victoria, Australia

    Science.gov (United States)

    Stanton, Pauline; Bartram, Timothy; Harbridge, Raymond

    2004-01-01

    This study investigates the impact on human resource management (HRM) practices in the public health sector in Victoria, Australia of two different government policy environments. First, it explores the Liberal Coalition Government's decentralisation of public health sector management, from 1992-1999 and second, the Labor Government's…

  16. Health surveillance assistants as intermediates between the community and health sector in Malawi: exploring how relationships influence performance

    OpenAIRE

    Kok, Maryse C; Namakhoma, Ireen; Nyirenda, Lot; Chikaphupha, Kingsley; Broerse, Jacqueline E.W; Dieleman, Marjolein; Taegtmeyer, Miriam; Theobald, Sally

    2016-01-01

    Background There is increasing global interest in how best to support the role of community health workers (CHWs) in building bridges between communities and the health sector. CHWs’ intermediary position means that interpersonal relationships are an important factor shaping CHW performance. This study aimed to obtain in-depth insight into the facilitators of and barriers to interpersonal relationships between health surveillance assistants (HSAs) and actors in the community and health sector...

  17. THE EXPECTANCIES OF THE HEALTH SECTOR FROM ACCOUNTING EDUCATION AND THE IMPLEMENTATION OF ANKARA PUBLIC HOSPITALS

    Directory of Open Access Journals (Sweden)

    Seyhan ÇİL KOÇYİĞİT

    2016-01-01

    Full Text Available Health sector requires qualified accounting personnel and demands qualified accounting personnel who knows the sector and who has the vocational knowledge and the ability. Education and training activities designed to meet the expectencies and the requirements of the sector are very important. These requirements can be met by the good quality of accounting education designed by the demands of the health sector. In this research, a survey has been administered to the managers of Ankara public hospitals in order to reveal the expectencies of the health sector from accounting education. The results of the survey show the follwings; accounting education should include practical information, The Uniform Chart Of Accounts should be developed in order to meet the expectencies of the health sector, there should be an internship opportunity at the health sector for accounting students, the content of the accounting courses should be determined by a cooperation between the sector and the academia and the demands of the health sector should be taken into consideration more.

  18. The creation of the health consumer: challenges on health sector regulation after managed care era

    OpenAIRE

    Merhy Emerson E; Franco Tulio; Iriart Celia

    2011-01-01

    Abstract Background We utilized our previous studies analyzing the reforms affecting the health sector developed in the 1990s by financial groups to frame the strategies implemented by the pharmaceutical industry to regain market positions and to understand the challenges that regulatory agencies are confronting. Methods We followed an analytical approach for analyzing the process generated by the disputes between the financial groups and the pharmaceutical corporations and the challenges cre...

  19. Strengthening Intersectoral Collaboration for Primary Health Care in Developing Countries: Can the Health Sector Play Broader Roles?

    Directory of Open Access Journals (Sweden)

    Omokhoa Adedayo Adeleye

    2010-01-01

    Full Text Available Many strategic challenges impeding the success of primary health care are rooted in weak strategic inputs, including intersectoral collaboration. Some encouraging evidence from programmes, projects, and studies suggests that intersectoral collaboration is feasible and useful. The strategy has the potential to fast-track the attainment of Millenium Development Goals. However, the strategy is not commonly utilised in developing countries. The health sector expects inputs from other sectors which may not necessarily subscribe to a shared responsibility for health improvement, whereas the public expects ‘‘health’’ from the health sector. Yet, the health sector rarely takes on initiatives in that direction. The sector is challenged to mobilise all stakeholders for intersectoral collaboration through advocacy and programming. Pilot projects are advised in order to allow for cumulative experience, incremental lessons and more supportive evidence.

  20. El contexto de las reformas del sector de la salud The context surrounding health sector reforms

    Directory of Open Access Journals (Sweden)

    Carlos Vergara

    2000-08-01

    oportunidades para todo el mundo. Acostumbradas al proteccionismo del antiguo modelo de desarrollo, hoy en día las sociedades latinoamericanas perciben la amenaza de un modelo nuevo que no les ofrece ninguna red de protección social. La viabilidad de las políticas de reforma económica y social de las segunda fase, que se ajustan a las exigencias de un mundo "globalizado", depende, entonces, de poder vencer la desconfianza de la población y de lograr el respaldo de una mayoría política, social e institucional.In Latin America, health sector reforms have gone hand in hand with social and economic trends during the latter half of the twentieth century and have reflected the particular concept of "development" that has been in vogue at different times. Economic stagnation and increased social spending, both hallmarks of the 1960s, led to the decline of the "import substitution" development model, which had prevailed since the beginning of the century, and slowly gave way in the 1980s to the "globalization"model. From the earlier model, a transition took place toward a restructuring of production and a series of economic adjustment policies that led, ironically, to an increase in poverty in Latin America. Implementation of the new model has occurred in two phases. The first, known as the "social reform" or "first generation "phase, sprang from the notion that poverty is the sum of a number of material shortages that can be corrected through an equitable redistribution of a fixed volume of goods belonging to society. This conceptual framework, which was completely devoid of all historical linkages and separated from economic policy, led to social policies whose entire purpose was to mitigate poverty through subsidies targeting the poorest persons in the society. In the second phase of the globalization model, which arose in the 1990s and became known as the "second generation" or "postadjustment" phase, new economic rules came into play that were based primarily on

  1. Catastrophic Health Expenditure After the Implementation of Health Sector Evolution Plan: A Case Study in the West of Iran

    OpenAIRE

    Bakhtiar Piroozi; Ghobad Moradi; Bijan Nouri; Amjad Mohamadi Bolbanabad; Hossein Safari

    2016-01-01

    Background: One of the main objectives of health systems is the financial protection against out-of-pocket (OOP) health expenditures. OOP health expenditures can lead to catastrophic payments, impoverishment or poverty among households. In Iran, health sector evolution plan (HSEP) has been implemented since 2014 in order to achieve universal health coverage and reduce the OOP health expenditures as a percentage of total health expenditures. This study aimed to explore the percenta...

  2. Population health improvement: a community health business model that engages partners in all sectors.

    Science.gov (United States)

    Kindig, David A; Isham, George

    2014-01-01

    Because population health improvement requires action on multiple determinants--including medical care, health behaviors, and the social and physical environments--no single entity can be held accountable for achieving improved outcomes. Medical organizations, government, schools, businesses, and community organizations all need to make substantial changes in how they approach health and how they allocate resources. To this end, we suggest the development of multisectoral community health business partnership models. Such collaborative efforts are needed by sectors and actors not accustomed to working together. Healthcare executives can play important leadership roles in fostering or supporting such partnerships in local and national arenas where they have influence. In this article, we develop the following components of this argument: defining a community health business model; defining population health and the Triple Aim concept; reaching beyond core mission to help create the model; discussing the shift for care delivery beyond healthcare organizations to other community sectors; examining who should lead in developing the community business model; discussing where the resources for a community business model might come from; identifying that better evidence is needed to inform where to make cost-effective investments; and proposing some next steps. The approach we have outlined is a departure from much current policy and management practice. But new models are needed as a road map to drive action--not just thinking--to address the enormous challenge of improving population health. While we applaud continuing calls to improve health and reduce disparities, progress will require more robust incentives, strategies, and action than have been in practice to date. Our hope is that ideas presented here will help to catalyze a collective, multisectoral response to this critical social and economic challenge. PMID:25671991

  3. Health system responsiveness after health sector evolution plan (HSEP): An inpatient survey in Kermanshah in 2015

    Science.gov (United States)

    Najafi, Farid; Karami-Matin, Behzad; Rezaei, Satar; Rajabi-Gilan, Nader; Soofi, Moslem

    2016-01-01

    Background: Responsiveness is one of the three main goals of the health system introduced by World Health Organization. This study aimed at examining health system responsiveness after Health Sector Evolution Plan in Kermanshah, Western Iran. Methods: A sample of 335 hospitalized patients was selected using proportionate allocation to population size method in the city of Kermanshah (Iran) in 2015. World Health Survey (WHS) questionnaire was used to collect data. Data were analyzed using descriptive statistics and principal component analysis by STATA 12. Results: The overall health system responsiveness score was 72.6. The best and worst performance for domains of dignity and autonomy were 82.2 and 62.5, respectively. Socio-demographic variables of the patients had no significant effect on the total health system responsiveness score. The principal component analysis findings indicated that 68% of the variance of the overall responsiveness score was explained by four components. Conclusion: The overall responsiveness score of each of the domains was higher than that of other similar previous studies in Iran. Although it is difficult to reach a conclusion, our findings may show better responsiveness of the health system compared to the previous reports PMID:27493931

  4. Do adults in contact with Australia's public sector mental health services get better?

    OpenAIRE

    Burgess, Philip; Pirkis, Jane; Coombs, Tim

    2006-01-01

    This paper describes the outcomes of episodes of care for adults in public sector mental health services across Australia, with a view to informing the debate on service quality. Health of the Nation Outcome Scales (HoNOS) change scores and effect sizes were calculated for 14,659 acute inpatient episodes and 23,692 community episodes. The results showed that people in contact with public sector mental health services generally do get better, although the magnitude of improvement depends on th...

  5. Lessons from the business sector for successful knowledge management in health care: A systematic review

    OpenAIRE

    Sibbald Shannon; Hastie Robyn; Hovanec Nina; Kothari Anita

    2011-01-01

    Abstract Background The concept of knowledge management has been prevalent in the business sector for decades. Only recently has knowledge management been receiving attention by the health care sector, in part due to the ever growing amount of information that health care practitioners must handle. It has become essential to develop a way to manage the information coming in to and going out of a health care organization. The purpose of this paper was to summarize previous studies from the bus...

  6. The creation of the health consumer: challenges on health sector regulation after managed care era

    Directory of Open Access Journals (Sweden)

    Merhy Emerson E

    2011-02-01

    Full Text Available Abstract Background We utilized our previous studies analyzing the reforms affecting the health sector developed in the 1990s by financial groups to frame the strategies implemented by the pharmaceutical industry to regain market positions and to understand the challenges that regulatory agencies are confronting. Methods We followed an analytical approach for analyzing the process generated by the disputes between the financial groups and the pharmaceutical corporations and the challenges created to governmental regulation. We analyzed primary and secondary sources using situational and discourse analyses. We introduced the concepts of biomedicalization and biopedagogy, which allowed us to analyze how medicalization was radicalized. Results In the 1990s, structural adjustment policies facilitated health reforms that allowed the entrance of multinational financial capital into publicly-financed and employer-based insurance. This model operated in contraposition to the interests of the medical industrial complex, which since the middle of the 1990s had developed silent reforms to regain authority in defining the health-ill-care model. These silent reforms radicalized the medicalization. Some reforms took place through deregulatory processes, such as allowing direct-to-consumer advertisements of prescription drugs in the United States. In other countries different strategies were facilitated by the lack of regulation of other media such as the internet. The pharmaceutical industry also has had a role in changing disease definitions, rebranding others, creating new ones, and pressuring for approval of treatments to be paid by public, employer, and private plans. In recent years in Brazil there has been a substantial increase in the number of judicial claims demanding that public administrations pay for new treatments. Conclusions We found that the dispute for the hegemony of the health sector between financial and pharmaceutical companies has deeply

  7. SPECTRAL ANALYSIS OF BUCK AND SEPIC CONVERTERS

    Directory of Open Access Journals (Sweden)

    CHAKIB ALAOUI

    2011-02-01

    Full Text Available Switched mode power converters generate harmonic currents, which will be injected into the utility grid, causing distortion of the utility waveform. They also become a source for the generation of EMI, which may affect the communication systems. This work is about the design and evaluation of the two most frequently used SMPS used in step down mode of operation: the Buck converter and the Sepic converter working in step-down mode of operation. These converters were designed using optimized equations for their components ratings. Simulation results show that although the Buck output voltage is low in harmonics, it has high harmonic contents in currents circulating in its inductor and diode, and hence requires strong filtering. The Sepic converterhas lower harmonic contents than the Buck converter.

  8. A spatial national health facility database for public health sector planning in Kenya in 2008

    Directory of Open Access Journals (Sweden)

    Gething Peter W

    2009-03-01

    improving planning. Expansion in public health care in Kenya has resulted in significant increases in geographic access although several areas of the country need further improvements. This information is key to future planning and with this paper we have released the digital spatial database in the public domain to assist the Kenyan Government and its partners in the health sector.

  9. Health assessment for Revere Chemical Company National Priorities List (NPL) Site, Revere, Bucks County, Pennsylvania, Region 3. CERCLIS No. PAD051395499. Preliminary report

    Energy Technology Data Exchange (ETDEWEB)

    1989-04-20

    The Revere Chemical Company site was operated from the late 1960s until 1972 as an acid, metal, and plating waste processing facility. It is suspected of also accepting organic solvent waste. The environmental contamination on-site consists of chromium, mercury, lead, arsenic, and cadmium in the surface water of tributaries on the site boundaries; benzoic acid in the sediment; diethylhexylphthalate in the fire pond; trans-1,2-dichloroethylene and 2-butanone in a production well; chromium, nickel, diethylhexylphthalate, and arsenic in soil. Off-site environmental contamination consists of chromium, lead, arsenic, and nickel in the surface water of the tributaries; chromium, lead, hexachlorobenzene, benzoic acid, di-n-octylphthalate, diethylhexylphthalate, and total polynuclear aromatic hydrocarbons in sediment; and diethylhexylphthalate, nickel, lead, and arsenic in residential well water. Even though removal operations were carried out in 1984, subsequent data collections have shown significant contamination present in surface water, soil, and sediment both on- and off-site. Arsenic and nickel levels exceed water quality criteria. Soil and sediment off-site are contaminated with lead and chromium and would be considered a public health concern should they be in areas where children come in contact with them. In addition, the levels of contamination in surface water and sediment may adversely impact edible aquatic organisms making them unfit for human consumption.

  10. The influence of health sector reform and external assistance in Burkina Faso.

    Science.gov (United States)

    Bodart, C; Servais, G; Mohamed, Y L; Schmidt-Ehry, B

    2001-03-01

    Despite health reform and increasing public investment in the health sector, utilization of curative health services, immunization coverage and patient satisfaction with the public health care system are steadily decreasing in Burkina Faso. It seems that the health care system itself is "ill". This paper examines the major symptoms associated with this illness. The central thesis suggests that any further improvement of health care performance in Burkina Faso will be subject to profound central reform in the area of human resources and financial management of the sector. Such a broad reform package cannot be achieved through the current project approach, but a sector-wide approach (SWAp) does not seem to be realistic at the present time. Policy discussions at a level higher than the Ministry of Health could be beneficial for achieving better donor coordination and increasing the commitment of the Ministry of Health to a sector-wide approach. Health sector reform issues and priorities and the role of international cooperation are reviewed and discussed. PMID:11238434

  11. External assistance to the health sector in developing countries: a detailed analysis, 1972-90.

    Science.gov (United States)

    Michaud, C; Murray, C J

    1994-01-01

    This study, which was conducted for the World Bank's World development report 1993: investing in health, provides an objective analysis of the external assistance to the health sector by quantifying in detail the sources and recipients of such assistance in 1990, by analysing time trends for external assistance to the health sector over the last two decades, and, to the extent possible, by describing the allocation of resources to specific activities in the health sector. The main findings of the study are that total external assistance to the health sector in 1990 was US$ 4800 million, or only 2.9% of total health expenditures in developing countries. After stagnation in real terms during the first half of the 1980s, health sector assistance has been increasing since 1986. Despite their small volume, external assistance at the margins may play a critical role in capital investment, research and strategic planning. The study confirms prior findings that health status variables per se are not related to the amount of aid received. Comparing investments to the burden of disease shows tremendous differences in the funding for different health problems. A number of conditions are comparatively under-financed, particularly noncommunicable diseases and injuries. PMID:7923543

  12. Drivers of improved health sector performance in Rwanda: a qualitative view from within

    OpenAIRE

    Sayinzoga, Felix; Bijlmakers, Leon

    2016-01-01

    Background Rwanda has achieved great improvements in several key health indicators, including maternal mortality and other health outcomes. This raises the question: what has made this possible, and what makes Rwanda so unique? Methods We describe the results of a web-based survey among district health managers in Rwanda who gave their personal opinions on the factors that drive performance in the health sector, in particular those that determine maternal health service coverage and outcomes....

  13. Health sector reforms and human resources for health in Uganda and Bangladesh: mechanisms of effect

    Directory of Open Access Journals (Sweden)

    Kielmann Tara

    2007-02-01

    Full Text Available Abstract Background Despite the expanding literature on how reforms may affect health workers and which reactions they may provoke, little research has been conducted on the mechanisms of effect through which health sector reforms either promote or discourage health worker performance. This paper seeks to trace these mechanisms and examines the contextual framework of reform objectives in Uganda and Bangladesh, and health workers' responses to the changes in their working environments by taking a 'realistic evaluation' approach. Methods The study findings were generated by triangulating both qualitative and quantitative methods of data collection and analysis among policy technocrats, health managers and groups of health providers. Quantitative surveys were conducted with over 700 individual health workers in both Bangladesh and Uganda and supplemented with qualitative data obtained from focus group discussions and key interviews with professional cadres, health managers and key institutions involved in the design, implementation and evaluation of the reforms of interest. Results The reforms in both countries affected the workforce through various mechanisms. In Bangladesh, the effects of the unification efforts resulted in a power struggle and general mistrust between the two former workforce tracts, family planning and health. However positive effects of the reforms were felt regarding the changes in payment schemes. Ugandan findings show how the workforce responded to a strong and rapidly implemented system of decentralisation where the power of new local authorities was influenced by resource constraints and nepotism in recruitment. On the other hand, closer ties to local authorities provided the opportunity to gain insight into the operational constraints originating from higher levels that health staff were dealing with. Conclusion Findings from the study suggest that a reform planners should use the proposed dynamic responses model to

  14. Contemporary specificities of labour in the health care sector: introductory notes for discussion

    Directory of Open Access Journals (Sweden)

    Albuquerque Eduardo

    2005-08-01

    Full Text Available Abstract Background This paper combines the literature on public health, on economics of health and on economics of technological innovation to discuss the peculiarities of labour in the health care sector. Method and framework The starting point is the investigation of the economic peculiarities of medical care. Results and discussions This investigation leads to the identification of the prevalence of non-market forms of medical care in the countries of the Organisation for Economic Co-operation and Development (OECD. Furthermore, the health care system has a distinctive characteristic from other economic sectors: it is the intersection between social welfare and innovation systems. The relationship between technological innovation and cost in the health care sector is surveyed. Finally, the Brazilian case is discussed as an example of a developing country. Conclusion The peculiarities of labour in the health care sector suggest the need to recognize the worth of sectoral labour and to cease to treat it separately. This process should take into account the rapid development of the health innovation system and one important consequence: the obsolescence of the acquired knowledge. One way to dignify labour is to implement continued education and training of health professions personnel.

  15. [Constraints and opportunities for inter-sector health promotion initiatives: a case study].

    Science.gov (United States)

    Magalhães, Rosana

    2015-07-01

    This article analyzes the implementation of inter-sector initiatives linked to the Family Grant, Family Health, and School Health Programs in the Manguinhos neighborhood in the North Zone of Rio de Janeiro, Brazil. The study was conducted in 2010 and 2011 and included document review, local observation, and 25 interviews with program managers, professionals, and staff. This was an exploratory case study using a qualitative approach that identified constraints and opportunities for inter-sector health experiences, contributing to the debate on the effectiveness of health promotion and poverty relief programs. PMID:26248098

  16. Mental health policy and development in Egypt - integrating mental health into health sector reforms 2001-9

    Directory of Open Access Journals (Sweden)

    Siekkonen Inkeri

    2010-06-01

    Full Text Available Abstract Background Following a situation appraisal in 2001, a six year mental health reform programme (Egymen 2002-7 was initiated by an Egyptian-Finnish bilateral aid project at the request of a former Egyptian minister of health, and the work was incorporated directly into the Ministry of Health and Population from 2007 onwards. This paper describes the aims, methodology and implementation of the mental health reforms and mental health policy in Egypt 2002-2009. Methods A multi-faceted and comprehensive programme which combined situation appraisal to inform planning; establishment of a health sector system for coordination, supervision and training of each level (national, governorate, district and primary care; development workshops; production of toolkits, development of guidelines and standards; encouragement of intersectoral liaison at each level; integration of mental health into health management systems; and dedicated efforts to improve forensic services, rehabilitation services, and child psychiatry services. Results The project has achieved detailed situation appraisal, epidemiological needs assessment, inclusion of mental health into the health sector reform plans, and into the National Package of Essential Health Interventions, mental health masterplan (policy guidelines to accompany the general health policy, updated Egyptian mental health legislation, Code of Practice, adaptation of the WHO primary care guidelines, primary care training, construction of a quality system of roles and responsibilities, availability of medicines at primary care level, public education about mental health, and a research programme to inform future developments. Intersectoral liaison with education, social welfare, police and prisons at national level is underway, but has not yet been established for governorate and district levels, nor mental health training for police, prison staff and teachers. Conclusions The bilateral collaboration programme

  17. Accreditation and Participatory Design in the Health-Care Sector

    DEFF Research Database (Denmark)

    Simonsen, Jesper; Scheuer, John Damm; Hertzum, Morten

    2015-01-01

    We reconsider the role of participatory design approaches emphasizing the current context of the accreditation regime imposed on the Danish healthcare sector. We describe effects-driven IT development as an instrument supporting sustained participatory design. Effects-driven IT development includes......-based thinking. We describe and compare effects- driven IT development with accreditation and discuss the prospects and challenges for this approach to participatory design within the healthcare domain....

  18. FUNCTIONAL ANALYSIS OF THE HEALTH SECTOR IN ROMANIA

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    Bogdan Tatiana

    2015-07-01

    Full Text Available This paper comprises an assessment of the Romanian health financing policy and a detailed analysis of income and expenditure trends over the past seven years. The current situation of the health system is evaluated by reviewing the existing health legislation and documents on public health policies from Romania and from abroad, by analyzing the official statistics (the Romanian Yearbook of Health Statistics, Who database and by performing a healthcare system financial analysis. Although the financial efforts of the Romanian state to support the health system have increased, almost all the incomes and expenditures of the health care system having recorded significant increases, the population perception on health services worsened. Financing the health system continues to be inadequate and used in an ineffective way. Health is an essential component of well-being with major socio-economic implications. The organization and functioning of the health system depends on ensuring adequate funding. Romania must develop its health strategy in the context of European Union policies. These policies are based on values and principles such as promoting universal protection against financial risk, promoting a more equitable distribution of the financing burden, promoting equitable provision and use of services relative to need, improving the transparency and accountability of the system to the public, promoting quality and efficiency in service delivery, improving administrative efficiency, while ensuring the financial sustainability of the health system. In this context, in order to support a financially sustainable and high performing health system, the paper includes recommendations for increasing the public incomes in the health insurance system and options to streamline the healthcare services and expenses in the future.

  19. Health sector reforms in Central and Eastern Europe

    Directory of Open Access Journals (Sweden)

    2004-04-01

    Full Text Available The political and economic transition of the 1990s in the countries of central and eastern Europe has been accompanied by wide ranging health care reform. The initial Soviet model has given way to a variety of forms of health insurance. Yet, as this paper argues, reform has too often been preoccupied with ideological imperatives, such as provider autonomy and the creation of funds separate from government, and has given much less thought to the contribution that health care can make to population health. The paper begins by examining the changing nature of health care. It recalls how the Soviet model was able to provide basic care to dispersed populations at low cost but notes how this is no longer sufficient in the face of an increasingly complex health care environment. This complexity reflects several factors, such as the growth in chronic disease, the emergence of new forms of infectious disease, and the introduction of new treatments requiring integrated delivery systems. It reviews evidence on how the former communist countries failed to keep up with developments in the west from the 1970s onwards, at a time when the complexity of health care was becoming apparent. It continues by setting out a framework for the organisation of health care based on the goal of health gain. This involves a series of activities that can be summarised as active purchasing, and which include assessment of health needs, designing effective packages of care, and monitoring outcomes. It concludes by arguing that a new relationship is needed between the state and the organisations involved in funding and delivering health care, to design a system that will tackle the considerable health needs of the people who live in this region.

  20. Human resources: the Cinderella of health sector reform in Latin America

    OpenAIRE

    Ugalde Antonio; Homedes Núria

    2005-01-01

    Abstract Human resources are the most important assets of any health system, and health workforce problems have for decades limited the efficiency and quality of Latin America health systems. World Bank-led reforms aimed at increasing equity, efficiency, quality of care and user satisfaction did not attempt to resolve the human resources problems that had been identified in multiple health sector assessments. However, the two most important reform policies – decentralization and privatization...

  1. Free-Market Illusions: Health Sector Reforms In Uganda 1987–2007

    OpenAIRE

    Okuonzi, Sam Agatre

    2009-01-01

    Introduction: By the late 1980s, Uganda’s health system had been devastated by two decades of conflict and mismanagement. At the same time, public-funded and run health systems had begun to be viewed as inefficient and undesirable. Uganda’s attempt to rehabilitate its destroyed health infrastructure was blocked by donors in favour of reform. Introduced as pre-conditions of aid, market-based health sector reforms (HSRs) were eventually embraced by the government of Uganda as par...

  2. Private sector, human resources and health franchising in Africa

    Directory of Open Access Journals (Sweden)

    Prata Ndola

    2005-01-01

    Full Text Available In much of the developing world, private health care providers and pharmacies are the most important sources of medicine and medical care and yet these providers are frequently not considered in planning for public health. This paper presents the available evidence, by socioeconomic status, on which strata of society benefit from publicly provided care and which strata use private health care. Using data from The World Bank's Health Nutrition and Population Poverty Thematic Reports on 22 countries in Africa, an assessment was made of the use of public and private health services, by asset quintile groups, for treatment of diarrhoea and acute respiratory infections, proxies for publicly subsidized services. The evidence and theory on using franchise networks to supplement government programmes in the delivery of public health services was assessed. Examples from health franchises in Africa and Asia are provided to illustrate the potential for franchise systems to leverage private providers and so increase delivery-point availability for public-benefit services. We argue that based on the established demand for private medical services in Africa, these providers should be included in future planning on human resources for public health. Having explored the range of systems that have been tested for working with private providers, from contracting to vouchers to behavioural change and provider education, we conclude that franchising has the greatest potential for integration into large-scale programmes in Africa to address critical illnesses of public health importance.

  3. Private sector, human resources and health franchising in Africa.

    Science.gov (United States)

    Prata, Ndola; Montagu, Dominic; Jefferys, Emma

    2005-04-01

    In much of the developing world, private health care providers and pharmacies are the most important sources of medicine and medical care and yet these providers are frequently not considered in planning for public health. This paper presents the available evidence, by socioeconomic status, on which strata of society benefit from publicly provided care and which strata use private health care. Using data from The World Bank's Health Nutrition and Population Poverty Thematic Reports on 22 countries in Africa, an assessment was made of the use of public and private health services, by asset quintile groups, for treatment of diarrhoea and acute respiratory infections, proxies for publicly subsidized services. The evidence and theory on using franchise networks to supplement government programmes in the delivery of public health services was assessed. Examples from health franchises in Africa and Asia are provided to illustrate the potential for franchise systems to leverage private providers and so increase delivery-point availability for public-benefit services. We argue that based on the established demand for private medical services in Africa, these providers should be included in future planning on human resources for public health. Having explored the range of systems that have been tested for working with private providers, from contracting to vouchers to behavioural change and provider education, we conclude that franchising has the greatest potential for integration into large-scale programmes in Africa to address critical illnesses of public health importance. PMID:15868018

  4. Lessons learned from health sector reform: a four-country comparison.

    Science.gov (United States)

    Talukder, Md Noorunnabi; Rob, Ubaidur; Mahabub-Ul-Anwar, Md

    Various reforms have been undertaken to improve the functioning of health systems in developing countries, but there is limited comparative analysis of reform initiatives. This article discusses health sector reform experiences of four developing countries and identifies the lessons learned. The article is based on the review of background papers on Bangladesh, Pakistan, Indonesia, and Tanzania prepared as part of a multi-country study on health sector reform. Findings suggest that decentralization works effectively while implementing primary and secondary health programs. Decentralization of power and authority to local authorities requires strengthening and supporting these units. Along with the public sector, the private sector plays an effective role in institutional and human resources development as well as in improving service delivery. Community participation facilitates recruitment and development of field workers, facility improvement, and service delivery. For providing financial protection to the poor, there is a need to review user fees and develop affordable health insurance with an exemption mechanism. There is no uniform health sector reform approach; therefore, the experiences of other countries will help countries undertake appropriate reforms. Here, it is important to examine the context and determine the reform measures that constitute the best means in terms of equity, efficiency, and sustainability. PMID:19131306

  5. The Brain Drain Potential of Students in the African Health and Nonhealth Sectors

    Directory of Open Access Journals (Sweden)

    Jonathan Crush

    2012-01-01

    Full Text Available The departure of health professionals to Europe and North America is placing an intolerable burden on public health systems in many African countries. Various retention, recall, and replacement policies to ameliorate the impact of this brain drain have been suggested, none of which have been particularly successful to date. The key question for the future is whether the brain drain of health sector skills is likely to continue and whether the investment of African countries in training health professionals will continue to be lost through emigration. This paper examines the emigration intentions of trainee health professionals in six Southern African countries. The data was collected by the Southern African Migration Program (SAMP in a survey of final-year students across the region which included 651 students training for the health professions. The data also allows for the comparison of health sector with other students. The analysis presented in this paper shows very high emigration potential amongst all final-year students. Health sector students do show a slightly higher inclination to leave than those training to work in other sectors. These findings present a considerable challenge for policy makers seeking to encourage students to stay at home and work after graduation.

  6. The skills gap in hospital management in the South African public health sector.

    Science.gov (United States)

    Pillay, Rubin

    2008-01-01

    A lack of management capacity has been identified as the key stumbling block to the transformation and reconceptualization of the public sector in South Africa into a more effective, efficient, and responsive system of health delivery. As part of the overall management development process, this research aimed to identify the skills important for public sector health management and to evaluate managers' self-assessed proficiency in each of these skills. A cross-sectional survey using a self-administered questionnaire was conducted among hospital managers in the South African public health sector. Respondents were asked to rate the level of importance that each proposed competency had in their job and to indicate their proficiency in each skill. Self-assessment of levels of competency showed that managers felt most competent in strategic planning, people management, and self-management, and relatively less competent in the task-related skills and their ability to deliver healthcare. People management, self-management, and task-related skills were rated as being most important, followed by strategic management and health delivery skills, respectively. The largest differences between mean importance rating and mean skill rating were for people management skills, task-related and self-management skills. These findings reflect the reality of the local health service environment and the needs of health managers and will be useful in the conceptualization, design, and delivery of health management programs aimed at enhancing current and future management and leadership capacity in the public health sector in South Africa. PMID:18708881

  7. Integration: the firm and the health care sector.

    Science.gov (United States)

    Laugesen, Miriam J; France, George

    2014-07-01

    Integration in health care is a key goal of health reform in United States and England. Yet past efforts in the 1990s to better integrate the delivery system were of limited success. Building on work by Bevan and Janus on delivery integration, this article explores integration through the lens of economic theories of integration. Firms generally integrate to increase efficiency through economies of scale, to improve their market power, and resolve the transaction costs involved with multiple external suppliers. Using the United States and England as laboratories, we apply concepts of economic integration to understand why integration does or does not occur in health care, and whether expectations of integrating different kinds of providers (hospital, primary care) and health and social services are realistic. Current enthusiasm for a more integrated health care system expands the scope of integration to include social services in England, but retains the focus on health care in the United States. We find mixed applicability of economic theories of integration. Economies of scale have not played a significant role in stimulating integration in both countries. Managerial incentives for monopoly or oligopoly may be more compelling in the United States, since hospitals seek higher prices and more leverage over payers. In both countries the concept of transaction costs could explain the success of new payment and budgeting methods, since health care integration ultimately requires resolving transaction costs across different delivery organizations. PMID:24759287

  8. Public health sector unions and deregulation in Europe.

    Science.gov (United States)

    Lethbridge, Jane

    2004-01-01

    Deregulation and liberalization of health services take several forms in Europe: public-private partnerships; contracting out of services; and corporatization of health care institutions. The impact on health workers includes changes in terms and conditions of employment, breakup of collective bargaining agreements, and often more stressful working conditions. The author examines four types of trade union responses to deregulation. National health trade union action has used campaigning, awareness raising, and judicial review. Health workers' unions in alliance with other trade unions have taken part in wider campaigns against privatization and in promoting public services. Health workers' unions joining with social movements have become involved in wider alliances that link with broader public policy issues such as poverty reduction and urban/regional regeneration. European-wide action, seen through the work of the European Federation of Public Service Unions, has concentrated on the development of an alternative health policy, and the promotion of social dialogue at a European level. Trade unions must adopt a range of approaches to challenge the effects of deregulation. Increasingly, trade union members need to be aware of how to take action at both the national and European levels. PMID:15346679

  9. Consensus and contention in the priority setting process: examining the health sector in Uganda.

    Science.gov (United States)

    Colenbrander, Sarah; Birungi, Charles; Mbonye, Anthony K

    2015-06-01

    Health priority setting is a critical and contentious issue in low-income countries because of the high burden of disease relative to the limited resource envelope. Many sophisticated quantitative tools and policy frameworks have been developed to promote transparent priority setting processes and allocative efficiency. However, low-income countries frequently lack effective governance systems or implementation capacity, so high-level priorities are not determined through evidence-based decision-making processes. This study uses qualitative research methods to explore how key actors' priorities differ in low-income countries, using Uganda as a case study. Human resources for health, disease prevention and family planning emerge as the common priorities among actors in the health sector (although the last of these is particularly emphasized by international agencies) because of their contribution to the long-term sustainability of health-care provision. Financing health-care services is the most disputed issue. Participants from the Ugandan Ministry of Health preferentially sought to increase net health expenditure and government ownership of the health sector, while non-state actors prioritized improving the efficiency of resource use. Ultimately it is apparent that the power to influence national health outcomes lies with only a handful of decision-makers within key institutions in the health sector, such as the Ministries of Health, the largest bilateral donors and the multilateral development agencies. These power relations reinforce the need for ongoing research into the paradigms and strategic interests of these actors. PMID:24846947

  10. Medicare and Medicaid Trends in Health Care Sectors

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Centers for Medicare and Medicaid Services (CMS) provides monthly and fiscal-year-to-date income and expenditure trends for Medicare Hospital Insurance (HI) and...

  11. Local communities and health disaster management in the mining sector

    Directory of Open Access Journals (Sweden)

    Freek Cronjé

    2013-01-01

    Full Text Available Mining activities throughout the Southern African Development Community (SADC have impacted on the health and safety of mining communities for many decades. Despite the economic contribution of mining to surrounding communities, a huge amount of social and environmental harm is associated with the industry. In this regard, mining companies have, on the one hand, contributed toward improved social development by providing jobs, paying taxes and earning foreign exchange. On the other hand, they have been linked publicly to poor labour conditions, corruption, pollution incidents, health and safety failings, as well as disrespect of human rights. The objectives of this study are to give an overview of social and natural factors relating to health disasters in selected communities in the mining environment. Regarding the findings, this paper focuses on the social and natural factors involved in the creation of health disasters. The social factors include poverty, unemployment, poor housing and infrastructure, prostitution and a high influx of unaccompanied migrant labour. Major health issues in this regard, which will be highlighted, are the extraordinary high incidence rate of HIV and STIs (sexually transmitted infections, addiction and mental illness. The environmental (natural threats to health that will be discussed in the study are harmful particles in the air and water, excessive noise and overcrowded and unhygienic living conditions. In conclusion, the paper also finds that communities need to be ‘fenced in’ in terms of health disaster management instead of being excluded. Specific recommendations to mining companies to reduce health and safety disasters will be made to conclude the paper.

  12. ANALYSIS OF HUMAN RESOURCES SYSTEM IN HEALTH SECTOR IN TURKEY

    Directory of Open Access Journals (Sweden)

    Mert UYDACI

    2015-07-01

    Full Text Available Abstract Important changes have taken place in health system in Turkey in the last 10 years. The aim of this study is to put out current human resources for health in terms of quantitative adequacies, financing, training, administration and balanced distribution. Also changes have been carried out in recent years in Turkey related human resources for health will be dealt with data. Health personel number is inadequate and there is unbalanced distribution in Turkey.. Student quota of medical school, nursing school, dental and pharmacy faculties were increased to overcome numerical inadequacy of health personnel. Parallel to this the number of teaching staff has been increased. To reduce regional imbalances of health workforce, some applications like under contract staffing, mandatory service for doctors, contracted nurses and midwives have been carried out but it is not adequate to eliminate the imbalance. Applications on performance-based additional payment system, family doctor system and public hospital associations are considered as major changes affecting human resources.

  13. Regulating the for-profit private health sector: lessons from East and Southern Africa.

    Science.gov (United States)

    Doherty, Jane E

    2015-03-01

    International evidence shows that, if poorly regulated, the private health sector may lead to distortions in the type, quantity, distribution, quality and price of health services, as well as anti-competitive behaviour. This article provides an overview of legislation governing the for-profit private health sector in East and Southern Africa. It identifies major implementation problems and suggests strategies Ministries of Health could adopt to regulate the private sector more effectively and in line with key public health objectives. This qualitative study was based on a document review of existing legislation in the region, and seven semi-structured interviews with individuals selected purposively on the basis of their experience in policymaking and legislation. Legislation was categorized according to its objectives and the level at which it operates. A thematic content analysis was conducted on interview transcripts. Most legislation focuses on controlling the entry of health professionals and organizations into the market. Most countries have not developed adequate legislation around behaviour following entry. Generally the type and quality of services provided by private practitioners and facilities are not well-regulated or monitored. Even where there is specific health insurance regulation, provisions seldom address open enrolment, community rating and comprehensive benefit packages (except in South Africa). There is minimal control of prices. Several countries are updating and improving legislation although, in most cases, this is without the benefit of an overarching policy on the private sector, or reference to wider public health objectives. Policymakers in the East and Southern African region need to embark on a programme of action to strengthen regulatory frameworks and instruments in relation to private health care provision and insurance. They should not underestimate the power of the private health sector to undermine efforts for increased

  14. Final report:Health sector Public Expenditure Review (PER) update Financial Year (FY) 05

    OpenAIRE

    Ministry of Health,Tanzania, (MHT)

    2008-01-01

    In contrast to recent years, the health sector Public Expenditure Review update for FY05 is presented largely as an internal sectoral document for reviewing trends in budget and expenditure rather than as a detailed input to the budget process due to its delayed timing and a change in the focus of the overall government poverty reduction strategy with the development of the MKUKUTA (the Kiswahili acronym for the National Strategy for Growth and Poverty Reduction, the second Poverty Reduction ...

  15. The public sector and mental health parity: time for inclusion.

    Science.gov (United States)

    Hogan, Michael F.

    1998-12-01

    BACKGROUND: In the United States, there is an uneasy division of responsibility for financing mental health care. For most illnesses, employer-sponsored health insurance and the large federal health insurance programs (Medicare, Medicaid) cover the costs of care. However, most employer-sponsored plans and Medicare provide only limited coverage for treatment of mental illness. A possible cause and result of this limited coverage in mental health is that states, and in some cases local (county) governments, finance a separate system of mental health care. This separate "public mental health system" provides a "safety net" of care for indigent individuals needing mental health care. However, there are potential negative consequences of maintaining separate systems. Continuity of treatment between systems may be impaired, and costs may be higher due to duplicate administrative costs. Maintaining a separate system managed by government may exacerbate the stigma associated with mental illness treatment. Most significantly, since eligibility for care may be linked to poverty status, and since having a serious mental illness may preclude regaining private coverage, maintaining a separate system may contribute to the poverty rate among persons with mental illnesses. AIMS OF THE PAPER: These potential problems have not been widely considered, perhaps because other problems and controversies in mental health care have captured our attention. In particular, controversies over deinstitutionalization in mental health have dominated the policy debate, especially when linked to related problems. These have included conflicts over authority and financial responsibility among federal, state and local governments, sensationalized media coverage of incidents involving people with mental illness, problems with siting community facilities, concern about mental illness among prisoners and the like. However, with the substantial reform of public mental health care in some states and

  16. The use of geographical information system in health sector.

    Science.gov (United States)

    Mechili, Aggelos; Zimeras, Stelios; Al-Fantel, Konstantina; Diomidous, Marianna

    2014-01-01

    The provision of health care has undergone radical changes during the last years. Geography plays an important role in understanding the dynamics of health, as well as the reasons why a disease is spreading. In general, a Geographic Information System (GIS) is based on the same principals with a traditional relational database. The main idea behind this study is the methodological approach as far as the implementation of a real- time electronic healthcare record is concerned, for the descriptive statistical analysis that uses geographical information to identify spatial data related to accidents. The purpose of developing such a health care record is to record the patients who were injured in accidents. The database that will be used for the development of the EHR is based on Microsoft Office 2007, which is considered to be one of the best tools for developing databases. The main table of the database includes the fields with demographics, ie name, surname, age, sex, address and place of birth. The primary key of the table Demographics is Patient_ID. The demographics from the table are connected to the table Admission with a relationship type one- to- many. The combination of these features in a graphic representation can be used to display the health problems on the map, so that the proper health policies can be applied. The results of the monitoring could be used as pilot instructions for spatial epidemiological analysis. PMID:25000047

  17. Contracting private sector providers for public sector health services in Jalisco, Mexico: perspectives of system actors

    Directory of Open Access Journals (Sweden)

    González Luz

    2009-10-01

    Full Text Available Abstract Introduction Contracting out health services is a strategy that many health systems in the developing world are following, despite the lack of decisive evidence that this is the best way to improve quality, increase efficiency and expand coverage. A large body of literature has appeared in recent years focusing on the results of several contracting strategies, but very few papers have addressed aspects of the managerial process and how this can affect results. Case description This paper describes and analyses the perceptions and opinions of managers and workers about the benefits and challenges of the contracting model that has been in place for almost 10 years in the State of Jalisco, Mexico. Both qualitative and quantitative information was collected. An open-ended questionnaire was used to obtain information from a group of managers, while information provided by a self-selected group of workers was collected via a closed-ended questionnaire. The analysis contrasted the information obtained from each source. Discussion and Evaluation Findings show that perceptions of managers and workers vary for most of the items studied. For managers the model has been a success, as it has allowed for expansion of coverage based on a cost-effective strategy, while for workers the model also possesses positive elements but fails to provide fair labour relationships, which negatively affects their performance. Conclusion Perspectives of the two main groups of actors in Jalisco's contracting model are important in the design and adjustment of an adequate contracting model that includes managerial elements to give incentives to worker performance, a key element necessary to achieve the model's ultimate objectives. Lessons learnt from this study could be relevant for the experience of contracting models in other developing countries.

  18. The Effect of Managers Genders on Workers Mental and Physical Health: An Application in Banking Sector

    OpenAIRE

    Mahmut Özdevecioğlu; Cemile Çelik; Mahmut Akın; Fatma İncebalcı

    2013-01-01

    In this research it is evaluated the workers physical and mental health differences in which their managers gender is man or woman. To find out the differences a research is handled in banking sector. According to the results of the research, workers in which working with the male manager; there are difference between male and female workers according to physical health and there are not difference between male and female workers according to mental health. There are differences between ma...

  19. Financial Incentives are Counterproductive in Non-Profit Sectors: Evidence from a Health Experiment

    OpenAIRE

    Huillery, Elise; Seban, Juliette

    2015-01-01

    Financial incentives for service providers are becoming a common strategy to improve service delivery. However, this strategy will only work if demand for the service responds as expected. Using a eld experiment in the Democratic Republic of Congo, we show that introducing a performance-based financing mechanism in the health sector has counterproductive effects because demand is non-standard: despite reduced prices and eased access, demand for health decreased, child health deteriorated, wor...

  20. Contemporary specificities of labour in the health care sector: introductory notes for discussion

    OpenAIRE

    Albuquerque Eduardo; Campos Francisco

    2005-01-01

    Abstract Background This paper combines the literature on public health, on economics of health and on economics of technological innovation to discuss the peculiarities of labour in the health care sector. Method and framework The starting point is the investigation of the economic peculiarities of medical care. Results and discussions This investigation leads to the identification of the prevalence of non-market forms of medical care in the countries of the Organisation for Economic Co-oper...

  1. The Impact of Electricity Sector Privatization on Public Health

    DEFF Research Database (Denmark)

    Gonzalez-Eiras, Martin; Rossi, Martín

    2008-01-01

    We use province-level data for Argentina to test for the causal relation between electricity distribution and health. We are interested in the impact of privatization on two output measures, incidence of low birth weight and child mortality rates caused by food poisoning. Privatization improves s...

  2. The World Health Organization's mechanisms for increasing the health sector budget: The South African context.

    Science.gov (United States)

    Venter, Fouche Hendrik Johannes; Wolfaardt, Jaqueline Elizabeth

    2016-08-01

    South Africa (SA) has limited scope for raising income taxes, and the proposed National Health Insurance (NHI) scheme will necessitate growth in the health sector budget. The NHI White Paper suggests five funding scenarios to meet the expected shortfall. These scenarios are a mixture of a surcharge on taxable income, an increase in value-added tax and a payroll tax. Five alternative options, suggested by the World Health Organization, are interrogated as ways to decrease the general taxation proposed in the White Paper. The five mechanisms (corporate tax, financial transaction levy, and taxes on tobacco, alcohol and unhealthy foods) were chosen based on their fund-raising potential and their mandatory element. A literature review provides the information for a discussion of the potential costs of each mechanism. Within specific assumptions, potential budgetary contribution is compared with the requirement. First, raising corporate tax rates could raise enough funds, but the losses due to capital flight might be too much for the local economy to bear. Second, a levy on currency transactions is unlikely to raise the required resources, even without a probable decrease in the number of transactions. Third, the increase in the tax on tobacco and alcohol would need to be very large, even assuming that consumption patterns would remain unchanged. Lastly, a tax on unhealthy food products is a new idea and could be explored as an option - especially as the SA Treasury has announced its future implementation. Implementing only one of the mechanisms is unlikely to increase available funding sufficiently, but if they are implemented together the welfare-maximising tax rate for each mechanism may be high enough to fulfil the NHI scheme's budgetary requirement, moderating the increases in the tax burden of the SA population. PMID:27499398

  3. The Effect of Managers Genders on Workers Mental and Physical Health: An Application in Banking Sector

    Directory of Open Access Journals (Sweden)

    Mahmut Özdevecioğlu

    2013-09-01

    Full Text Available In this research it is evaluated the workers physical and mental health differences in which their managers gender is man or woman. To find out the differences a research is handled in banking sector. According to the results of the research, workers in which working with the male manager; there are difference between male and female workers according to physical health and there are not difference between male and female workers according to mental health. There are differences between male and female workers in which working with woman manager according to physical and mental health. The physical and mental health of woman workers, working with woman managers, looks like worse.

  4. Analysis of Developing Public Health Service Sector with Private Finance Initiative in Guangxi

    Institute of Scientific and Technical Information of China (English)

    王宇

    2006-01-01

    In Guangxi Public Health Service Sector (GPHSS), because lack of budget, it has caused a number of problems, such as weakened public health service in rural areas, poor professional quality of medical personnel in public health units at village and township levels, current urban public health service could not meet the health demand for urban residents. This paper is a secondary research. Through analysis of the financial problem and both of the advantages and disadvantages of using the Private Finance Initiative (PFI), it intend to demonstrate that using the PFI could be considered as a good way for the Guangxi government.

  5. Indiana's Health Care Sector and Insurance Market: Summary Report.

    OpenAIRE

    Deborah Chollet; Fabrice Smieliauskas; Rebecca Nyman; Andrea Staiti

    2004-01-01

    This report summarizes a series of reports investigating Indiana’s health care economy and markets. The findings suggest the need for policymakers in Indiana to address important challenges on multiple fronts. Important areas for immediate attention include greater efficiency in the delivery of hospital care, reducing the spending for hospital care that appears to be crowding out spending for other medical services. However, equally critical is attention to three problems that are more closel...

  6. Indianas Health Care Sector and Insurance Market Summary Report

    OpenAIRE

    Deborah Chollet; Fabrice Smieliauskas; Rebecca Nyman; Andrea Staiti

    2004-01-01

    This report summarizes a series of reports investigating Indiana’s health care economy and markets. The findings suggest the need for policymakers in Indiana to address important challenges on multiple fronts. Important areas for immediate attention include greater efficiency in the delivery of hospital care, reducing the spending for hospital care that appears to be crowding out spending for other medical services. However, equally critical is attention to three problems that are more clos...

  7. Implementation Status of Accrual Accounting System in Health Sector

    OpenAIRE

    2014-01-01

    Introduction: Management of financial resources in health systems is one of the major issues of concern for policy makers globally. As a sub-set of financial management, accounting system is of paramount importance. In this paper, which presents part of the results of a wider research project on transition process from a cash accounting system to an accrual accounting system, we look at the impact of components of change on implementation of the new system. Implementing changes is fraught wit...

  8. The challenges of good governance in the aquatic animal health sector.

    Science.gov (United States)

    Kahn, S; Mylrea, G; Yaacov, K Bar

    2012-08-01

    Animal health is fundamental to efficient animal production and, therefore, to food security and human health. This holds true for both terrestrial and aquatic animals. Although partnership between producers and governmental services is vital for effective animal health programmes, many key activities are directly carried out by governmental services. Noting the need to improve the governance of such services in many developing countries, the World Organisation for Animal Health (OIE), using the OIE Tool for the Evaluation of Performance of Veterinary Services, conducts assessments of Veterinary Services and Aquatic Animal Health Services (AAHS) to help strengthen governance and support more effective delivery of animal health programmes. While good governance and the tools to improve governance in the aquatic animal sector are largely based on the same principles as those that apply in the terrestrial animal sector, there are some specific challenges in the aquatic sector that have a bearing on the governance of services in this area. For example, the aquaculture industry has experienced rapid growth and the use of novel species is increasing; there are important gaps in scientific knowledge on diseases of aquatic animals; there is a need for more information on sustainable production; the level of participation of the veterinary profession in aquatic animal health is low; and there is a lack of standardisation in the training of aquatic animal health professionals. Aquaculture development can be a means of alleviating poverty and hunger in developing countries. However, animal diseases, adverse environmental impacts and food safety risks threaten to limit this development. Strengthening AAHS governance and, in consequence, aquatic animal health programmes, is the best way to ensure a dynamic and sustainable aquaculture sector in future. This paper discusses the specific challenges to AAHS governance and some OIE initiatives to help Member Countries to address

  9. Waiting Time Policies in the Health Care Sector. What Works?

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Bech, Mickael

    2013-01-01

    times. In addition, a range of other measures may indirectly have affected waiting times, such as a general increase in spending on health care, the general practitioners’ role as gate-keepers, increased use of activity-based hospital reimbursement, increasing use of private heath insurance and private......Waiting times for hospital treatment have been on the political agenda in Denmark for a long time, and various measures have been taken since the 1990s to deal with the problem directly, such as systematic monitoring and reporting, introduction of maximum waiting time guarantee coupled with free...... choice of hospital for somatic and psychiatric patients, short maximum waiting time guarantee for life-threatening diseases coupled with care packages for cancer and heart diseases and extra-activity targeted hospital grants. There are good reasons to believe that these policies have reduced waiting...

  10. Colombia and Cuba, contrasting models in Latin America's health sector reform.

    Science.gov (United States)

    De Vos, Pol; De Ceukelaire, Wim; Van der Stuyft, Patrick

    2006-10-01

    Latin American national health systems were drastically overhauled by the health sector reforms the 1990s. Governments were urged by donors and by the international financial institutions to make major institutional changes, including the separation of purchaser and provider functions and privatization. This article first analyses a striking paradox of the far-reaching reform measures: contrary to what is imposed on public health services, after privatization purchaser and provider functions are reunited. Then we compare two contrasting examples: Colombia, which is internationally promoted as a successful--and radical--example of 'market-oriented' health care reform, and Cuba, which followed a highly 'conservative' path to adapt its public system to the new conditions since the 1990s, going against the model of the international institutions. The Colombian reform has not been able to materialize its promises of universality, improved equity, efficiency and better quality, while Cuban health care remains free, accessible for everybody and of good quality. Finally, we argue that the basic premises of the ongoing health sector reforms in Latin America are not based on the people's needs, but are strongly influenced by the needs of foreign--especially North American--corporations. However, an alternative model of health sector reform, such as the Cuban one, can probably not be pursued without fundamental changes in the economic and political foundations of Latin American societies. PMID:17002735

  11. Responses to donor proliferation in Ghana’s health sector: a qualitative case study

    Directory of Open Access Journals (Sweden)

    Sarah Wood Pallas

    2015-01-01

    Full Text Available Objective To investigate how donors and government agencies responded to a proliferation of donors providing aid to Ghana’s health sector between 1995 and 2012. Methods We interviewed 39 key informants from donor agencies, central government and nongovernmental organizations in Accra. These respondents were purposively selected to provide local and international views from the three types of institutions. Data collected from the respondents were compared with relevant documentary materials – e.g. reports and media articles – collected during interviews and through online research. Findings Ghana’s response to donor proliferation included creation of a sector-wide approach, a shift to sector budget support, the institutionalization of a Health Sector Working Group and anticipation of donor withdrawal following the country’s change from low-income to lower-middle income status. Key themes included the importance of leadership and political support, the internalization of norms for harmonization, alignment and ownership, tension between the different methods used to improve aid effectiveness, and a shift to a unidirectional accountability paradigm for health-sector performance. Conclusion In 1995–2012, the country’s central government and donors responded to donor proliferation in health-sector aid by promoting harmonization and alignment. This response was motivated by Ghana’s need for foreign aid, constraints on the capacity of governmental human resources and inefficiencies created by donor proliferation. Although this decreased the government’s transaction costs, it also increased the donors’ coordination costs and reduced the government’s negotiation options. Harmonization and alignment measures may have prompted donors to return to stand-alone projects to increase accountability and identification with beneficial impacts of projects.

  12. Lighting in the health care sector; Verlichting in de zorg

    Energy Technology Data Exchange (ETDEWEB)

    Visser, R. [Grontmij, Amersfoort (Netherlands)

    2009-02-15

    The importance of light for people's health and welfare attracts frequent attention, not only the professional press but also in countless articles in newspapers and news magazines. Insufficient illumination can upset the biological clock and may even cause depression. In principle this applies to anyone who has to stay indoors all day or nearly all day; in the case of care homes it affects residents who have no regular opportunity to sit at a window, for example those who are bedridden. Research indicates that we need a minimum daily portion of daylight or of artificial light with similar qualities as daylight. This is also of great importance to night workers. [Dutch] Niet alleen in de vakpers, maar ook in tal van dag- en weekbladen, wordt regelmatig het belang van licht voor het welzijn en de gezondheid van de mens aan de orde gesteld. Gebrek aan voldoende licht kan het bioritme verstoren en zelfs leiden tot depressie. Dat geldt in principe voor alle mensen die om wat voor redenen dan ook de hele dag of nagenoeg de hele dag binnen moeten blijven. In zorginstellingen is dit vooral van toepassing voor degenen die zich niet regelmatig direct achter het ream kunnen bevinden, zoals mensen die bedlegering zijn. Want door onderzoek is gebleken dat we elke dag een voldoende portie daglicht nodig hebben of licht met overeenkomstige kwaliteiten als daglicht. Voor mensen die 's nachts moeten werken is het laatstgenoemde ook van groot belang.

  13. A participatory approach to health promotion for informal sector workers in Thailand

    Directory of Open Access Journals (Sweden)

    Jittra Rukijkanpanich

    2010-07-01

    Full Text Available BACKGROUND: This study aims to promote occupational health in the informal sector in Thailand by using a participatory approach. The success of the intervention is based on an evaluation of the informal sector workers' a knowledge, attitudes, and behaviors in occupational health and safety, b work practice improvement, and c working condition improvement. METHODS: This study applies the Participatory Action Research (PAR method. The participants of the study consisted of four local occupations in different regions of Thailand, including a ceramic making group in the North, a plastic weaving group in the Central region, a blanket making group in the Northeast, and a pandanus weaving group in the South. Data was collected using both qualitative and quantitative methods through questionnaires, industrial hygiene instruments, and group discussions. RESULTS: The results showed that the working conditions of the informal sector were improved to meet necessary standards after completing the participatory process. Also, the post-test average scores on 1 the occupational health and safety knowledge, attitudes and behaviors measures and 2 the work practice improvement measures were significantly higher than the pre-test average scores (p=sig. CONCLUSIONS: The results demonstrate that the participatory approach is an effective tool to use when promoting the health safety of the informal sector and when encouraging the workers to voluntarily improve the quality of their own lives.

  14. Health Sector Initiatives for Disaster Risk Management in Ethiopia: A Narrative Review

    OpenAIRE

    Tadesse, Luche; Ardalan, Ali

    2014-01-01

    Background: Natural and man-made disasters are prevailing in Ethiopia mainly due to drought, floods, landslides, earthquake, volcanic eruptions, and disease epidemics. Few studies so far have critically reviewed about medical responses to disasters and little information exists pertaining to the initiatives being undertaken by health sector from the perspective of basic disaster management cycle. This article aimed to review emergency health responses to disasters and other related interventi...

  15. Can media relations promote public health? The pharmaceutical sector in the Portuguese press

    OpenAIRE

    Ruão, Teresa; Lopes, Felisbela; Marinho, Sandra; Araújo, Rita Alexandra Manso; Fernandes, Luciana Gabriela Moura

    2013-01-01

    The research project "Disease in the news" (FCT) has been constituted as an observatory of media information on health, produced in Portugal since 2008. In this context, we have undertaken a systematic study of the work of the institutional sources of the health sector, the promotion of information to citizen by the media. This study includes an examination of journalistic texts produced by three national newspapers - Expresso, Público e Jornal de Notícias - and a direct contact with healthca...

  16. IT capabilities within the Dutch SME first line health care sector

    OpenAIRE

    Maris, Arjen; Ravesteijn, Pascal; Versendaal, Johan; Smit, Kobus

    2015-01-01

    The complexity of Information Technology (IT) is increasing; so are customer expectations. Consequently it is not easy for especially small and medium enterprises (SMEs) to keep track of all IT-developments, let alone leverage them in business operations with the aim to satisfy increasingly demanding customers. This also holds for the health care sector. This research is focussed on first line health care, and deals with the following research question; ‘which IT capabilities do SMEs within t...

  17. Health System Reform and Organisational Culture: An Exploratory Study in Abu Dhabi Public Healthcare Sector

    OpenAIRE

    Jammoul, Nada Youssef

    2015-01-01

    The Health system in Abu Dhabi has undergone a series of far reaching reforms during the past six years, yet in spite of the structural transformations, public confidence in the performance of this vital sector is still skeptical at best and employee engagement is still low. The thesis was underpinned by the aim to reveal the challenges in public health system reform outside the context of western administration. This thesis is an attempt to analyse the intricate, multidimensional concept of ...

  18. Assessing the impact of a new health sector pay system upon NHS staff in England

    OpenAIRE

    Buchan James; Evans David

    2008-01-01

    Abstract Background Pay and pay systems are a critical element in any health sector human resource strategy. Changing a pay system can be one strategy to achieve or sustain organizational change. This paper reports on the design and implementation of a completely new pay system in the National Health Service (NHS) in England. 'Agenda for Change' constituted the largest-ever attempt to introduce a new pay system in the UK public services, covering more than one million staff. Its objectives we...

  19. Routine measurement of outcomes in Australia's public sector mental health services

    OpenAIRE

    Pirkis, Jane; Burgess, Philip; Coombs, Tim; Clarke, Adam; Jones-Ellis, David; Dickson, Rosemary

    2005-01-01

    Objective This paper describes the Australian experience to date with a national 'roll out' of routine outcome measurement in public sector mental health services. Methods Consultations were held with 123 stakeholders representing a range of roles. Results Australia has made an impressive start to nationally implementing routine outcome measurement in mental health services, although it still has a long way to go. All States/Territories have established data collection systems, although some ...

  20. [Evaluation in the health sector: concepts and methods].

    Science.gov (United States)

    Contandriopoulos, A P; Champagne, F; Denis, J L; Avargues, M C

    2000-12-01

    The practice of evaluation has existed in one form or another for as long as one can remember and is central to all processes of learning. Today, evaluation is a popular concept grouping together multiple and diverse realities. This article aims to propose a conceptual framework for evaluation that is broad and universal enough to allow all those concerned with evaluation of health services (regardless of their disciplines and interests) to better understand each other, to perform better evaluations, and to use them in a more pertinent manner. We will begin by defining evaluation as the process which consists of making a judgement on the value of an intervention by implementing a system which can provide scientifically valid and socially legitimate information on regarding this particular intervention (or any of its components) to the different stakeholders concerned, such that they can form an opinion from their perspective on the intervention and reach a judgement which can translate into action. We define "intervention" as any organized system of action (a structure, actors and their practices, processes of action, one or many finalities and an environment) aiming to, in a given environment, during a given time period, modify the foreseeable course of a phenomenon to correct a problematic situation. An intervention can be a technique, a medication, a treatment, an organisation, a program, a policy or even a complex system like the health care system. Various interventions, regardless of their nature, can be the object of two types of evaluation. Normative evaluation is based on appreciation of each component of the intervention according to criteria and standards. This type of evaluation is defined as an activity which consists of making a judgement regarding an intervention by comparing the resources utilized and their organisation (structure); services and goods produced (process) and results obtained to criteria and standards (in other words, summaries of

  1. [Plansalud: Decentralized and agreed sector plan for the capacity development in health, Peru 2010-2014].

    Science.gov (United States)

    Huamán-Angulo, Lizardo; Liendo-Lucano, Lindaura; Nuñez-Vergara, Manuel

    2011-06-01

    Human resources are the backbone of health sector actions; however, they are not necessarily the area with the greatest attention, therefore, the Ministry of Health of Peru (MINSA) together with regional governments, led the Decentralized and Agreed Sector Plan for the Capacity Development in Health 2010-2014 (PLANSALUD) with the aim of strengthening the capacities of Human Resources for Health (HRH) and contribute to health care efficient development, quality, relevance, equity and multiculturalism, in the context of descentralization, the Universal Health Insurance (AUS) and health policies. To achieve this goal, they have proposed three components (technical assistance, joint training and education - health articulation) that bring together an important set of interventions, which are planned and defined according to the national, regional and local levels, thus contributing to improve the government capacity, capability management and delivery of health services. This paper presents a first approach of PLANSALUD, including aspects related to planning, management, financing, structure and functioning, as well as monitoring and evaluation measures. PMID:21845319

  2. [Health promotion and prevention in the economic crisis: the role of the health sector. SESPAS report 2014].

    Science.gov (United States)

    Márquez-Calderón, Soledad; Villegas-Portero, Román; Gosalbes Soler, Victoria; Martínez-Pecino, Flora

    2014-06-01

    This article reviews trends in lifestyle factors and identifies priorities in the fields of prevention and health promotion in the current economic recession. Several information sources were used, including a survey of 30 public health and primary care experts. Between 2006 and 2012, no significant changes in lifestyle factors were detected except for a decrease in habitual alcohol drinking. There was a slight decrease in the use of illegal drugs and a significant increase in the use of psychoactive drugs. Most experts believe that decision-making about new mass screening programs and changes in vaccination schedules needs to be improved by including opportunity cost analysis and increasing the transparency and independence of the professionals involved. Preventive health services are contributing to medicalization, but experts' opinions are divided on the need for some preventive activities. Priorities in preventive services are mental health and HIV infection in vulnerable populations. Most experts trust in the potential of health promotion to mitigate the health effects of the economic crisis. Priority groups are children, unemployed people and other vulnerable groups. Priority interventions are community health activities (working in partnership with local governments and other sectors), advocacy, and mental health promotion. Effective tools for health promotion that are currently underused are legislation and mass media. There is a need to clarify the role of the healthcare sector in intersectorial activities, as well as to acknowledge that social determinants of health depend on other sectors. Experts also warn of the consequences of austerity and of policies that negatively impact on living conditions. PMID:24656990

  3. Nutrition Beyond the Health Sector : A Profile of World Bank Lending in Nutrition from 2000 to 2006

    OpenAIRE

    Garrett, James; El Hag El Tahir, Safinaz

    2008-01-01

    The World Bank report Repositioning Nutrition as Central to Development (2006) explicitly recommended improving nutrition by not only working through the health sector, but also in non-health sectors such as agriculture and education. This report provides descriptive and financial profiles of the Bank's recent portfolio in nutrition (from FY2000 to late FY2006) to note the extent to which ...

  4. Health workforce attrition in the public sector in Kenya: a look at the reasons

    Directory of Open Access Journals (Sweden)

    Muchiri Stephen

    2009-07-01

    Full Text Available Abstract Background Kenya, like many other countries in sub-Saharan Africa, has been affected by shortages of health workers in the public sector. Data on the rates and leading reasons for health workers attrition in the public sector are key in developing effective, evidence-based planning and policy on human resources for health. Methods This study analysed data from a human resources health facility survey conducted in 2005 in 52 health centres and 22 public hospitals (including all provincial hospitals across all eight provinces in Kenya. The study looked into the status of attrition rates and the proportion of attrition due to retirement, resignation or death among doctors, clinical officers, nurses and laboratory and pharmacy specialists in surveyed facilities. Results Overall health workers attrition rates from 2004 to 2005 were similar across type of health facility: provincial hospitals lost on average 4% of their health workers, compared to 3% for district hospitals and 5% for health centres. However, there are differences in the patterns of attrition rates by cadre. Attrition among doctors and registered nurses was much higher at the provincial hospitals than at district hospitals or health centres, whereas the opposite pattern was observed for laboratory and pharmacy staff (lost at a higher rate in lower-level facilities. In provincial hospitals, doctors had higher attrition rates than clinical officers, and registered nurses had higher attrition rates than enrolled nurses. In contrast, attrition of enrolled and registered nurses in district hospitals and health centres was similar. The main reason for health worker attrition (all cadres combined at each level of facility was retirement, followed by resignation and death. However, resignation drives attrition among doctors and clinical officers; retirement accounts for the main share of attrition among nurses and pharmacy staff; and death is the primary reason for attrition among

  5. Evaluating digital libraries in the health sector. Part 2: measuring impacts and outcomes.

    Science.gov (United States)

    Cullen, Rowena

    2004-03-01

    This is the second part of a two-part paper which explores methods that can be used to evaluate digital libraries in the health sector. Part 1 focuses on approaches to evaluation that have been proposed for mainstream digital information services. This paper investigates evaluative models developed for some innovative digital library projects, and some major national and international electronic health information projects. The value of ethnographic methods to provide qualitative data to explore outcomes, adding to quantitative approaches based on inputs and outputs is discussed. The paper concludes that new 'post-positivist' models of evaluation are needed to cover all the dimensions of the digital library in the health sector, and some ways of doing this are outlined. PMID:15023204

  6. What can be done about the private health sector in low-income countries?

    Directory of Open Access Journals (Sweden)

    Mills Anne

    2002-01-01

    Full Text Available A very large private health sector exists in low-income countries. It consists of a great variety of providers and is used by a wide cross-section of the population. There are substantial concerns about the quality of care given, especially at the more informal end of the range of providers. This is particularly true for diseases of public health importance such as tuberculosis, malaria, and sexually transmitted infections. How can the activities of the private sector in these countries be influenced so that they help to meet national health objectives? Although the evidence base is not good, there is a fair amount of information on the types of intervention that are most successful in directly influencing the behaviour of providers and on what might be the necessary conditions for success. There is much less evidence, however, of effective approaches to interventions on the demand side and policies that involve strengthening the purchasing and regulatory roles of governments.

  7. Role of health sector contingency plan in emergency preparedness and response: Orissa experiences.

    Science.gov (United States)

    Biswas, R; Dasgupta, A

    2009-01-01

    A study was organized to orient the district level health sector disaster managers to review, revise and update the health sector contingency plan (HSCP) against common natural calamities, followed by its execution and evaluation. An inter-state 3 days workshop was organized at Kolkata during the month of October 2004 to review the district level HSCP and its execution in 5 (five) worst affected districts. The District Health Officers, in consultation with the investigators, revised and updated the HSCP. Thereafter, status survey was conducted to examine the implementation of the contingency plan. During flood, the HSCP was found to be followed in the districts. Control room, construction/identification of flood shelter, sanitation and other preventive measures were taken care of, with an exception of Kendra Para, where lack of man power was noted. Technical support, trained manpower, relief materials, ambulance, Communication and information system were present in all the 5 (five) districts. PMID:20108889

  8. The changing donor landscape of health sector aid to Vietnam: a qualitative case study.

    Science.gov (United States)

    Pallas, Sarah Wood; Khuat, Thi Hai Oanh; Le, Quang Duong; Ruger, Jennifer Prah

    2015-05-01

    The study objective was to identify how donors and government agencies in Vietnam responded to donor proliferation in health sector aid between 1995 and 2012. Interviews were conducted with key informants from donor agencies, central government, and civil society in Hanoi in 2012 (n = 34 interviews), identified through OECD Creditor Reporting System data, internet research, and snowball sampling. Interview transcripts were coded for key themes using the constant comparative method. Documentary materials were used in triangulation and validation of key informant accounts. The study identified a timeline of key events and key themes. The number of donors providing health sector aid to Vietnam increased sharply during the late 1990s and early 2000s, then leveled off and declined between 2008 and 2012. Reasons for donor entry included Vietnam's health needs, perceptions of health as less politically sensitive, and donor interests in facilitating market access. Reasons for donor withdrawal included Vietnam's achievement of middle-income status, the global financial crisis, and donors' shifting global priorities. Key themes included high competition among donors, strategic actions by government to increase its control over aid, and the multiplicity of government units involved with health sector aid. The study concludes that central government and donor agencies in Vietnam responded to donor proliferation in health sector aid by endorsing aid effectiveness policies but implementing these policies inconsistently in practice. Whereas previous literature has emphasized donor proliferation's transaction costs, this study finds that the benefits of a large number of less coordinated donors may outweigh the increased administrative costs under certain conditions. In Vietnam, these conditions included relatively high capacity within government, low government dependence on aid, and government interest in receiving diverse donor recommendations. Vietnam's experience of donor

  9. The Impact of Health Sector Reform on State and Society in Bangladesh, 1995-2005

    OpenAIRE

    Islam, Kazi Maruful

    2007-01-01

    Despite the fact that in recent years the Government of Bangladesh has invested substantially and initiated numbers of multi-sector and multilevel institutional and programmatic reforms to improve the health of the poor and women, the health status of the poor in Bangladesh is one of the worst in the world. In this context this thesis aims to answer do health reform policies benefit the poor? In order to address the central research question, from a bottom-up critical perspective, it aims to...

  10. Research priorities for the health sector for the 8th Malaysia Plan

    International Nuclear Information System (INIS)

    At the inter-institutional meeting to identify, the research priorities for the sector for the 7MP (7th Malaysian Plan), held in mid-1994, priorities were determined according to the hierarchy of socioeconomic groups, target areas, programmes and scopes. The more detailed projects under these were to be determined by the researchers they embark on the projects themselves. The most useful level for reference is the target area. There were 7 target areas identified at the deliberations, and an eighth one (medical biotechnology) was added later on by the IRPA Secretariat in the Ministry of Science Technology and Environment. These 8 target areas are: 1)Health problems associated with lifestyles 2) Health problems related to demographic changes, 3) Vector borne and other communicable diseases, 4 ) Epidemiological databases, 5) Technologies in health, 6)The health system and health care industry, 7) Environmental and occupational health, 8) Medical biotechnology. (author)

  11. Organization and Finance of China's Health Sector: Historical Antecedents for Macroeconomic Structural Adjustment.

    Science.gov (United States)

    Li, Hui; Hilsenrath, Peter

    2016-01-01

    China has exploded onto the world economy over the past few decades and is undergoing rapid transformation toward relatively more services. The health sector is an important part of this transition. This article provides a historical account of the development of health care in China since 1949. It also focuses on health insurance and macroeconomic structural adjustment to less saving and more consumption. In particular, the question of how health insurance impacts precautionary savings is considered. Multivariate analysis using data from 1990 to 2012 is employed. The household savings rate is the dependent variable in 3 models segmented for rural and urban populations. Independent variables include out-of-pocket health expenditures, health insurance payouts, housing expenditure, education expenditure, and consumption as a share of gross domestic product (GDP). Out-of-pocket health expenditures were positively correlated with household savings rates. But health insurance remains weak, and increased payouts by health insurers have not been associated with lower levels of household savings so far. Housing was positively correlated, whereas education had a negative association with savings rates. This latter finding was unexpected. Perhaps education is perceived as investment and a substitute for savings. China's shift toward a more service-oriented economy includes growing dependence on the health sector. Better health insurance is an important part of this evolution. The organization and finance of health care is integrally linked with macroeconomic policy in an environment constrained by prevailing institutional convention. Problems of agency relationships, professional hegemony, and special interest politics feature prominently, as they do elsewhere. China also has a dual approach to medicine relying heavily on providers of traditional Chinese medicine. Both of these segments will take part in China's evolution, adding another layer of complexity to policy. PMID

  12. Private Sector An Important But Not Dominant Provider Of Key Health Services In Low- And Middle-Income Countries.

    Science.gov (United States)

    Grépin, Karen A

    2016-07-01

    There is debate about the role of the private sector in providing services in the health systems of low- and middle-income countries and about how the private sector could help achieve the goal of universal health coverage. Yet the role that the private sector plays in the delivery of health services is poorly understood. Using data for the period 1990-2013 from 205 Demographic and Health Surveys in seventy low- and middle-income countries, I analyzed the use of the private sector for the treatment of diarrhea and of fever or cough in children, for antenatal care, for institutional deliveries, and as a source of modern contraception for women. I found that private providers were the dominant source of treatment for childhood illnesses but not for the other services. I also found no evidence of increased use of the private sector over time. There is tremendous variation in use of the private sector across countries and health services. Urban and wealthier women disproportionately use the private sector, compared to rural and poorer women. The private sector plays an important role in providing coverage, but strategies to further engage the sector, if they are to be effective, will need to take into consideration the variation in its use. PMID:27385236

  13. Sector wide approaches for health in small island states: lessons learned from the Solomon Islands.

    Science.gov (United States)

    Negin, Joel; Martiniuk, Alexandra

    2012-01-01

    Sector Wide Approaches (SWAps) have increasingly been implemented in countries around the world as a mechanism for effective delivery of health sector funding from various sources. Despite the global focus on aid effectiveness, SWAps have been under-examined. In 2007, the Solomon Islands and development partners began discussing a health SWAp making the Solomon Islands one of the first fragile states globally to adopt a SWAp. This paper explores the establishment and implementation of a health SWAp in the Solomon Islands as a specific case study with lessons learned for the region as well as for aid architecture in fragile states more generally. Tensions between donors and the government impeded agreement and early implementation and country ownership of the SWAp idea was muted. Since mid-2009, however, the Solomon Islands SWAp has made strong progress with greater government ownership and with more focus on partnership and harmonisation rather than on funding mechanisms. The SWAp mechanism has been a challenge for the capacity-constrained Solomon Islands health sector and for development partners familiar with other aid modalities, but current momentum suggests that the SWAp will have a positive impact on adherence to agreed aid effectiveness principles. PMID:21736517

  14. Public-private sector interactions and the demand for supplementary health insurance in the United Kingdom.

    Science.gov (United States)

    Bíró, Anikó; Hellowell, Mark

    2016-07-01

    We examine the demand for private health insurance (PHI) in the United Kingdom and relate this to changes in the supply of public and private healthcare. Using a novel collection of administrative, private sector and survey data, we re-assess the relationships between the quality and availability of public and private sector inpatient care, and the demand for PHI. We find that PHI coverage in the United Kingdom is positively related to the median of the region- and year-specific public sector waiting times. We find that PHI prevalence ceteris paribus increases with being self-employed and employed, while it decreases with having financial difficulties. In addition, we highlight the complexities of inter-sectoral relations and their impact on PHI demand. Within a region, we find that an increase in private healthcare supply is associated with a decrease in public sector waiting times, implying lower PHI demand. This may be explained by the usage of private facilities by NHS commissioners. These results have important implications for policymakers interested in the role of private healthcare supply in enhancing the availability of and equitable access to acute inpatient care. PMID:27234967

  15. Prohibit, constrain, encourage, or purchase: how should we engage with the private health-care sector?

    Science.gov (United States)

    Montagu, Dominic; Goodman, Catherine

    2016-08-01

    The private for-profit sector's prominence in health-care delivery, and concern about its failures to deliver social benefit, has driven a search for interventions to improve the sector's functioning. We review evidence for the effectiveness and limitations of such private sector interventions in low-income and middle-income countries. Few robust assessments are available, but some conclusions are possible. Prohibiting the private sector is very unlikely to succeed, and regulatory approaches face persistent challenges in many low-income and middle-income countries. Attention is therefore turning to interventions that encourage private providers to improve quality and coverage (while advancing their financial interests) such as social marketing, social franchising, vouchers, and contracting. However, evidence about the effect on clinical quality, coverage, equity, and cost-effectiveness is inadequate. Other challenges concern scalability and scope, indicating the limitations of such interventions as a basis for universal health coverage, though interventions can address focused problems on a restricted scale. PMID:27358250

  16. Strengthening state/non-state service delivery partnerships in the health sector in Nepal.

    Science.gov (United States)

    Marasini, Baburam; Chaulagai Oli, Chandrakala; Taylor, Judy

    2015-07-01

    State/non-state partnerships in the health sector are of crucial importance in Nepal where partnerships between the Ministry of Health and Population (MoHP) and external actors have been fundamental to Nepal making progress in meeting millennium development goals. However, partnerships need to be strengthened.To gather information about partnerships we searched MoHP partnership evaluations as well as PubMed Central, EBSCOhost, OVIDSP, PROQUEST, Science Direct, and MedLine. We found 11 MoHP documents and 167 papers about state/non-state partnerships. Using the inclusion criteria we examined three MoHP policy documents/evaluations and 16 papers to extract information about partners, partnership health area focus, partner contributions, partnership outcomes, and partnership functioning themes. Themes about partnership functioning include the need to strengthen clarity of roles and responsibilities, strengthen leadership, as well as to ensure integration of partnership achievements systemically within the health sector.There were limitations in this review. In the academic literature there were no studies where the state/non-state partnership itself was evaluated. The focus was on the health outcomes and the partnership processes and functioning received little attention. To improve partnerships there is a serious need for research that evaluates the effectiveness of the partnership and the relationships between the partnership and the health outcomes achieved. PMID:25878212

  17. An integrated health sector response to violence against women in Malaysia: lessons for supporting scale up.

    OpenAIRE

    Colombini Manuela; Mayhew Susannah H; Ali Siti; Shuib Rashidah; Watts Charlotte

    2012-01-01

    Abstract Background Malaysia has been at the forefront of the development and scale up of One-Stop Crisis Centres (OSCC) - an integrated health sector model that provides comprehensive care to women and children experiencing physical, emotional and sexual abuse. This study explored the strengths and challenges faced during the scaling up of the OSCC model to two States in Malaysia in order to identify lessons for supporting successful scale-up. Methods In-depth interviews were conducted with ...

  18. The sustainability of donor funded projects in the health sector / T. Mitchell

    OpenAIRE

    Mitchell, Therese

    2013-01-01

    The need for donor funding has increased significantly over the last decade. Without donor funding millions of people wouldn’t be alive today. Thanks either to research finding a cure, successful treatment, funds donated for food, aid toward building infrastructure, or giving people the opportunity to further their education. Donor funding thus facilitates a better future. A literature review was conducted to give background on the health sector and how these funds were distributed, ethical c...

  19. Stress in the Health Sector and Effect of Optimism on the Job Satisfaction

    OpenAIRE

    Songul Yigı

    2015-01-01

    Job is an indispensable part of life. All employees face stress. The health sector has many properties that may lead to stress stemming from its characteristic structure. Due to the fact that the slightest mistake may lead to loss of human life, satisfaction or dissatisfaction of employees has an importance not only in terms of individuals but also in terms of the society.Optimism is a viewpoint. An optimistic person can cope with any difficulties of life and survive dangerous situations with...

  20. Ethical Competence and Moral Distress in the Health Care Sector : A Prospective Evaluation of Ethics Rounds

    OpenAIRE

    Kälvemark Sporrong, Sofia

    2007-01-01

    Ongoing structural and financial changes in the health care sector have resulted in increased risks for ethical dilemmas and moral distress. It is purported that increased ethical competence will help staff manage ethical dilemmas and hence decrease moral distress. To enhance ethical competence several approaches may be used – theoretical education, and methods focusing on reflection and decision-making abilities. Ethics rounds are a widespread systematic method hypothesized to improve ethica...

  1. Collaboration across private and public sector primary health care services: benefits, costs and policy implications.

    Science.gov (United States)

    McDonald, Julie; Powell Davies, Gawaine; Jayasuriya, Rohan; Fort Harris, Mark

    2011-07-01

    Ongoing care for chronic conditions is best provided by interprofessional teams. There are challenges in achieving this where teams cross organisational boundaries. This article explores the influence of organisational factors on collaboration between private and public sector primary and community health services involved in diabetes care. It involved a case study using qualitative methods. Forty-five participants from 20 organisations were purposively recruited. Data were collected through semi-structured interviews and from content analysis of documents. Thematic analysis was used employing a two-level coding system and cross case comparisons. The patterns of collaborative patient care were influenced by a combination of factors relating to the benefits and costs of collaboration and the influence of support mechanisms. Benefits lay in achieving common or complementary health or organisational goals. Costs were incurred in bridging differences in organisational size, structure, complexity and culture. Collaboration was easier between private sector organisations than between private and public sectors. Financial incentives were not sufficient to overcome organisational barriers. To achieve more coordinated primary and community health care structural changes are also needed to better align funding mechanisms, priorities and accountabilities of the different organisations. PMID:21554068

  2. Partnerships between the faith-based and medical sectors: Implications for preventive medicine and public health.

    Science.gov (United States)

    Levin, Jeff

    2016-12-01

    Interconnections between the faith-based and medical sectors are multifaceted and have existed for centuries, including partnerships that have evolved over the past several decades in the U.S. This paper outlines ten points of intersection that have engaged medical and healthcare professionals and institutions across specialties, focusing especially on primary care, global health, and community-based outreach to underserved populations. In a time of healthcare resource scarcity, such partnerships-involving religious congregations, denominations, and communal and philanthropic agencies-are useful complements to the work of private-sector medical care providers and of federal, state, and local public health institutions in their efforts to protect and maintain the health of the population. At the same time, challenges and obstacles remain, mostly related to negotiating the complex and contentious relations between these two sectors. This paper identifies pressing legal/constitutional, political/policy, professional/jurisdictional, ethical, and research and evaluation issues that need to be better addressed before this work can realize its full potential. PMID:27512649

  3. Integrating human health into environmental impact assessment: case studies of Canada's Northern mining resource sector

    International Nuclear Information System (INIS)

    This paper examines the integration of human health considerations into environmental impact assessment (EIA) in the Canadian North. Emphasis is placed on the northern mining sector, where more land has been staked in the past decade than in the previous 50 years combined. Using information from interviews with northern EIA and health practitioners and reviews of selected project documents, we examined three principal mining case studies, northern Saskatchewan uranium mining operations, the Ekati diamond project, and the Voisey's Bay mine/mill project, to determine whether and how health considerations in EIA have evolved and the current nature and scope of health integration. Results suggest that despite the recognized link between environment and health and the number of high-profile megaprojects in Canada's North, human health, particularly social health, has not been given adequate treatment in northern EIA. Health considerations in EIA have typically been limited to physical health impacts triggered directly by project-induced environmental change, while social and other health determinants have been either not considered at all, or limited to those aspects of health and well-being that the project proponent directly controlled, namely employment opportunities and worker health and safety. In recent years, we have been seeing improvements in the scope of health in EIA to reflect a broader range of health determinants, including traditional land use and culture. However, there is still a need to adopt impact mitigation and enhancement measures that are sensitive to northern society, to monitor and follow up actual health impacts after project approval, and to ensure that mitigation and enhancement measures are effective. (author)

  4. Diabetes, HIV and other health determinants associated with absenteeism among formal sector workers in Namibia

    Directory of Open Access Journals (Sweden)

    Guariguata Leonor

    2012-01-01

    Full Text Available Abstract Background As countries in sub-Saharan Africa develop their economies, it is important to understand the health of employees and its impact on productivity and absenteeism. While previous studies have assessed the impact of single conditions on absenteeism, the current study evaluates multiple health factors associated with absenteeism in a large worker population across several sectors in Namibia. Methods From March 2009 to June 2010, PharmAccess Namibia conducted a series of cross-sectional surveys of 7,666 employees in 7 sectors of industry in Namibia. These included a self-reported health questionnaire and biomedical screenings for certain infectious diseases and non-communicable disease (NCD risk factors. Data were collected on demographics, absenteeism over a 90-day period, smoking behavior, alcohol use, hemoglobin, blood pressure, blood glucose, cholesterol, waist circumference, body mass index (BMI, HIV status, and presence of hepatitis B antigens and syphilis antibodies. The associations of these factors to absenteeism were ascertained using negative binomial regression. Results Controlling for demographic and job-related factors, high blood glucose and diabetes had the largest effect on absenteeism (IRR: 3.67, 95%CI: 2.06-6.55. This was followed by anemia (IRR: 1.59, 95%CI: 1.17-2.18 and being HIV positive (IRR: 1.47; 95%CI: 1.12-1.95. In addition, working in the fishing or services sectors was associated with an increased incidence of sick days (IRR: 1.53, 95%CI: 1.23-1.90; and IRR: 1.70, 95%CI: 1.32-2.20 respectively. The highest prevalence of diabetes was in the services sector (3.6%, 95%CI:-2.5-4.7. The highest prevalence of HIV was found in the fishing sector (14.3%, 95%CI: 10.1-18.5. Conclusion Both NCD risk factors and infectious diseases are associated with increased rates of short-term absenteeism of formal sector employees in Namibia. Programs to manage these conditions could help employers avoid costs associated

  5. Older lesbians and work in the Australian health and aged care sector.

    Science.gov (United States)

    Hughes, Mark; Kentlyn, Sujay

    2015-01-01

    While research has identified challenges lesbians face in the workplace, there is limited understanding of the particular experiences of older lesbians, especially those working in the health and aged care sector. This article draws on the stories of four women who participated in a narrative research project on lesbian and gay people's experiences of health and aged care. It highlights the need for future research to examine the complexity of identity expression and community affiliation, how people negotiate "coming out" in the workplace, the impact of discrimination, and the resources (such as friends) available to lesbians in the workplace. PMID:25575323

  6. Decentralization and decision space in the health sector: a case study from Karnataka, India.

    Science.gov (United States)

    Seshadri, Shreelata Rao; Parab, Suraj; Kotte, Sandesh; Latha, N; Subbiah, Kalyani

    2016-03-01

    Various attempts have been made in India with respect to decentralization, most significantly the 73rd Amendment to the Constitution of India (1993) which provided the necessary legal framework for decentralization to take place. However, the outcome has been mixed: an evaluation of the impact of decentralization in the health sector found virtually no change in health system performance and access to health services in terms of availability of health personnel or improvement in various health indicators, such as Infant Mortality Rates or Maternal Mortality Ratio. Subsequently, there has been a conscious effort under the National Rural Health Mission (NRHM)-launched in 2005-to promote decentralization of funds, functions and functionaries to lower levels of government; and Karnataka had a head-start since devolution of all 29 functions prescribed by the 73rd Amendment had already taken place in the state by the late 1990s. This study presents the findings of an on-going research effort to build empirical evidence on decentralization in the health sector and its impact on system performance. The focus here is on analyzing the responses of health personnel at the district level and below on their perceived 'Decision Space'-the range of choice or autonomy they see themselves as having along a series of functional dimensions. Overall, the data indicate that there is a substantial gap between the spirit of the NRHM guidelines on decentralization and the actual implementation on the ground. There is a need for substantial capacity building at all levels of the health system to genuinely empower functionaries, particularly at the district level, in order to translate the benefits of decentralization into reality. PMID:25967105

  7. Is the Water Sector Lagging behind Education and Health on Aid Effectiveness? Lessons from Bangladesh, Ethiopia and Uganda

    Directory of Open Access Journals (Sweden)

    Katharina Welle

    2009-10-01

    Full Text Available A study in three countries (Bangladesh, Ethiopia and Uganda assessed progress against the Paris Principles for Aid Effectiveness (AE in three sectors – water, health and education – to test the assumption that the water sector is lagging behind. The findings show that it is too simplistic to say that the water sector is lagging, although this may well be the case in some countries. The study found that wider governance issues are more important for AE than having in place sector-specific mechanics such as Sector-Wide Approaches alone. National political leadership and governance are central drivers of sector AE, while national financial and procurement systems and the behaviour of actors who have not signed up to the Paris Principles – at both national and global levels – have implications for progress that cut across sectors. Sectors and sub-sectors do nonetheless have distinct features that must be considered in attempting to improve sector-level AE. In light of these findings, using political economy approaches to better understand and address governance and strengthening sector-level monitoring is recommended as part of efforts to improve AE and development results in the water sector.

  8. Pro-social preferences and self-selection into the public health sector: evidence from an economic experiment.

    Science.gov (United States)

    Kolstad, Julie Riise; Lindkvist, Ida

    2013-05-01

    Motivational crowding-out theory establishes that the effectiveness of financial incentive schemes, like pay-for-performance, crucially depends on the underlying social preferences of health workers. In this paper we study the extent to which heterogeneity in the strength and structure of social preferences is related to career choices by testing whether preferences vary systematically between Tanzanian health worker students who prefer to work in the private for-profit health sector and those who prefer to work in the public health sector. Despite its important policy implications, this issue has received little attention to date. By combining data from a questionnaire and an economic experiment, we find that students who prefer to work in the public health sector have stronger pro-social preferences than those who prefer to work in the private for-profit sector. PMID:22763126

  9. Instantaneous Current Feedback Control Strategy on Buck Mode Inverter

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Control strategies for Buck mode inverter have important effect on static and dynamic characteristics, reliability, load capacity, and short-circuit resistance. Instantaneous current feedback control strategies include instantaneous inductor current feedback control and instantaneous capacitor current feedback control, both of which have essential difference. When the Buck mode inverter respectively adopts instantaneous inductor current and capacitor current feedback control strategies, characteristics of stability, output voltage and power, short circuit, nonlinear load and dynamic are fully investigated in this paper.

  10. Research on a Novel Soft-Switching Buck Converter

    OpenAIRE

    Peng Ge; Ben Niu; Yuanbin Li

    2013-01-01

    Based on classical zero voltage transition buck pwm converter, an ideal buck converter with pwm-controlled soft-switching circuit is proposed. The proposed auxiliary circuit allows the main switch to operate with zero-voltage switching. Besides, all of the semiconductor devices operate under soft-switching conditions. Thus, losses were reduced. It was analyzed in detail to demonstrate the operating principle of the novel circuit. Finally, simulation results are given analysis and the simulati...

  11. Design & Implementation of Zero Voltage Switching Buck Converter

    OpenAIRE

    A.Suresh Kumar; P.Krishna Reddy

    2014-01-01

    Zero voltage switching (ZVS) buck converter is more preferable over hard switched buck converter for low power, high frequency DC-DC conversion applications. In Zero voltage switching converter, turn on & turn off of a switch occurs at zero voltage that results in lower switching losses. In this converter soft switching is achieved by using resonant components. The optimal values of resonant components are determined by using electric functions derived from circuit configurati...

  12. Catastrophic Health Expenditure After the Implementation of Health Sector Evolution Plan: A Case Study in the West of Iran

    Science.gov (United States)

    Piroozi, Bakhtiar; Moradi, Ghobad; Nouri, Bijan; Mohamadi Bolbanabad, Amjad; Safari, Hossein

    2016-01-01

    Background: One of the main objectives of health systems is the financial protection against out-of-pocket (OOP) health expenditures. OOP health expenditures can lead to catastrophic payments, impoverishment or poverty among households. In Iran, health sector evolution plan (HSEP) has been implemented since 2014 in order to achieve universal health coverage and reduce the OOP health expenditures as a percentage of total health expenditures. This study aimed to explore the percentage of households facing catastrophic health expenditures (CHE) after the implementation of HSEP and the factors that determine CHE. Methods: A total of 663 households were selected through a cluster sampling based on the census framework of Sanandaj Health Center in July 2015. Data were gathered using face-to-face interviews based on the household section of the World Health Survey questionnaire. In this study, according to the World Health Organization (WHO) definition, if household health expenditures were equal to or more than 40% of the household capacity to pay, household was considered to be facing CHE. The determinants of CHE were analyzed using logistic regression model. Results: The rates of households facing CHE were 4.8%. The key determinants of CHE were household economic status, presence of elderly or disabled members in the household and utilization of inpatient or rehabilitation services. Conclusion: The comparison of our findings and those of other studies carried out using a methodology comparable with ours in different parts of Iran before the implementation of HSEP suggests that the implementation of recent reforms has reduced CHE at the household level. Utilization of inpatient and rehabilitation services, the presence of elderly or disabled members in the household and the low economic status of the household would increase the likelihood of facing CHE. These variables should be considered by health policy-makers in order to review and revise content of recent reform

  13. PUBLIC PRIVATE PARTNERSHIP IN HEALTH SECTOR IN KARNATAKA: WITH SPECIAL REFERENCE TO WOMEN'S HEALTH

    OpenAIRE

    PRASANNA B JOSHI; GURUPRASAD GANESHKAR

    2013-01-01

    Good Health of people is one of the important indicators of a country'sprosperity. Every country has witnessed a deterioration in the health of its people due tochanges in the life styles, food habits, growing consumerism and also pollution that hasresulted in health problems. Therefore health is a prime concern in the task of nationbuilding. To earn good will of the community by providing quality services is one of theobjectives of the Governments both at the national and state levels is to ...

  14. Violencia contra las mujeres: el papel del sector salud en la legislación internacional Violence against women: the role of the health sector in international legislation

    Directory of Open Access Journals (Sweden)

    Gaby Ortiz-Barreda

    2012-10-01

    Full Text Available Objetivos: Identificar y describir las responsabilidades que se atribuyen a las administraciones sanitarias en materia de prevención y atención de la violencia contra las mujeres en la legislación internacional sobre este tema. Métodos: Análisis de contenido de las leyes de violencia contra las mujeres recopiladas en The Annual Review of Law of Harvard University, UN Secretary-General's database on Violence against Women, International Digest of Health Legislation y Stop Violence against Women. Se identificaron y seleccionaron las leyes que hacían mención explícita a la participación del sector salud en intervenciones de violencia contra las mujeres. Se clasificaron las intervenciones según los niveles de prevención primaria, secundaria y terciaria definidos por la Organización Mundial de la Salud en su Informe Mundial sobre Violencia y Salud (2002. Resultados: De 115 países analizados, 55 disponen de leyes sobre la violencia contra las mujeres que contemplan la participación del sector salud en sus intervenciones. En la mayoría, esta participación se centra en la denuncia de casos detectados y la atención de casos derivados de servicios policiales. Se identificaron 24 leyes que hacían mención a intervenciones específicamente desarrolladas por el sector salud, sobre todo de prevención terciaria. Las leyes de México, Colombia, Argentina, El Salvador, España y Filipinas integran intervenciones relacionadas con los tres niveles de prevención. Conclusiones: Una cuarta parte de las leyes sobre la violencia contra las mujeres estudiadas incorporan intervenciones específicas del sector salud. Esto sugiere que todavía es incipiente el abordaje integral del problema. Se requiere un mayor aprovechamiento de las potencialidades de este sector en intervenciones previas a las consecuencias de la violencia contra las mujeres.Objectives: To identify and describe the responsibilities attributed to health administrations in preventing

  15. Job satisfaction and motivation of health workers in public and private sectors: cross-sectional analysis from two Indian states

    Directory of Open Access Journals (Sweden)

    Mahapatra Prasanta

    2010-11-01

    Full Text Available Abstract Background Ensuring health worker job satisfaction and motivation are important if health workers are to be retained and effectively deliver health services in many developing countries, whether they work in the public or private sector. The objectives of the paper are to identify important aspects of health worker satisfaction and motivation in two Indian states working in public and private sectors. Methods Cross-sectional surveys of 1916 public and private sector health workers in Andhra Pradesh and Uttar Pradesh, India, were conducted using a standardized instrument to identify health workers' satisfaction with key work factors related to motivation. Ratings were compared with how important health workers consider these factors. Results There was high variability in the ratings for areas of satisfaction and motivation across the different practice settings, but there were also commonalities. Four groups of factors were identified, with those relating to job content and work environment viewed as the most important characteristics of the ideal job, and rated higher than a good income. In both states, public sector health workers rated "good employment benefits" as significantly more important than private sector workers, as well as a "superior who recognizes work". There were large differences in whether these factors were considered present on the job, particularly between public and private sector health workers in Uttar Pradesh, where the public sector fared consistently lower (P P Conclusion There are common areas of health worker motivation that should be considered by managers and policy makers, particularly the importance of non-financial motivators such as working environment and skill development opportunities. But managers also need to focus on the importance of locally assessing conditions and managing incentives to ensure health workers are motivated in their work.

  16. [EU policy orientations on road accidents prevention and workplace health promotion in the transport sector].

    Science.gov (United States)

    Isolani, L

    2012-01-01

    In the European Union (EU) transport industry directly employs more than 10 million people, accounting for 4.5% of total employment. Road traffic accidents and road safety are a major public health issue. The Commission of the EU has published policy orientations on road safety to provide a general framework, under which concrete action can be taken at European, national, regional and local levels. Some strategic objectives were identified in order to 1) improve education and training of road users and the quality of the licensing and training system of drivers; 2) make both road infrastructure and vehicles safer. These orientations will translate for the workers of the transport sector in an important initial and periodic training with the aim to improve their health and well-being and to reduce road risk and road accidents, representing a very good example of health promotion. PMID:23405665

  17. Treatment and prevention of malaria in pregnancy in the private health sector in Uganda

    DEFF Research Database (Denmark)

    Mbonye, Anthony K; Buregyeya, Esther; Rutebemberwa, Elizeus;

    2016-01-01

    BACKGROUND: Malaria in pregnancy is a major public health problem in Uganda; and it is the leading cause of anaemia among pregnant women and low birth weight in infants. Previous studies have noted poor quality of care in the private sector. Thus there is need to explore ways of improving quality.......03 were the factors that most influenced correct treatment of fever in pregnancy. CONCLUSION: Treatment of fever during pregnancy was poor in this study setting. These data highlight the need to develop interventions to improve patient safety and quality of care for pregnant women in the private health......, pharmacy or private clinic. Data was collected using a structured questionnaire targeting one provider who was found on duty in each selected private health facility and consented to the study. The main variables were: provider characteristics, previous training received, type of drugs stocked, treatment...

  18. Colombia: in vivo test of health sector privatization in the developing world.

    Science.gov (United States)

    De Groote, Tony; De Paepe, Pierre; Unger, Jean-Pierre

    2005-01-01

    The reform of the Colombian health sector in 1993 was founded on the internationally advocated paradigm of privatization of health care delivery. Taking into account the lack of empirical evidence for the applicability of this concept to developing countries and the documented experience of failures in other countries, Colombia tried to overcome these problems by a theoretically sound, although complicated, model. Some ten years after the implementation of "Law 100," a review of the literature shows that the proposed goals of universal coverage and equitable access to high-quality care have not been reached. Despite an explosion in costs and a considerable increase in public and private health expenditure, more than 40 percent of the population is still not covered by health insurance, and access to health care proves uncreasingly difficult. Furthermore, key health indicators and disease control programs have deteriorated. These findings confirm the results in other middle- and low-income countries. The authors suggest the explanation lies in the inefficiency of contracting-out, the weak economic, technical, and political capacity of the Colombian government for regulation and control, and the absence of real participation of the poor in decision-making on (health) policies. PMID:15759560

  19. The adoption of Health Impact Assessments in the Mongolian mining sector: A case study of the diffusion of policy innovation

    OpenAIRE

    Byambaa, Tsogtbaatar

    2014-01-01

    Mongolia’s rapid economic growth, propelled by rapid development of the extractives sector requires that the country be better prepared for potential negative impacts to the health of the people and the country. People are both excited for the remarkable development opportunities that mining promises and are concerned with the potential social, environmental and health risks it could bring. As a country highly dependent on the mining sector, Mongolia has realized that it needs to develop a st...

  20. Private sector delivery of health services in developing countries: a mixed-methods study on quality assurance in social franchises

    OpenAIRE

    Schlein Karen; De La Cruz Anna York; Gopalakrishnan Tisha; Montagu Dominic

    2013-01-01

    Abstract Background Across the developing world health care services are most often delivered in the private sector and social franchising has emerged, over the past decade, as an increasingly popular method of private sector health care delivery. Social franchising aims to strengthen business practices through economies of scale: branding clinics and purchasing drugs in bulk at wholesale prices. While quality is one of the established goals of social...

  1. The Challenges and Issues Regarding E-Health and Health Information Technology Trends in the Healthcare Sector

    Science.gov (United States)

    Esmaeilzadeh, Pouyan; Sambasivan, Murali; Kumar, Naresh

    Like other industries, the utilization of the internet and Information Technology (IT) has increased in the health sector. Different applications attributed to the internet and IT in healthcare practice. It includes a range of services that intersect the edge of medicine, computer and information science. The presence of the internet helps healthcare practice with the use of electronic processes and communication. Also, health IT (HIT) deals with the devices, clinical guidelines and methods required to improve the management of information in healthcare. Although the internet and HIT has been considered as an influential means to enhance health care delivery, it is completely naive to imagine all new tools and mechanisms supported by the internet and HIT systems are simply adopted and used by all organizational members. As healthcare professionals play an important role in the healthcare sector, there is no doubt that mechanism of newly introduced HIT and new application of the internet in medical practice should be coupled with healthcare professionals' acceptance. Therefore, with great resistance by healthcare professionals new mechanism and tools supported by IT and the internet cannot be used properly and subsequently may not improve the quality of medical care services. However, factors affecting the healthcare professionals' adoption behavior concerning new e-health and HIT mechanism are still not conclusively identified. This research (as a theoretical study) tries to propose the source of resistance in order to handle the challenges over new e-technology in the health industry. This study uses the involved concepts and develops a conceptual framework to improve overall acceptance of e-health and HIT by healthcare professionals.

  2. The roles of the health sector and health workers before, during and after violent conflict

    DEFF Research Database (Denmark)

    Buhmann, Caecilie; Barbara, Joanna Santa; Arya, Neil; Melf, Klaus

    2010-01-01

    Starting with a view of war as a significant population health problem, this article explores the roles of health workers in relation to violent conflict. Four different roles are identified, defined by goals and values--military, development, humanitarian and peace. In addition, four dimensions of...

  3. [Mobile applications for the health sector: apps to support scientific information and medical practice].

    Science.gov (United States)

    Poltronieri, Elisabetta; Barbaro, Annarita; Gentili, Donatella; Napolitani, Federica

    2013-01-01

    The market of mobile applications (apps) and wireless technology infrastructures is rapidly widening and diversifying to better meet users' needs. Over the last few years, the use of mobile technologies and applications has been increasingly expanding in many professional fields. Research and academic institutions, hospitals, and drug companies are heavily investing in this sector, also in Italy, even though the offer seems to be still limited at the moment. As far as the industry of scientific publishing is concerned, the main Italian publishing groups show an increasing interest in developing apps aiming at spreading their own products, following the example of international publishing companies. The purpose of this paper is to provide a general overview of the mobile applications and services available in the domain of scientific information relating to health disciplines and medical practice, especially within the Italian context. This study intends to inform professionals and users in the health sector about the benefits offered by the mobile technology, and to help them to become familiar with these tools. The two main online markets (iTunes and Google Play) have been analysed; search engines for apps and Italian STM publishers' websites have also been considered. Within this fast moving scenery, innovation is supported by the pressing demand for mobile access technology which has increased enormously. Not surprisingly, the most promising target of mobile technology is represented by scientific information tools relating to health. PMID:23585438

  4. Financial Management Reforms in the Health Sector: A Comparative Study Between Cash-based and Accrual-based Accounting Systems

    OpenAIRE

    ABOLHALLAJE, Masoud; Jafari, Mehdi; Seyedin, Hesam; Salehi, Masoud

    2014-01-01

    Background: Financial management and accounting reform in the public sectors was started in 2000. Moving from cash-based to accrual-based is considered as the key component of these reforms and adjustments in the public sector. Performing this reform in the health system is a part of a bigger reform under the new public management. Objectives: The current study aimed to analyze the movement from cash-based to accrual-based accounting in the health sector in Iran. Patients and Methods: This co...

  5. Carbon Footprint of Telemedicine Solutions - Unexplored Opportunity for Reducing Carbon Emissions in the Health Sector

    Science.gov (United States)

    Holmner, Åsa; Ebi, Kristie L.; Lazuardi, Lutfan; Nilsson, Maria

    2014-01-01

    Background The healthcare sector is a significant contributor to global carbon emissions, in part due to extensive travelling by patients and health workers. Objectives To evaluate the potential of telemedicine services based on videoconferencing technology to reduce travelling and thus carbon emissions in the healthcare sector. Methods A life cycle inventory was performed to evaluate the carbon reduction potential of telemedicine activities beyond a reduction in travel related emissions. The study included two rehabilitation units at Umeå University Hospital in Sweden. Carbon emissions generated during telemedicine appointments were compared with care-as-usual scenarios. Upper and lower bound emissions scenarios were created based on different teleconferencing solutions and thresholds for when telemedicine becomes favorable were estimated. Sensitivity analyses were performed to pinpoint the most important contributors to emissions for different set-ups and use cases. Results Replacing physical visits with telemedicine appointments resulted in a significant 40–70 times decrease in carbon emissions. Factors such as meeting duration, bandwidth and use rates influence emissions to various extents. According to the lower bound scenario, telemedicine becomes a greener choice at a distance of a few kilometers when the alternative is transport by car. Conclusions Telemedicine is a potent carbon reduction strategy in the health sector. But to contribute significantly to climate change mitigation, a paradigm shift might be required where telemedicine is regarded as an essential component of ordinary health care activities and not only considered to be a service to the few who lack access to care due to geography, isolation or other constraints. PMID:25188322

  6. [Production of knowledge and an inter-sectoral approach vis-à-vis living and health conditions of workers in the sugarcane sector].

    Science.gov (United States)

    Minayo-Gomez, Carlos

    2011-08-01

    This article presents some dimensions of inter-sectoral action aimed at improving working and living conditions of workers in the sugarcane and alcohol industry. The dynamics of the implementation of certain forms of given intersectoral practices established in a region of the State of São Paulo are analyzed. The important role played by sectors of the Labor Prosecution Office and the Legislative Authority in the articulation of institutional actors and civil society is stressed. They give greater impetus to the work of each public sector responsible for addressing the issues of workers'healthcare. This study was produced from analysis of documents and material provided by institutions and discussion forums with proposals for intervention. The results show that the appropriation of strategic knowledge produced by researchers of the sugarcane industry in the instrumental resources used in legal actions, monitoring and surveillance generates important advances in the health of workers and the environment. PMID:21860934

  7. Efficiency in Health Care Sector in Tamil Nadu (India): An Exploratory Analysis

    OpenAIRE

    Purohit BC

    2016-01-01

    Keeping in view the importance of efficiency in resource utilization in healthcare sector, we focus on efficiency of health care system at sub-state level (i.e., district level) in India using Tamil Nadu state and its district level data for 2012-13. It being an economically advanced state, in terms of Infant Mortality Rate (IMR) the state ranks second lowest among the Indian states. We explore the reasons for relative performance of different districts with Data Envelopment Analysis. We used...

  8. Implementation and quality monitoring of e-communication across health care sectors

    DEFF Research Database (Denmark)

    Nicolaisen, Anne; Qvist, Peter

    quality monitoring of specified quality standards. Objective: To monitor the implementation and quality of the Sam:Bo e-communication Method: An explicit audit performed in all local municipalities and at selected hospital departments from all hospital units in the Region of Southern Denmark. The audit......: Results from this audit will identify challenges in e-communication across health care sectors and provide knowledge of the implementation and quality of the Sam:Bo e-communication. Points for discussion: How to improve quality of care using e-communication in general practice in the handover of patients...

  9. Incorporation of environmental and health impacts into policy, planning and decision making for the electricity sector

    International Nuclear Information System (INIS)

    This paper summarizes the report of an international expert group on ways to incorporate considerations of environmental and health impacts into policy, planning and decision making in the electricity sector. The problems addressed are very complex, and a comprehensive approach is needed. Both economic efficiency and the efficient use of resources are of key importance. The report does not attempt to present solutions to the problems, but seeks instead to describe a series of options and a mechanism for making trade-offs between them so that different countries and different decision-making bodies can be guided to make choices in a rational way

  10. Utilisation and costs of nursing agencies in the South African public health sector, 2005–2010

    Directory of Open Access Journals (Sweden)

    Laetitia C. Rispel

    2014-12-01

    Full Text Available Background: Globally, insufficient information exists on the costs of nursing agencies, which are temporary employment service providers that supply nurses to health establishments and/or private individuals. Objective: The aim of the study was to determine the utilisation and direct costs of nursing agencies in the South African public health sector. Design: A survey of all nine provincial health departments was conducted to determine utilisation and management of nursing agencies. The costs of nursing agencies were assumed to be equivalent to expenditure. Provincial health expenditure was obtained for five financial years (2005/6–2009/10 from the national Basic Accounting System database, and analysed using Microsoft Excel. Each of the 166,466 expenditure line items was coded. The total personnel and nursing agency expenditure was calculated for each financial year and for each province. Nursing agency expenditure as a percentage of the total personnel expenditure was then calculated. The nursing agency expenditure for South Africa is the total of all provincial expenditure. The 2009/10 annual government salary scales for different categories of nurses were used to calculate the number of permanent nurses who could have been employed in lieu of agency expenditure. All expenditure is expressed in South African rands (R; US$1 ∼ R7, 2010 prices. Results: Only five provinces reported utilisation of nursing agencies, but all provinces showed agency expenditure. In the 2009/10 financial year, R1.49 billion (US$212.64 million was spent on nursing agencies in the public health sector. In the same year, agency expenditure ranged from a low of R36.45 million (US$5.20 million in Mpumalanga Province (mixed urban-rural to a high of R356.43 million (US$50.92 million in the Eastern Cape Province (mixed urban-rural. Agency expenditure as a percentage of personnel expenditure ranged from 0.96% in KwaZulu-Natal Province (mixed urban-rural to 11.96% in the

  11. E-Health: The Use of Mobile Computing In The Health Sector of Nigeria

    OpenAIRE

    Usman-Hamza F. E

    2012-01-01

    The health care system in Nigeria is nothing to write home about, this is due to the inadequate availability of medical and human resources. This inadequacy has led to enormous paper work, waste of time, life, and ineffective treatment procedures. This study takes a look at the use of mobile technology devices such Personal Digital Assistants, cell phones, personal laptops, palm top etc for health care delivery in Nigeria. It proposes to look at how healthcare application will improve the hea...

  12. Field Plot Points for Buck Island Reef National Monument Vegetation Mapping Project

    Data.gov (United States)

    National Park Service, Department of the Interior — This shapefile represents all the field plots visited on Buck Island. To fully comprehend this feature class, please refer to the full "Buck Island Reef National...

  13. A case for increased private sector involvement in Ireland's national animal health services.

    Science.gov (United States)

    More, Simon J

    2008-01-01

    Non-regulatory animal health issues, such as Johne's disease, infectious bovine rhinotracheitis (IBR) and mastitis will become increasing important, with ongoing globalisation of markets in animals and animal products. In response, Ireland may need to broaden the scope of its national animal health services. However, there have been concerns about the respective roles and responsibilities (both financial and otherwise) of government and industry in any such moves. This paper argues the case for increased private sector involvement in Ireland's national animal health services, based both on theoretical considerations and country case studies (the Netherlands and Australia). The Dutch and Australian case studies present examples of successful partnerships between government and industry, including systems and processes to address non-regulatory animal health issues. In each case, the roles and responsibilities of government are clear, as are the principles underpinning government involvement. Furthermore, the roles and responsibilities (financial and otherwise) of the Dutch and Australian industry are determined through enabling legislation, providing both legitimacy and accountability. There are constraints on the use of EU and national government funds to support non-regulatory animal health services in EU member states (such as Ireland and the Netherlands). PMID:21851708

  14. A case for increased private sector involvement in ireland's national animal health services

    Directory of Open Access Journals (Sweden)

    More Simon J

    2008-02-01

    Full Text Available Abstract Non-regulatory animal health issues, such as Johne's disease, infectious bovine rhinotracheitis (IBR and mastitis will become increasing important, with ongoing globalisation of markets in animals and animal products. In response, Ireland may need to broaden the scope of its national animal health services. However, there have been concerns about the respective roles and responsibilities (both financial and otherwise of government and industry in any such moves. This paper argues the case for increased private sector involvement in Ireland's national animal health services, based both on theoretical considerations and country case studies (the Netherlands and Australia. The Dutch and Australian case studies present examples of successful partnerships between government and industry, including systems and processes to address non-regulatory animal health issues. In each case, the roles and responsibilities of government are clear, as are the principles underpinning government involvement. Furthermore, the roles and responsibilities (financial and otherwise of the Dutch and Australian industry are determined through enabling legislation, providing both legitimacy and accountability. There are constraints on the use of EU and national government funds to support non-regulatory animal health services in EU member states (such as Ireland and the Netherlands.

  15. Colombian public policies contributing to the achievement of Millennium Development Goals in the health sector, 2006

    Directory of Open Access Journals (Sweden)

    Lina M. Grisales

    2008-02-01

    Full Text Available During the General Assembly of the United Nations, in September 2000,189 countries (including Colombia committed to eight objectives leading to a more human and fairer world. Such objectives are called the Millennium Development Goals (mdg and to achieve them it is crucial to incorporate them in the action agendas of each country. The purpose of this monograph is to recognize current public policies in Colombia and Antioquia leading the achievement of the Millennium Development Goals, specifically those related to the reduction of mortality among children less than 5 years of age, improvement of maternal health and fighting against hiv/aids, malaria and dengue.In Colombia, Conpes 91 of 2005 is the only guideline given by the Government establishing goals and strategies to achieve the Millennium Development Goals in 2015. Nevertheless, other policies, programs and projects before and even after the Millennium Statement (but without explicit purpose contribute to achieving such goals. Revision of those policies is an effort for the research project “Degree of contribution of public policies to the achievement of the Millennium Development Goals related to the health sector, Antioquia, 2006”, which will evaluate the impact these guidelines have had in the achievement of the development goals in that particular sector.

  16. [Telematics in the public health sector. Where is the protection of health data?].

    Science.gov (United States)

    Voßhoff, Andrea; Raum, Bertram; Ernestus, Walter

    2015-10-01

    There is a long history of telematics in the German health system. Apart from the growing technical possibilities in the field, it is important to concentrate on the protection of health data in telematics applications. Health data in the hands of service providers or other third parties entails certain risks for the patient's personality rights, because these institutions may not be bound by the practice of medical confidentiality. In addition, big data processing risks make the individual lives of patients and insured persons totally transparent. Measures to reduce these risks have to be taken by the providers as well as by the users of telematics infrastructure; they are the ones who should explicitly address the relevant risks and dangers in a data protection and IT-security concept and develop adequate strategies to cope with these dangers. Additionally, the German legislator remains obliged to create a regulatory framework for the protection of patients' rights. PMID:26285650

  17. Conceptual framework of public health surveillance and action and its application in health sector reform

    Directory of Open Access Journals (Sweden)

    Alemu Wondi

    2002-01-01

    Full Text Available Abstract Background Because both public health surveillance and action are crucial, the authors initiated meetings at regional and national levels to assess and reform surveillance and action systems. These meetings emphasized improved epidemic preparedness, epidemic response, and highlighted standardized assessment and reform. Methods To standardize assessments, the authors designed a conceptual framework for surveillance and action that categorized the framework into eight core and four support activities, measured with indicators. Results In application, country-level reformers measure both the presence and performance of the six core activities comprising public health surveillance (detection, registration, reporting, confirmation, analyses, and feedback and acute (epidemic-type and planned (management-type responses composing the two core activities of public health action. Four support activities – communications, supervision, training, and resource provision – enable these eight core processes. National, multiple systems can then be concurrently assessed at each level for effectiveness, technical efficiency, and cost. Conclusions This approach permits a cost analysis, highlights areas amenable to integration, and provides focused intervention. The final public health model becomes a district-focused, action-oriented integration of core and support activities with enhanced effectiveness, technical efficiency, and cost savings. This reform approach leads to sustained capacity development by an empowerment strategy defined as facilitated, process-oriented action steps transforming staff and the system.

  18. The Impact of Robotics on Employment and Motivation of Employees in the Service Sector, with Special Reference to Health Care

    Science.gov (United States)

    Qureshi, Mohammed Owais; Syed, Rumaiya Sajjad

    2014-01-01

    Background The economy is being lifted by the new concept of robotics, but we cannot be sure of all the possible benefits. At this early stage, it therefore becomes important to find out the possible benefits/limitations associated with robotics, so that the positives can be capitalized, established, and developed further for the employment and motivation of employees in the health care sector, for overall economic development. The negatives should also be further studied and mitigated. Methods This study is an exploratory research, based on secondary data, such as books on topics related to robotics, websites, public websites of concerned departments for data and statistics, journals, newspapers and magazines, websites of health care providers, and different printed materials (brochures, etc). Results The impact of robotics has both positive and negative impacts on the employment and motivation of employees in the retail sector. So far, there has been no substantial research done into robotics, especially in the health care sector. Conclusion Replacing employees with robots is an inevitable choice for organizations in the service sector, more so in the health care sector because of the challenging and sometimes unhealthy working environments, but, at the same time, the researchers propose that it should be done in a manner that helps in improving the employment and motivation of employees in this sector. PMID:25516812

  19. Cost of Delivering Health Care Services in Public Sector Primary and Community Health Centres in North India

    Science.gov (United States)

    Gupta, Aditi; Verma, Ramesh; Bahuguna, Pankaj; Kumar, Dinesh; Kaur, Manmeet; Kumar, Rajesh

    2016-01-01

    Background With the commitment of the national government to provide universal healthcare at cheap and affordable prices in India, public healthcare services are being strengthened in India. However, there is dearth of cost data for provision of health services through public system like primary & community health centres. In this study, we aim to bridge this gap in evidence by assessing the total annual and per capita cost of delivering the package of health services at PHC and CHC level. Secondly, we determined the per capita cost of delivering specific health services like cost per antenatal care visit, per institutional delivery, per outpatient consultation, per bed-day hospitalization etc. Methods We undertook economic costing of fourteen public health facilities (seven PHCs and CHCs each) in three North-Indian states viz., Haryana, Himachal Pradesh and Punjab. Bottom-up costing method was adopted for collection of data on all resources spent on delivery of health services in selected health facilities. Analysis was undertaken using a health system perspective. The joint costs like human resource, capital, and equipment were apportioned as per the time value spent on a particular service. Capital costs were discounted and annualized over the estimated life of the item. Mean annual costs and unit costs were estimated along with their 95% confidence intervals using bootstrap methodology. Results The overall annual cost of delivering services through public sector primary and community health facilities in three states of north India were INR 8.8 million (95% CI: 7,365,630–10,294,065) and INR 26.9 million (95% CI: 22,225,159.3–32,290,099.6), respectively. Human resources accounted for more than 50% of the overall costs at both the level of PHCs and CHCs. Per capita per year costs for provision of complete package of preventive, curative and promotive services at PHC and CHC were INR 170.8 (95% CI: 131.6–208.3) and INR162.1 (95% CI: 112–219

  20. Mental health policy and development in Egypt - integrating mental health into health sector reforms 2001-9

    OpenAIRE

    Siekkonen Inkeri; Loza Nasser; Heshmat Ahmed; Jenkins Rachel; Sorour Eman

    2010-01-01

    Abstract Background Following a situation appraisal in 2001, a six year mental health reform programme (Egymen) 2002-7 was initiated by an Egyptian-Finnish bilateral aid project at the request of a former Egyptian minister of health, and the work was incorporated directly into the Ministry of Health and Population from 2007 onwards. This paper describes the aims, methodology and implementation of the mental health reforms and mental health policy in Egypt 2002-2009. Methods A multi-faceted an...

  1. Bridging the gaps in the Health Management Information System in the context of a changing health sector

    Science.gov (United States)

    2010-01-01

    Background The Health Management Information System (HMIS) is crucial for evidence-based policy-making, informed decision-making during planning, implementation and evaluation of health programs; and for appropriate use of resources at all levels of the health system. This study explored the gaps and factors influencing HMIS in the context of a changing health sector in Tanzania. Methods A cross sectional descriptive study was conducted in 11 heath facilities in Kilombero district between January and February 2008. A semi-structured questionnaire was used to interview 43 health workers on their knowledge, attitude, practice and factors for change on HMIS and HMIS booklets from these facilities were reviewed for completeness. Results Of all respondents, 81% had never been trained on HMIS, 65% did not properly define this system, 54% didn't know who is supposed to use the information collected and 42% did not use the collected data for planning, budgeting and evaluation of services provision. Although the attitude towards the system was positive among 91%, the reviewed HMIS booklets were never completed in 25% - 55% of the facilities. There were no significant differences in knowledge, attitude and practice on HMIS between clinicians and nurses. The most common type of HMIS booklets which were never filled were those for deliveries (55%). The gaps in the current HMIS were linked to lack of training, inactive supervision, staff workload pressure and the lengthy and laborious nature of the system. Conclusions This research has revealed a state of poor health data collection, lack of informed decision-making at the facility level and the factors for change in the country's HMIS. It suggests need for new innovations including incorporation of HMIS in the ongoing reviews of the curricula for all cadres of health care providers, development of more user-friendly system and use of evidence-based John Kotter's eight-step process for implementing successful changes in this

  2. Bridging the gaps in the Health Management Information System in the context of a changing health sector

    Directory of Open Access Journals (Sweden)

    Nyamtema Angelo S

    2010-06-01

    Full Text Available Abstract Background The Health Management Information System (HMIS is crucial for evidence-based policy-making, informed decision-making during planning, implementation and evaluation of health programs; and for appropriate use of resources at all levels of the health system. This study explored the gaps and factors influencing HMIS in the context of a changing health sector in Tanzania. Methods A cross sectional descriptive study was conducted in 11 heath facilities in Kilombero district between January and February 2008. A semi-structured questionnaire was used to interview 43 health workers on their knowledge, attitude, practice and factors for change on HMIS and HMIS booklets from these facilities were reviewed for completeness. Results Of all respondents, 81% had never been trained on HMIS, 65% did not properly define this system, 54% didn't know who is supposed to use the information collected and 42% did not use the collected data for planning, budgeting and evaluation of services provision. Although the attitude towards the system was positive among 91%, the reviewed HMIS booklets were never completed in 25% - 55% of the facilities. There were no significant differences in knowledge, attitude and practice on HMIS between clinicians and nurses. The most common type of HMIS booklets which were never filled were those for deliveries (55%. The gaps in the current HMIS were linked to lack of training, inactive supervision, staff workload pressure and the lengthy and laborious nature of the system. Conclusions This research has revealed a state of poor health data collection, lack of informed decision-making at the facility level and the factors for change in the country's HMIS. It suggests need for new innovations including incorporation of HMIS in the ongoing reviews of the curricula for all cadres of health care providers, development of more user-friendly system and use of evidence-based John Kotter's eight-step process for implementing

  3. Conceptual framework of public health surveillance and action and its application in health sector reform

    OpenAIRE

    Alemu Wondi; Carande-Kulis Vilma; Nsubuga Peter; Wuhib Tadesse; Ryan Mike; Chungong Stella; McNabb Scott JN; Rodier Guenael

    2002-01-01

    Abstract Background Because both public health surveillance and action are crucial, the authors initiated meetings at regional and national levels to assess and reform surveillance and action systems. These meetings emphasized improved epidemic preparedness, epidemic response, and highlighted standardized assessment and reform. Methods To standardize assessments, the authors designed a conceptual framework for surveillance and action that categorized the framework into eight core and four sup...

  4. Accurate Modeling of Buck Converters with Magnetic-Core Inductors

    DEFF Research Database (Denmark)

    Astorino, Antonio; Antonini, Giulio; Swaminathan, Madhavan

    2015-01-01

    In this paper, a modeling approach for buck converters with magnetic-core inductors is presented. Due to the high nonlinearity of magnetic materials, the frequency domain analysis of such circuits is not suitable for an accurate description of their behaviour. Hence, in this work, a timedomain model...... of buck converters with magnetic-core inductors in a SimulinkR environment is proposed. As an example, the presented approach is used to simulate an eight-phase buck converter. The simulation results show that an unexpected system behaviour in terms of current ripple amplitude needs the inductor core...

  5. Solar Photovoltaic Powered Sailing Boat Using Buck Converter

    Directory of Open Access Journals (Sweden)

    Soumya Das

    2015-03-01

    Full Text Available The main objective of this paper is to establish technical and economical aspects of the application of stand-alone photovoltaic (PV system in sailing boat using a buck converter in order to enhance the power generation and also to minimize the cost. Performance and control of dc-dc converter, suitable for photovoltaic (PV applications, is presented here. A buck converter is employed here which extracts complete power from the PV source and feeds into the dc load. The power, which is fed into the load, is sufficient to drive a boat . With the help of matlab simulink software PV module and buck model has been designed and simulated and also compared with theoretical predictions.

  6. Encouraging Health Insurance for the Informal Sector: A Cluster Randomized Experiment in Vietnam.

    Science.gov (United States)

    Wagstaff, Adam; Nguyen, Ha Thi Hong; Dao, Huyen; Bales, Sarah

    2016-06-01

    Subsidized voluntary enrollment in government-run health insurance schemes is often proposed as a way of increasing coverage among informal sector workers and their families. We report the results of a cluster randomized experiment, in which 3000 households in 20 communes in Vietnam were randomly assigned at baseline to a control group or one of three treatments: an information leaflet about Vietnam's government-run scheme and the benefits of health insurance, a voucher entitling eligible household members to 25% off their annual premium, and both. At baseline, the four groups had similar enrollment rates (4%) and were balanced on plausible enrollment determinants. The interventions all had small and insignificant effects (around 1 percentage point or ppt). Among those reporting sickness in the 12 months prior to the baseline survey the subsidy-only intervention raised enrollment by 3.5 ppts (p = 0.08) while the combined intervention raised enrollment by 4.5 ppts (p = 0.02); however, the differences in the effect sizes between the sick and non-sick were just shy of being significant. Our results suggest that information campaigns and subsidies may have limited effects on voluntary health insurance enrollment in Vietnam and that such interventions might exacerbate adverse selection. Copyright © The World Bank Health Economics © 2015 John Wiley & Sons, Ltd. PMID:26666771

  7. Health technology assessment and its role in the future development of the Indian healthcare sector

    Directory of Open Access Journals (Sweden)

    Bastian Hass

    2012-01-01

    Full Text Available Public expenditure on healthcare in India is low by international comparison, and access to essential treatment pushes many uninsured citizens below the poverty line. In many countries, policymakers utilize health technology assessment (HTA methodologies to direct investments in healthcare, to obtain the maximum benefit for the population as a whole. With rising incomes and a commitment from the Government of India to increase the proportion of gross domestic product spent on health, this is an opportune moment to consider how HTA might help to allocate healthcare spending in India, in an equitable and efficient manner. Despite the predominance of out-of-pocket payments in the Indian healthcare sector, payers of all types are increasingly demanding value for money from expenditure on healthcare. In this review we demonstrate how HTA can be used to inform several aspects of healthcare provision. Areas in which HTA could be applied in the Indian context include, drug pricing, development of clinical practice guidelines, and prioritizing interventions that represent the greatest value within a limited budget. To illustrate the potential benefits of using the HTA approach, we present an example from a mature HTA market (Canada that demonstrates how a new treatment for patients with atrial fibrillation - although more expensive than the current standard of care - improves clinical outcomes and represents a cost-effective use of public health resources. If aligned with the prevailing cultural and ethical considerations, and with the necessary investment in expert staff and resources, HTA promises to be a valuable tool for development of the Indian healthcare sector.

  8. Community-based organizations in the health sector: A scoping review

    Directory of Open Access Journals (Sweden)

    Wilson Michael G

    2012-11-01

    Full Text Available Abstract Community-based organizations are important health system stakeholders as they provide numerous, often highly valued programs and services to the members of their community. However, community-based organizations are described using diverse terminology and concepts from across a range of disciplines. To better understand the literature related to community-based organizations in the health sector (i.e., those working in health systems or more broadly to address population or public health issues, we conducted a scoping review by using an iterative process to identify existing literature, conceptually map it, and identify gaps and areas for future inquiry. We searched 18 databases and conducted citation searches using 15 articles to identify relevant literature. All search results were reviewed in duplicate and were included if they addressed the key characteristics of community-based organizations or networks of community-based organizations. We then coded all included articles based on the country focus, type of literature, source of literature, academic discipline, disease sector, terminology used to describe organizations and topics discussed. We identified 186 articles addressing topics related to the key characteristics of community-based organizations and/or networks of community-based organizations. The literature is largely focused on high-income countries and on mental health and addictions, HIV/AIDS or general/unspecified populations. A large number of different terms have been used in the literature to describe community-based organizations and the literature addresses a range of topics about them (mandate, structure, revenue sources and type and skills or skill mix of staff, the involvement of community members in organizations, how organizations contribute to community organizing and development and how they function in networks with each other and with government (e.g., in policy networks. Given the range of terms used to

  9. An integrated health sector response to violence against women in Malaysia: lessons for supporting scale up

    Directory of Open Access Journals (Sweden)

    Colombini Manuela

    2012-07-01

    Full Text Available Abstract Background Malaysia has been at the forefront of the development and scale up of One-Stop Crisis Centres (OSCC - an integrated health sector model that provides comprehensive care to women and children experiencing physical, emotional and sexual abuse. This study explored the strengths and challenges faced during the scaling up of the OSCC model to two States in Malaysia in order to identify lessons for supporting successful scale-up. Methods In-depth interviews were conducted with health care providers, policy makers and key informants in 7 hospital facilities. This was complemented by a document analysis of hospital records and protocols. Data were coded and analysed using NVivo 7. Results The implementation of the OSCC model differed between hospital settings, with practise being influenced by organisational systems and constraints. Health providers generally tried to offer care to abused women, but they are not fully supported within their facility due to lack of training, time constraints, limited allocated budget, or lack of referral system to external support services. Non-specialised hospitals in both States struggled with a scarcity of specialised staff and limited referral options for abused women. Despite these challenges, even in more resource-constrained settings staff who took the initiative found it was possible to adapt to provide some level of OSCC services, such as referring women to local NGOs or community support groups, or training nurses to offer basic counselling. Conclusions The national implementation of OSCC provides a potentially important source of support for women experiencing violence. Our findings confirm that pilot interventions for health sector responses to gender based violence can be scaled up only when there is a sound health infrastructure in place – in other words a supportive health system. Furthermore, the successful replication of the OSCC model in other similar settings requires that the

  10. An ethnographic study of Latino preschool children's oral health in rural California: Intersections among family, community, provider and regulatory sectors

    OpenAIRE

    Horton Sarah B; Barker Judith C

    2008-01-01

    Abstract Background Latino children experience a higher prevalence of caries than do children in any other racial/ethnic group in the US. This paper examines the intersections among four societal sectors or contexts of care which contribute to oral health disparities for low-income, preschool Latino1 children in rural California. Methods Findings are reported from an ethnographic investigation, conducted in 2005–2006, of family, community, professional/dental and policy/regulatory sectors or ...

  11. ICTs and the health sector towards smarter health and wellness models

    CERN Document Server

    2013-01-01

    The future sustainability of health systems will depend on how well governments are able to anticipate and respond to efficiency and quality of care challenges. Bold action is required, as well as willingness to test innovative care delivery approaches. The greatest promise for transformational change is in applications that encourage new, ubiquitous, participatory preventive and personalised smart models of care. A whole new world of possibilities in using mobiles and the Internet to address healthcare challenges has opened up. The potential of mobile devices, services and applications to sup

  12. Diode-Assisted Buck-Boost Voltage-Source Inverters

    DEFF Research Database (Denmark)

    Gao, Feng; Loh, Poh Chiang; Teodorescu, Remus;

    2009-01-01

    This paper proposes a number of diode-assisted buck-boost voltage-source inverters with a unique X-shaped diode-capacitor network inserted between the inverter circuitry and dc source for producing a voltage gain that is comparatively higher than those of other buck-boost conversion techniques....... Using the diode-assisted network, the proposed inverters can naturally configure themselves to perform capacitive charging in parallel and discharging in series to give a higher voltage multiplication factor without compromising waveform quality. In addition, by adopting different front-end circuitries...

  13. Solar Photovoltaic Powered Sailing Boat Using Buck Converter

    OpenAIRE

    Soumya Das; Pradip Kumar Sadhu; Nitai Pal; Gourav Majumdar; Saswata Mukherjee

    2015-01-01

    The main objective of this paper is to establish technical and economical aspects of the application of stand-alone photovoltaic (PV) system in sailing boat using a buck converter in order to enhance the power generation and also to minimize the cost. Performance and control of dc-dc converter, suitable for photovoltaic (PV) applications, is presented here. A buck converter is employed here which extracts complete power from the PV source and feeds into the dc load. The power, which is fed in...

  14. Two phase interleaved buck converter for driving high power LEDs

    DEFF Research Database (Denmark)

    Beczkowski, Szymon; Munk-Nielsen, Stig

    2011-01-01

    The goal of this paper is to evaluate an interleaved buck topology for driving high current light-emitting diodes. Low output capacitor value allows the use of non-electrolytic capacitors extending the lifetime of the converter. Converter is operated as a constant, regulated current source which...... increases luminous efficacy of LED compared to PWM dimmed system. Because of the low dynamic resistance of LEDs the duty cycle of the converter does not change greatly with controlled current. By setting the input voltage of the buck converter to around twice the voltage of diode strings, converter can be...

  15. The financial crisis and health care systems in Europe: universal care under threat? Trends in health sector reforms in Germany, the United Kingdom, and Spain

    OpenAIRE

    Lígia Giovanella; Klaus Stegmüller

    2014-01-01

    The paper analyzes trends in contemporary health sector reforms in three European countries with Bismarckian and Beveridgean models of national health systems within the context of strong financial pressure resulting from the economic crisis (2008-date), and proceeds to discuss the implications for universal care. The authors examine recent health system reforms in Spain, Germany, and the United Kingdom. Health systems are described using a matrix to compare state intervention in financing, r...

  16. Cross-sector cooperation in health-enhancing physical activity policymaking: more potential than achievements?

    OpenAIRE

    Hämäläinen, Riitta-Maija; Aro, Arja R; Lau, Cathrine Juel; Rus, Diana; Cori, Liliana; Syed, Ahmed M.; ,

    2016-01-01

    Background The cooperation of actors across policy fields and the need for cross-sector cooperation as well as recommendations on how to implement cross-sector cooperation have been addressed in many national and international policies that seek to solve complex issues within societies. For such a purpose, the relevant governance structure between policy sectors is cross-sector cooperation. Therefore, cross-sector cooperation and its structures need to be better understood for improved implem...

  17. Developing a decision aid to guide public sector health policy decisions: A study protocol

    Directory of Open Access Journals (Sweden)

    Brouwers Melissa

    2011-05-01

    Full Text Available Abstract Background Decision aids have been developed in a number of health disciplines to support evidence-informed decision making, including patient decision aids and clinical practice guidelines. However, policy contexts differ from clinical contexts in terms of complexity and uncertainty, requiring different approaches for identifying, interpreting, and applying many different types of evidence to support decisions. With few studies in the literature offering decision guidance specifically to health policymakers, the present study aims to facilitate the structured and systematic incorporation of research evidence and, where there is currently very little guidance, values and other non-research-based evidence, into the policy making process. The resulting decision aid is intended to help public sector health policy decision makers who are tasked with making evidence-informed decisions on behalf of populations. The intent is not to develop a decision aid that will yield uniform recommendations across jurisdictions, but rather to facilitate more transparent policy decisions that reflect a balanced consideration of all relevant factors. Methods/design The study comprises three phases: a modified meta-narrative review, the use of focus groups, and the application of a Delphi method. The modified meta-narrative review will inform the initial development of the decision aid by identifying as many policy decision factors as possible and other features of methodological guidance deemed to be desirable in the literatures of all relevant disciplines. The first of two focus groups will then seek to marry these findings with focus group members' own experience and expertise in public sector population-based health policy making and screening decisions. The second focus group will examine issues surrounding the application of the decision aid and act as a sounding board for initial feedback and refinement of the draft decision aid. Finally, the Delphi

  18. The public health sector supply of modern contraceptives in rural Nigeria: an analysis of selection, forecasting and inventory control

    OpenAIRE

    Asa Auta; Banwat, Samuel B

    2011-01-01

    Public health facilities in rural Nigeria have been experiencing a long period of stock-outs and unavailability of modern contraceptives. This work was carried out to review the public health sector supply of modern contraceptives in rural Nigeria in order to make recommendations on how to improve the supply of modern contraceptives in this area. The study reviewed secondary data from country documents and literature obtained from Pubmed, Popline, and Global Health databases; as well as websi...

  19. A Development of an ISG Framework for Mosul’s Health Sector

    Directory of Open Access Journals (Sweden)

    Mohammad Salim

    2012-06-01

    Full Text Available The world has started to appreciate more and more the value ofinformation and its impact on the community. This paper sharesthe findings of a study done on information securityimplementation at Mosul’s health sector. The study wasconducted via a self-administrated questionnaire and interview.The respondents are the IT managers and personnel withfunctions related to IT in selected hospitals in the city of Mosul.The findings reveal an ISG status that is in dire need forimprovement to maintain suitable level of security ofinformation which can be achieved through having goodgovernance practices in place. However there are variousdegrees of implementation by the hospitals. It is recommendedthat these findings be used as basis for developing a secureinformation-based system for the respective hospitals.

  20. Concrete core activation in the public health sector [in the Netherlands]; Betonkernactivering in de gezondheidszorg

    Energy Technology Data Exchange (ETDEWEB)

    Nicolaas, H.J. [College bouw zorginstellingen, Utrecht (Netherlands)

    2006-03-15

    Nursing homes, hospitals and residential care centres are all developing plans to take advantage of concrete core activation. Starting from the requirements for interior climate and HVAC technology in the health care sector, this article examines points that merit additional attention in the use of concrete core activation. The subjects touched on include the need for supplementary heating, how to deal with the ventilation, the influence of the building process, the consequences for acoustics, and the cost considerations of these systems. [Dutch] Zowel verpleeghuizen, ziekenhuizen en woonzorgcentra ontwikkelen plannen om van BetonKernActivering gebruik te maken. Uitgaande van de eisen die aan her binnenklimaat en de installatietechniek in de zorgsector worden gesteld, gaat dit artikel in op de punten die extra aandacht verdienen bij het toepassen van BKA. Onderwerpen zijn: noodzaak tot aanvullende verwarming, hoe om te gaan met ventilatie, de invloed op bet bouwproces, gevolgen voor de akoestiek en meer en minder kosten van dergelijke installaties.

  1. Teachers' experiences of English-language-taught degree programs within health care sector of Finnish polytechnics.

    Science.gov (United States)

    Pitkajarvi, Marianne; Eriksson, Elina; Kekki, Pertti

    2011-08-01

    The purpose of this study was to research teachers' experiences of the English-Language-Taught Degree Programs in the health care sector of Finnish polytechnics. More specifically, the focus was on teachers' experiences of teaching methods and clinical practice. The data were collected from eighteen teachers in six polytechnics through focus group interviews. Content analysis was used to analyse the data. The results suggested that despite the positive interaction between students and teachers, choosing appropriate teaching methods provided a challenge for teachers, due to cultural diversity of students as well as to the use of a foreign language in tuition. Due to students' language-related difficulties, clinical practice was found to be the biggest challenge in the educational process. Staffs' attitudes were perceived to be significant for students' clinical experience. Further research using stronger designs is needed. PMID:21095046

  2. Improvement courses about violence prevention: the impact on health sector professionals

    Directory of Open Access Journals (Sweden)

    Stephanie Pereira

    2014-04-01

    Full Text Available Uncontrolled intervention study that compared the effectiveness of two elective courses on Prevention and Assistance to violence victims for students and professionals of the Health Sector. The participants answered multiple-choice questions on the topic before and after the course. Statistical analyzes were performed by comparison of two proportions on STATA/IC. Regarding the overall index of correct answers,before and after, it was 54.8 and 58.4% in the 10h Course and the 69.6 and 79.2% in the 30h Course. The most effective course was the 30h Course, with strategies of case discussions and visits to assistance services to violence victims. There is a great necessity to include the discipline in the curriculum of healthcare courses permanently.

  3. Pesticide Health and Safety Challenges Facing Informal Sector Workers: A Case of Small-scale Agricultural Workers in Tanzania.

    Science.gov (United States)

    Ngowi, Aiwerasia; Mrema, Ezra; Kishinhi, Stephen

    2016-08-01

    The Tanzania informal sector is growing fast, with precarious working conditions and particular hazards for women and children in agriculture. Hazardous agricultural chemicals including pesticides are mostly imported and have been used for many years. Despite the role played by pesticides in food security and vector control, these chemicals are responsible for acute and chronic illnesses among communities. The availability of obsolete persistent organic pesticides on the open market indicates existence of an inadequate regulatory system. People who get injured or ill in the agriculture sector in Tanzania receive health services in primary health care facilities where professionals have little or no knowledge of pesticides. We are presenting the pesticide health and safety challenges faced by small-scale farmers who fall in the informal sector. Achievements that have been made by the government and other players to reduce and prevent pesticide exposures and poisoning are also outlined. PMID:27406110

  4. [Popular participation in Ipatinga (MG, Brazil): achievements and challenges of the health sector].

    Science.gov (United States)

    da Costa Batista, Elizabeth; de Melo, Elza Machado

    2011-01-01

    Since the SUS implementation in the 90's, it has been possible to observe the change from a political, administrative, and financially centered system to a scene where thousands of agents started to constitute fundamental citizens in the field of health. The objective of this work is to understand how these different actors have absorbed and guaranteed the community the right to participate in the decision of public health policies. This research also tries to investigate the democratic speech and the participative practice implemented by the Worker's Party (PT) in the city of Ipatinga (MG, Brazil). This work uses as theoretical referential the Communicative Action Theory of Habermas and, from this theory, a model of democracy which is understood as the institutionalization of the discursive processes of opinion and will formation. The results obtained indicate that there is an important democratic history in the city, but with indications, however, of retrocessions in the participative practices of the health sector, as the reproduction of traditional practices of government is verified. PMID:21180841

  5. Applications of the balanced scorecard for strategic management and performance measurement in the health sector.

    Science.gov (United States)

    Behrouzi, Farshad; Shaharoun, Awaluddin Mohamed; Ma'aram, Azanizawati

    2014-05-01

    In order to attain a useful balanced scorecard (BSC), appropriate performance perspectives and indicators are crucial to reflect all strategies of the organisation. The objectives of this survey were to give an insight regarding the situation of the BSC in the health sector over the past decade, and to afford a generic approach of the BSC development for health settings with specific focus on performance perspectives, performance indicators and BSC generation. After an extensive search based on publication date and research content, 29 articles published since 2002 were identified, categorised and analysed. Four critical attributes of each article were analysed, including BSC generation, performance perspectives, performance indicators and auxiliary tools. The results showed that 'internal business process' was the most notable BSC perspective as it was included in all reviewed articles. After investigating the literature, it was concluded that its comprehensiveness is the reason for the importance and high usage of this perspective. The findings showed that 12 cases out of 29 reviewed articles (41%) exceeded the maximum number of key performance indicators (KPI) suggested in a previous study. It was found that all 12 cases were large organisations with numerous departments (e.g. national health organisations). Such organisations require numerous KPI to cover all of their strategic objectives. It was recommended to utilise the cascaded BSC within such organisations to avoid complexity and difficulty in gathering, analysing and interpreting performance data. Meanwhile it requires more medical staff to contribute in BSC development, which will result in greater reliability of the BSC. PMID:24589328

  6. Treatment and prevention of malaria in pregnancy in the private health sector in Uganda: implications for patient safety

    OpenAIRE

    Mbonye, AK; Buregyeya, E.; Rutebemberwa, E.; Clarke, SE; Lal, S; Hansen, KS; Magnussen, P; LaRussa, P

    2016-01-01

    Background Malaria in pregnancy is a major public health problem in Uganda; and it is the leading cause of anaemia among pregnant women and low birth weight in infants. Previous studies have noted poor quality of care in the private sector. Thus there is need to explore ways of improving quality of care in the private sector that provides almost a half of health services in Uganda. Methods A survey was conducted from August to October 2014 within 57 parishes in Mukono district, central Uganda...

  7. Eugenics Past and Present: Remembering Buck v. Bell.

    Science.gov (United States)

    Berson, Michael J.; Cruz, Barbara

    2001-01-01

    Provides background information about the eugenics movement. Focuses on eugenics in the United States detailing the case, Buck v. Bell, and eugenics in Germany. Explores the present eugenic movement, focusing on "The Bell Curve," China's one child policy, and the use of eugenic sterilizations in the United States and Canada. Includes strategies…

  8. "The Bell Curve" and Carrie Buck: Eugenics Revisited.

    Science.gov (United States)

    Smith, J. David

    1995-01-01

    The 1994 publication of "The Bell Curve" by R. Herrnstein and C. Murray is compared to other examples of eugenic principles, including the sterilization of "feebleminded" Carrie Buck, family degeneracy studies focusing on lower class Caucasian families, and other works that view the poorest and least educated members of society as problems for…

  9. BUCKS LAKE AND CHIPS CREEK ROADLESS AREAS, CALIFORNIA.

    Science.gov (United States)

    Sorensen, Martin L.; Linne, J. Mitchell

    1984-01-01

    The results of a mineral-resource assessment of the Bucks Lake and Chips Creek Roadless Areas, California indicate several areas with mineral-resource potential. The presence or absence of these potentially auriferous deposits can best be determined by drilling through the relatively thin cover of volcanic rocks.

  10. Diode-Assisted Buck-Boost Current Source Inverters

    DEFF Research Database (Denmark)

    Gao, F.; Cai, Liang; Loh, P.C.; Blaabjerg, Frede

    This paper presents a couple of novel current source inverters (CSIs) with the enhanced current buckboost capability. With the unique diode-inductor network added between current source inverter circuitry and current boost elements, the proposed buck-boost current source inverters demonstrate a...

  11. Occupational and Environmental Health Risks Associated with Informal Sector Activities-Selected Case Studies from West Africa.

    Science.gov (United States)

    Basu, Niladri; Ayelo, Paul Ahoumènou; Djogbénou, Luc S; Kedoté, Marius; Lawin, Herve; Tohon, Honesty; Oloruntoba, Elizabeth O; Adebisi, Nurudeen A; Cazabon, Danielle; Fobil, Julius; Robins, Thomas; Fayomi, Benjamin

    2016-08-01

    Most in the Economic Community of West African States region are employed in the informal sector. While the informal sector plays a significant role in the region's economy, policymakers and the scientific community have long neglected it. To better understand informal-sector work conditions, the goal here is to bring together researchers to exchange findings and catalyze dialogue. The article showcases research studies on several economic systems, namely agriculture, resource extraction, transportation, and trade/commerce. Site-specific cases are provided concerning occupational health risks within artisanal and small-scale gold mining, aggregate mining, gasoline trade, farming and pesticide applications, and electronic waste recycling. These cases emphasize the vastness of the informal sector and that the majority of work activities across the region remain poorly documented, and thus no data or knowledge is available to help improve conditions and formulate policies and programs to promote and ensure decent work conditions. PMID:27231011

  12. Social security health insurance for the informal sector in Nicaragua: a randomized evaluation.

    Science.gov (United States)

    Thornton, Rebecca L; Hatt, Laurel E; Field, Erica M; Islam, Mursaleena; Diaz, Freddy Solís; González, Martha Azucena

    2010-09-01

    This article presents the results from an experimental evaluation of a voluntary health insurance program for informal sector workers in Nicaragua. Costs of the premiums as well as enrollment location were randomly allocated. Overall, take-up of the program was low, with only 20% enrollment. Program costs and streamlined bureaucratic procedures were important determinants of enrollment. Participation of local microfinance institutions had a slight negative effect on enrollment. One year later, those who received insurance substituted toward services at covered facilities and total out-of-pocket expenditures fell. However, total expenditures fell by less than the insurance premiums. We find no evidence of an increase in health-care utilization among the newly insured. We also find very low retention rates after the expiration of the subsidy, with less than 10% of enrollees still enrolled after one year. To shed light on the findings from the experimental results, we present qualitative evidence of institutional and contextual factors that limited the success of this program. PMID:20593433

  13. Tool, weapon, or white elephant? A realist analysis of the five phases of a twenty-year programme of occupational health information system implementation in the health sector

    OpenAIRE

    Spiegel Jerry M; Lockhart Karen; Dyck Carmen; Wilson Andrea; O’Hara Lyndsay; Yassi Annalee

    2012-01-01

    Abstract Background Although information systems (IS) have been extensively applied in the health sector worldwide, few initiatives have addressed the health and safety of health workers, a group acknowledged to be at high risk of injury and illness, as well as in great shortage globally, particularly in low and middle-income countries. Methods Adapting a context-mechanism-outcome case study design, we analyze our team’s own experience over two decades to address this gap: in two different Ca...

  14. Successful pregnancies with directional freezing of large volume buck semen.

    Science.gov (United States)

    Gacitua, H; Arav, A

    2005-02-01

    Artificial insemination with frozen-thawed buck semen shows variable results which depend on many factors related to semen quality and the cryopreservation processing. We conducted experiments based on a new freezing method, directional freezing, of large volumes (8 ml). In the first experiment semen from three Saanen bucks, ages 1-2-years-old and genetically selected for milk improvement, was frozen individually. Two to three-years-old Saanen females (n = 164) were synchronized with controlled internal drug release (CIDR), pregnant mare serum gonadotrophin (PMSG) and prostaglandin. Double cervical inseminations were performed with frozen-thawed semen and fresh semen as control. In the second experiment we used pooled, washed frozen semen to examine the effect of washed seminal plasma. The motility after washing was 80-90% and after thawing was 55-65% for all bucks. The sperm concentration increased with the collections and the advance into the breeding season from 1.9 x 10(9) to 4.4 x 10(9) cell/ml average. Two inseminations were carried out at 8h intervals. The first insemination was performed at 32 h after CIDR withdrawal with fresh and frozen-thawed semen. Pregnancy rates were assessed by ultrasonography conducted 40 and 90 days post-insemination (from three bucks). Results were 58, 67, 50% with fresh semen, and for frozen semen were 33, 37 and 53%; these results were significantly different in one of the three bucks (P goats and preservation of biodiversity. Washed semen did not improve the fertility of the semen when Andromed bull extender is used. PMID:15629809

  15. How does the health sector benefit from trade openness? Evidence form panel data across sub-Saharan Africa countries.

    OpenAIRE

    Novignon, Jacob; Atakorah, Yaw Boateng

    2016-01-01

    The linkages between international trade integration and economic performance has received significant attention from both policy makers and researchers. There seem to be consensus in the literature to suggest that improved trade openness corresponds to improved economic growth. A missing link in the literature is how trade openness affects specific sectors of the economy. Here we argue that trade openness has significant impact on population health and health financing. The study employed pa...

  16. District decision-making for health in low-income settings: a case study of the potential of public and private sector data in India and Ethiopia

    Science.gov (United States)

    Bhattacharyya, Sanghita; Berhanu, Della; Taddesse, Nolawi; Srivastava, Aradhana; Wickremasinghe, Deepthi; Schellenberg, Joanna

    2016-01-01

    Many low- and middle-income countries have pluralistic health systems where private for-profit and not-for-profit sectors complement the public sector: data shared across sectors can provide information for local decision-making. The third article in a series of four on district decision-making for health in low-income settings, this study shows the untapped potential of existing data through documenting the nature and type of data collected by the public and private health systems, data flow and sharing, use and inter-sectoral linkages in India and Ethiopia. In two districts in each country, semi-structured interviews were conducted with administrators and data managers to understand the type of data maintained and linkages with other sectors in terms of data sharing, flow and use. We created a database of all data elements maintained at district level, categorized by form and according to the six World Health Organization health system blocks. We used content analysis to capture the type of data available for different health system levels. Data flow in the public health sectors of both counties is sequential, formal and systematic. Although multiple sources of data exist outside the public health system, there is little formal sharing of data between sectors. Though not fully operational, Ethiopia has better developed formal structures for data sharing than India. In the private and public sectors, health data in both countries are collected in all six health system categories, with greatest focus on service delivery data and limited focus on supplies, health workforce, governance and contextual information. In the Indian private sector, there is a better balance than in the public sector of data across the six categories. In both India and Ethiopia the majority of data collected relate to maternal and child health. Both countries have huge potential for increased use of health data to guide district decision-making. PMID:27591203

  17. District decision-making for health in low-income settings: a case study of the potential of public and private sector data in India and Ethiopia.

    Science.gov (United States)

    Bhattacharyya, Sanghita; Berhanu, Della; Taddesse, Nolawi; Srivastava, Aradhana; Wickremasinghe, Deepthi; Schellenberg, Joanna; Iqbal Avan, Bilal

    2016-09-01

    Many low- and middle-income countries have pluralistic health systems where private for-profit and not-for-profit sectors complement the public sector: data shared across sectors can provide information for local decision-making. The third article in a series of four on district decision-making for health in low-income settings, this study shows the untapped potential of existing data through documenting the nature and type of data collected by the public and private health systems, data flow and sharing, use and inter-sectoral linkages in India and Ethiopia. In two districts in each country, semi-structured interviews were conducted with administrators and data managers to understand the type of data maintained and linkages with other sectors in terms of data sharing, flow and use. We created a database of all data elements maintained at district level, categorized by form and according to the six World Health Organization health system blocks. We used content analysis to capture the type of data available for different health system levels. Data flow in the public health sectors of both counties is sequential, formal and systematic. Although multiple sources of data exist outside the public health system, there is little formal sharing of data between sectors. Though not fully operational, Ethiopia has better developed formal structures for data sharing than India. In the private and public sectors, health data in both countries are collected in all six health system categories, with greatest focus on service delivery data and limited focus on supplies, health workforce, governance and contextual information. In the Indian private sector, there is a better balance than in the public sector of data across the six categories. In both India and Ethiopia the majority of data collected relate to maternal and child health. Both countries have huge potential for increased use of health data to guide district decision-making. PMID:27591203

  18. Climate change and its effect on agriculture, water resources and human health sectors in Poland

    Directory of Open Access Journals (Sweden)

    M. Szwed

    2010-08-01

    Full Text Available Multi-model ensemble climate projections in the ENSEMBLES Project of the EU allowed the authors to quantify selected extreme-weather indices for Poland, of importance to climate impacts on systems and sectors. Among indices were: number of days in a year with high value of the heat index; with high maximum and minimum temperatures; length of vegetation period; and number of consecutive dry days. Agricultural, hydrological, and human health indices were applied to evaluate the changing risk of weather extremes in Poland in three sectors. To achieve this, model-based simulations were compared for two time horizons, a century apart, i.e., 1961–1990 and 2061–2090. Climate changes, and in particular increases in temperature and changes in rainfall, have strong impacts on agriculture via weather extremes – droughts and heat waves. The crop yield depends particularly on water availability in the plant development phase. To estimate the changes in present and future yield of two crops important for Polish agriculture i.e., potatoes and wheat, some simple empirical models were used. For these crops, decrease of yield is projected for most of the country, with national means of yield change being: –2.175 t/ha for potatoes and –0.539 t/ha for wheat. Already now, in most of Poland, evapotranspiration exceeds precipitation during summer, hence the water storage (in surface water bodies, soil and ground decreases. Summer precipitation deficit is projected to increase considerably in the future. The additional water supplies (above precipitation needed to use the agro-potential of the environment would increase by half. Analysis of water balance components (now and in the projected future can corroborate such conclusions. As regards climate and health, a composite index, proposed in this paper, is a product of the number of senior discomfort days and the number of seniors (aged 65+. The value of this index is projected to increase over 8-fold during

  19. Public Health England survey of eye lens doses in the UK medical sector

    International Nuclear Information System (INIS)

    The ICRP has recently recommended that the occupational exposure limit for the lens of the eye be reduced to 20 mSv in a year, averaged over defined periods of 5 years, with no single year exceeding 50 mSv. There has been concern amongst some groups of individuals, particularly interventional cardiologists and radiologists as well as relevant professional bodies, that implementation of these recommendations into UK law will adversely affect working patterns. However, despite a number of informative European studies, there is currently little UK dosimetry data available upon which judgements can effectively be based. In order to address this knowledge gap, Public Health England has carried out a small, targeted survey of UK lens doses to medical staff undertaking procedures likely to involve the highest levels of radiation exposure. Two out of a total of 61 individuals surveyed had projected annual doses which could be close to 20 mSv, measured outside lead glasses. Use of protective equipment was generally good; however, lead glasses were only used by 9 participants. The results of this survey suggest that compliance with the ICRP recommendations is likely to be possible for most individuals in the UK medical sector. (paper)

  20. Exploring health status and care practices among children of female workers in unorganized sector

    Directory of Open Access Journals (Sweden)

    Bansari Liladhar Chawada

    2013-01-01

    Full Text Available Aims: To assess the health of children of construction workers with the help of anthropometric measurements and to explore their childcare practices. Settings and Design : Female construction workers and their children of age 12 to 36 months were taken as one study unit. The study had two components. One component deals with anthropometric measurements of the children while a qualitative descriptive exploratory component was used to explore mothers' perspectives and childcare practices. Methodology: Anthropometric measurements, background information, and living conditions were collected with the help of pre-tested and semi-structured questionnaire. In depth interview technique was used to explore child care practices. Total 14 mothers were interviewed to attain the saturation of responses. "Snow ball" technique was used to recruit children for anthropometric measurements and mothers for in-depth interview. Anthropometric analysis was done in WHO-ANTHRO software v 3.0.1. Content analysis method was used to analyze emerging themes from the interviews. Results : Mean Z scores of weight for age, height for age, and MUAC was less than –1.5. Among the children, 67.2% of children were underweight; 28.4% were wasted while 49.3% were stunted. All mothers believed breast milk to be good for baby for first few months, but only 11% of mothers could practice exclusive breast-feeding. Mothers' perspectives about childcare shows understanding about importance of breast-feeding, complementary feeding, balanced diet, and vaccination. However, mothers were not able to practice their knowledge in childcare; main reasons were fear of wage loss, unavailability of proper living facilities and influence of labor contractor. Conclusions: The study findings confirm the inequity of health among children of construction workers. Mainstreaming of the workers in unorganized sector and strict legislations ensuring good living conditions are recommended to combat child

  1. Developing and testing an instrument for identifying performance incentives in the Greek health care sector

    Directory of Open Access Journals (Sweden)

    Paleologou Victoria

    2006-09-01

    Full Text Available Abstract Background In the era of cost containment, managers are constantly pursuing increased organizational performance and productivity by aiming at the obvious target, i.e. the workforce. The health care sector, in which production processes are more complicated compared to other industries, is not an exception. In light of recent legislation in Greece in which efficiency improvement and achievement of specific performance targets are identified as undisputable health system goals, the purpose of this study was to develop a reliable and valid instrument for investigating the attitudes of Greek physicians, nurses and administrative personnel towards job-related aspects, and the extent to which these motivate them to improve performance and increase productivity. Methods A methodological exploratory design was employed in three phases: a content development and assessment, which resulted in a 28-item instrument, b pilot testing (N = 74 and c field testing (N = 353. Internal consistency reliability was tested via Cronbach's alpha coefficient and factor analysis was used to identify the underlying constructs. Tests of scaling assumptions, according to the Multitrait-Multimethod Matrix, were used to confirm the hypothesized component structure. Results Four components, referring to intrinsic individual needs and external job-related aspects, were revealed and explain 59.61% of the variability. They were subsequently labeled: job attributes, remuneration, co-workers and achievement. Nine items not meeting item-scale criteria were removed, resulting in a 19-item instrument. Scale reliability ranged from 0.782 to 0.901 and internal item consistency and discriminant validity criteria were satisfied. Conclusion Overall, the instrument appears to be a promising tool for hospital administrations in their attempt to identify job-related factors, which motivate their employees. The psychometric properties were good and warrant administration to a larger

  2. Stress in the Health Sector and Effect of Optimism on the Job Satisfaction

    Directory of Open Access Journals (Sweden)

    Songul Yigı

    2015-03-01

    Full Text Available Job is an indispensable part of life. All employees face stress. The health sector has many properties that may lead to stress stemming from its characteristic structure. Due to the fact that the slightest mistake may lead to loss of human life, satisfaction or dissatisfaction of employees has an importance not only in terms of individuals but also in terms of the society.Optimism is a viewpoint. An optimistic person can cope with any difficulties of life and survive dangerous situations with the smallest loss. Controlling any stressful events is in direct proportion with the optimistic characteristics of an individual, and using the ways of coping with problems that are focused on solution. Job satisfaction occurs at the point where properties of the job and expectations and desires of the employee intersect each other. Therefore, establishing a relation between knowledge and skills of the employee and the properties of the job and leading to the job satisfaction are determinative in terms of ensuring individual and corporate success.In todays’ service corporations the increasing importance of competition in the dimension of employees made agreement between employees and the job more important. Job satisfaction which means a contentment of employee with his/her job, ensures both spiritual and material satisfaction of employee in his/her job environment, and became a target of both the employee and the corporation in which the employee works. It is a fact that the health institutions providing quality working environment for their employees will serve better to their patients

  3. Willingness to pay for social health insurance among informal sector workers in Wuhan, China: a contingent valuation study

    Directory of Open Access Journals (Sweden)

    Zhang Xinping

    2007-07-01

    Full Text Available Abstract Background Most of the about 140 million informal sector workers in urban China do not have health insurance. A 1998 central government policy leaves it to the discretion of municipal governments to offer informal sector workers in cities voluntary participation in a social health insurance for formal sector workers, the so-called 'basic health insurance' (BHI. Methods We used the contingent valuation method to assess the maximum willingness to pay (WTP for BHI among informal sector workers, including unregistered rural-to-urban migrants, in Wuhan City, China. We selected respondents in a two-stage self-weighted cluster sampling scheme. Results On average, informal sector workers were willing to pay substantial amounts for BHI (30 Renminbi (RMB, 95% confidence interval (CI 27-33 as well as substantial proportions of their incomes (4.6%, 95% CI 4.1-5.1%. Average WTP increased significantly when any one of the copayments of the BHI was removed in the valuation: to 51 RMB (95% CI 46-56 without reimbursement ceiling; to 43 RMB (95% CI 37-49 without deductible; and to 47 RMB (95% CI 40-54 without coinsurance. WTP was higher than estimates of the cost of BHI based on past health expenditure or on premium contributions of formal sector workers. Predicted coverage with BHI declined steeply with the premium contribution at low contribution levels. When we applied equity weighting in the aggregation of individual WTP values in order to adjust for inequity in the distribution of income, mean WTP for BHI increased with inequality aversion over a plausible range of the aversion parameter. Holding other factors constant in multiple regression analysis, for a 1% increase in income WTP for BHI with different copayments increased by 0.434-0.499% (all p Conclusion Our results suggest that Chinese municipal governments should allow informal sector workers to participate in the BHI. From a normative perspective, BHI for informal sector workers is likely to

  4. Sources of satisfaction and dissatisfaction among specialists within the public and private health sectors

    DEFF Research Database (Denmark)

    Ashton, Toni; Brown, Paul M.; Sopina, Elizaveta (Liza);

    2013-01-01

    sectors. Such information can assist workforce planning, management and policy and may inform the wider debate about the relationship between the two sectors. Method A postal survey was conducted of 1983 registered specialists throughout New Zealand. Respondents were asked to assess 14 sources of....... Results Completed surveys were received from 943 specialists (47% response rate). Overall mean levels of satisfaction were higher in the private sector than the public sector while levels of dissatisfaction were lower. While the public system is valued for its opportunities for further education and...

  5. Accurate Sliding-Mode Control System Modeling for Buck Converters

    DEFF Research Database (Denmark)

    Høyerby, Mikkel Christian Wendelboe; Andersen, Michael Andreas E.

    2007-01-01

    This paper shows that classical sliding mode theory fails to correctly predict the output impedance of the highly useful sliding mode PID compensated buck converter. The reason for this is identified as the assumption of the sliding variable being held at zero during sliding mode, effectively...... modeling the hysteretic comparator as an infinite gain. Correct prediction of output impedance is shown to be enabled by the use of a more elaborate, finite-gain model of the hysteretic comparator, which takes the effects of time delay and finite switching frequency into account. The demonstrated modeling...... approach also predicts the self-oscillating switching action of the sliding-mode control system correctly. Analytical findings are verified by simulation as well as experimentally in a 10-30V/3A buck converter....

  6. Highly efficient PWM synchronous buck converter with optimized LDMOS

    Science.gov (United States)

    Roy, Swarnil; Mukherjee, Sagar; Sarkar, Chandan Kumar

    2015-07-01

    In this work, a design of high efficiency synchronous buck converter with an optimized LDMOS is presented which works in VHF frequency domain. The circuit performance of the buck converter is then analyzed and optimized to increase the efficiency and to reduce the power losses without modifying the circuit. The analysis and optimization is performed by varying the different device parameters like drift region doping concentration (DDrift) and drift region length (LDrift) along with the circuit level parameters like the dead time and the switching frequency. The effect of the parameters is found to reduce the power losses of the circuit. The circuit with optimized parameters yields 80% efficiency at 100 MHz switching frequency.

  7. Closed Loop Control of Soft Switched Interleaved Buck Converter

    Directory of Open Access Journals (Sweden)

    R. Shenbagalakshmi

    2012-06-01

    Full Text Available Design, Modeling and Simulation of a closed loop control is presented for Interleaved Buck Converter with Soft Switching. The features of the closed loop system are to reduce the switching losses and load current sharing among the parallel connected converters. The control system of the converter is designed using PWM technique. In order to improve the transient response and dynamic stability of the converters, the controller parameters are designed based on current mode control. Resonant components thus designed enable the application of zero current switching for both the converters connected in parallel thereby maintaining greater efficiency and minimizing voltage and current oscillations. The system analysis, design and performance are verified through simulation using MATLAB/Simulink environment. The simulation approach reveals the high speed dynamic performance of the closed loop system designed using robust PID controller. The laboratory prototype of the Buck converter is developed to verify the controller platform using PIC16F877A microcontroller.

  8. Closed Loop Control of Soft Switched Interleaved Buck Converter

    OpenAIRE

    R. Shenbagalakshmi; Sree Renga Raja

    2012-01-01

    Design, Modeling and Simulation of a closed loop control is presented for Interleaved Buck Converter with Soft Switching. The features of the closed loop system are to reduce the switching losses and load current sharing among the parallel connected converters. The control system of the converter is designed using PWM technique. In order to improve the transient response and dynamic stability of the converters, the controller parameters are designed based on current mode control. Resonant com...

  9. Two phase interleaved buck converter for driving high power LEDs

    OpenAIRE

    Beczkowski, Szymon; Munk-Nielsen, Stig

    2011-01-01

    The goal of this paper is to evaluate an interleaved buck topology for driving high current light-emitting diodes. Low output capacitor value allows the use of non-electrolytic capacitors extending the lifetime of the converter. Converter is operated as a constant, regulated current source which increases luminous efficacy of LED compared to PWM dimmed system. Because of the low dynamic resistance of LEDs the duty cycle of the converter does not change greatly with controlled current. By sett...

  10. On-chip SIDO buck converter with independent outputs

    OpenAIRE

    Martínez García, Herminio; Silva-Martínez, José

    2013-01-01

    The portable electronics market is rapidly migrating towards more compact devices requiring multiple high-integrity high-efficiency voltage supplies for empowering the systems. This paper demonstrates a single inductor used in a buck converter with two output voltages from an input battery with voltage of value 3 V. The main targets are low cross regulation between the two outputs to supply independent load current levels while maintaining desired output voltage values well within the accepta...

  11. THE HUMANISM OF PEARL S. BUCK: THE THREADS OF SORROW

    OpenAIRE

    Augustine, Jonathan

    2014-01-01

    There are few women in the history of literature who have been more active in humanitarian projects than Pearl S. Buck. After spending the first four decades of her life in China, she moved to the United States and became an outspoken figure in the civil rights, movement contributing articles regularly to the Crisis, the Monthly Magazine of the NAACP. She also spoke out against British colonialism, the wartime internment of Japanese Americans and the development of nuclear weapons, just to ...

  12. Hybrid posicast controller for a DC-DC buck converter

    OpenAIRE

    Kaithamalai Udhayakumar; Ponnusamy Lakshmi; Kandasamy Boobal

    2008-01-01

    A new Posicast compensated hybrid controller for the DC-DC Buck converter is investigated. Posicast is a feed forward compensator, which eliminates the overshoot in the step response of a lightly damped system. However, the traditional method is sensitive to variations in natural frequency. The new method described here reduces this undesirable sensitivity by using Posicast within the feedback loop. Design of the Posicast function is independent of computational delay. The new controller resu...

  13. Design of a Fully Integrated Three-Level Buck Converter

    Directory of Open Access Journals (Sweden)

    Y. Neelima*,

    2014-08-01

    Full Text Available Dynamic response of a converter plays an important role in many applications which change load in a rapid manner, especially in POL (Point of load applicant ions. Here a new method for improving the dynamic response of a converter is presented. Here separate control schemes are implemented during steady state as well as transient load conditions. A three level buck converter topology with fast transient response is discussed here. This topology does not require a soft start up circuitry for three level buck converters. Simulation model is done in Matlab/Simulink and the result shows a great improvement in dynamic response of the system. The 3-level converter enables smaller inductors (1 NH than a buck, while generating a wide range of output voltages compared to a 1/2 model capacitor converter. The test-chip prototype delivers up to 0.85 a load current while generating output voltages from 0.4 to 1.4 V from a 2.4 V input supply. It achieves 77% peak efficiency at power density of 0.1 W/mm and 63% efficiency at maximum power density of 0.3 W/mm.

  14. Modeling and Simulation of Buck-Boost Converter with Voltage Feedback Control

    OpenAIRE

    Zhou Xuelian; He Qiang

    2015-01-01

    In order to design the control system, it is necessary to have an exact model of buck-boost converter. This paper put forward the transfer function model of buck-boost converter by the state-space average method. The open-loop transfer function model of uncompensated system is deduced according to the mathematic model of the buck-boost converter, the controller is designed according to frequency domain. The phase and magnitude margin of the open-loop system of the buck-boost converter with co...

  15. Assessing the use of an essential health package in a sector wide approach in Malawi

    Directory of Open Access Journals (Sweden)

    Mwase Takondwa

    2011-01-01

    Full Text Available Abstract Background The sector wide approach (SWAp used in many developing countries is difficult to assess. One way is to consider the essential health package (EHP which is commonly the vehicle for a SWAp's policies and plans. It is not possible to measure the impact of an EHP by measuring health outcomes in countries such as Malawi. But it is possible to assess the choice of interventions and their delivery in terms of coverage. This paper describes an attempt to assess the Malawi SWAp through its EHP using these available measures of technical efficiency. Methods A burden of disease model was used to identify the priority diseases and their estimated incidence. Data from the health management information system (HMIS were used to measure the coverage of these interventions. A review of the cost-effectiveness of the chosen and potential interventions was undertaken to assess the appropriateness of each intervention used in the EHP. Expenditure data were used to assess the level of funding of the EHP. Results 33 of the 55 EHP interventions were found to be potentially cost-effective ($150/DALY and cost-effective estimates were not available for ten. 15 potential interventions, which were cost-effective and tackling one of the top 20 ranked diseases, were identified. Provision had increased in nearly all EHP services over the period of the SWAp. The rates of out patient attendances and inpatient days per 1000 population had both increased from 929 attendances in 2002/3 to 1135 in 2007/08 and from 124 inpatient days in 2002/03 to 179 in 2007/08. However, by 2007/08 the mean gap between what was required and what was provided was 0.68 of the estimated need. Two services involving the treatment of malaria were overprovided, but the majority were underprovided, with some such as maternity care providing less than half of what was required. The EHP was under-funded throughout the period covering on average 57% of necessary costs. By 2007/08 the

  16. Assessing the impact of a new health sector pay system upon NHS staff in England

    Directory of Open Access Journals (Sweden)

    Buchan James

    2008-06-01

    Full Text Available Abstract Background Pay and pay systems are a critical element in any health sector human resource strategy. Changing a pay system can be one strategy to achieve or sustain organizational change. This paper reports on the design and implementation of a completely new pay system in the National Health Service (NHS in England. 'Agenda for Change' constituted the largest-ever attempt to introduce a new pay system in the UK public services, covering more than one million staff. Its objectives were to improve the delivery of patient care as well as enhance staff recruitment, retention and motivation, and to facilitate new ways of working. Methods This study was the first independent assessment of the impact of Agenda for Change at a local and national level. The methods used in the research were a literature review; review of 'grey' unpublished documentation provided by key stakeholders in the process; analysis of available data; interviews with key national informants (representing government, employers and trade unions, and case studies conducted with senior human resource managers in ten NHS hospitals in England Results Most of the NHS trust managers interviewed were in favour of Agenda for Change, believing it would assist in delivering improvements in patient care and staff experience. The main benefits highlighted were: 'fairness', moving different staff groups on to harmonized conditions; equal pay claim 'protection'; and scope to introduce new roles and working practices. Conclusion Agenda for Change took several years to design, and has only recently been implemented. Its very scale and central importance to NHS costs and delivery of care argues for a full assessment at an early stage so that lessons can be learned and any necessary changes made. This paper highlights weaknesses in evaluation and limitations in progress. The absence of systematically derived and applied impact indicators makes it difficult to assess impact and impact

  17. The precariousness of the franchise state: Voluntary sector health services and international NGOs in Tanzania, 1960s - mid-1980s.

    Science.gov (United States)

    Jennings, Michael

    2015-09-01

    This paper challenges conventional narratives on the role of international non-governmental organisations (INGOs) in the delivery of health services in Tanzania. Adopting an historical gaze which focuses on the 1960s to mid-1980s the paper argues that the 'franchise state' in the Tanzanian health system was not created by collusion between international donors and INGOs, underpinned by a set of health sector reforms that advocated the use of non-state actors; but was rather the legacy of the colonial health system bequeathed to the post-independence state. It was a system in which voluntary non-state actors (but, importantly, not INGOs) were already entrenched as key providers; and in which many of the features of the franchise state - fragmentation, structural weaknesses, lack of accountability to users - were already long established. But if INGOs did not create these features, as their critics attest, they did contribute to the maintenance and extension of these features. The short-term perspectives of NGOs, their small-scale piecemeal engagement, and the extra demands they placed upon their voluntary actor partners, left little scope for the development of sustainable, national and accountable solutions to the health needs of the country. In exploring these ideas, the paper contributes to a more nuanced understanding of the path dependency that created Tanzania's health system. The analysis also contributes to a deepening of the understanding of the make-up of the voluntary sector beyond a narrow gaze on the institution of the INGO. PMID:26233295

  18. The Impact of Robotics on Employment and Motivation of Employees in the Service Sector, with Special Reference to Health Care

    OpenAIRE

    Qureshi, Mohammed Owais; Syed, Rumaiya Sajjad

    2014-01-01

    Background The economy is being lifted by the new concept of robotics, but we cannot be sure of all the possible benefits. At this early stage, it therefore becomes important to find out the possible benefits/limitations associated with robotics, so that the positives can be capitalized, established, and developed further for the employment and motivation of employees in the health care sector, for overall economic development. The negatives should also be further studied and mitigated. Metho...

  19. Motivational conditions of successful corporate social responsibility (CSR) actions in form of cross sector collaborations in international health

    OpenAIRE

    Erat, Anna Margareta

    2013-01-01

    It is clearly of paramount importance to secure both short-term and long-term provision and access to drugs and healthcare services in order to accomplish a substantial impact on public health in any country. Nevertheless, there are millions of people, especially in the developing world, that have no or limited access to such pharmaceutics and services. Faced with the situation, some important cross-sector efforts that make drugs and services available through the engagement of private for pr...

  20. Prescribing patterns of antiretroviral drugs in a section of the private health care sector of South Africa

    Directory of Open Access Journals (Sweden)

    Ronel Smit

    2006-04-01

    Full Text Available The general objective of this study was to investigate the prescribing patterns and cost of antiretroviral (ARV drugs in the private health care sector in South Africa by using a medicine claims database. Opsomming Die doel van hierdie studie was om die voorskryfpatrone en medisynekoste van antiretrovirale (ARV geneesmiddels in die private gesondheidsorgsektor in Suid-Afrika te ondersoek. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

  1. Authentic leadership as a source of optimism, trust in the organisation and work engagement in the public health care sector

    OpenAIRE

    Stander, Frederick W.; Leon T. de Beer; Marius W. Stander

    2015-01-01

    Orientation: The orientation of this study is towards authentic leadership (AL) and its influence on optimism, trust in the organisation and work engagement of employees in the public health care sector.Research purpose: The objectives of this study were to determine whether the leadership style of AL could predict optimism, trust in the organisation and work engagement amongst a large sample of employees from various functions in public hospitals and clinics in Gauteng and to establish wheth...

  2. Common Health, Safety and Environmental Concerns in Upstream Oil and Gas Sector: Implications for HSE Management in Ghana

    OpenAIRE

    Seth Oppong

    2014-01-01

    This paper explores the literature to identify common occupational injuries, diseases, and psychological wellbeing on oil rigs as well as the negative environmental impacts of the upstream oil and gas sector. It ends by making recommendations for effective health, safety, and environmental (HSE) management. Review of the literature showed that contusion (bruise), cuts, and laceration are the commonest occupational injuries that workers on the oil rig suffer and that the injuries mostly affect...

  3. The financial crisis and health care systems in Europe: universal care under threat? Trends in health sector reforms in Germany, the United Kingdom, and Spain.

    Science.gov (United States)

    Giovanella, Lígia; Stegmüller, Klaus

    2014-11-01

    The paper analyzes trends in contemporary health sector reforms in three European countries with Bismarckian and Beveridgean models of national health systems within the context of strong financial pressure resulting from the economic crisis (2008-date), and proceeds to discuss the implications for universal care. The authors examine recent health system reforms in Spain, Germany, and the United Kingdom. Health systems are described using a matrix to compare state intervention in financing, regulation, organization, and services delivery. The reforms' impacts on universal care are examined in three dimensions: breadth of population coverage, depth of the services package, and height of coverage by public financing. Models of health protection, institutionality, stakeholder constellations, and differing positions in the European economy are factors that condition the repercussions of restrictive policies that have undermined universality to different degrees in the three dimensions specified above and have extended policies for regulated competition as well as commercialization in health care systems. PMID:25493982

  4. The financial crisis and health care systems in Europe: universal care under threat? Trends in health sector reforms in Germany, the United Kingdom, and Spain

    Directory of Open Access Journals (Sweden)

    Lígia Giovanella

    2014-11-01

    Full Text Available The paper analyzes trends in contemporary health sector reforms in three European countries with Bismarckian and Beveridgean models of national health systems within the context of strong financial pressure resulting from the economic crisis (2008-date, and proceeds to discuss the implications for universal care. The authors examine recent health system reforms in Spain, Germany, and the United Kingdom. Health systems are described using a matrix to compare state intervention in financing, regulation, organization, and services delivery. The reforms’ impacts on universal care are examined in three dimensions: breadth of population coverage, depth of the services package, and height of coverage by public financing. Models of health protection, institutionality, stakeholder constellations, and differing positions in the European economy are factors that condition the repercussions of restrictive policies that have undermined universality to different degrees in the three dimensions specified above and have extended policies for regulated competition as well as commercialization in health care systems.

  5. Integrating human health into environmental impact assessment: case studies of Canada's Northern mining resource sector

    Energy Technology Data Exchange (ETDEWEB)

    Noble, B.F. [Univ. of Saskatchewan, Dept. of Geography, Saskatoon, SK (Canada)]. E-mail: b.noble@usask.ca; Bronson, J.E. [Stantec Consulting, Saskatoon, SK (Canada)]. E-mail: Jbronson@stantec.com

    2005-12-15

    This paper examines the integration of human health considerations into environmental impact assessment (EIA) in the Canadian North. Emphasis is placed on the northern mining sector, where more land has been staked in the past decade than in the previous 50 years combined. Using information from interviews with northern EIA and health practitioners and reviews of selected project documents, we examined three principal mining case studies, northern Saskatchewan uranium mining operations, the Ekati diamond project, and the Voisey's Bay mine/mill project, to determine whether and how health considerations in EIA have evolved and the current nature and scope of health integration. Results suggest that despite the recognized link between environment and health and the number of high-profile megaprojects in Canada's North, human health, particularly social health, has not been given adequate treatment in northern EIA. Health considerations in EIA have typically been limited to physical health impacts triggered directly by project-induced environmental change, while social and other health determinants have been either not considered at all, or limited to those aspects of health and well-being that the project proponent directly controlled, namely employment opportunities and worker health and safety. In recent years, we have been seeing improvements in the scope of health in EIA to reflect a broader range of health determinants, including traditional land use and culture. However, there is still a need to adopt impact mitigation and enhancement measures that are sensitive to northern society, to monitor and follow up actual health impacts after project approval, and to ensure that mitigation and enhancement measures are effective. (author)

  6. Human health-related externalities in energy system modelling the case of the Danish heat and power sector

    International Nuclear Information System (INIS)

    This paper discusses methodology of energy system modelling when reduction of local externalities, such as damage to the human health from energy production-related air pollution, is in focus. Ideally, the local energy externalities should be analysed by adopting the impact pathway approach of ExternE study, and following the pollutants from their release to the personal uptake and resulting health effects. This would require inclusion of air pollution modelling and monetary valuation of the impacts into an energy system optimisation process. However, this approach involves a complex study and generalisations are needed. The way local externalities are included in the existing energy system models is identified and discussed in the paper. Only a few studies include localisation aspects when internalising local externalities in an energy system optimisation. The performed analysis of the Danish heat and power sector verifies that it is cheaper for the society to include externalities in the planning of an energy system than to pay for the resulting damages later. Total health costs decrease by around 18% and total system costs decrease by nearly 4% when health externalities are included in the optimisation. Furthermore, including localisation aspects can reduce health costs of the heat and power sector in Denmark by additional 7%. (author)

  7. Buck-Boost Current-Source Inverters With Diode-Inductor Network

    DEFF Research Database (Denmark)

    Gao, Feng; Liang, Chao; Loh, Poh Chiang;

    2009-01-01

    compared with other recently reported buck-boost CSIs. For controlling the proposed CSIs, two modulation schemes are designed for achieving either optimized harmonic performance or minimized commutation count without influencing the inverter current buck-boost gain. These theoretical findings were...

  8. Single phase AC-DC power factor corrected converter with high frequency isolation using buck converter

    Directory of Open Access Journals (Sweden)

    R. Ramesh,

    2014-03-01

    Full Text Available Single phase ac-dc converters having high frequency isolation are implemented in buck, boost, buck-boost configuration with improving the power quality in terms of reducing the harmonics of input current. The paperpropose the circuit configuration, control mechanism, and simulation result for the single phase ac-dc converter.

  9. An Implication of Health Sector Reform for Disadvantaged Women's Struggle for Birth Control: A Case of Kurdish Rural-Urban Migrant Women in Van, Turkey.

    Science.gov (United States)

    Him, Miki Suzuki; Hoşgör, Ayşe Gündüz

    2015-09-01

    In this article, we examine how socioeconomically disadvantaged women are affected by health sector reform and family planning policy changes in Turkey through a case study of Kurdish women's struggles for birth control. In Turkey, a family planning program became relatively marginalized in primary health care services as a result of health sector reform as well as a shift of population policy toward a moderately pronatal approach. We argue that an emerging health care system would leave disadvantaged women unable to benefit from contraceptives and would perpetuate reproductive health inequalities between women in the country. PMID:24134209

  10. Health and wellness trends in the oil and gas sector : insights from the Shepell-fgi Research Group

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-07-01

    This report discussed health and wellness trends in the oil and gas sector in relation to employee assistance program (EAP) data. The data were derived from oil and gas client organizations across Canada for 2008, and represented a population base of 14,685 employees. The data demonstrated that EAP utilization in the petroleum industry increased by approximately 5 per cent from 2006 to 2008. The sector's utilization was 34 per cent higher than the Canadian norm in 2006, and 40 per cent higher than in 2007 and 2008. Females used the EAP to a greater extent than males. A higher proportion of the spouses of workers accessed EAP than the national norm. Employees accessed EAP for assistance with work-life issues; family support services; and substance abuse interventions. Weight management and dietary consultations in relation to disease control were also of concern within the sector. A 66 per cent increase in childcare issues was noted, as well as a 148 per cent increase in eldercare issues, and a 112 per cent increase in addiction issues. The findings indicated that the EAP is being effectively communicated as a relevant and accessible tool. As the industry continues to develop in remote regions, new services and resources will be required to retain existing workforces and attract new employees. Prevention-focused training and services and program for at-risk groups are needed to ensure that employee health and productivity is maintained. 1 tab., 4 figs.

  11. The relevance of a coproductive capacity framework to climate change adaptation: investigating the health and water sectors in Cambodia

    Directory of Open Access Journals (Sweden)

    Kathryn J. Bowen

    2015-03-01

    Full Text Available Multiple active partnerships in the health and water sectors in Cambodia exist to address climate change adaptation, operating beyond typical sectoral and organizational divides. Decisions around national adaptation policy are made predominantly by the relevant lead ministry, contrasting with where funding originates from (i.e., major donors, multilaterals, United Nation agencies. Adaptation policy is thus the result of a process of coproduction by state and nonstate actors. The research we present sought to understand the relationships that exist between knowledge- and decision-makers with respect to climate change adaptation in the health and water sectors in Cambodia, and the factors that enabled or constrained these relationships. Forty-four interviews were conducted with representatives of 32 organizations. We found that coproductive relationships were most effective when there were clearly defined roles and responsibilities, coordination of technical and financial resources, and trust. The two key factors of coproductive capacity that enabled and supported these partnerships were scientific resources and governance capability. Ultimately, the roles and responsibilities given to various actors requires commensurate funding and greater consideration of existing relationships and power dynamics. The reliance on international scientific expertise also needs to be challenged so that local research capabilities can be developed and locally relevant, problem-specific information can be provided. The ongoing funding, codevelopment, and sharing of such knowledge would significantly enhance trust and cooperation.

  12. Assessing public and private sector contributions in reproductive health financing and utilization for six sub-Saharan African countries.

    Science.gov (United States)

    Nguyen, Ha; Snider, Jeremy; Ravishankar, Nirmala; Magvanjav, Oyunbileg

    2011-05-01

    The present study provides evidence to support enhanced attention to reproductive health and comprehensive measures to increase access to quality reproductive health services. We compare and contrast the financing and utilization of reproductive health services in six sub-Saharan African countries using data from National Health Accounts and Demographic and Health Surveys. Spending on reproductive health in 2006 ranged from US$4 per woman of reproductive age in Ethiopia to US$17 in Uganda. These are below the necessary level for assuring adequate services given that an internationally recommended spending level for family planning alone was US$16 for 2006. Moreover, reproductive health spending shows signs of decline in tandem with insufficient improvement in service utilization. Public providers played a predominant role in antenatal and delivery care for institutional births, but home deliveries with unqualified attendants dominated. The private sector was a major supplier of condoms, oral pills and IUDs. Private clinics, pharmacies and drug vendors were important sources of STI treatment. The findings highlight the need to commit greatly increased funding for reproductive health services as well as more policy attention to the contribution of public, private and informal providers and the role of collaboration among them to expand access to services for under-served populations. PMID:21555087

  13. Dynamical analysis and experimental verification of valley current controlled buck converter

    International Nuclear Information System (INIS)

    The dynamical behaviours of valley current controlled buck converter are studied by establishing its corresponding discrete iterative map model in this paper. Time-domain waveforms and phase portraits of valley current controlled buck converter are obtained by Runge–Kutta algorithm through a piecewise smooth switching model. The research results indicate that the valley current controlled buck converter exhibits rich nonlinear phenomena, and it has routes to chaos through period-doubling bifurcation and border-collision bifurcation in a wide parameter range. Interesting inverse nonlinear behaviours compared with peak current controlled buck converter are observed in the valley current controlled buck converter. Analysis and simulation results are verified by experimental results. (general)

  14. Quality Of Pe Buck Sperm Stored In Different Packaging

    OpenAIRE

    M Pangestu; CH Soenarjo; Rachmawati W Siswadi; Sugiyatno; Taswin R Tagama; Dadang M Saleh; Haryati; Sutarmo; SJA Setyawati

    1999-01-01

    AI for cattle has been develop in Indonesia in contrast, AI for small ruminants (sheep and goat) are less developed. Its due to the lack of facilities, processing and packaging during storage. This research aims to compare the effectivity and efficiency of two different packaging technique (test tube and straw). Test tube and 0.25 ml mini straw were tested . Semen was obtained from adult PE buck (3 yr) after collection by using artificial vagina. The fresh semen was then evaluated and dilute...

  15. Component-Minimized Buck-Boost Voltage Source Inverters

    DEFF Research Database (Denmark)

    Gao, F.; Loh, P.C.; Blaabjerg, Frede;

    2007-01-01

    order to form a distinct neutral potential in the corresponding voltage boost circuitry for correct B4 inverter operation, necessary modifications are derived step by step. The resulted dc networks with symmetrical placement of passive components allow complete charging and equal energy distribution...... between capacitors. Modulation wise, the proposed buck-boost B4 inverters can be controlled using a carefully designed carrier-based pulse-width modulation (PWM) scheme that will always ensure balanced threephase outputs as desired, while simultaneously achieving minimal voltage stress across...

  16. Notch filter feedback controlled chaos in buck converter

    Institute of Scientific and Technical Information of China (English)

    Lu Wei-Guo; Zhou Luo-Wei; Luo Quan-Ming

    2007-01-01

    A method of controlling chaos in the voltage-mode buck converter is presented by using an improved notch filter feedback control in this paper. The proposed control part comprises a notch filter and a low-pass filter. The discrepancy between the outputs of the two filters is introduced into the control prototype of the power converter. In this way, the system period-1 solution is kept unchanged. The harmonic balance method is applied to analysing the variation law of the system bifurcation point, and then the stable range of the feedback gain is ascertained. The results of simulation and experiment are also given finally.

  17. Hybrid posicast controller for a DC-DC buck converter

    Directory of Open Access Journals (Sweden)

    Kaithamalai Udhayakumar

    2008-01-01

    Full Text Available A new Posicast compensated hybrid controller for the DC-DC Buck converter is investigated. Posicast is a feed forward compensator, which eliminates the overshoot in the step response of a lightly damped system. However, the traditional method is sensitive to variations in natural frequency. The new method described here reduces this undesirable sensitivity by using Posicast within the feedback loop. Design of the Posicast function is independent of computational delay. The new controller results in a lower noise in the control signal, when compared to a conventional PID controller.

  18. Resource allocation in Pakistan's health sector: a critical appraisal and a path toward the Millennium Development Goals.

    Science.gov (United States)

    Shaikh, Babar Tasneem; Ejaz, Irum; Mazhar, Arslan; Hafeez, Assad

    2013-01-01

    Pakistan is trying hard to sustain its progress toward the Millennium Development Goals. However, because of a lack of political commitment to innovative solutions to improve its financing mechanism, the health system is unable to provide even essential and basic services to the people. The country, with more than 70% of the population living on less than two US dollars a day, largely depends on direct taxes for its revenue. Because of inadequate financing, the quality of government services is inexcusably poor; therefore, a majority of people seek healthcare in the private sector. This has led to a horde of issues pertaining to equity, accessibility and fairness. High out-of-pocket expenses on health jeopardize a family's livelihood, pushing it into a vicious circle of poverty. In the wake of recent devolution, this paper presents options for future health financing that enables the provinces to exert their autonomy to safeguard the health of the most vulnerable in the country. Our recommendations follow the vision of the World Health Organization and the Commission on Macroeconomics and Health, to achieve universal health coverage and social protection for the poor. PMID:23803492

  19. Differences in wage rates for males and females in the health sector: a consideration of unpaid overtime to decompose the gender wage gap

    OpenAIRE

    Vecchio Nerina; Scuffham Paul A; Hilton Michael F; Whiteford Harvey A

    2013-01-01

    Abstract Background In Australia a persistent and sizable gender wage gap exists. In recent years this gap has been steadily widening. The negative impact of gender wage differentials is the disincentive to work more hours. This implies a substantial cost on the Australian health sector. This study aimed to identify the magnitude of gender wage differentials within the health sector. The investigation accounts for unpaid overtime. Given the limited availability of information, little empirica...

  20. National survey of paediatric audiological services for diagnosis and intervention in the South African private health care sector

    Directory of Open Access Journals (Sweden)

    Miriam E. Meyer

    2014-06-01

    Full Text Available Objective: A national survey of early hearing detection and intervention services was undertaken to describe the current status of diagnostic and intervention services in the South African private health care sector.Methods: All private hospitals with obstetric units (n = 166 were surveyed telephonically. The data was integrated with data collected from self-administered questionnaires subsequently distributed nationally to private audiology practices providing hearing screening at the respective hospitals reporting hearing screening services (n = 87. Data was analysed descriptively to yield national percentages and frequency distributions.Results: Average reported age at diagnosis was 11 months. Most participants (74% indicated that less than 20% of infants fitted with hearing aids received amplification before the age of 6 months. Most (64% participants indicated that the average period between confirmed diagnosis and hearing aid fitting was 1 month, on par with international benchmarks. Only 16%–23% of participants included all diagnostic procedures recommended by the Health Professions Council of South Africa’s 2007 position statement for minimum diagnostic test batteries for infants and young children.Conclusions: Diagnosis of hearing loss, hearing aid fitting and audiological intervention is delayed significantly in the South African private health care sector. Improved services should include integrated systematic hospital-based screening as part of birthing packages with diagnostic referral to specialist paediatric audiologists for accurate assessment and management of patients in a timely manner.

  1. TECHNOLOGY MANAGEMENT IN THE PUBLIC HEALTH SECTOR: PROFESSIONAL VIEW FROM EQUIPMENT MAINTENANCE EXPERTS

    OpenAIRE

    M.O. Kachieng’a

    2012-01-01

    South Africa has tried various strategies to improve access, quality and cost-efficiency in the health care delivery systems. However it is clear that the optimal approach has yet to be found. It has been recognised that health technology is an important element of this transformation, and will continue to play a vital role.
    It is almost evident that the way health technology is managed in health care institutions directly affects the quality of treatment patients receive. Althoug...

  2. Mainstreaming Gender in the Health Sector : Prevention of Gender-Based Violence and Male Involvement in Reproductive Health

    OpenAIRE

    Betron, Myra; Fort, Lucía

    2006-01-01

    The Bank has hosted various conferences to address issues of male involvement in reproductive health and gender-based violence, yet no projects in the World Bank's portfolio have directly addressed either topic.1 Recent gender-related work in the World Bank's health projects in Latin America has made evident the limited capacity of health personnel and communities to integrate men into fam...

  3. Cross-sector cooperation in health-enhancing physical activity policymaking

    DEFF Research Database (Denmark)

    Hämäläinen, Riitta-Maija; Aro, Arja R; Lau, Cathrine Juel;

    2016-01-01

    policies. The main issues of the cross-sector policy process can be divided into stakeholder involvement, governance structures and coordination structures and processes. Stakeholder involvement included citizen hearings and gatherings of stakeholders from various non-governmental organisations and citizen...... groups. Governance structures with policy and political discussions included committees, working groups and consultations for HEPA policymaking. Coordination structures and processes included administrative processes with various stakeholders, such as ministerial departments, research institutes and...... participation with the co-production of goals and sharing of resources between stakeholders, which could, for example, provide mechanisms for collaborative decision-making through citizen hearing. Clearly stated responsibilities, goals, communication, learning and adaptation for cross-sector cooperation improve...

  4. Feeding and reproductive behaviour in fallow bucks (Dama dama)

    Science.gov (United States)

    Apollonio, Marco; Vittorio, Irene

    2004-12-01

    Observations on individually marked fallow deer (Dama dama) in central Italy were performed over 2 years in order to analyse time budgets of four age and sex classes. The aim was to test whether feeding activity was influenced by mating activity, forage quality or physiological constraints during the rut. Only adult males (bucks) completely ceased feeding during the rutting season, well before the actual start of mating behaviour and concurrently with the phenomenon of scent-urination, and spending most of their daily time completely inactive. All other age and sex classes were unaffected in their feeding behaviour by the rutting season. Indeed, females and young males showed a marked increase in grazing in response to an improvement in forage quality from summer to autumn. These results seem to confirm the hypothesis that hypophagia, displayed only by bucks, may be of no adaptive value in itself. On the other hand, it may be a by-product of other physiological processes occurring during the rut, inducing scent-urination, which plays an important role in intraspecific recognition and sexual attraction.

  5. Problems and tendencies in management optimisation of hospital sector within health care system of Republic of Bulgaria

    Directory of Open Access Journals (Sweden)

    M.G. Stoycheva

    2013-03-01

    Full Text Available The aim of the article. The purpose of this article is to analyze the specifics, priorities and tendencies of the reforms in hospital sector management within the health care system of Republic of Bulgaria, the hospital care organization practices in relation to the National discussions on issues of hospital sector of the health care system.The results of the analysis. The accession of Republic of Bulgaria to the EU has created new conditions in defining the priorities in the area of public health care, including hospital medical aid. Summarizing, accumulation and transfer of experience in reforming of health care systems of the European Union member states, development of unified requirements, harmonization of legislation, financing, structure of functioning and management of hospital care within the health care system, lead to the need of deep analysis of situation, strategic priorities renewal, management optimization of whole health care system, and in particular the hospital care system in Republic of Bulgaria.In the article the author analyses the research and publications of some major materials, regulations and documents, which provided the basis for the reforms in the health care management system in Republic of Bulgaria in its continuing integration into the pan-European system. Illustrating current situation analysis, the author shares the opinion that the most important part in the organization of common management system in health care is the sector responsible for the development of hospital financing.The author pays special attention to the issues of economic activity of health care institutions.The author cites a number of documents of the National Centre for Medical Information (NCMI noting that leading specialists of the Centre: .Dikov, R.Kolarova, T.Hundurzhievhave prepared detailed reports on economics 2001-2008 and comparative analysis of the medical institutions operation as well as those for outpatient care in Republic of

  6. The Paris Declaration in practice: challenges of health sector aid coordination at the district level in Zambia

    Directory of Open Access Journals (Sweden)

    Sundewall Jesper

    2009-06-01

    Full Text Available Abstract Background The increasing resources available for and number of partners providing health sector aid have stimulated innovations, notably, the Paris Declaration on Aid Effectiveness, which aim to improve aid coordination. In this, one of the first studies to analyse implementation of aid coordination below national level, the aim was to investigate the effect of the Paris Declaration on coordination of health sector aid at the district level in Zambia. Methods The study was carried out in three districts of Zambia. Data were collected via interviews with health centre staff, district managers and officials from the Ministry of Health, and from district action plans, financial reports and accounts, and health centre ledger cards. Four indicators of coordination related to external-partner activity, common arrangements used by external partners and predictability of funding were analysed and assessed in relation to the 2010 targets set by the Paris Declaration. Findings While the activity of external partners at the district level has increased, funding and activities provided by these partners are often not included in local plans. HIV/AIDS support show better integration in planning and implementation at the district level than other support. Regarding common arrangements used for fund disbursement, the share of resources provided as programme-based support is not increasing. The predictability of funds coming from outside the government financing mechanism is low. Conclusion Greater efforts to integrate partners in district level planning and implementation are needed. External partners must improve the predictability of their support and be more proactive in informing the districts about their intended contributions. With the deadline for achieving the targets set by the Paris Declaration fast approaching, it is time for the signatories to accelerate its implementation.

  7. An ethnographic study of Latino preschool children's oral health in rural California: Intersections among family, community, provider and regulatory sectors

    Directory of Open Access Journals (Sweden)

    Horton Sarah B

    2008-03-01

    Full Text Available Abstract Background Latino children experience a higher prevalence of caries than do children in any other racial/ethnic group in the US. This paper examines the intersections among four societal sectors or contexts of care which contribute to oral health disparities for low-income, preschool Latino1 children in rural California. Methods Findings are reported from an ethnographic investigation, conducted in 2005–2006, of family, community, professional/dental and policy/regulatory sectors or contexts of care that play central roles in creating or sustaining low income, rural children's poor oral health status. The study community of around 9,000 people, predominantly of Mexican-American origin, was located in California's agricultural Central Valley. Observations in homes, community facilities, and dental offices within the region were supplemented by in-depth interviews with 30 key informants (such as dental professionals, health educators, child welfare agents, clinic administrators and regulatory agents and 47 primary caregivers (mothers of children at least one of whom was under 6 years of age. Results Caregivers did not always recognize visible signs of caries among their children, nor respond quickly unless children also complained of pain. Fluctuating seasonal eligibility for public health insurance intersected with limited community infrastructure and civic amenities, including lack of public transportation, to create difficulties in access to care. The non-fluoridated municipal water supply is not widely consumed because of fears about pesticide pollution. If the dentist brought children into the clinic for multiple visits, this caused the accompanying parent hardship and occasionally resulted in the loss of his or her job. Few general dentists had received specific training in how to handle young patients. Children's dental fear and poor provider-parent communication were exacerbated by a scarcity of dentists willing to serve rural

  8. Efficiency of Health Care Sector at Sub-State Level in India: A Case of Punjab

    Directory of Open Access Journals (Sweden)

    Brijesh C. Purohit

    2009-11-01

    Full Text Available In recent years, WHO and other individual researchers have advocated estimation of health system performance through stochastic frontier models. It provides an idealized yardstick to evaluate economic performance of health system. So far attempts in India have remained focused at state level analysis. This paper attempts a sub-state level analysis for an affluent Indian state, namely Punjab, by using stochastic frontier technique. Our results provide pertinent insight into state health system and facilitate health facility planning at the sub-state level. Carried out in two stages of estimation, our results suggest that life expectancy in the Indian state could be enhanced considerably by correcting the factors that are adversely influencing the sub-state level health system efficiency. A higher budgetary allocation for health manpower is recommended by us to improve efficiency in poorly performing districts. This may be supported by policy initiatives outside the health system by empowering women through better education and work participation.

  9. Assessment of goat breed improvement through distribution of beetal bucks in rainfed pothwar, Punjab

    International Nuclear Information System (INIS)

    The present paper is based on the assessment of goat breed improvement intervention through supply of 65 Beetal bucks in rainfed Pothwar. To judge short term impact and assessment, a survey was carried out of both buck holder and non-holder beneficiaries in six project tehsils, after one year of buck distribution. Data were collected from a sample of 38 buck holders and 31 beneficiary farmers using a structured pretested questionnaire. The main influencing factor in keeping bucks was goat breed improvement. All the sample respondents were convinced of the benefits of crosses with Beetal buck and reported that the offsprings Beetal were of higher body weight (40% higher), good looking and well built. Regarding the suitability of Beetal with fodder and forage in the area, majority of the farmers (73%) considered it more suitable. There was a price difference of Rs. 1277 for male kids and Rs. 697 for female kids of the same age than the kids from local buck crosses. The farmers believed that the price difference was not only due to the higher weight but a better look and better structure of the Beetal goat. Farming community showed keen interest in using this intervention on a regular basis. (author)

  10. Fortalecimiento de la función rectora de las autoridades sanitarias en las reformas del sector de la salud Strengthening the steering role of health authorities within the context of health sector reform

    Directory of Open Access Journals (Sweden)

    José María Marín

    2000-08-01

    ítico, marco jurídico e infraestructura técnica del sector de la salud en los países. Como resultado, estos últimos se ven llamados a dar prioridad al fortalecimiento de la capacidad rectora de sus autoridades sanitarias para hacer frente a los retos del presente y el futuro.Strengthening the ability of health authorities to provide leadership and guidance, now and in the future, is an important issue within the context of health sector reform. It means, among other things, redefining the role of health in light of leading social and economic trends seen in the world at the beginning of the 21st century, increasing participation in health by nongovernmental entities, moving toward participatory democracy in many countries, and modifying concepts of what is considered "public" and "private." Within this scenario, it is necessary to redirect the role of the health sector toward coordinating the mobilization of national resources, on a multisectoral scale, in order to improve equity and social well-being and to channel the limited available resources to the most disadvantaged groups in society. The liberalization of the production and distribution of health-related goods and services, including insurance, challenges the exercise of authority in the area of health. Furthermore, the formation of regional economic blocks and the enormous weight wielded by multinational companies in the areas of pharmaceuticals and other medical supplies and technologies are forcing the health sector to seek ways of harmonizing health legislation and international negotiations. According to many experts, all of these demands surpass the ability of Latin American ministries of health to effectively respond, given most countries' current organizational, legal, and political conditions and technical infrastructure. The countries of the Americas must make it a priority to strengthen their health officials' ability to provide leadership and guidance in order to meet present and future challenges.

  11. An international comparative public health analysis of sex trafficking of women and girls in eight cities: achieving a more effective health sector response.

    Science.gov (United States)

    Macias Konstantopoulos, Wendy; Ahn, Roy; Alpert, Elaine J; Cafferty, Elizabeth; McGahan, Anita; Williams, Timothy P; Castor, Judith Palmer; Wolferstan, Nadya; Purcell, Genevieve; Burke, Thomas F

    2013-12-01

    Sex trafficking, trafficking for the purpose of forced sexual exploitation, is a widespread form of human trafficking that occurs in all regions of the world, affects mostly women and girls, and has far-reaching health implications. Studies suggest that up to 50 % of sex trafficking victims in the USA seek medical attention while in their trafficking situation, yet it is unclear how the healthcare system responds to the needs of victims of sex trafficking. To understand the intersection of sex trafficking and public health, we performed in-depth qualitative interviews among 277 antitrafficking stakeholders across eight metropolitan areas in five countries to examine the local context of sex trafficking. We sought to gain a new perspective on this form of gender-based violence from those who have a unique vantage point and intimate knowledge of push-and-pull factors, victim health needs, current available resources and practices in the health system, and barriers to care. Through comparative analysis across these contexts, we found that multiple sociocultural and economic factors facilitate sex trafficking, including child sexual abuse, the objectification of women and girls, and lack of income. Although there are numerous physical and psychological health problems associated with sex trafficking, health services for victims are patchy and poorly coordinated, particularly in the realm of mental health. Various factors function as barriers to a greater health response, including low awareness of sex trafficking and attitudinal biases among health workers. A more comprehensive and coordinated health system response to sex trafficking may help alleviate its devastating effects on vulnerable women and girls. There are numerous opportunities for local health systems to engage in antitrafficking efforts while partnering across sectors with relevant stakeholders. PMID:24151086

  12. Exploring the influence of trust relationships on motivation in the health sector: a systematic review

    OpenAIRE

    Okello, DR; Gilson, L

    2015-01-01

    Background Dedicated and motivated health workers (HWs) play a major role in delivering efficient and effective health services that improve patients’ experience of health care. Growing interest in HW motivation has led to a global focus on pay for performance strategies, but less attention has been paid to nurturing intrinsic motivation. Workplace trust relationships involve fair treatment and respectful interactions between individuals. Such relationships enable cooperation among HWs and th...

  13. Patterns of perceptions of workplace violence in the Portuguese health care sector

    OpenAIRE

    Craveiro Isabel; Fronteira Inês; Biscaia André; Ferrinho Paulo; Antunes Ana; Conceição Claudia; Flores Isabel; Santos Osvaldo

    2003-01-01

    Abstract This article characterizes the problem of violence against health professionals in the workplace (VAHPITWP) in selected settings in Portugal. It addresses the questions of what types of violence are most frequent and who are the most affected health professionals. Three methodological approaches were followed: (i) documentary studies, (ii) a questionnaire-based hospital and health centre (HC) complex case study and (iii) semi-structured interviews with stakeholders. Of the different ...

  14. An analysis of the usage of antibiotics in the private health care sector : a managed health care approach / Renier Coetzee

    OpenAIRE

    Coetzee, Renier

    2004-01-01

    The most frequent intervention performed by physicians is the writing of a prescription. Modern medicine has been remarkably effective in managing diseases. Medicines play a fundamental role in the effectiveness, efficiency and responsiveness of health care systems. However, health care expenditure is a great cause for concern and many nations around the world struggle to contain rising health care costs. Pharmaceutical benefit management programmes such as pharmacoeconomics, drug...

  15. The Building Blocks Collaborative: advancing a life course approach to health equity through multi-sector collaboration.

    Science.gov (United States)

    Shrimali, Bina Patel; Luginbuhl, Jessica; Malin, Christina; Flournoy, Rebecca; Siegel, Anita

    2014-02-01

    Too many children are born into poverty, often living in disinvested communities without adequate opportunities to be healthy and thrive. Two complementary frameworks-health equity and life course-propose new approaches to these challenges. Health equity strategies seek to improve community conditions that influence health. The life course perspective focuses on key developmental periods that can shift a person's trajectory over the life course, and highlights the importance of ensuring that children have supports in place that set them up for long-term success and health. Applying these frameworks, the Alameda County Public Health Department launched the Building Blocks Collaborative (BBC), a countywide multi-sector initiative to engage community partners in improving neighborhood conditions in low-income communities, with a focus on young children. A broad cross-section of stakeholders, called to action by the state of racial and economic inequities in children's health, came together to launch the BBC and develop a Bill of Rights that highlights the diverse factors that contribute to children's health. BBC partners then began working together to improve community conditions by learning and sharing ideas and strategies, and incubating new collaborative projects. Supportive health department leadership; dedicated staff; shared vision and ownership; a flexible partnership structure; and broad collective goals that build on partners' strengths and priorities have been critical to the growth of the BBC. Next steps include institutionalizing BBC projects into existing infrastructure, ongoing partner engagement, and continued project innovation-to achieve a common vision that all babies have the best start in life. PMID:23807714

  16. Common Health, Safety and Environmental Concerns in Upstream Oil and Gas Sector: Implications for HSE Management in Ghana

    Directory of Open Access Journals (Sweden)

    Seth Oppong

    2014-01-01

    Full Text Available This paper explores the literature to identify common occupational injuries, diseases, and psychological wellbeing on oil rigs as well as the negative environmental impacts of the upstream oil and gas sector. It ends by making recommendations for effective health, safety, and environmental (HSE management. Review of the literature showed that contusion (bruise, cuts, and laceration are the commonest occupational injuries that workers on the oil rig suffer and that the injuries mostly affect the hand and finger, leg, and eyes of the offshore workers. These injuries were found to be caused mostly by direct stroke, jamming and overstrain. Similarly, accidental poisoning, musculoskeletal disorders, respiratory disorders and diseases of the digestive system were also documented as the commonest occupational diseases among offshore workers. The literature also shows that working offshore is associated with poorer psychological wellbeing or health; this is to say that offshore workers tend to experience higher levels of stress, burnout, anxiety, depression, low job satisfaction (particularly with the environmental conditions associated with their work, and sleep disorders. Finally, the literature review indicated that land-use problems, air pollution, acid rain, climate change, habitat disruption, environmental degradation, oil spills and leakages are some of environmental impacts of upstream oil production. This review was concluded by recommending some measures for the management of the HSE hazards associated with the oil and gas sector.

  17. Conceptual reflections about organizational and professional commitment in the health sector Reflexión conceptual sobre compromiso organizacional y profesional en el sector salud Reflexões conceituais sobre comprometimento organizacional e profissional no setor saúde

    OpenAIRE

    Eliana Ofelia LLapa-Rodríguez; Maria Auxiliadora Trevizan; Gilberto Tadeu Shinyashiki

    2008-01-01

    In the daily exercise of their functions, health professionals face a duality of systems, that is, the professional system and the organizational system, each of which has its own distinct values, principles and expectations. The authors aim to present organizational and professional commitment concepts and their relations in the context of the health sector. They consider that organizational and professional commitment are not incompatible, but can be reconciled in the organizational dynamic...

  18. The Effects of Age, Breed, Sire, Body Weight and the Ejaculate Characteristics of Rabbit Bucks

    OpenAIRE

    G. N. Akpa; H.K. Yahaya; U.C. Martin

    2012-01-01

    The aim of this research is to analyse the semen of different breeds of rabbits and to determine the effects of age, breed, sire, generation and body weight on the ejaculate characteristics of rabbit bucks. Twenty rabbit bucks comprising of three breeds (New-Zealand White 8, Chinchilla 6 and Californian White 6) between the ages of 6-9 months were used to investigate the effect of age, breed, sire and generation on body weight and ejaculate characteristics of the bucks. The experiment was car...

  19. Non-Inverting Buck-Boost Converter for Fuel Cell Applications

    DEFF Research Database (Denmark)

    Schaltz, Erik; Rasmussen, Peter Omand; Khaligh, Alireza

    2008-01-01

    Fuel cell DC/DC converters often have to be able to both step-up and step-down the input voltage, and provide a high efficiency in the whole range of output power. Conventional negative output buck-boost and non-inverting buck-boost converters provide both step-up and step-down characteristics....... In this paper the non-inverting buck-boost with either diodes or synchronous rectifiers is investigated for fuel cell applications. Most of previous research does not consider  the parasitic in the evaluation of the converters. In this study, detailed analytical expressions of the efficiencies for the system...

  20. Out of Place: Mediating Health and Social Care in Ontario's Long-Term Care Sector

    Science.gov (United States)

    Daly, Tamara

    2007-01-01

    The paper discusses two reforms in Ontario's long-term care. The first is the commercialization of home care as a result of the implementation of a "managed competition" delivery model. The second is the Ministry of Health and Long-Term Care's privileging of "health care" over "social care" through changes to which types of home care and home…

  1. Cost-effectiveness analysis for sector-wide priority setting in health

    NARCIS (Netherlands)

    R.C.W. Hutubessy (Raymond)

    2003-01-01

    textabstractCost-effectiveness analysis (CEA) provides one means by which decision-makers may assess and potentially improve the performance of health systems. The process can help to ensure that resources devoted to health systems are achieving the maximum possible benefit in terms of outcomes that

  2. Patterns of perceptions of workplace violence in the Portuguese health care sector

    Directory of Open Access Journals (Sweden)

    Craveiro Isabel

    2003-11-01

    Full Text Available Abstract This article characterizes the problem of violence against health professionals in the workplace (VAHPITWP in selected settings in Portugal. It addresses the questions of what types of violence are most frequent and who are the most affected health professionals. Three methodological approaches were followed: (i documentary studies, (ii a questionnaire-based hospital and health centre (HC complex case study and (iii semi-structured interviews with stakeholders. Of the different types of violence, all our study approaches confirm that verbal violence is the most frequent. Discrimination, not infrequent in the hospital, seems to be underestimated by the stakeholders interviewed. Violence seems much more frequent in the HC than in the hospital. In the HC, all types of violence are also most frequently directed against female health workers and, in the hospital, against male workers. These studies allow us to conclude that violence is frequent but underreported.

  3. [Equity in the health sector: evaluation of public policy in Belo Horizonte, Minas Gerais State, Brazil, 1993-1997].

    Science.gov (United States)

    Junqueira, Virginia; Pessoto, Umberto Catarino; Kayano, Jorge; Nascimento, Paulo Roberto; Castro, Iracema Ester do Nascimento; Rocha, Jucilene Leite da; Terence, Marcelo Fernando; Boaretto, Roberta Cristina; Ibanhes, Lauro Cesar; Cortizo, Carlos Tato; Heimann, Luiza Sterman

    2002-01-01

    This article evaluates government measures to reduce inequity in the health sector in Belo Horizonte from 1993 to 1997. Our hypothesis is that a municipal administration committed to equity can reduce disparities in health with the support of the Unified National Health System (SUS). The methodology used an urban quality of life index in Belo Horizonte to detect social inequalities in living conditions, as well as differences between the component indices in the infant mortality rate. Other municipal measures were assessed according to the investment resulting from the implementation of a participatory local budget and open planning process. The urban quality of life index appeared to be an appropriate measure for orienting municipal administration. The infant mortality rate proved to be a good indicator for measuring inequality in health. There was a reduction in IMR and mortality reducing gaps in the districts studied. We observed greater investment of physical and financial resources in the districts with the lowest urban quality of life index, and it can thus be stated that the municipal administration reduced the prevailing inequalities. PMID:12118313

  4. Stakeholder views on factors influencing the wellbeing and health sector engagement of young Asian New Zealanders.

    Science.gov (United States)

    Peiris-John, Roshini; Wong, Agnes; Sobrun-Maharaj, Amritha; Ameratunga, Shanthi

    2016-03-01

    INTRODUCTION In New Zealand, while the term 'Asians' in popular discourse means East and South-east Asian peoples, Statistics New Zealand's definition includes people of many nationalities from East, South and South-east Asia, all with quite different cultural norms, taboos and degrees of conservatism. In a context where 'Asian' youth data are typically presented in aggregate form, there are notable gaps in knowledge regarding the contextual determinants of health in this highly heterogeneous group. This qualitative study explored key stakeholder views on issues that would be most useful to explore on the health and wellbeing of Asian youth and processes that would foster engagement of Asian youth in health research. METHODS Interviews were conducted with six key stakeholders whose professional activities were largely focused on the wellbeing of Asian people. The general inductive approach was used to identify and analyse themes in the qualitative text data. FINDINGS Six broad themes were identified from the key stakeholder interviews framed as priority areas that need further exploration: cultural identity, integration and acculturation; barriers to help-seeking; aspects to consider when engaging Asian youth in research (youth voice, empowerment and participatory approach to research); parental influence and involvement in health research; confidentiality and anonymity; and capacity building and informing policy. CONCLUSION With stakeholders strongly advocating the engagement of Asian youth in the health research agenda this study highlights the importance of engaging youth alongside service providers to collaborate on research and co-design responsive primary health care services in a multicultural setting. KEYWORDS Asian youth; New Zealand; health research; minority health; Community and social participation. PMID:27477373

  5. Effective strategies and interventions: environmental health and the private housing sector

    OpenAIRE

    Stewart, Jill

    2013-01-01

    Effective interventions in environmental health and housing work necessitate a range of methods and approaches to research and understand social and economic issues, how the complexities of peoples’ changing lives are represented in their housing and communities and the involvement of others in their housing, health and social care needs. Developing an evidence base and its application in practice can help deliver available resource to where it is most needed in addressing the complex needs o...

  6. Neighbourhoods and self rated health: a comparison of public sector employees in London and Helsinki

    OpenAIRE

    Stafford, M; Martikainen, P; Lahelma, E; Marmot, M.

    2004-01-01

    Study objective: Mortality and morbidity vary across neighbourhoods and larger residential areas. Effects of area deprivation on health may vary across countries, because of greater spatial separation of people occupying high and low socioeconomic positions and differences in the provision of local services and facilities. Neighbourhood variations in health and the contribution of residents' characteristics and neighbourhood indicators were compared in London and Helsinki, two settings where ...

  7. A private sector view of health, surveillance, and communities of color.

    OpenAIRE

    Rabin, S A

    1994-01-01

    The U.S. population is fast evolving into a patchwork of health behaviors, incomes, and ethnic backgrounds. Simple cultural labeling will not do. A growing number of Americans, now numbering about 10 million, cannot or will not describe their race in any one of the Census Bureau's standard categories--white, black, American Indian, Eskimo, Aleut, Asian Pacific, or Hispanic. They group themselves as a multicultural population rather than a single racial or ethnic category. To guide health inte...

  8. Examining growth and internationalization within the health and well-being sector

    OpenAIRE

    Bergman, Maria

    2011-01-01

    HYVIS Pirkanmaa project, operating at Tampere Region Economic Development Agency Tredea, develops the health and well-being growth enterprises situated in Tampere region. I have conducted a survey for HYVIS Pirkanmaa project to provide it information about obstacles to growth, development challenges and internationalization of health and well-being growth enterprises in Tampere region. According to my survey results, market instability was considered as most significant obstacle to g...

  9. Occupational Health and Safety Management and Turnover Intention in the Ghanaian Mining Sector

    OpenAIRE

    Amponsah-Tawiah, Kwesi; Ntow, Michael Akomeah Ofori; Mensah, Justice

    2015-01-01

    Background The mining industry is considered as one of the most dangerous and hazardous industries and the need for effective and efficient occupational health and safety management is critical to safeguard workers and the industry. Despite the dangers and hazards present in the mining industry, only few studies have focused on how occupational health and safety and turnover intentions in the mines. Method The study suing a cross-sectional survey design collected quantitative data from the 25...

  10. Power decoupling method for single phase differential buck converter

    DEFF Research Database (Denmark)

    Yao, Wenli; Tang, Yi; Zhang, Xiaobin; Wang, Xiongfei; Loh, Poh Chiang; Blaabjerg, Frede

    The well-known inherent second-order ripple power in single phase converters imposes harmonic stress on the dc link, resulting in low efficiency and overheating issues. In order to avoid installing bulky electrolytic capacitors or LC filters in the dc-link, this paper presents a differential buck...... inverter to improve the dc link power quality, and an improved active power decoupling method is proposed to achieve ripple power reduction for both AC-DC and DC-AC conversions. The ripple energy storage is realized by the filter capacitors, which are connected between the output terminal and the negative...... dc bus. By properly controlling the differential mode voltage of the capacitors, it is possible to transfer desired energy between the DC port and AC port. The common mode voltage is controlled in such a way that the ripple power on the dc side will be reduced. Furthermore, an autonomous reference...

  11. Extended time-delay autosynchronization for the buck converter

    CERN Document Server

    Batlle, C; Olivar, G

    1996-01-01

    Time-delay autosynchronization (TDAS) can be used to stabilize unstable periodic orbits in dynamical systems. The technique involves continuous feedback of signals delayed by the orbit's period. One variant, ETDAS, uses information further in the past. In both cases, the feedback signal vanishes on the target periodic orbit and hence the stabilized periodic orbit is one of the original dynamical system. Furthermore, this control method only requires the knowledge of the period of the unstable orbit. The amount of feedback gain needed to achieve stabilization varies with the bifurcation parameter(s) of the system, resulting in a domain of control. In this paper we compute the domain of control of the unstable periodic orbits of the \\textit{buck} converter. We obtain a closed analytical expression for the curve $g:S^1 \\rightarrow\\C$ whose index determines the stability, and this index is then numerically computed. We run several simulations of the controlled system and discuss the results.

  12. Improving health and education outcomes for children in remote communities: A cross-sector and developmental evaluation approach

    Directory of Open Access Journals (Sweden)

    Debra Maria Jones

    2015-09-01

    Full Text Available Early childhood is one of the most influential developmental life stages. Attainments at this stage will have implications for the quality of life children experience as they transition to adulthood. Children residing in remote Australia are exposed to socioeconomic disadvantage that can contribute to developmental delays and resultant poorer education and health outcomes. Complex contributing factors in far west New South Wales have resulted in children with speech and fine motor skill delays experiencing no to limited access to allied health services for a number of decades. More recently, growing awareness that no single policy, government agency, or program could effectively respond to these complexities or ensure appropriate allied health service access for children in these communities has led to the development of the Allied Health in Outback Schools Program, which has been operational since 2009. The program is underpinned by cross-sector partnerships and a shared aspirational aim to improve the developmental outcomes of children to enhance their later life opportunities. It was identified early that the initiative had the potential to deliver mutually beneficial outcomes for communities and participating partner organisations. Over the last five years the program has been the catalyst for partnership consolidation, expansion and diversification. The developmental evaluation approach to continuous program adaptation and refinement has provided valuable insights that have informed health and education policy and enabled the program to be responsive to changing community needs, emerging policy and funding reforms. This article explores the evolution of the program partnerships, their contribution to program success and longevity, and their capacity to respond to an emergent and dynamic environment. The authors propose that a community-centred and developmental approach to program innovation and implementation in remote locations is

  13. District decision-making for health in low-income settings: a qualitative study in Uttar Pradesh, India, on engaging the private health sector in sharing health-related data.

    Science.gov (United States)

    Gautham, Meenakshi; Spicer, Neil; Subharwal, Manish; Gupta, Sanjay; Srivastava, Aradhana; Bhattacharyya, Sanghita; Avan, Bilal Iqbal; Schellenberg, Joanna

    2016-09-01

    Health information systems are an important planning and monitoring tool for public health services, but may lack information from the private health sector. In this fourth article in a series on district decision-making for health, we assessed the extent of maternal, newborn and child health (MNCH)-related data sharing between the private and public sectors in two districts of Uttar Pradesh, India; analysed barriers to data sharing; and identified key inputs required for data sharing. Between March 2013 and August 2014, we conducted 74 key informant interviews at national, state and district levels. Respondents were stakeholders from national, state and district health departments, professional associations, non-governmental programmes and private commercial health facilities with 3-200 beds. Qualitative data were analysed using a framework based on a priori and emerging themes. Private facilities registered for ultrasounds and abortions submitted standardized records on these services, which is compulsory under Indian laws. Data sharing for other services was weak, but most facilities maintained basic records related to institutional deliveries and newborns. Public health facilities in blocks collected these data from a few private facilities using different methods. The major barriers to data sharing included the public sector's non-standardized data collection and utilization systems for MNCH and lack of communication and follow up with private facilities. Private facilities feared information disclosure and the additional burden of reporting, but were willing to share data if asked officially, provided the process was simple and they were assured of confidentiality. Unregistered facilities, managed by providers without a biomedical qualification, also conducted institutional deliveries, but were outside any reporting loops. Our findings suggest that even without legislation, the public sector could set up an effective MNCH data sharing strategy with private

  14. Efficiency of resource allocation in the hospital sector after global budgeting under National Health Insurance

    Institute of Scientific and Technical Information of China (English)

    Victor Kreng; YANG Shao-wei

    2013-01-01

    Background Taiwan has implemented a National Health Insurance (NHI) program to provide uniform comprehensive coverage since 1995.Forced by the severe financial deficit,global budgeting is introduced to replace the original payment system in Taiwan's NHI.Under global budgeting system,the total budget is distributed to six geographical regions in Taiwan.There is no pre-determined budget for each hospital.In order to investigate the longitudinal trend of how global budgeting influences health care resource,it is essential to estimate the efficiency of resource allocation in Taiwan's NHI.Methods Data Envelopment Analysis (DEA) and Malmquist index (MI) are used to investigate the 8-year panel data of 23 cities and counties which was collected from the annual report from the Department of Health,Taiwan,China.A value of MI greater than 1 indicates that total factor productivity progress has occurred,while a value of MI less than 1 indicates productivity loss.Results As a result,37 of the 184 DMUs in the analysis were found to be relatively efficient during the period,in which 14 of 23 DMUs are efficient in 2002 right after adopting globe budgeting.A trend of MI declines between 2002 and 2009implies the volume of health care services decrease after adopting global budgeting system.Production efficiency has been improved after global budgeting implies that behaviors of health providers control cost and avoid wasting resource at macro level.Conclusions The regressive MI indicates the hospitals redistribute health care resource to eliminate unnecessary treatment and to control the growth of service volume under global budgeting system.Hence,a trend of declining MI focuses on health care resource redistribution rather than efficiency improvement in this study.

  15. An Effective Wind Energy System based on Buck-boost Controller

    Directory of Open Access Journals (Sweden)

    N. Prakash

    2013-06-01

    Full Text Available In Domestic Wind Machines, if the wind speed is low, the output voltage is not sufficient to charge the battery as it is lower than the rated charging voltage of the battery. This limits the overall efficiency of the Wind Machine to 20%. This study proposed to design and develop a Buck Boost Controller for the effective utilization of the wind machine. By implementing a controller based Buck Boost converter, the voltage produced at the lower wind speeds can also be utilized effectively by boosting it to the rated charging voltage of the battery. Also if the wind speed is high (>14 m/s, the DC output voltage will increase to more than 65 V. The converter bucks this high voltage to the nominal battery charging voltage (52 V, thereby protecting the battery from over charging voltage. Thus the effective utilization of the wind machine has been achieved by the use of the proposed Buck Boost Controller.

  16. Quantum collapses and revivals from the k-photon Buck-Sukumar model

    International Nuclear Information System (INIS)

    The quantum collapses and revivals of the atomic inversion in the k-photon Buck-Sukumar model are shown by means of numerical and approximate methods for various photon transition processes. (author). 17 refs, 3 figs

  17. High Resolution Imagery of Buck Island Coral Reef Systems Prior to and During Suspected Bleaching Events

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset is a collection of imagery of Buck Island coral reef systems. They are pairs of imagery where one image was acquired during a suspected bleaching...

  18. Backscatter 0.5m TIFF Mosaic of St. Croix (Buck Island), US Virgin Islands, 2004

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This image represents a 0.5 meter resolution backscatter mosaic of the north shore of Buck Island, St. Croix, US Virgin Islands. NOAA's NOS/NCCOS/CCMA Biogeography...

  19. Modeling and Simulation of Buck-Boost Converter with Voltage Feedback Control

    Directory of Open Access Journals (Sweden)

    Zhou Xuelian

    2015-01-01

    Full Text Available In order to design the control system, it is necessary to have an exact model of buck-boost converter. This paper put forward the transfer function model of buck-boost converter by the state-space average method. The open-loop transfer function model of uncompensated system is deduced according to the mathematic model of the buck-boost converter, the controller is designed according to frequency domain. The phase and magnitude margin of the open-loop system of the buck-boost converter with compensator have both been increased. After compensating, this control system has the advantages of small overshoot and short settling time. It can also improve control system’s real time property and anti-interference ability.

  20. Estimating the number of paediatric fevers associated with malaria infection presenting to Africa's public health sector in 2007.

    Directory of Open Access Journals (Sweden)

    Peter W Gething

    2010-07-01

    Full Text Available BACKGROUND: As international efforts to increase the coverage of artemisinin-based combination therapy in public health sectors gather pace, concerns have been raised regarding their continued indiscriminate presumptive use for treating all childhood fevers. The availability of rapid-diagnostic tests to support practical and reliable parasitological diagnosis provides an opportunity to improve the rational treatment of febrile children across Africa. However, the cost effectiveness of diagnosis-based treatment polices will depend on the presumed numbers of fevers harbouring infection. Here we compute the number of fevers likely to present to public health facilities in Africa and the estimated number of these fevers likely to be infected with Plasmodium falciparum malaria parasites. METHODS AND FINDINGS: We assembled first administrative-unit level data on paediatric fever prevalence, treatment-seeking rates, and child populations. These data were combined in a geographical information system model that also incorporated an adjustment procedure for urban versus rural areas to produce spatially distributed estimates of fever burden amongst African children and the subset likely to present to public sector clinics. A second data assembly was used to estimate plausible ranges for the proportion of paediatric fevers seen at clinics positive for P. falciparum in different endemicity settings. We estimated that, of the 656 million fevers in African 0-4 y olds in 2007, 182 million (28% were likely to have sought treatment in a public sector clinic of which 78 million (43% were likely to have been infected with P. falciparum (range 60-103 million. CONCLUSIONS: Spatial estimates of childhood fevers and care-seeking rates can be combined with a relational risk model of infection prevalence in the community to estimate the degree of parasitemia in those fevers reaching public health facilities. This quantification provides an important baseline comparison

  1. Making governance work in the health care sector: evidence from a 'natural experiment' in Italy.

    Science.gov (United States)

    Nuti, Sabina; Vola, Federico; Bonini, Anna; Vainieri, Milena

    2016-01-01

    The Italian Health care System provides universal coverage for comprehensive health services and is mainly financed through general taxation. Since the early 1990s, a strong decentralization policy has been adopted in Italy and the state has gradually ceded its jurisdiction to regional governments, of which there are twenty. These regions now have political, administrative, fiscal and organizational responsibility for the provision of health care. This paper examines the different governance models that the regions have adopted and investigates the performance evaluation systems (PESs) associated with them, focusing on the experience of a network of ten regional governments that share the same PES. The article draws on the wide range of governance models and PESs in order to design a natural experiment. Through an analysis of 14 indicators measured in 2007 and in 2012 for all the regions, the study examines how different performance evaluation models are associated with different health care performances and whether the network-shared PES has made any difference to the results achieved by the regions involved. The initial results support the idea that systematic benchmarking and public disclosure of data are powerful tools to guarantee the balanced and sustained improvement of the health care systems, but only if they are integrated with the regional governance mechanisms. PMID:25819303

  2. Relationship between morale and motivation in teamwork environments: A research in the health sector

    OpenAIRE

    Pınar Erdoğan; Adnan Çelik

    2016-01-01

    Hospitals in which wide variety of types of health care services are provided require the work of many professionals working together in a harmony. However, it is possible to provide the harmony by teamwork. For the quality health care, it is a must to keep the morale-motivation at high level of the hospital employees who serve 24-hour continuously. Teamwork, same in all other businesses, is considered as a factor that affects the morale and motivation of hospital employees in a positive mann...

  3. Charger for NiMH batteries based on buck DC/DC converter

    OpenAIRE

    Lapčević Vladimir

    2014-01-01

    In this paper is presented charger for NiMH battery types AA. Charger is realized by Buck DC/DC converter and microcontroller. Microcontroller controls the work of Buck DC/DC converter by pulse width modulation and by measuring the current of battery charging. The current of charging is held constant by power electronics, and the time of charging is set by the user dependent of capacity of the battery. Standard battery chargers enable the recharge of NiMH b...

  4. Nonlinear state-feedback with disturbances estimation for DC-DC Buck converter

    OpenAIRE

    Fall, Mamadou Lamine; Gehan, Olivier; Pigeon, Eric; Pouliquen, Mathieu; M'Saad, Mohammed

    2012-01-01

    Abstract--The aim of this paper is to present new results on the Buck converter control. The behaviour of the buck converter is described by the well-known average model and the control strategy is based on a double integral high gain control law including an estimation of current load. This control scheme rejects efficiently the disturbances introduced by the battery dynamics that depends on both the coil current and its charge level. Of particular interest, this nonlinear control algorithm ...

  5. A Novel Soft-Switching Synchronous Buck Converter for Portable Applications

    OpenAIRE

    Mohapatra, K. K.; Swapnajit Pattnaik; Anup Kumar Panda

    2008-01-01

    This paper proposes a zero-voltage-transition (ZVT) pulse-width-modulated (PWM) synchronous buck converter, which is designed to operate at low voltage and high efficiency typically required for portable systems. A new passive auxiliary circuit that allows the main switch to operate with zero-voltage switching has been incorporated in the conventional PWM synchronous buck converter. The operation principles and a detailed steady-state analysis of the ZVT-PWM synchronous converter implemented ...

  6. Setting priorities for the health care sector in Zimbabwe using cost-effectiveness analysis and estimates of the burden of disease

    OpenAIRE

    Hansen Kristian; Chapman Glyn

    2008-01-01

    Abstract Background This study aimed at providing information for priority setting in the health care sector of Zimbabwe as well as assessing the efficiency of resource use. A general approach proposed by the World Bank involving the estimation of the burden of disease measured in Disability-Adjusted Life Years (DALYs) and calculation of cost-effectiveness ratios for a large number of health interventions was followed. Methods Costs per DALY for a total of 65 health interventions were estimat...

  7. Improving the health care sector with a happiness-based approach

    NARCIS (Netherlands)

    Weiss, L.; Kedzia, S.; Francissen, A.A.; Westerhof, G.J.; Soraker, J. H.; Rijt, van der J.-W.; Boer, de J.; Brey, P.; Wong, P.-H.

    2015-01-01

    Traditionally, welfare states in Western Europe and their health care systems focused on the problems of individual citizens. Similarly, academic disciplines paid greater attention to what is going wrong than on what is going right. Nowadays the focus is shifting. It has been argued that it is impo

  8. Women's Use of Multi sector Mental Health Services in a Community-Based Perinatal Depression Program

    Science.gov (United States)

    Price, Sarah Kye

    2010-01-01

    Low-income and ethnic minority women have been described as at risk for experiencing depression during and around the time of pregnancy, a finding complicated by low levels of mental health service use within this population. This study retrospectively examined data from a community-based perinatal depression project targeting low-income women in…

  9. Buck Converter with Soft-Switching Cells for PV Panel Applications

    Directory of Open Access Journals (Sweden)

    Cheng-Tao Tsai

    2016-03-01

    Full Text Available In power conversion of photovoltaic (PV energy, a hard-switching buck converter always generates some disadvantages. For example, serious electromagnetic interference (EMI, high switching losses, and stresses on an active switch (metal-oxide-semiconductor-field-effect-transistor, MOSFET, and high reverse-recovery losses of a freewheeling diode result in low conversion efficiency. To release these disadvantages, a buck converter with soft-switching cells for PV panel applications is proposed. To create zero-voltage-switching (ZVS features of the active switches, a simple active soft-switching cell with an inductor, a capacitor, and a MOSFET is incorporated into the proposed buck converter. Therefore, the switching losses and stresses of the active switches and EMI can be reduced significantly. To reduce reverse-recovery losses of a freewheeling diode, a simple passive soft-switching cell with a capacitor and two diodes is implemented. To verify the performance and the feasibility of the proposed buck converter with soft-switching cells for PV panel applications, a prototype soft-switching buck converter is built and implemented by using a maximum-power-point-tracking (MPPT method. Simulated and experimental results are presented from a 100 W soft-switching buck converter for PV panel applications.

  10. A REFLECTION ON THE WAVE OF AMALGAMATIONS IN THE ROMANIAN HEALTH SECTOR

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    Ina MITU

    2014-12-01

    Full Text Available In the context of New Public Management (NPM and good governance, in the last decade the Romanian public health system has undergone a reform process. One of its consequences is the wave of public hospitals amalgamations that have occurred especially since the adoption of the new health law. Thus, in 2011 the Ministry of Health has made public a list of proposed amalgamations of hospitals (around 25% from total hospitals with beds that existed in that period. The aim of this research is to examine the wave of hospital mergers that occurred in Romania between 2011 and 2012. In particular, the study focuses on the drivers, social impact, typology and purpose of the analysed amalgamations. The study uses primary resources documents and it is based on a content analysis of 25 Government Decisions and Substantiation Notes from 2011 to 2012. An important generalization of the paper is that all the amalgamations from the analysed period are involuntary and are selected on territorial criteria and depending on the distance, the specific health services for the purpose of efficient use of human and material resources in order to enhance public health services. Additionally, the expected social impact of these events is materialized mainly in improving the quality of medical services provided to the population and providing unconditional access to medical services for policyholders. The expected changes include: reduction of staff costs; efficient use of public services; classifying the amalgamated hospitals in a higher category; reduction of management positions; optimizing medical activity in terms of economic efficiency; and achieving a management capable of the best use of existing financial resources.

  11. The match between motivation and performance management of health sector workers in Mali

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    Touré Hamadassalia

    2006-02-01

    Full Text Available Abstract Human resources for health (HRH play a central role in improving accessibility to services and quality of care. Their motivation influences this. In Mali, operational research was conducted to identify the match between motivation and the range and use of performance management activities. Objectives To describe the factors motivating and demotivating health workers in Mali and match the motivators with the implementation of performance management. Methods First an exploratory qualitative study was conducted: 28 interviews and eight group discussions were held. This was followed by a cross-sectional survey, during which 370 health workers were interviewed. The study population consisted of health workers of eight professional groups. The following issues were investigated: • motivating and demotivating factors; • experiences with performance management, including: job descriptions, continuous education, supervision, performance appraisal and career development. Findings The study showed that the main motivators of health workers were related to responsibility, training and recognition, next to salary. These can be influenced by performance management (job descriptions, supervisions, continuous education and performance appraisal. Performance management is not optimally implemented in Mali, as job descriptions were not present or were inappropriate; only 13% of interviewees received 4× per year supervision, and training needs were not analysed. Some 48% of the interviewees knew their performance had been appraised in the last two years; the appraisals were perceived as subjective. No other methods were in place to show recognition. The results enabled the research team to propose adaptations or improvements upon existing performance management. Conclusion The results showed the importance of adapting or improving upon performance management strategies to influence staff motivation. This can be done by matching performance management

  12. Health and Safety Challenges, and Perceptions of Private Sector Waste Operators in Lagos, Nigeria

    Directory of Open Access Journals (Sweden)

    Mynepalli K. C. Sridhar

    2014-03-01

    Full Text Available This study assessed the knowledge, and perceptions on safety measure practices and challenges of private sector participation (PSP operators on solid waste management in Lagos State, Nigeria. This was a cross-sectional study and utilized interviewer administered questionnaire. The study employed purposive sampling among 256 PSP operators. Data were analyzed using descriptive statistics, Pearson’s product moment and multiple regression analysis correlation at 5% level of significance. Respondents’ age was 35.7 ± 4.2 years, and included 78.5% male. About 55.9% of the respondents spent up to 5 years in the waste management operations. Some 44.9% had at least completed secondary school education. A good knowledge of waste management was exhibited by 68.4% of the respondents. The respondents who had spent 16 years and above in waste management operations were more knowledgeable (8.0 ± 2.1 compared to those who had spent lesser time (p

  13. Private sector delivery of health services in developing countries: a mixed-methods study on quality assurance in social franchises

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    Schlein Karen

    2013-01-01

    Full Text Available Abstract Background Across the developing world health care services are most often delivered in the private sector and social franchising has emerged, over the past decade, as an increasingly popular method of private sector health care delivery. Social franchising aims to strengthen business practices through economies of scale: branding clinics and purchasing drugs in bulk at wholesale prices. While quality is one of the established goals of social franchising, there is no published documentation of how quality levels might be set in the context of franchised private providers, nor what quality assurance measures can or should exist within social franchises. The aim of this study was to better understand the quality assurance systems currently utilized in social franchises, and to determine if there are shared standards for practice or quality outcomes that exist across programs. Methods The study included three data sources and levels of investigation: 1 Self-reported program data; 2 Scoping telephone interviews; and 3 In-depth field interviews and clinic visits. Results Social Franchises conceive of quality assurance not as an independent activity, but rather as a goal that is incorporated into all areas of franchise operations, including recruitment, training, monitoring of provider performance, monitoring of client experience and the provision of feedback. Conclusions These findings are the first evidence to support the 2002 conceptual model of social franchising which proposed that the assurance of quality was one of the three core goals of all social franchises. However, while quality is important to franchise programs, quality assurance systems overall are not reflective of the evidence to-date on quality measurement or quality improvement best practices. Future research in this area is needed to better understand the details of quality assurance systems as applied in social franchise programs, the process by which quality assurance

  14. Policy entrepreneurship in the development of public sector strategy: the case of London health reform.

    Science.gov (United States)

    Oborn, Eivor; Barrett, Michael; Exworthy, Mark

    2011-01-01

    The development of health policy is recognized as complex; however, there has been little development of the role of agency in this process. Kingdon developed the concept of policy entrepreneur (PE) within his ‘windows’ model. He argued inter-related ‘policy streams' must coincide for important issues to become addressed. The conjoining of these streams may be aided by a policy entrepreneur. We contribute by clarifying the role of the policy entrepreneur and highlighting the translational processes of key actors in creating and aligning policy windows. We analyse the work in London of Professor Sir Ara Darzi as a policy entrepreneur. An important aspect of Darzi's approach was to align a number of important institutional networks to conjoin related problems. Our findings highlight how a policy entrepreneur not only opens policy windows but also yokes together a network to make policy agendas happen. Our contribution reveals the role of clinical leadership in health reform. PMID:22069793

  15. A COMPARISON OF MEDICAL CARE FACILITIES AND VARIOUS HEALTH STATISTICS UNDER PRICATE AND PUBLIC SECTORS

    Directory of Open Access Journals (Sweden)

    K. Nasseri

    1975-06-01

    Full Text Available A comparison of various health statistics among Sweden, The United States of America, and United Kingdom reveals that the U.S. is in an inferior situation. This is traced to those acute and communicable diseases which could very easily be prevented. However medical care services require money and this money due to the nature of health care system in the U.S. has to come from the patients. While the whites can afford the astronomical medical bills, the non-whites can not and this is very vividly reflected in the statistics. On the other hand, the impact of poverty on statistic could have been much smaller if the medical care would have been included, at least partially, within the governmental responsibilities like Sweden and United Kingdom.

  16. Financial Analysis of the Greek Private Health Sector over the Last Decade (2002-2012)

    OpenAIRE

    George Loukopoulos; Theodoros Roupas

    2014-01-01

    The purpose of this study is to perform a comprehensive financial statement analysis for Hygeia, the largest Private Health Organization in Greece. In this regard, we employ a variety of theoretically advanced approaches. For instance, DuPont analysis based on the decomposition scheme of Nissim and Penman (2001), shows that the capital structure decisions eroded shareholder profits, and specifically their impact was pronounced after the outbreak of the global financial crisis. Considering the...

  17. Measuring a Bank’s Financial Health: A Case Study for the Greek Banking Sector

    OpenAIRE

    John Thalassinos; Konstantinos Liapis

    2011-01-01

    The main aim of this article is to demonstrate a holistic framework for measuring a bank’s financial health by classifying its main responsibilities between conformance and performance. Responsibilities are classified into five categories as follows: First, Corporate Financial Reporting (CFR) that integrates General Accepted Accounting Principles (GAAP), Generally Accepted Auditing Standards (GAAS), Securities Exchange Commission (SEC), Financial Services Authority (FSA), and International Ac...

  18. Moderators between work context and psychological health in a public service sector / S. Williams

    OpenAIRE

    Wiliams, Shelley-Ann

    2009-01-01

    Work context has many consequences for the psychological outcomes of employees. These outcomes also have consequences for the employer through possible loss of productivity, impaired health of employees which may be associated with absenteeism and turnover intention, among others. The literature also shows that these outcomes are not always the same even under similar working conditions. Theorising in cognitive psychology indicates that the way in which an individual appraises a situation may...

  19. Inequity in a market-based health system: evidence from Canada's dental sector

    OpenAIRE

    Michel Grignon; Jeremiah Hurley; Li Wang; Sara Allin

    2008-01-01

    We study the extent and drivers of income-related inequity in utilization of dental services in Canada using the concentration-index approach that has been widely applied to study equity in physician and hospital services. Because dental care is almost wholly privately financed in Canada, our estimates provide a benchmark for income-related inequity of utilization in private health systems. Although a number of studies document a link between income and utilization, our study is one of the fe...

  20. Health, safety and environmental practices in the construction sector of Pakistan

    OpenAIRE

    Hassan, Syed Ahmed

    2012-01-01

    Many south Asian countries are deficient in appropriate documentation, legislation and surveillance related to occupational health and safety (OHS). All these countries have high OHS incidence rate and labourers working in these countries are constantly exposed to occupational accidents and diseases. Although occupational accidents and work-related concerns have been in debate for a long time, no concrete moves have been taken, making situations worse and posing consistent coercions to an inc...

  1. Evaluation of health workforce competence in maternal and neonatal issues in public health sector of Pakistan: an Assessment of their training needs

    Directory of Open Access Journals (Sweden)

    Jafarey Sadiqua N

    2010-11-01

    Full Text Available Abstract Background More than 450 newborns die every hour worldwide, before they reach the age of four weeks (neonatal period and over 500,000 women die from complications related to childbirth. The major direct causes of neonatal death are infections (36%, Prematurity (28% and Asphyxia (23%. Pakistan has one of the highest perinatal and neonatal mortality rates in the region and contributes significantly to global neonatal mortality. The high mortality rates are partially attributable to scarcity of trained skilled birth attendants and paucity of resources. Empowerment of health care providers with adequate knowledge and skills can serve as instrument of change. Methods We carried out training needs assessment analysis in the public health sector of Pakistan to recognize gaps in the processes and quality of MNCH care provided. An assessment of Knowledge, Attitude, and Practices of Health Care Providers on key aspects was evaluated through a standardized pragmatic approach. Meticulously designed tools were tested on three tiers of health care personnel providing MNCH in the community and across the public health care system. The Lady Health Workers (LHWs form the first tier of trained cadre that provides MNCH at primary care level (BHU and in the community. The Lady Health Visitor (LHVs, Nurses, midwives cadre follow next and provide facility based MNCH care at secondary and tertiary level (RHCs, Taluka/Tehsil, and DHQ Hospitals. The physician/doctor is the specialized cadre that forms the third tier of health care providers positioned in secondary and tertiary care hospitals (Taluka/Tehsil and DHQ Hospitals. The evaluation tools were designed to provide quantitative estimates across various domains of knowledge and skills. A priori thresholds were established for performance rating. Results The performance of LHWs in knowledge of MNCH was good with 30% scoring more than 70%. The Medical officers (MOs, in comparison, performed poorly in their

  2. Re-thinking global health sector efforts for HIV and tuberculosis epidemic control: promoting integration of programme activities within a strengthened health system

    Directory of Open Access Journals (Sweden)

    Maher Dermot

    2010-07-01

    development and scaling up interventions, and identify ways of joint planning and joint funding of integrated delivery as part of strengthened health systems. Summary As both a danger and an opportunity, the global financial crisis may entail disaster or recovery for global health sector efforts for HIV and tuberculosis epidemic control. Review of policies and progress in control paves the way for identification of synergies between the two programmes, within strengthened health services. The silver lining in the global economic crisis could be better control of the HIV and tuberculosis epidemics, better overall health system performance and outcomes, and better value for money.

  3. Perceptions of per diems in the health sector: evidence and implications.

    Science.gov (United States)

    Vian, Taryn; Miller, Candace; Themba, Zione; Bukuluki, Paul

    2013-05-01

    Per diems are used to pay work-related expenses and motivate employees, yet they also can distort incentives and may be abused. This study was designed to explore perceptions of per diems among 41 high-, mid- and low-level government officers and non-governmental organization (NGO) officials in Malawi and Uganda. Interviews explored attitudes about per diems, benefits and problems for organizations and individuals, and risks and patterns of abuse. The study found that per diems provide benefits such as encouraging training, increasing staff motivation and supplementing salary. Despite these advantages, respondents voiced many discontents about per diems, stating that they create conflict, contribute to a negative organizational culture where people expect to be paid for all activities, and lead to negative changes in work time allocation. Work practices are also manipulated in order to maximize financial gain by slowing work, scheduling unnecessary trainings, or exaggerating time needed for tasks. Officials may appropriate per diems meant for others or engage in various forms of fraud for personal financial gain. Abuse seemed more common in the government sector due to low pay and weaker controls. A striking finding was the distrust that lower-level workers felt toward their superiors: allowances were perceived to provide unfair financial advantages to already better-off and well-connected staff. To curb abuse of per diems, initiatives must reduce pressures and incentives to abuse, while controlling discretion and increasing transparency in policy implementation. Donors can play a role in reform by supporting development of policy analysis tools, design of control mechanisms and evaluation of reform strategies. PMID:22684639

  4. Li-Ion Battery Charging with a Buck-Boost Power Converter for a Solar Powered Battery Management System

    OpenAIRE

    Chien-Wei Ma; Jaw-Kuen Shiau

    2013-01-01

    This paper analyzes and simulates the Li-ion battery charging process for a solar powered battery management system. The battery is charged using a non-inverting synchronous buck-boost DC/DC power converter. The system operates in buck, buck-boost, or boost mode, according to the supply voltage conditions from the solar panels. Rapid changes in atmospheric conditions or sunlight incident angle cause supply voltage variations. This study develops an electrochemical-based equivalent circuit mod...

  5. Semen characteristics and sperm morphological studies of the West African Dwarf Buck treated with Aloe vera gel extract

    OpenAIRE

    Oyeyemi Matthew Olugbenga; Samuel Gbadebo Olukole; Ajayi Tolulope Adeoye

    2011-01-01

    Background: Aloe vera (Aloe barbadensis miller) is an evergreen perennial plant widely used in modern herbal practice and is often available in proprietary herbal preparations.Objective: This study was designed to investigate the semen picture and spermatozoa morphology of West African Dwarf (WAD) bucks treated with Aloe vera extract.Materials and Methods: Twelve sexually matured WAD bucks, weighing between 11 and 15 kg, were used for the study. The bucks were first used as control (pre-treat...

  6. Semen characteristics and sperm morphological studies of the West African Dwarf Buck treated with Aloe vera gel extract

    OpenAIRE

    Olugbenga, Oyeyemi Matthew; Olukole, Samuel Gbadebo; Adeoye, Ajayi Tolulope; Adejoke, Adeniji Deborah

    2011-01-01

    Background: Aloe vera (Aloe barbadensis miller) is an evergreen perennial plant widely used in modern herbal practice and is often available in proprietary herbal preparations. Objective: This study was designed to investigate the semen picture and spermatozoa morphology of West African Dwarf (WAD) bucks treated with Aloe vera extract. Materials and Methods: Twelve sexually matured WAD bucks, weighing between 11 and 15 kg, were used for the study. The bucks were first used as control (pre-tre...

  7. Use of nuclear energy: the perception of public risk from radiation. Experience from health sector

    Directory of Open Access Journals (Sweden)

    Leopoldo Arranz y Carrillo de Albornoz

    2010-12-01

    Full Text Available Radiological risks are, probably by the fact that Hiroshima and Nagasaki bombs still are a part of the collective nightmares of the humankind, always with the sword of Damocles of a possible use of nuclear weapons, the paradigm of subjectivity. And their negative perception by the citizens has turned into a growing interest for people responsible of the management of any of the applications of the ionizing radiations. In this work the opinion of communication experts, some based on their experience in the health care system, with regard to radiological risks and what can be done in order to modify such negative perception are set out.

  8. District decision-making for health in low-income settings: a qualitative study in Uttar Pradesh, India, on engaging the private health sector in sharing health-related data

    Science.gov (United States)

    Gautham, Meenakshi; Spicer, Neil; Subharwal, Manish; Gupta, Sanjay; Srivastava, Aradhana; Bhattacharyya, Sanghita; Avan, Bilal Iqbal; Schellenberg, Joanna

    2016-01-01

    Health information systems are an important planning and monitoring tool for public health services, but may lack information from the private health sector. In this fourth article in a series on district decision-making for health, we assessed the extent of maternal, newborn and child health (MNCH)-related data sharing between the private and public sectors in two districts of Uttar Pradesh, India; analysed barriers to data sharing; and identified key inputs required for data sharing. Between March 2013 and August 2014, we conducted 74 key informant interviews at national, state and district levels. Respondents were stakeholders from national, state and district health departments, professional associations, non-governmental programmes and private commercial health facilities with 3–200 beds. Qualitative data were analysed using a framework based on a priori and emerging themes. Private facilities registered for ultrasounds and abortions submitted standardized records on these services, which is compulsory under Indian laws. Data sharing for other services was weak, but most facilities maintained basic records related to institutional deliveries and newborns. Public health facilities in blocks collected these data from a few private facilities using different methods. The major barriers to data sharing included the public sector’s non-standardized data collection and utilization systems for MNCH and lack of communication and follow up with private facilities. Private facilities feared information disclosure and the additional burden of reporting, but were willing to share data if asked officially, provided the process was simple and they were assured of confidentiality. Unregistered facilities, managed by providers without a biomedical qualification, also conducted institutional deliveries, but were outside any reporting loops. Our findings suggest that even without legislation, the public sector could set up an effective MNCH data sharing strategy with

  9. Relationship between morale and motivation in teamwork environments: A research in the health sector

    Directory of Open Access Journals (Sweden)

    Pınar Erdoğan

    2016-03-01

    Full Text Available Hospitals in which wide variety of types of health care services are provided require the work of many professionals working together in a harmony. However, it is possible to provide the harmony by teamwork. For the quality health care, it is a must to keep the morale-motivation at high level of the hospital employees who serve 24-hour continuously. Teamwork, same in all other businesses, is considered as a factor that affects the morale and motivation of hospital employees in a positive manner. The purpose of this research is to determine the relationship between teamwork and morale-motivation levels of employees at surgery section of Pamukkale University Hospital in the province of Denizli. For this purpose, hypothesis of the research are determined by considering the theoretical discussions in the literature and research findings. Research hypothesis were tested by using the data obtained from the survey method with 58 employees of Pamukkale University Hospital in the province of Denizli. Descriptive statistical methods, correlation and regression analysis were used to analyze the data. Statistically significant relationship between some demographic characteristics of employees and the teamwork environment and morale-motivation level was found in the results. Relation between the teamwork environment and morale-motivation level was measured by correlation regression analysis, and no statistical significance was observed between two concepts. However, a statistical significance was found between the support for sub-dimension of innovation within the teamwork environment-team vision dimension and morale-motivation level.

  10. The implications of Herzberg's "motivation-hygiene" theory for management in the Irish health sector.

    Science.gov (United States)

    Byrne, Michael

    2006-01-01

    Given that they create what it sells, employees are the Irish Health service's most valuable asset. They are increasingly being asked to embrace change on many different levels. In order to facilitate this process, it behooves management to actively promote employee motivation. Herzberg et al's "motivation-hygiene" theory of motivation proposes that certain "motivator" and "hygiene" factors can respectively affect job satisfaction and dissatisfaction. Considering "motivators," better on-the-job performance may increase motivation. However, work overload can become a dissatisfier. Devolving equal levels of authority and responsibility and providing appropriate recognition may also serve to motivate. Likewise, providing opportunities for promotion and personal growth may maintain motivation, as might re-engineering of jobs so that work remains meaningful. Over time both salary and incentives may come to be viewed as entitlements and lose their ability to motivate. Other "hygiene" factors such as organizational policy and administrative structure, relations with others, job insecurity, physical working conditions, and quality of supervision can lead to job dissatisfaction. Hence, the theory of Herzberg et al usefully highlights many factors that may serve to motivate or demotivate employees. However, this theory does not reflect some of the realities of the modern health care work environment. PMID:16501377

  11. Improvements in access to malaria treatment in Tanzania following community, retail sector and health facility interventions -- a user perspective

    Directory of Open Access Journals (Sweden)

    Obrist Brigit

    2010-06-01

    Full Text Available Abstract Background The ACCESS programme aims at understanding and improving access to prompt and effective malaria treatment. Between 2004 and 2008 the programme implemented a social marketing campaign for improved treatment-seeking. To improve access to treatment in the private retail sector a new class of outlets known as accredited drug dispensing outlets (ADDO was created in Tanzania in 2006. Tanzania changed its first-line treatment for malaria from sulphadoxine-pyrimethamine (SP to artemether-lumefantrine (ALu in 2007 and subsidized ALu was made available in both health facilities and ADDOs. The effect of these interventions on understanding and treatment of malaria was studied in rural Tanzania. The data also enabled an investigation of the determinants of access to treatment. Methods Three treatment-seeking surveys were conducted in 2004, 2006 and 2008 in the rural areas of the Ifakara demographic surveillance system (DSS and in Ifakara town. Each survey included approximately 150 people who had suffered a fever case in the previous 14 days. Results Treatment-seeking and awareness of malaria was already high at baseline, but various improvements were seen between 2004 and 2008, namely: better understanding causes of malaria (from 62% to 84%; an increase in health facility attendance as first treatment option for patients older than five years (27% to 52%; higher treatment coverage with anti-malarials (86% to 96% and more timely use of anti-malarials (80% to 93-97% treatments taken within 24 hrs. Unfortunately, the change of treatment policy led to a low availability of ALu in the private sector and, therefore, to a drop in the proportion of patients taking a recommended malaria treatment (85% to 53%. The availability of outlets (health facilities or drug shops is the most important determinant of whether patients receive prompt and effective treatment, whereas affordability and accessibility contribute to a lesser extent. Conclusions An

  12. Milestones in Implementation of an Integrated Management System in the Health Sector. Case Study Radiologische Netzwerk Rheinland

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    Claus Nagel-Picioruş

    2016-05-01

    Full Text Available Healthcare organizations in Germany exploit the benefits of the ISO 9000 family of international standards as it became compulsory to implement a quality management system in accordance with ISO 9001 requirements. Until the innovative ISO 9001:2015 proposal it was no direct connection to the other management systems like risk management, knowledge management or environmental management. So far, only few bodies ensured interconnections between different systems of management or associated the quality management system with the strategic planning process. However, healthcare encapsulates supplementary requirements which affect a number of different systems. Additionally, the financial crisis has encouraged the trend to operate integrated reporting beyond financial aspects. This paper aims at presenting the experience on the development of integrated management and reporting system integrated in an organization belonging to the health sector. The work clarifies the steps towards merging distinctly regulated management systems (quality, health or environmental management with strategic planning and controlling, via a Balanced Dashboard (Balanced Scorecard - BSC as well as integrated reporting according to the model International Integrated Reporting Initiative (IIRI in a German medical company - Radiologische Netzwerk Rheinland - RNR AG. Using the case study method, the paper's purpose is to highlight approaches and results of the company that could support practitioners from medical area and bezound. The literature review clarified theoretical concepts while the case study allowed converging comprehensive information and knowledge accumulated by RNR AG, thus helping to bridge the gap between literature on total integrated management reporting and reporting system in healthcare.

  13. A retrospective content analysis of studies on factors constraining the implementation of health sector reform in Ghana.

    Science.gov (United States)

    Sakyi, E Kojo

    2008-01-01

    Ghana has undertaken many public service management reforms in the past two decades. But the implementation of the reforms has been constrained by many factors. This paper undertakes a retrospective study of research works on the challenges to the implementation of reforms in the public health sector. It points out that most of the studies identified: (1) centralised, weak and fragmented management system; (2) poor implementation strategy; (3) lack of motivation; (4) weak institutional framework; (5) lack of financial and human resources and (6) staff attitude and behaviour as the major causes of ineffective reform implementation. The analysis further revealed that quite a number of crucial factors obstructing reform implementation which are particularly internal to the health system have either not been thoroughly studied or overlooked. The analysis identified lack of leadership; weak communication and consultation; lack of stakeholder participation, corruption and unethical professional behaviour as some of the missing variables in the literature. The study, therefore, indicated that there are gaps in the literature that needed to be filled through rigorous reform evaluation based on empirical research particularly at district, sub-district and community levels. It further suggested that future research should be concerned with the effects of both systems and structures and behavioural factors on reform implementation. PMID:18536006

  14. On professional and official requirements to physicians in radiation health by sectoral sanitary and epidemiological stations

    International Nuclear Information System (INIS)

    Professional and official requirements (POR) to sanitary physician, which deals with radiation hygiene at the sanitary and epidemiologic stations (SES), are considered. These requirements determine minimum of professional skills and abilities in the field of radiation hygiene. Physician should contribute to the improvement of radiation safety and health indices for personnel and population, and in this case, his activity should not impede the further usage of ionizing radiation sources in the national economy. Sanitary physician, dealing with a actain branch of industry, concerning the problems of radiation hygiene should know the principles of deontology, aims and functions of SES establishment and departments in the field of radiation hygiene, legal principles of radiation safety is basic tasks are as follows: 1) State sanitary inspection of sanitary-hygienic measures for the environmental protection and radiation protection of population; 2) organizational and methodological activity; 3) activity in medical civil defense

  15. The third sector for supporting sustainability and innovation in health field

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    Ilaria Oberti

    2015-04-01

    Full Text Available In a precarious general framework, in which the quality of the Italian healthcare system is getting worse and worse, there are examples of excellence, such as the Maria Letizia Verga Center for the Study and Treatment of child leukemia. This is a new pavilion for the Pediatric Hematology of S. Gerardo Hospital in Monza, fourth center in the world to bring together in a single organization the medical care and the research/training activities. The building architectural design aimed at coordinating the efficiency of medical procedures together with the criteria of humanization of the spaces and the new partnership model, revolutionary within the Italian National Health Service, represent two of the aspects that contribute this Center to be a distinctive case.

  16. Resource based view of the firm: measures of reputation among health service-sector businesses.

    Science.gov (United States)

    Smith, Alan D

    2008-01-01

    Application of the strategic leverage of Resource Based View of the Firm (RBV) directly advocates that a company's competitive advantage is derived from its ability to assemble and exploit an appropriate combination of resources (both tangible and intangible assets). The three companies that were selected were Pittsburgh-based companies that were within relatively easy access, representing healthcare service-related industries, and can be reviewed for the principles of the RBV. The particular firms represented a variety of establishments and included Baptist Homes (a long-term care facility), University of Pittsburgh Medical Center (UPMC)(a provider of hospital and other health services), and GlaxoSmithKline, Consumer Healthcare, North America (GSK-CHNA)(a global provider of healthcare products and services). Through the case studies, it was found that not all intangible assets are strategic, and by extension, not all measures of reputation are strategic either. For an intangible asset to be considered strategic, in this case reputation, it must be valuable, rare, imperfectly imitable, and non-substitutable. PMID:19064477

  17. Emerging aspects of nanotoxicology in health and disease: From agriculture and food sector to cancer therapeutics.

    Science.gov (United States)

    Piperigkou, Zoi; Karamanou, Konstantina; Engin, Ayse Basak; Gialeli, Chrysostomi; Docea, Anca Oana; Vynios, Demitrios H; Pavão, Mauro S G; Golokhvast, Kirill S; Shtilman, Mikhail I; Argiris, Athanassios; Shishatskaya, Ekaterina; Tsatsakis, Aristidis M

    2016-05-01

    Nanotechnology is an evolving scientific field that has allowed the manufacturing of materials with novel physicochemical and biological properties, offering a wide spectrum of potential applications. Properties of nanoparticles that contribute to their usefulness include their markedly increased surface area in relation to mass, surface reactivity and insolubility, ability to agglomerate or change size in different media and enhanced endurance over conventional-scale substance. Here, we review nanoparticle classification and their emerging applications in several fields; from active food packaging to drug delivery and cancer research. Nanotechnology has exciting therapeutic applications, including novel drug delivery for the treatment of cancer. Additionally, we discuss that exposure to nanostructures incorporated to polymer composites, may result in potential human health risks. Therefore, the knowledge of processes, including absorption, distribution, metabolism and excretion, as well as careful toxicological assessment is critical in order to determine the effects of nanomaterials in humans and other biological systems. Expanding the knowledge of nanoparticle toxicity will facilitate designing of safer nanocomposites and their application in a beneficial manner. PMID:26969113

  18. Advances in participatory occupational health aimed at good practices in small enterprises and the informal sector.

    Science.gov (United States)

    Kogi, Kazutaka

    2006-01-01

    Participatory programmes for occupational risk reduction are gaining importance particularly in small workplaces in both industrially developing and developed countries. To discuss the types of effective support, participatory steps commonly seen in our "work improvement-Asia" network are reviewed. The review covered training programmes for small enterprises, farmers, home workers and trade union members. Participatory steps commonly focusing on low-cost good practices locally achieved have led to concrete improvements in multiple technical areas including materials handling, workstation ergonomics, physical environment and work organization. These steps take advantage of positive features of small workplaces in two distinct ways. First, local key persons are ready to accept local good practices conveyed through personal, informal approaches. Second, workers and farmers are capable of understanding technical problems affecting routine work and taking flexible actions leading to solving them. This process is facilitated by the use of locally adjusted training tools such as local good examples, action checklists and group work methods. It is suggested that participatory occupational health programmes can work in small workplaces when they utilize low-cost good practices in a flexible manner. Networking of these positive experiences is essential. PMID:16610530

  19. [Governance and health: the rise of the managerialism in public sector reform].

    Science.gov (United States)

    Denis, Jean L; Lamothe, Lise; Langley, Ann; Stéphane, Guérard

    2010-01-01

    The article examines various healthcare systems reform projects in Canada and some Canadian provinces and reveals some tendencies in governance renewal. The analisis is based on the hypothesis that reform is an exercise aiming at the renewal of governance conception and practices. In renewing governance, reform leaders hope to use adequate and effective levers to attain announced reform objectives. The article shows that the conceptions and operational modalities of governance have changed over time and that they reveal tensions inherent to the transformation and legitimation process of public healthcare systems. The first section discusses the relationships between reform and change. The second section defines the conception of gouvernance used for the analisis. Based on a content analisis of the various reform reports, the third section reveals the evolution of the conception of governance in healthcare systems in Canada. In order to expose the new tendencies, ideologies and operational principles at the heart of the reform projects are analysed. Five ideologies are identified: the democratic ideology, the "population health" ideology, the business ideology, the managerial ideology and the ideology of equity and humanism. This leads to a discussion on the dominant influence of the managerial ideology in the current reform projects. PMID:20963305

  20. Measuring Use and Cost of Health Sector and Related Care in a Population of Girls and Young Women with Rett Syndrome

    Science.gov (United States)

    Hendrie, Delia; Bebbington, Ami; Bower, Carol; Leonard, Helen

    2011-01-01

    This study measured use and cost of health sector and related services in Rett syndrome and effects of socio-demographic, clinical severity and genetic factors on costs. The study population consisted of individuals with Rett syndrome registered with the Australian Rett Syndrome Database in 2004. Descriptive analysis was used to examine patterns…

  1. Beyond bridging the know-do gap: a qualitative study of systemic interaction to foster knowledge exchange in the public health sector in The Netherlands

    OpenAIRE

    Driessen Mareeuw, F.A. van den; Vaandrager, L; Klerkx, L.; Naaldenberg, J.; Koelen, M

    2015-01-01

    BACKGROUND: Despite considerable attention currently being given to facilitating the use of research results in public health practice, several concerns remain, resulting in the so-called know-do gap. This article aims to identify the key tensions causing the know-do gap from a broad perspective by using a systemic approach and considering the public health sector as an innovation system. METHODS: An exploratory qualitative design including in-depth semi-structured interviews was used, with 3...

  2. Introducing a model of cardiovascular prevention in Nairobi's slums by integrating a public health and private-sector approach: the SCALE-UP study

    Directory of Open Access Journals (Sweden)

    Steven van de Vijver

    2013-10-01

    Full Text Available Introduction: Cardiovascular disease (CVD is a leading cause of death in sub-Saharan Africa (SSA, with annual deaths expected to increase to 2 million by 2030. Currently, most national health systems in SSA are not adequately prepared for this epidemic. This is especially so in slum settlements where access to formal healthcare and resources is limited. Objective: To develop and introduce a model of cardiovascular prevention in the slums of Nairobi by integrating public health and private sector approaches. Study design: Two non-profit organizations that conduct public health research, Amsterdam Institute for Global Health and Development (AIGHD and African Population and Health Research Center (APHRC, collaborated with private-sector Boston Consulting Group (BCG to develop a service delivery package for CVD prevention in slum settings. A theoretic model was designed based on the integration of public and private sector approaches with the focus on costs and feasibility. Results: The final model includes components that aim to improve community awareness, a home-based screening service, patient and provider incentives to seek and deliver treatment specifically for hypertension, and adherence support. The expected outcomes projected by this model could prove potentially cost effective and affordable (1 USD/person/year. The model is currently being implemented in a Nairobi slum and is closely followed by key stakeholders in Kenya including the Ministry of Health, the World Health Organization (WHO, and leading non-governmental organizations (NGOs. Conclusion: Through the collaboration of public health and private sectors, a theoretically cost-effective model was developed for the prevention of CVD and is currently being implemented in the slums of Nairobi. If results are in line with the theoretical projections and first impressions on the ground, scale-up of the service delivery package could be planned in other poor urban areas in Kenya by

  3. Advanced buck converter power supply ABCPS for APT

    Energy Technology Data Exchange (ETDEWEB)

    Street, R.; Overett, T.; Bowles, E. [General Atomics, San Diego, CA (United States)

    1998-12-31

    The United States Department of Energy (DOE) is planning to fabricate an Accelerator for the Production of Tritium (APT) at their Savannah River Site, to provide Tritium for national defense. The 1700 million electron volt (MeV) proton beam accelerator will be powered by radio frequency (RF) klystrons. A direct current (DC) power supply is required for each of the approximately two hundred and fifty 1-megawatt (MW) continuous wave klystrons in the RF power system. The requirements are that the power supply meet output performance specifications, provide fault protection for the klystron, have high efficiency, high reliability, good maintainability, and be readily manufacturable. As the power supplies are one of the largest cost elements in the accelerator, a technology review was made to determine the most economical approach to satisfy the requirements. A switch-mode power supply employing a buck-regulator was identified as being potentially the lowest cost approach. As the switch represents a certain development risk, a small-scale prototype has been constructed for evaluation, and has resulted in the decision to fabricate a full-scale prototype power supply. A description of the hardware will be presented.

  4. Thoracic aortic aneurysm in a buck associated with caseous lymphadenitis

    Directory of Open Access Journals (Sweden)

    R.R. Pinheiro

    2013-06-01

    Full Text Available This paper reports the clinical, bacteriological and pathological findings of a thoracic aortic aneurysm in a four-year-old Anglo-Nubian goat buck, related to a framework of visceral caseous lymphadenitis. General clinical examination showed heart rate of 75 beats per minute, respiratory rate of 20 movements per minute and ruminal movements of four movements per minute. Superficial lymph nodes were normal upon palpation. Rectal temperature was slightly high (40.5°C. Blood test showed an intense leukocytosis (54,000/µL, characterized by strong neutrophil shift to the left. At necropsy, a large blood clot was detected in the thoracic cavity. The thickening of the myocardium and dilatation of the aorta in the thoracic portion, presenting a saculiform format was also observed. A large number of abscesses were disseminated in the media and intima layers of aorta. The aorta lumen obstruction by arterial plaques consisting of inflammatory infiltrate, predominantly neutrophilic was also detected. Abscesses were found spread in turbinate, rumen, reticulum, kidneys, liver, spleen, testicles and aorta wall. The microbiological exam of exudate confirmed Corynebacterium pseudotuberculosis as the causal agent.

  5. The construction and legitimation of workplace bullying in the public sector: insight into power dynamics and organisational failures in health and social care.

    Science.gov (United States)

    Hutchinson, Marie; Jackson, Debra

    2015-03-01

    Health-care and public sector institutions are high-risk settings for workplace bullying. Despite growing acknowledgement of the scale and consequence of this pervasive problem, there has been little critical examination of the institutional power dynamics that enable bullying. In the aftermath of large-scale failures in care standards in public sector healthcare institutions, which were characterised by managerial bullying, attention to the nexus between bullying, power and institutional failures is warranted. In this study, employing Foucault's framework of power, we illuminate bullying as a feature of structures of power and knowledge in public sector institutions. Our analysis draws upon the experiences of a large sample (n = 3345) of workers in Australian public sector agencies - the type with which most nurses in the public setting will be familiar. In foregrounding these power dynamics, we provide further insight into how cultures that are antithetical to institutional missions can arise and seek to broaden the debate on the dynamics of care failures within public sector institutions. Understanding the practices of power in public sector institutions, particularly in the context of ongoing reform, has important implications for nursing. PMID:25131347

  6. Prevention, control, and elimination of neglected diseases in the Americas: Pathways to integrated, inter-programmatic, inter-sectoral action for health and development

    Directory of Open Access Journals (Sweden)

    Genovese Miguel A

    2007-01-01

    Full Text Available Abstract Background In the Latin America and Caribbean region over 210 million people live below the poverty line. These impoverished and marginalized populations are heavily burdened with neglected communicable diseases. These diseases continue to enact a toll, not only on families and communities, but on the economically constrained countries themselves. Discussion As national public health priorities, neglected communicable diseases typically maintain a low profile and are often left out when public health agendas are formulated. While many of the neglected diseases do not directly cause high rates of mortality, they contribute to an enormous rate of morbidity and a drastic reduction in income for the most poverty-stricken families and communities. The persistence of this "vicious cycle" between poverty and poor health demonstrates the importance of linking the activities of the health sector with those of other sectors such as education, housing, water and sanitation, labor, public works, transportation, agriculture, industry, and economic development. Summary The purpose of this paper is three fold. First, it focuses on a need for integrated "pro-poor" approaches and policies to be developed in order to more adequately address the multi-faceted nature of neglected diseases. This represents a move away from traditional disease-centered approaches to a holistic approach that looks at the overarching causes and mechanisms that influence the health and well being of communities. The second objective of the paper outlines the need for a specific strategy for addressing these diseases and offers several programmatic entry points in the context of broad public health measures involving multiple sectors. Finally, the paper presents several current Pan American Health Organization and other institutional initiatives that already document the importance of integrated, inter-programmatic, and inter-sectoral approaches. They provide the framework for a

  7. Nexus between preventive policy inadequacies, workplace bullying, and mental health: Qualitative findings from the experiences of Australian public sector employees.

    Science.gov (United States)

    Hurley, John; Hutchinson, Marie; Bradbury, Joanne; Browne, Graeme

    2016-02-01

    Public sector organizations have been shown to have high levels of workplace bullying, despite widespread adoption of zero-tolerance policy. Given the level of harm that stems from bullying, it has been suggested that it might be one of the most serious problems facing modern organizations. The qualitative findings from a large cross sectional study of public servants in Australia are reported in the present study. The results highlight palpable mental distress and illness stemming from exposure to workplace bullying. This distress was exacerbated by failures in prohibitive workplace procedures. Reporting bullying through formal organization processes did not lead to resolution of the problem; it instead highlighted feelings of powerlessness and mistrust. In light of the findings, we suggest that an alternative discourse is required, one that gives attention to enhancing employee resilience and self-healing behaviours to the emotional trauma of workplaces. Organizations might be better placed investing resources in fostering the resilience and emotional intelligence of their workforce, rather than continuing to invest resources in prohibitive policies that fail to address the problem. Employees should be supported to prioritize responsibility for their own mental health, rather than an overreliance on organizational responses. PMID:26752457

  8. [Early childhood intervention - access to risk families and support through actors from the health-care sector].

    Science.gov (United States)

    Clauß, D; Deutsch, J; Krol, I; Haase, R; Willard, P; Müller-Bahlke, T; Mauz-Körholz, C; Körholz, D

    2014-07-01

    Interdisciplinary cooperation and networking determine the success of activities for supporting families at risk for early childhood abuse. The integration of the healthcare sector might be important.The medical standard of perinatal care at the University hospital includes information exchange about family risk factors which may contribute to an increased risk of child abuse within the first year of life. As a result, the -pediatrician offered supporting services for the families at the time of the second examination during the official childhood health screening program (U2). A team of family-sponsorship was established and evaluated.In 281 of 1238 risk-factor questionnaires at least one stress factor was detected and 97 families had high-impact family stress. Families under the supervision of a family midwife or youth services had a significantly higher number of risk factors. The family-sponsorship program was institutionalized and positively evaluated by the families.The time of a hospital delivery is an excellent opportunity for the evaluation of familial risk factors and for the provision of supporting services. To increase the acceptance of such services by the families at risk repeated assessment of risk factors and support offers are required. PMID:25010130

  9. Unemployment, public–sector health care expenditure and HIV mortality: An analysis of 74 countries, 1981–2009

    Directory of Open Access Journals (Sweden)

    Mahiben Maruthappu

    2015-06-01

    Full Text Available Background: The global economic downturn has been associated with increased unemployment and reduced public–sector expenditure on health care (PSEH. We determined the association between unemployment, PSEH and HIV mortality. Methods: Data were obtained from the World Bank and the World Health Organisation (1981–2009. Multivariate regression analysis was implemented, controlling for country–specific demographics and infrastructure. Time–lag analyses and robustness–checks were performed. Findings: Data were available for 74 countries (unemployment analysis and 75 countries (PSEH analysis, equating to 2.19 billion and 2.22 billion people, respectively, as of 2009. A 1% increase in unemployment was associated with a significant increase in HIV mortality (men: 0.1861, 95% CI: 0.0977 to 0.2744, P<0.0001, women: 0.0383, 95% CI: 0.0108 to 0.0657, P=0.0064. A 1% increase in PSEH was associated with a significant decrease in HIV mortality (men: –0.5015, 95% CI: –0.7432 to –0.2598, P=0.0001; women: –0.1562, 95% CI: –0.2404 to –0.0720, P=0.0003. Time–lag analysis showed that significant changes in HIV mortality continued for up to 5 years following variations in both unemployment and PSEH. Interpretation: Unemployment increases were associated with significant HIV mortality increases. PSEH increases were associated with reduced HIV mortality. The facilitation of access–to–care for the unemployed and policy interventions which aim to protect PSEH could contribute to improved HIV outcomes.

  10. How can insulin initiation delivery in a dual-sector health system be optimised? A qualitative study on healthcare professionals’ views

    Directory of Open Access Journals (Sweden)

    Lee Ping Yein

    2012-04-01

    Full Text Available Abstract Background The prevalence of type 2 diabetes is increasing at an alarming rate in developing countries. However, glycaemia control remains suboptimal and insulin use is low. One important barrier is the lack of an efficient and effective insulin initiation delivery approach. This study aimed to document the strategies used and proposed by healthcare professionals to improve insulin initiation in the Malaysian dual-sector (public–private health system. Methods In depth interviews and focus group discussions were conducted in Klang Valley and Seremban, Malaysia in 2010–11. Healthcare professionals consisting of general practitioners (n = 11, medical officers (n = 8, diabetes educators (n = 3, government policy makers (n = 4, family medicine specialists (n = 10 and endocrinologists (n = 2 were interviewed. We used a topic guide to facilitate the interviews, which were audio recorded, transcribed verbatim and analysed using a thematic approach. Results Three main themes emerged from the interviews. Firstly, there was a lack of collaboration between the private and public sectors in diabetes care. The general practitioners in the private sector proposed an integrated system for them to refer patients to the public health services for insulin initiation programmes. There could be shared care between the two sectors and this would reduce the disproportionately heavy workload at the public sector. Secondly, besides the support from the government health authority, the healthcare professionals wanted greater involvement of non-government organisations, media and pharmaceutical industry in facilitating insulin initiation in both the public and private sectors. The support included: training of healthcare professionals; developing and disseminating patient education materials; service provision by diabetes education teams; organising programmes for patients’ peer group sessions; increasing awareness and demystifying

  11. The psychosocial work environment and certified occupational health and safety management systems in the public sector – experience from two Danish municipalities

    DEFF Research Database (Denmark)

    Hasle, Peter; Hohnen, Pernille; Helbo, Anne;

    2014-01-01

    traditional base in manufacturing to a public sector with a focus on the psychosocial work environment is difficult and complex. The management system seems to help maintaining systematic OHS activities but the actors are still searching for ways to fit the systems to the peculiarities of the psychosocial......Certified occupational health and safety management (OHSM) systems are expected to cover the psychosocial work environment. We studied certified OHSM systems implemented in two medium-sized to large Danish municipalities. The cases show that the process of adopting OHSM systems from their...... work environment in the public sector....

  12. Research on Two-channel Interleaved Two-stage Paralleled Buck DC-DC Converter for Plasma Cutting Power Supply

    DEFF Research Database (Denmark)

    Yang, Xi-jun; Qu, Hao; Yao, Chen; Zhang, Ning-yun; Tang, Hou-jun; Chen, Quan; Blaabjerg, Frede

    As for high power plasma power supply, due to high efficiency and flexibility, multi-channel interleaved multi-stage paralleled Buck DC-DC Converter becomes the first choice. In the paper, two-channel interleaved two- stage paralleled Buck DC-DC Converter powered by three-phase AC power supply is...

  13. Semen characteristics and sperm morphological studies of the West African Dwarf Buck treated with Aloe vera gel extract

    Directory of Open Access Journals (Sweden)

    Oyeyemi Matthew Olugbenga

    2011-01-01

    Full Text Available Background: Aloe vera (Aloe barbadensis miller is an evergreen perennial plant widely used in modern herbal practice and is often available in proprietary herbal preparations.Objective: This study was designed to investigate the semen picture and spermatozoa morphology of West African Dwarf (WAD bucks treated with Aloe vera extract.Materials and Methods: Twelve sexually matured WAD bucks, weighing between 11 and 15 kg, were used for the study. The bucks were first used as control (pre-treatment and later as two groups of six animals each. The first six bucks received 10 mls of the 3% extract while the other six received 10 mls of the 4% of the extract for a 7 day period. Semen was collected from both the 3 and 4% extract treated bucks for the control (pre-treatment, on days eight (first week post-treatment and fifteen (second week post-treatment in each case using the electroejaculation method. The spermiogram of the bucks were investigated using standard procedures. Data obtained were analyzed using two way ANOVA and significance reported at p<0.05.Results: The continuous administration of Aloe vera extract significantly (p<0.05 reduced sperm concentration, motility and percentage livability and resulted in increased sperm abnormalities in the WAD buck.Conclusion: Aloe vera adversely affected the spermiogram of bucks. The plant can reduce fertility in male animals and is therefore not recommended for medicinal purpose in male animals especially those used for breeding.

  14. Application of Theory of Hybrid Systems to Control the Switching of Buck Converter

    KAUST Repository

    Benmiloud, Mohammed

    2013-08-01

    The field of power electronics poses challenging control problems that can’t be treated in a complete manner using traditional modeling. In this paper, the buck converter operating in Continuous Conduction Mode (CCM) is represented analytically by hybrid automaton model and graphically representation is also given. The hybrid trajectory and the model behavior are presented. The control problem of buck switching converters is transformed to a guard selection problem. The guard selection calculation formulas of buck converter are derived from the basic circuit laws. The stability of the switching is established analytically by the use of multiple Lyapunov functions to ensure the convergence and Poincare map to assess the local stability of the limit cycle. Numerical results clearly bring out the advantages and effectiveness of the proposed control law under varying line voltage and load conditions. Simulation studies are carried out in Matlab/Simulink/Stateflow.

  15. Analysis of Discharge Spark Energy in Buck Converter of a Continuous Mode of Inductive Current

    Institute of Scientific and Technical Information of China (English)

    CUI Bao-chun; CHENG Hong; WANG Cong; LU Huan-yu; SHI Yun

    2006-01-01

    The basic idea of intrinsically safe circuit and the discharge spark in the Buck converter in the explosive atmospheres were introduced. The Buck converter is the main topological structure of the switch type of intrinsically safe circuit, which has two working modes: continuous inductive current (CCM - continuous conduction mode) and discrete inductance current (DCM - discontinuous conduction mode). The operating state of the continuous inductive current mode is analyzed in detail and the energy of discharge spark in various operating modes is discussed. The total energy will decrease with the increase of switch frequency, in a switching cycle; the discharge spark energy has a maximum and a minimum value. Therefore, the Buck converter has smaller discharge spark energy than the linear power circuit and the switch type of intrinsically safe circuit can enhance the output power and the conversion efficiency of the intrinsically safe power.

  16. La atención gerenciada en América Latina. Transnacionalización del sector salud en el contexto de la reforma Managed care in Latin America: transnationalization of the health sector in a context of reform

    Directory of Open Access Journals (Sweden)

    Celia Iriart

    2000-01-01

    Full Text Available Este artículo presenta resultados de la investigación comparativa "Atención Gerenciada en América Latina: Su Papel en la Reforma de los Sistemas de Salud", realizada por equipos de Argentina, Brasil, Chile, Ecuador y Estados Unidos. El objetivo del estudio fue analizar el proceso de exportación de la atención gerenciada, especialmente desde Estado Unidos, y su incorporación en los países latinoamericanos. Los métodos utilizados incluyeron técnicas cualitativas y cuantitativas. La adopción de la atención gerenciada muestra el proceso de transnacionalización del sector salud. Nuestros hallazgos demuestran el ingreso de los principales capitales financieros multinacionales en el sector privado de seguros y de prestadores de salud, y su intencionalidad de participar en la administración de las instituciones estatales y de los fondos de la seguridad social médica. Concluimos que este proceso de cambio sustancial, que implica la paulatina adopción de la atención gerenciada, es facilitado por las transformaciones operadas a nivel ideológico.This article presents the results of the comparative research project "Managed Care in Latin America: Its Role in Health Reform". The project was conducted by teams in Argentina, Brazil, Chile, Ecuador, and the United States. The study's objective was to analyze the process by which managed care is exported, especially from the United States, and how managed care is adopted in Latin American countries. Our research methods included qualitative and quantitative techniques. Adoption of managed care reflects transnationalization of the health sector. Our findings demonstrate the entrance of large multinational financial capital into the private insurance and health services sectors and their intention of participating in the administration of government institutions and medical/social security funds. We conclude that this basic change involving the slow adoption of managed care is facilitated by

  17. The Effects of Age, Breed, Sire, Body Weight and the Ejaculate Characteristics of Rabbit Bucks

    Directory of Open Access Journals (Sweden)

    G.N. Akpa

    2012-06-01

    Full Text Available The aim of this research is to analyse the semen of different breeds of rabbits and to determine the effects of age, breed, sire, generation and body weight on the ejaculate characteristics of rabbit bucks. Twenty rabbit bucks comprising of three breeds (New-Zealand White 8, Chinchilla 6 and Californian White 6 between the ages of 6-9 months were used to investigate the effect of age, breed, sire and generation on body weight and ejaculate characteristics of the bucks. The experiment was carried out at the Animal Science departmental farm, Ahmadu Bello University, Zaria. Parameters considered include semen colour, semen volume, semen ejaculate volume, semen concentration, semen pH, sperm motility, body weight and age. The mean for semen ejaculate volume, semen concentration, pH, sperm motility, body weight and age were 0.5 mL, 325.5x106 sperm cells/mL, 7.5, 86.6, 2.0 and 7.6% months, respectively. Age, breed and sire had (p≤0.05 effect on ejaculate characteristics but breed and sire had higher significant (p<0.01 effect on body weight. However, generation had no significant effect on the body weight and ejaculate characteristics except on semen pH (p<0.05. The ejaculate characteristics of the rabbit bucks were influenced by age, breed and sire. The values obtained were within the normal standards for rabbits-bucks. New Zealand White bucks proved superior in terms of ejaculate characteristics.

  18. Buck-Boost Control of Four Quadrant Chopper using Symmetrical Impedance Network for Adjustable Speed Drive

    OpenAIRE

    Saswati Swapna Dash; Byamakesh Nayak

    2015-01-01

    This paper proposes buck-boost capabilities of four quadrant chopper for wide range speed control of DC motor drives using symmetrical impedance network called Z-source network. By controlling the shoot through duty ratio from 0 to 0.5 and non-shoot through techniques, the Z-source four quadrant choppers can produce any desired DC voltage across the DC motor. The switching patterns for both buck and boost operations are presented to achieve four modes of operation of DC motor. As a result, th...

  19. Development of TMS320F2810 DSP Based Bidirectional buck-boost Chopper

    OpenAIRE

    Mr. K.S. Chakradhar*1,; M.Ayesha siddiqa2; T.Vandhana3

    2014-01-01

    A DC - DC converter is an electronic circuit which converts a source of direct current (DC) from one voltage level to another. It is a class of power converter. One common application of DC - DC converters is DC motor control. The Buck - Boost Chopper is a type of DC - DC converter. They are static devices which are used to obtain variable DC voltage from the source of constant DC voltage. Besides the saving in power, Buck-Boost choppers offer greater efficiency, faster respon...

  20. Modeling and Analysis of Transformerless High Gain Buck-boost DC-DC Converters

    Directory of Open Access Journals (Sweden)

    Vu Tran

    2014-12-01

    Full Text Available This paper proposes a transfomerless switched capacitor buck boost converter model, which provides higher voltage gain and higher efficiency when compared to the conventional buck boost converter. The averaged model based on state-space description is analyzed in the paper. The simulation results are presented to confirm the capability of the converter to generate high voltage ratios. The comparison between the proposed model and the traditional model is also provided to reveal the improvement. The proposed converter is suitable for for a wide application which requires high step-up DC-DC converters such as DC micro-grids and solar electrical energy.

  1. Bifurcation and Chaos in a Pulse Width modulation controlled Buck Converter

    DEFF Research Database (Denmark)

    Kocewiak, Lukasz; Bak, Claus Leth; Munk-Nielsen, Stig

    2007-01-01

    Power electronic system with pulse width modulation (PWM) control is studied. Behaviour characteristic for a nonlinear dynamical system is observed and theoretically explained. A DC-DC buck converter controlled by a voltage feedback is taken as an example. The studied system is described by a...... bifurcations as a complex behaviour in power electronic system evidence are also described. In order to verify theoretical study the experimental DC-DC buck converter was build. The results obtained from three sources were presented and compared. A very good agreement between theory and experiment was observed....

  2. Hospital Cost Associated with Pediatrics Urinary Tract Infection: Before and After Health Sector Evolution Program in the West of Iran

    Directory of Open Access Journals (Sweden)

    Satar Rezaei

    2015-07-01

    Full Text Available Background: urinary tract infections (UTIs are one of the most important bacterial infections among children throughout the world. The study aimed to estimate the cost of hospitalization associated with pediatric UTIs in Kermanshah province for the years of 2013 and 2014. Methods and materials: this was a cross sectional and descriptive study. The study subjects included all those aged 20 years and younger who were admitted to the Imam Reza hospital with the diagnosis primary of the UTI in the studied period. The data on age, sex, length of stay (LOS, and cost of hospitalization were collected by review of medical records. The data analysis was conducted by Stata V.12. Results: average of age and length of stay was 2.7 years and 6.2 days, respectively. The study showed the average cost per patient and per one day hospitalization was 9206699 and 1484951 IRR, respectively. Patient’s share of total cost of hospitalization in 2013 and 2014 was 1565710 and 982619 IRR, respectively. In addition, there are a significant positive relationship between age, being boy and length of stay and total cost of hospitalization.   Conclusion: ourfinding implies that the total cost of pediatric UTIs is considerable; at about 2,614,702,516 IRR. In addition, urinary tract infections is more common among females and children with less than 4 year. The study also indicates that Health Sector evolution program causes considerable decrease the patient’s share of total cost of hospitalization (8.7 % vs. 23.4 %.

  3. Change Theory for Accounting System Reform in Health Sector: A Case Study of Kerman University of Medical Sciences in Iran

    Directory of Open Access Journals (Sweden)

    Mohammad Hossein Mehrolhasani

    2013-11-01

    Full Text Available BackgroundChange theories provide an opportunity for organizational managers to plan, monitor and evaluate changes using a framework which enable them, among others, to show a fast response to environmental fluctuations and to predict the changing patterns of individuals and technology. The current study aimed to explore whether the change in the public accounting system of the Iranian health sector has followed Kurt Lewin’s change theory or not. MethodsThis study which adopted a mixed methodology approach, qualitative and quantitative methods, was conducted in 2012. In the first phase of the study, 41 participants using purposive sampling and in the second phase, 32 affiliated units of Kerman University of Medical Sciences (KUMS were selected as the study sample. Also, in phase one, we used face-to-face in-depth interviews (6 participants and the quote method (35 participants for data collection. We used a thematic framework analysis for analyzing data. In phase two, a questionnaire with a ten-point Likert scale was designed and then, data were analyzed using descriptive indicators, principal component and factorial analyses. ResultsThe results of phase one yielded a model consisting of four categories of superstructure, apparent infrastructure, hidden infrastructure and common factors. By linking all factors, totally, 12 components based on the quantitative results showed that the state of all components were not satisfactory at KUMS (5.06±2.16. Leadership and management; and technology components played the lowest and the greatest roles in implementing the accrual accounting system respectively. ConclusionThe results showed that the unfreezing stage did not occur well and the components were immature, mainly because the emphasis was placed on superstructure components rather than the components of hidden infrastructure. The study suggests that a road map should be developed in the financial system based on Kurt Lewin’s change theory and

  4. Change Theory for Accounting System Reform in Health Sector: A Case Study of Kerman University of Medical Sciences in Iran

    Science.gov (United States)

    Mehrolhassani, Mohammad Hossein; Emami, Mozhgan

    2013-01-01

    Background: Change theories provide an opportunity for organizational managers to plan, monitor and evaluate changes using a framework which enable them, among others, to show a fast response to environmental fluctuations and to predict the changing patterns of individuals and technology. The current study aimed to explore whether the change in the public accounting system of the Iranian health sector has followed Kurt Lewin’s change theory or not. Methods: This study which adopted a mixed methodology approach, qualitative and quantitative methods, was conducted in 2012. In the first phase of the study, 41 participants using purposive sampling and in the second phase, 32 affiliated units of Kerman University of Medical Sciences (KUMS) were selected as the study sample. Also, in phase one, we used face-to-face in-depth interviews (6 participants) and the quote method (35 participants) for data collection. We used a thematic framework analysis for analyzing data. In phase two, a questionnaire with a ten-point Likert scale was designed and then, data were analyzed using descriptive indicators, principal component and factorial analyses. Results: The results of phase one yielded a model consisting of four categories of superstructure, apparent infrastructure, hidden infrastructure and common factors. By linking all factors, totally, 12 components based on the quantitative results showed that the state of all components were not satisfactory at KUMS (5.06±2.16). Leadership and management; and technology components played the lowest and the greatest roles in implementing the accrual accounting system respectively. Conclusion: The results showed that the unfreezing stage did not occur well and the components were immature, mainly because the emphasis was placed on superstructure components rather than the components of hidden infrastructure. The study suggests that a road map should be developed in the financial system based on Kurt Lewin’s change theory and the

  5. Differences in wage rates for males and females in the health sector: a consideration of unpaid overtime to decompose the gender wage gap

    Directory of Open Access Journals (Sweden)

    Vecchio Nerina

    2013-02-01

    Full Text Available Abstract Background In Australia a persistent and sizable gender wage gap exists. In recent years this gap has been steadily widening. The negative impact of gender wage differentials is the disincentive to work more hours. This implies a substantial cost on the Australian health sector. This study aimed to identify the magnitude of gender wage differentials within the health sector. The investigation accounts for unpaid overtime. Given the limited availability of information, little empirical evidence exists that accounts for unpaid overtime. Methods Information was collected from a sample of 10,066 Australian full-time employees within the health sector. Initially, ordinary least-squares regression was used to identify the gender wage gap when unpaid overtime was included and then excluded from the model. The sample was also stratified by gender and then by occupation to allow for comparisons. Later the Blinder–Oaxaca decomposition method was employed to identify and quantify the contribution of individual endowments to wage differentials between males and females. Results The analyses of data revealed a gender wage gap that varied across occupations. The inclusion of unpaid overtime in the analysis led to a slight reduction in the wage differential. The results showed an adjusted wage gap of 16.7%. Conclusions Unpaid overtime made a significant but small contribution to wage differentials. Being female remained the major contributing factor to the wage gap. Given that wage differentials provide a disincentive to work more hours, serious attempts to deal with the skilled labour shortage in the health sector need to address the gender wage gap.

  6. Prescribing patterns of methylphenidate and atomoxetine containing products in a section of the private health care sector of South Africa / Stephan Rothmann

    OpenAIRE

    Rothmann, Stephan

    2009-01-01

    The general aim of this study was to investigate the prescribing patterns of products that contain methylphenidate or atomoxetine in a section of the private health care sector of South Africa. A quantitative, retrospective drug uitilisation review was performed according to data obtained from the database of a South African medicine claims pharmacy benefit management company's for three consecutive study years (Le. 2005 to 2007). The results indicated that a total of 7,990 patients had b...

  7. Designing a Choice Modelling Survey to Value the Health and Environmental Impacts of Air Pollution from the Transport Sector in the Jakarta Metropolitan Area

    OpenAIRE

    Mia Amalia

    2010-01-01

    Poor air quality in Indonesia's capital city is having a significant impact on residents' health and there is an urgent need to introduce new initiatives to deal with the problem. To help justify investment in such new strategies, a recent EEPSEA study has looked at the value that citizens in the Jakarta Metropolitan Area (JMA) place on pollution reduction policies for the transportation sector. The study shows that, although many residents are mistrustful of the government's ability to clean...

  8. Assessing performance enhancing tools: experiences with the open performance review and appraisal system (OPRAS) and expectations towards payment for performance (P4P) in the public health sector in Tanzania

    OpenAIRE

    Songstad Nils; Lindkvist Ida; Moland Karen; Chimhutu Victor; Blystad Astrid

    2012-01-01

    Background Health workers’ motivation is a key determinant of the quality of health services, and poor motivation has been found to be an obstacle to service delivery in many low-income countries. In order to increase the quality of service delivery in the public sector in Tanzania, the Open Performance Review and Appraisal System (OPRAS) has been implemented, and a new results-based payment system, Payment for performance (P4P) is introduced in the health sector. This article addresses h...

  9. Modeling and Simulation of Sensorless Speed Control of a Buck Converter Controlled Dc Motor

    Directory of Open Access Journals (Sweden)

    Tagreed M. Ali

    2010-01-01

    Full Text Available This paper investigate a sensorless speed control of a separately excited dc motor fed from a buck type dc-dc converter. The control system is designed in digital technique by using a two dimension look-up table. The performance of the drive system was evaluated by digital simulation using Simulink toolbox of Matlab.

  10. Circuit Simulation for Solar Power Maximum Power Point Tracking with Different Buck-Boost Converter Topologies

    Directory of Open Access Journals (Sweden)

    Jaw-Kuen Shiau

    2014-08-01

    Full Text Available The power converter is one of the essential elements for effective use of renewable power sources. This paper focuses on the development of a circuit simulation model for maximum power point tracking (MPPT evaluation of solar power that involves using different buck-boost power converter topologies; including SEPIC, Zeta, and four-switch type buck-boost DC/DC converters. The circuit simulation model mainly includes three subsystems: a PV model; a buck-boost converter-based MPPT system; and a fuzzy logic MPPT controller. Dynamic analyses of the current-fed buck-boost converter systems are conducted and results are presented in the paper. The maximum power point tracking function is achieved through appropriate control of the power switches of the power converter. A fuzzy logic controller is developed to perform the MPPT function for obtaining maximum power from the PV panel. The MATLAB-based Simulink piecewise linear electric circuit simulation tool is used to verify the complete circuit simulation model.

  11. Topological Design and Modulation Strategy for Buck-Boost Three-Level Inverters

    DEFF Research Database (Denmark)

    Teodorescu, Remus; Gao, F.; Blaabjerg, Frede;

    2007-01-01

    To date, designed topologies for dc-ac inversion with both voltage-buck and boost capabilities are mainly focused on two-level circuitries with extensions to three-level possibilities left nearly unexplored. Contributing to this area of research, this paper presents the design of a number of viab...

  12. Transfer function modeling and analysis of the open-loop Buck converter using the fractional calculus

    Institute of Scientific and Technical Information of China (English)

    Wang Fa-Qiang; Ma Xi-Kui

    2013-01-01

    Based on the fact that the real inductor and the real capacitor are fractional order in nature and the fractional calculus,the transfer function modeling and analysis of the open-loop Buck converter in a continuous conduction mode (CCM) operation are carried out in this paper.The fractional order small signal model and the corresponding equivalent circuit of the open-loop Buck converter in a CCM operation are presented.The transfer functions from the input voltage to the output voltage,from the input voltage to the inductor current,from the duty cycle to the output voltage,from the duty cycle to the inductor current,and the output impedance of the open-loop Buck converter in CCM operation are derived,and their bode diagrams and step responses are calculated,respectively.It is found that all the derived fractional order transfer functions of the system are influenced by the fractional orders of the inductor and the capacitor.Finally,the realization of the fractional order inductor and the fractional order capacitor is designed,and the corresponding PSIM circuit simulation results of the open-loop Buck converter in CCM operation are given to confirm the correctness of the derivations and the theoretical analysis.

  13. Three Phase Six-Switch PWM Buck Rectifier with Power Factor Improvement

    DEFF Research Database (Denmark)

    Zafar Ullah Khan, M; Mohsin Naveed, M.; Hussain, Dil Muhammad Akbar

    2013-01-01

    Conventional Phase Controlled Rectifier injects low order current harmonics into the AC mains. Large size filtering components are required to attenuate these harmonics. In this paper, Three Phase Six-Switch PWM Buck Rectifier[1] is presented which operates at nearly unity power factor and provid...

  14. Modeling and Simulation of Sensorless Speed Control of a Buck Converter Controlled Dc Motor

    OpenAIRE

    Tagreed M. Ali; Bassim M. H. Jassim

    2010-01-01

    This paper investigate a sensorless speed control of a separately excited dc motor fed from a buck type dc-dc converter. The control system is designed in digital technique by using a two dimension look-up table. The performance of the drive system was evaluated by digital simulation using Simulink toolbox of Matlab.

  15. 1 GHz GaAs Buck Converter for High Power Amplifier Modulation Applications

    NARCIS (Netherlands)

    Busking, E.B.; Hek, A.P. de; Vliet, F.E. van

    2012-01-01

    A fully integrated 1 GHz buck converter output stage, including on-chip inductor and DC output filtering has been realized, in a standard high-voltage breakdown GaAs MMIC technology. This is a significant step forward in designing highspeed power control of supply-modulated HPAs (high power amplifie

  16. Transfer function modeling and analysis of the open-loop Buck converter using the fractional calculus

    International Nuclear Information System (INIS)

    Based on the fact that the real inductor and the real capacitor are fractional order in nature and the fractional calculus, the transfer function modeling and analysis of the open-loop Buck converter in a continuous conduction mode (CCM) operation are carried out in this paper. The fractional order small signal model and the corresponding equivalent circuit of the open-loop Buck converter in a CCM operation are presented. The transfer functions from the input voltage to the output voltage, from the input voltage to the inductor current, from the duty cycle to the output voltage, from the duty cycle to the inductor current, and the output impedance of the open-loop Buck converter in CCM operation are derived, and their bode diagrams and step responses are calculated, respectively. It is found that all the derived fractional order transfer functions of the system are influenced by the fractional orders of the inductor and the capacitor. Finally, the realization of the fractional order inductor and the fractional order capacitor is designed, and the corresponding PSIM circuit simulation results of the open-loop Buck converter in CCM operation are given to confirm the correctness of the derivations and the theoretical analysis

  17. Analisys of Current-Bidirectional Buck-Boost Based Automotive Switch-Mode Audio Amplifier

    DEFF Research Database (Denmark)

    Bolten Maizonave, Gert; Andersen, Michael A. E.; Kjærgaard, Claus;

    2011-01-01

    The following study was carried out in order to assess quantitatively the performance of the buck-boost converter when used as switch-mode audio amplifier. It comprises of, to begin with, the delimitation of design criteria based on the state-ofthe- art solution, which is based in a differential ...

  18. Pulse width modulated buck-boost five-level current source inverters

    DEFF Research Database (Denmark)

    Blaabjerg, Frede; Gao, F.; Loh, P.C.;

    2008-01-01

    This paper presents new five-level current source inverters (CSIs) with voltage/current buck-boost capability. Being different from the existing multilevel CSI, the proposed CSIs were first designed to regulate the flowing path of dc input current by controlling two additional active switches, re...

  19. Versions and perversions of rigid frames: The bucking importance in the beams design of industrial warehouses

    International Nuclear Information System (INIS)

    In this paper many bibliographic references have been analyses which deal on the importance of the buckling in rigid frames, and many versions of it, have been got. About 70 frames have been analysed by the authors and they have found that it is advisable to consider the bucking in the design of frames beams. (Author) 30 refs.

  20. Novel Family of modified qZS buck-boost multilevel inverters with reduced switch count

    DEFF Research Database (Denmark)

    Husev, Oleksandr; Strzelecki, Ryszard; Blaabjerg, Frede;

    2015-01-01

    This paper describes a novel family of modified quasi-Z-source buck-boost multilevel inverters with reduced switch count. The inverters are derived by means of the modified inverter configuration with quasi-Z-source networks. The main benefits of the proposed solutions lie in the increased amount...

  1. Introduction of EDI in the public sector

    DEFF Research Database (Denmark)

    Falch, Morten

    1997-01-01

    Reviews the status of EDI in the sectors of health, public transport and taxation and public administration. The impact of this on the diffusion of EDI in other sectors is analysed.......Reviews the status of EDI in the sectors of health, public transport and taxation and public administration. The impact of this on the diffusion of EDI in other sectors is analysed....

  2. Using Disability-Adjusted Life Years and Cost-Effectiveness Analysis to define Priorities for the Public Health Care Sector in Zimbabwe

    DEFF Research Database (Denmark)

    Hansen, Kristian Schultz

    step-down costing methodology and the bottom-up costing approach. Effectiveness of health interventions was estimated based on published information on the efficacy of drugs and experts' advice on various factors such as coverage and compliance in order to reflect the actual situation in Zimbabwe......There is not much knowledge at present of the relative cost-effectiveness of health services offered in the Zimbabwean public health care sector. In addition, the information on the relative importance of diseases is less than complete. Such information may however be useful for assessing......, a small population survey was designed to estimate the population prevalence of serious health problems in an urban area of Zimbabwe through the application of verbal autopsy and morbidity interview techniques. The survey confirmed to some extent the pattern of diseases found in the nationwide study.Cost...

  3. Tool, weapon, or white elephant? A realist analysis of the five phases of a twenty-year programme of occupational health information system implementation in the health sector

    Directory of Open Access Journals (Sweden)

    Spiegel Jerry M

    2012-08-01

    Full Text Available Abstract Background Although information systems (IS have been extensively applied in the health sector worldwide, few initiatives have addressed the health and safety of health workers, a group acknowledged to be at high risk of injury and illness, as well as in great shortage globally, particularly in low and middle-income countries. Methods Adapting a context-mechanism-outcome case study design, we analyze our team’s own experience over two decades to address this gap: in two different Canadian provinces; and two distinct South African settings. Applying a realist analysis within an adapted structuration theory framing sensitive to power relations, we explore contextual (socio-political and technological characteristics and mechanisms affecting outcomes at micro, meso and macro levels. Results Technological limitations hindered IS usefulness in the initial Canadian locale, while staffing inadequacies amid pronounced power imbalances affecting governance restricted IS usefulness in the subsequent Canadian application. Implementation in South Africa highlighted the special care needed to address power dynamics regarding both worker-employer relations (relevant to all occupational health settings and North–south imbalances (common to all international interactions. Researchers, managers and front-line workers all view IS implementation differently; relationships amongst the workplace parties and between community and academic partners have been pivotal in determining outcome in all circumstances. Capacity building and applying creative commons and open source solutions are showing promise, as is international collaboration. Conclusions There is worldwide consensus on the need for IS use to protect the health workforce. However, IS implementation is a resource-intensive undertaking; regardless of how carefully designed the software, contextual factors and the mechanisms adopted to address these are critical to mitigate threats and achieve

  4. A case study on tuberculosis treatment defaulters in Delhi: Weak health links of the community with the public sector, unsupported migrants and some misconceptions

    Directory of Open Access Journals (Sweden)

    Vinitha Jayachandran

    2014-01-01

    Full Text Available Background: Defaulters are producing the challenging, daunting category of drug resistant cases. It is important to examine and understand the patient′s notions and terms to manage them effectively. Objective: To study the reasons behind failure of adherence to treatment and to assess the health care seeking behaviour with awareness of these patients regarding the public sector provisions. Materials and Methods: In depth interviews with ten patients who had defaulted and were undergoing CAT-II treatment which included both retreatment defaulters and new defaulters, were conducted by repeated contacts in Fatehpur Beri PHC DOTS centre. Results: People refuse to seek treatment from a government health centre when they fall sick seriously as they are ready to get treated at any expense and seek private health care facility for the prompt treatment. There is a notion that free service from public sector is not as effective as private corporate hospitals. In the public sector patients defaulted because of side effects of drugs, fear of getting admitted in big tuberculosis (TB hospitals, incompatible timing, neglect, long waiting time, TB deaths in the family and lack of family support. Among migrants, lack of employers support, family support forced them to return home. Ignorance about existence of DOTS centre with free treatment was observed. Most of the patients were unaware that incomplete treatment could lead to disease. Misconceptions observed were that treatment was futile (talk in the community about drugs being useless and most of the patients were afraid of the disease and thought they could die because of it. Conclusion: Proposed measures include: Recognition of traditional medicine/complementary alternative medicine practitioners for universal access to TB diagnosis and care, Public sector should be made attractive to the middle class society through enhancement of services and user fees and empowerment initiatives for lack of social

  5. Artemisinin combination therapies price disparity between government and private health sectors and its implication on antimalarial drug consumption pattern in Morogoro Urban District, Tanzania

    Directory of Open Access Journals (Sweden)

    Malisa Allen

    2012-03-01

    Full Text Available Abstract Background Universal access to effective treatments is a goal of the Roll Back Malaria Partnership. However, despite official commitments and substantial increases in financing, this objective remains elusive, as development assistance continue to be routed largely through government channels, leaving the much needed highly effective treatments inaccessible or unaffordable to those seeking services in the private sector. Methods To quantify the effect of price disparity between the government and private health systems, this study have audited 92 government and private Drug Selling Units (DSUs in Morogoro urban district in Tanzania to determine the levels, trend and consumption pattern of antimalarial drugs in the two health systems. A combination of observation, interviews and questionnaire administered to the service providers of the randomly selected DSUs were used to collect data. Results ALU was the most selling antimalarial drug in the government health system at a subsidized price of 300 TShs (0.18 US$. By contrast, ALU that was available in the private sector (coartem was being sold at a price of about 10,000 TShs (5.9 US$, the price that was by far unaffordable, prompting people to resort to cheap but failed drugs. As a result, metakelfin (the phased out drug was the most selling drug in the private health system at a price ranging from 500 to 2,000 TShs (0.29–1.18 US$. Conclusions In order for the prompt diagnosis and treatment with effective drugs intervention to have big impact on malaria in mostly low socioeconomic malaria-endemic areas of Africa, inequities in affordability and access to effective treatment must be eliminated. For this to be ensued, subsidized drugs should be made available in both government and private health sectors to promote a universal access to effective safe and affordable life saving antimalarial drugs.

  6. Humanism in War—Analysis on Pearl S. Buck's War Outlook in Dragon Seed%Humanism in War—Analysis on Pearl S.Buck's War Outlook in Dragon Seed

    Institute of Scientific and Technical Information of China (English)

    张婷

    2015-01-01

    Pearl S.Buck is a controversial American writer.Dragon Seed is one of her war novels and arouses some readers'mis-understanding because of the vivid description of human loss.This research will focus on the analysis of the characters'person-ality change before and during the enemies'invasion.And then explore Pearl S.Buck's real attitude towards Chinese Anti-Japa-nese War and her buried war outlook.

  7. GeoTIFF of 3x3 m Bathymetry for Buck Island, St. Croix, 2011, UTM 20N NAD83

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This image represents a LiDAR (Light Detection & Ranging) 3x3 meter resolution bathymetric surface for an area including and surrounding Buck Island Reef...

  8. NOAA TIFF Graphic- 0.5m Backscatter Mosaic of St. Croix (Buck Island), US Virgin Islands, 2004

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This image represents a 1 meter resolution backscatter mosaic of the north shore of Buck Island, St. Croix, US Virgin Islands.NOAA's NOS/NCCOS/CCMA Biogeography...

  9. NOAA TIFF Graphic- 0.5m Backscatter Mosaic of St. Croix (Buck Island), US Virgin Islands, 2004

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This geotiff represents a 0.5 meter resolution backscatter mosaic of the north shore of Buck Island, St. Croix, US Virgin Islands.NOAA's NOS/NCCOS/CCMA Biogeography...

  10. NOAA ESRI Geotiff- 1m Bathymetry of St. Croix (Buck Island), US Virgin Islands, 2004, UTM 20 WGS84

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset contains an ESRI Geotiff with 1 meter cell size representing the bathymetry of the north shore of Buck Island St. Croix, US Virgin Islands.NOAA's...

  11. Bathymetry 1M GRID of St. Croix (Buck Island), US Virgin Islands, 2004, UTM 20 WGS84

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset contains an ESRI Grid with 1 meter cell size representing the bathymetry of the north shore of Buck Island St. Croix, US Virgin Islands. NOAA's...

  12. A protocol for developing an evaluation framework for an academic and private-sector partnership to assess the impact of major food and beverage companies’ investments in community health in the United States

    OpenAIRE

    Huang, Terry T-K; Ferris, Emily; Crossley, Rachel; Guillermin, Michelle; Costa, Sergio; Cawley, John

    2015-01-01

    Public health leaders increasingly recognize the importance of multi-sector partnerships and systems approaches to address obesity. Public-private partnerships (PPP), which are joint ventures between government agencies and private sector entities, may help facilitate this process, but need to be delivered through comprehensive, transparent frameworks to maximize potential benefits and minimize potential risks for all partners. The City University of New York (CUNY) School of Public Health an...

  13. Avoidance High-Frequency Chattering Second-Order Sliding Mode Controller Design: Buck Converter in Wind Power System

    OpenAIRE

    Yigeng Huangfu; Ruiqing Ma; Abdellatif Miraoui

    2012-01-01

    This paper mainly discussed a method of high-frequency second-order sliding mode control for Buck converter in wind power systems. Because the wind energy of nature is always unpredictable and intermittent, the robust control such as sliding mode control is adopted in past literatures. In order to remove the high frequency chattering problem when the traditional sliding mode achieves convergence, the second order sliding mode algorithm is reviewed firstly. Meanwhile, the Buck converter taken ...

  14. Oral glucose supplementation improved semen quality and constituents of seminal and blood plasma of NZW buck rabbits in the subtropics

    OpenAIRE

    Attia, Youssef

    2010-01-01

    Youssef A Attia1, A E Abd El Hamid1, Fulvia Bovera2, Mohamed El-Sayed11Department of Animal and Poultry Production, Faculty of Agriculture, Damanhour University, Egypt; 2Department of Scienze Zootecniche e Ispezione degli Alimenti, University of Naples Federico II, Napoli, ItalyAbstract: The effect of different levels of oral glucose supplementation on reproductive performance of New Zealand white buck rabbits was studied on 12 bucks aged 6–7 months, randomly divided among four grou...

  15. Essays on willingness and ability to pay for health insurance among informal sector workers in Sierra Leone

    OpenAIRE

    Kamara, Joseph

    2015-01-01

    Access to health care is a serious problem in Sierra Leone, more so in rural areas where living standards are low and there is absence of health care facilities. Health insurance, it is argued, will play an important role in giving access to medical care and reducing the high out of pocket (OOP) health expenditure, thus preventing unnecessary deaths and increasing well-being. It is however difficult to know the exact value households place on health and health care as they are not generally e...

  16. Governance processes and change within organizational participants of multi-sectoral community health care alliances: the mediating role of vision, mission, strategy agreement and perceived alliance value.

    Science.gov (United States)

    Hearld, Larry R; Alexander, Jeffrey A

    2014-03-01

    Multi-sectoral community health care alliances are organizations that bring together individuals and organizations from different industry sectors to work collaboratively on improving the health and health care in local communities. Long-term success and sustainability of alliances are dependent on their ability to galvanize participants to take action within their 'home' organizations and institutionalize the vision, goals, and programs within participating organizations and the broader community. The purpose of this study was to investigate two mechanisms by which alliance leadership and management processes may promote such changes within organizations participating in alliances. The findings of the study suggest that, despite modest levels of change undertaken by participating organizations, more positive perceptions of alliance leadership, decision making, and conflict management were associated with a greater likelihood of participating organizations making changes as a result of their participation in the alliance, in part by promoting greater vision, mission, and strategy agreement and higher levels of perceived value. Leadership processes had a stronger relationship with change within participating organizations than decision-making style and conflict management processes. Open-ended responses by participants indicated that participating organizations most often incorporated new measures or goals into their existing portfolio of strategic plans and activities in response to alliance participation. PMID:24415003

  17. Li-Ion Battery Charging with a Buck-Boost Power Converter for a Solar Powered Battery Management System

    Directory of Open Access Journals (Sweden)

    Chien-Wei Ma

    2013-03-01

    Full Text Available This paper analyzes and simulates the Li-ion battery charging process for a solar powered battery management system. The battery is charged using a non-inverting synchronous buck-boost DC/DC power converter. The system operates in buck, buck-boost, or boost mode, according to the supply voltage conditions from the solar panels. Rapid changes in atmospheric conditions or sunlight incident angle cause supply voltage variations. This study develops an electrochemical-based equivalent circuit model for a Li-ion battery. A dynamic model for the battery charging process is then constructed based on the Li-ion battery electrochemical model and the buck-boost power converter dynamic model. The battery charging process forms a system with multiple interconnections. Characteristics, including battery charging system stability margins for each individual operating mode, are analyzed and discussed. Because of supply voltage variation, the system can switch between buck, buck-boost, and boost modes. The system is modeled as a Markov jump system to evaluate the mean square stability of the system. The MATLAB based Simulink piecewise linear electric circuit simulation tool is used to verify the battery charging model.

  18. Contribution analysis as an evaluation strategy in the context of a sector-wide approach: Performance-based health financing in Rwanda

    Directory of Open Access Journals (Sweden)

    Martin Noltze

    2014-12-01

    Full Text Available Sector-wide approaches (SWAps emerged as a response to donor fragmentation and non-adjusted and parallel programming. In the health sector, SWAps have received considerable support by the international donor community due to their potential to reduce inefficiencies through alignment to common procedures and hence to increase development effectiveness. Evaluating development cooperation in the context of a SWAp, however, translates into methodological challenges for evaluators who have to disentangle the cumulative effects in strongly donor-aligned, complex sector environments. In this article the authors discussed the application of a methodological strategy for evaluating development interventions in complex settings – for example in the context of a SWAp –and reflected the suitability of the approach. The authors conducted a contribution analysis, a theory-based approach to evaluation, and exemplified the approach for an intervention of performance-based financing for Rwandan health workers supported by the Rwanda-German cooperation. The findings suggested that the Rwandan system of performance based financing increased service orientation and outputs of health professionals, but also indicated that negative motivational side effects and resource constraints are real. With regard to the methodological approach, the authors conclude that contribution analysis has a high potential to evaluate development cooperation in the context of a SWAp dueto its high flexibility to use different data collection tools and its capability to assess risks and rival explanations. Challenges can be identified with regard to the efficiency of the evaluation strategy and a remaining trade-off between scope and causal strength ofevidence.

  19. Regional Disparity in Physical Resources in the Health Sector in Iran: A Comparison of Two Time Periods

    OpenAIRE

    Akbari-Sari, Ali; Rezaei, Satar; Enayatollah HOMAIE-RAD; DEHGHANIAN, Nasim; CHAVEHPOUR, Yousef

    2015-01-01

    Background: One of the major health policy issues, in the both developed and developing countries, is the equality in the distribution of health resources. The aim of this study was to investigate the disparity in the distribution of health physical resources across the provinces of Iran in 2001 and 2011.Methods: This was a cross-sectional retrospective study which investigated inequality in the distribution of health physical resources by three indexes of Gini Coefficient, Gaswirth index and...

  20. Does haute couture become Prêt à Porter? A paper on the fashion industry of the Swedish health care sector

    OpenAIRE

    Erlingsdottir, Gudbjörg; Jonnergård, Karin

    2004-01-01

    Using the metaphores of Haute Couture and Prêt à porter we would like to examine some of the fashions that have been spread in the Swedish health care sector the past two decades. Who are the fashion makers? Who dicides what to import and why? Who are the models demonstrating the last fashion? most of all we wonder if the Haute Couture gets transformd into Prêt à Porter so that it suites and becomes useful to the broad masses. And if not what do people do with fashion?

  1. Design and manufacturing of sensors and of their interrogation technique for applications in the health and environmental sectors

    OpenAIRE

    Sanogo, Yacouba

    2012-01-01

    The increasing need for compact, selective, ultrasensitive, fast and affordable optical biosensors in the medical and environmental sectors gave rise to new technological solutions, especially regarding sensors based on optical microresonators. If their surfaces are functionalized, these biosensors can provide a selective detection of low concentrations of biomolecules. However, two common optical interrogation methods – spectral scanning and intensity variation – cannot provide the same sens...

  2. Modelling energy savings in the Danish building sector combined with internalisation of health related externalities in a heat and power system optimisation model

    International Nuclear Information System (INIS)

    A substantial untapped energy saving potential rests in the building sector and is expected to play an important role in achieving reduction of environmental impacts of energy. In order to utilise this potential, effective policy measures need to be adopted to remove the existing barriers and create incentives. For that purpose, the cost effective energy saving options together with an optimal level of savings and expected environmental benefits have to be identified. The paper reports on a study that analyses these questions by including heat-saving measures in buildings into an energy system optimisation model of the Danish heat and power sector. The achieved optimal level of heat savings reaches 11% of projected heat demand in 2025 under the model assumptions. Moreover, the analysis reveals the importance of considering energy conservation options in a system wide perspective. Furthermore, the results suggest that changes in the energy generation sector are the prime driver behind the reduction of environmental externalities of energy. Heat savings in buildings play only a small role under model assumptions. - Highlights: ► Heat savings in buildings are analysed together with a heat and power system. ► Heat savings compete with electricity to heat technologies, mainly heat pumps. ► Cost effective heat-savings bring small decrease in health impacts and CO2 emissions. ► Cost-effectiveness of heat savings depends on the marginal heat generation technology

  3. A prospective, multi-method, multi-disciplinary, multi-level, collaborative, social-organisational design for researching health sector accreditation [LP0560737

    Directory of Open Access Journals (Sweden)

    Braithwaite Jeffrey

    2006-09-01

    Full Text Available Abstract Background Accreditation has become ubiquitous across the international health care landscape. Award of full accreditation status in health care is viewed, as it is in other sectors, as a valid indicator of high quality organisational performance. However, few studies have empirically demonstrated this assertion. The value of accreditation, therefore, remains uncertain, and this persists as a central legitimacy problem for accreditation providers, policymakers and researchers. The question arises as to how best to research the validity, impact and value of accreditation processes in health care. Most health care organisations participate in some sort of accreditation process and thus it is not possible to study its merits using a randomised controlled strategy. Further, tools and processes for accreditation and organisational performance are multifaceted. Methods/design To understand the relationship between them a multi-method research approach is required which incorporates both quantitative and qualitative data. The generic nature of accreditation standard development and inspection within different sectors enhances the extent to which the findings of in-depth study of accreditation process in one industry can be generalised to other industries. This paper presents a research design which comprises a prospective, multi-method, multi-level, multi-disciplinary approach to assess the validity, impact and value of accreditation. Discussion The accreditation program which assesses over 1,000 health services in Australia is used as an exemplar for testing this design. The paper proposes this design as a framework suitable for application to future international research into accreditation. Our aim is to stimulate debate on the role of accreditation and how to research it.

  4. A New Zero Voltage Switching Buck-Boost Type DC-DC Converter

    Directory of Open Access Journals (Sweden)

    Majid Delshad

    2010-03-01

    Full Text Available In this paper, a new zero voltage switching isolated buck-boost DC-DC converter with active clamp circuit is proposed. The active clamp circuit in this converter not only absorbs voltage spikes across the main switch but also provides soft switching conditions for all switches. All switches are PWM controlled which simplifies the control implementation. One of the main advantages of this converter is the that it operating can operate at high power levels while soft switching conditions exist in both buck and boost modes of converter operation. Since this converter can operate over a wide input voltage range, it can be employed in power factor correction. The experimental results obtained from a 150W prototype circuit operating at 100KHz are presented to confirm the integrity of the proposed circuit.

  5. Incremental Conductance MPPT Algorithm for PV System Implemented Using DC-DC Buck and Boost Converter

    Directory of Open Access Journals (Sweden)

    Dhananjay Choudhary

    2014-08-01

    Full Text Available The two basic topologies of switch mode DC-DC converters (Buck and Boost are analyzed with a view of their use in PV (photovoltaic systems, as the photovoltaic generator exhibits non-linear characteristics due to the change in environmental condition and load variation. As the efficiency of PV panels is low it becomes mandatory to extract maximum power from the PV panel at a given period of time. Several MPPT algorithms with different types of converters are being proposed for extracting maximum power from the PV panel. It is found that the nature of load plays an important role in the choice of topology. This paper investigates the implementation issues of Incremental Conductance method with Buck and Boost Converters. Mathematical analysis and desirable steady-state operating point of the converters are derived to give satisfactory maximum power point tracking operation.

  6. A Novel Soft-Switching Synchronous Buck Converter for Portable Applications

    Directory of Open Access Journals (Sweden)

    Anup Kumar Panda

    2008-01-01

    Full Text Available This paper proposes a zero-voltage-transition (ZVT pulse-width-modulated (PWM synchronous buck converter, which is designed to operate at low voltage and high efficiency typically required for portable systems. A new passive auxiliary circuit that allows the main switch to operate with zero-voltage switching has been incorporated in the conventional PWM synchronous buck converter. The operation principles and a detailed steady-state analysis of the ZVT-PWM synchronous converter implemented with the auxiliary circuit are presented. Besides, the main switch and all of the semiconductor devices operate under soft-switching conditions. Thus, the auxiliary circuit provides a larger overall efficiency. The feasibility of the auxiliary circuit is confirmed by simulation and experimental results.

  7. Buck-Boost Control of Four Quadrant Chopper using Symmetrical Impedance Network for Adjustable Speed Drive

    Directory of Open Access Journals (Sweden)

    Saswati Swapna Dash

    2015-02-01

    Full Text Available This paper proposes buck-boost capabilities of four quadrant chopper for wide range speed control of DC motor drives using symmetrical impedance network called Z-source network. By controlling the shoot through duty ratio from 0 to 0.5 and non-shoot through techniques, the Z-source four quadrant choppers can produce any desired DC voltage across the DC motor. The switching patterns for both buck and boost operations are presented to achieve four modes of operation of DC motor. As a result, the proposed model will have ride through capability during voltage sags, manage during voltage swells, used in any types of DC voltage sources such as fuel cell and solar cell and improve the reliability by reducing EMI noise. Analysis and simulation results are presented to demonstrate these new findings.

  8. Single stage buck-boost DC-AC neutral point clamped inverter

    DEFF Research Database (Denmark)

    Mo, Wei; Loh, Poh Chiang; Andrew, A.;

    2012-01-01

    windings thus preventing the core from saturation; lowers the voltage stresses and power losses of inverter switches and reduces the sizes of filtering devices and as well as obtains better output performance compared to the original two-level Z-source inverters. A phase disposition pulse width modulation......This paper proposes a new single stage buck-boost DC-AC neutral point clamped inverter topology which integrates the cascaded configurations of recently introduced inductor-capacitor-capacitor-transformer impedance source network (by Adamowicz) and classic NPC configuration. As a consequence, it...... has enhanced buck-boost functionality and low output voltage distortions compared to the traditional Z-source inverter; it has continuous input current which reduces the source stress and inverter noise; it also contains two built-in capacitors which can block the DC current in the transformer...

  9. A novel buck/LDO dual-mode DC—DC converter for efficiency improvement

    International Nuclear Information System (INIS)

    A novel buck/LDO dual-mode (BLDM) converter using a multiplexing power MOS transistor is proposed, which adaptively switches between buck mode and LDO mode to improve conversion efficiency. The chip was fabricated in a standard 0.35 μm CMOS process. Measurement results show that the peak efficiency is 97%. For the light load operation, the efficiency is improved by 14%. The efficiency keeps higher than 82.5% for the load current of 50 mA without any complex control or extra EMI due to the normal method of pulse frequency modulation (PFM) control used for improving the light load efficiency. It does not cost much extra chip area because no additional regulator PMOS is needed. It is more suitable for noise-restricted systems and battery-powered electronic devices for when battery voltage drops because of long hours of work. (semiconductor integrated circuits)

  10. Modelling and Simulation of Closed Loop Controlled Buck Converter Fed Pmbldc Drive System

    Directory of Open Access Journals (Sweden)

    R. Dhanasekaran

    2011-04-01

    Full Text Available Permanent Magnet Brushless DC Motor (PMBLDC is one of the best electrical drives that has increasing popularity, due to their high efficiency, reliability, good dynamic response and very low maintenance. This makes the interest of modeling an ideal PMBLDC motor and it’s associated Drive System in simple and lucid manner. In this paper the drive system is proposed with a buck converter topology. It has the advantages of reduced switching losses, low inductor power loss, reduced ripple by using a pi-filter, which in turn makes the DC link voltage to be stable. The modeling and simulation of the PMBLDC motor is done using the software package MATLAB/SIMULINK. The operation principle of the buck converter is analyzed and the simulation results are presented in this paper to verify the theoretical analysis.

  11. Las funciones esenciales de la salud pública: un tema emergente en las reformas del sector de la salud The essential functions of public health: an emerging theme in health sector reforms

    OpenAIRE

    Fernando Muñoz; Daniel López-Acuña; Paul Halverson; Carlyle Guerra de Macedo; Wade Hanna; Mónica Larrieu; Soledad Ubilla; José Luis Zeballos

    2000-01-01

    En las Américas, las reformas del sector de la salud se enfrentan al desafío de fortalecer la función rectora de las autoridades sanitarias y una parte importante de este papel consiste en dar cumplimiento a las funciones esenciales de la salud pública (FESP) que competen al Estado en sus niveles central, intermedio y local. Para ello es crucial mejorar la práctica de la salud pública y los instrumentos para valorar su estado actual y las áreas en las que debe ser fortalecida. En virtud de lo...

  12. Design and implementation of an observer controller for a buck converter

    OpenAIRE

    LAKSHMI, Shenbaga; RAJA, T. Sree Renga

    2014-01-01

    An observer controller for a buck converter is presented. A state feedback gain matrix is derived in order to achieve the stability of the converter and to ensure the robustness of the controller. A load estimator is designed to estimate the unmeasurable variables and to obtain the zero output voltage error. A pulse-width modulation scheme is adopted to obtain the output voltage regulation. In order to improve the transitory response and dynamic constancy of the converter, the controlle...

  13. Design of a PEM Fuel Cell Simulator Based on DC-DC Buck Converter

    OpenAIRE

    Georgi Georgievski; Goce L. Arsov

    2010-01-01

    Modeling of fuel cells is getting more and more important as power fuel cell stacks being available and have to be integrated into real power systems. This paper presents a novel circuit simulator for a PEM fuel cell that can be used to design fuel cell based systems. The simulator is consisted of a DC-DC buck converter driven by PIC 16F877 microcontroller. The proposed circuit can be used in design and analysis of fuel cell power systems.

  14. Smooth Starter for a DC Machine through a DC-to-DC Buck Converter

    OpenAIRE

    Linares-Flores J.; Antonio-García A.; Orantes-Molina A.

    2011-01-01

    This article presents the design and implementation of a speed controller for a DC motor through a buck converter, which tracks a smooth reference trajectory designed by a Bezier polynomial interpolation. The system reduces voltage and current sudden peaks in the armature circuit of the motor during the start. The calculation of the speed control is obtained from an output F called flat output (calculated through the Kalman controllability matrix). This control is based on feedback from all s...

  15. Buck-Boost/Forward Hybrid Converter for PV Energy Conversion Applications

    OpenAIRE

    Sheng-Yu Tseng; Chien-Chih Chen; Hung-Yuan Wang

    2014-01-01

    This paper presents a charger and LED lighting (discharger) hybrid system with a PV array as its power source for electronic sign indicator applications. The charger adopts buck-boost converter which is operated in constant current mode to charge lead-acid battery and with the perturb and observe method to extract maximum power of PV arrays. Their control algorithms are implemented by microcontroller. Moreover, forward converter with active clamp circuit is operated in voltage regulation cond...

  16. 1 GHz GaAs Buck Converter for High Power Amplifier Modulation Applications

    OpenAIRE

    Busking, E.B.; Hek, A.P. de; Vliet, F.E. van

    2012-01-01

    A fully integrated 1 GHz buck converter output stage, including on-chip inductor and DC output filtering has been realized, in a standard high-voltage breakdown GaAs MMIC technology. This is a significant step forward in designing highspeed power control of supply-modulated HPAs (high power amplifiers). Agile power controlled HPAs are intended to find application in high-efficiency transmitters for both radio communication and radar applications, especially in which phased array transmit chai...

  17. Two-Phase Interleaved Buck Converter with a new Digital Self-Oscillating Modulkator

    OpenAIRE

    Jakobsen, Lars Tønnes; Andersen, Michael Andreas E.

    2007-01-01

    This paper presents a new Digital Self-Oscillating Modulator (DiSOM) for DC/DC converters. The DiSOM modulator alllows the digital control algorithm to sample the output voltage at a sampling frequency higher than the converter switching frequency. This enables higher control loop bandwidth than for traditional digital PWM modulators given a certain switching frequency. A synchronised version of the DiSOM modulator is derived for interleaved converters. A prototype interleaved Buck converter ...

  18. Adaptive prediction in digitally controlled buck converter with fast load transient response

    OpenAIRE

    Lee, TLA; Chan, PCH

    2012-01-01

    An adaptive prediction scheme based on linear extrapolation for digitally controlled voltage-mode buck-type switching converter is presented. A major drawback of conventional digitally controlled switching converters is bandwidth limitation due to the additional phase lag in the digital feedback control loop. By predicting the future error voltage, the ADC sampling time delay is compensated in order to achieve a higher bandwidth even with a modest sampling rate. Both simulation and measuremen...

  19. Adaptive High-Bandwidth Digitally Controlled Buck Converter with Improved Line and Load Transient Response

    OpenAIRE

    Lee, ATL; Sin, JKO; Chan, PCH

    2014-01-01

    Digitally controlled switching converter suffers from bandwidth limitation because of the additional phase delay in the digital feedback control loop. In order to overcome the bandwidth limitation without using a high sampling rate, this paper presents an adaptive third-order digital controller for regulating a voltage-mode buck converter with a modest 2x oversampling ratio. The phase lag due to the ADC conversion time delay is virtually compensated by providing an early estimation of the err...

  20. Optimization of Power MOSFET for High-Frequency Synchronous Buck Converter

    OpenAIRE

    Bai, Yuming

    2003-01-01

    Evolutions in microprocessor technology require the use of a high-frequency synchronous buck converter (SBC) in order to achieve low cost, low profile, fast transient response and high power density. However, high frequency also causes more power loss on MOSFETs. Optimization of the MOSFETs plays an important role in the system performance. Circuit and device modeling is important in understanding the relationship between the device parameters and the power loss. The gate-to-drain charge ...

  1. Whole-body Response for Pedestrian Impact with a Generic Sedan Buck.

    Science.gov (United States)

    Forman, Jason L; Joodaki, Hamad; Forghani, Ali; Riley, Patrick O; Bollapragada, Varun; Lessley, David J; Overby, Brian; Heltzel, Sara; Kerrigan, Jason R; Crandall, Jeff R; Yarboro, Seth; Weiss, David B

    2015-11-01

    To serve as tools for assessing injury risk, the biofidelity of whole-body pedestrian impact dummies should be validated against reference data from full-scale pedestrian impact tests. To facilitate such evaluations, a simplified generic vehicle-buck has been recently developed that is designed to have characteristics representative of a generic small sedan. Three 40 km/h pedestrian-impact tests have been performed, wherein Post Mortem Human Surrogates (PMHS) were struck laterally in a mid-gait stance by the buck. Corridors for select trajectory measures derived from these tests have been published previously. The goal of this study is to act as a companion dataset to that study, describing the head velocities, body region accelerations (head, spine, pelvis, lower extremities), angular velocities, and buck interaction forces, and injuries observed during those tests. Scaled, transformed head accelerations exceeded 80 g prior to head contact with the windshield for two of the three tests. Head xaxis angular velocity exceeded 40 rad/s prior to head contact for all three tests. In all cases the peak resultant head velocity relative to the vehicle was greater than the initial impact speed of the vehicle. Corridors of resultant head velocity relative to the vehicle were also developed, bounded by the velocities observed in these tests combined with those predicted to occur if the PMHS necks were perfectly rigid. These results, along with the other kinematic and kinetic data presented, provide a resource for future pedestrian dummy development and evaluation. PMID:26660753

  2. The Contribution of Emotional Intelligence on the Components of Burnout : The Case of Health Care Sector Professionals

    OpenAIRE

    Merve Ünal, Zeynep

    2014-01-01

    The purpose of this study is to investigate the contribution of emotional intelligence on three components of burnout (emotional exhaustion, depersonalization, and reduced personal accomplishment) in health care professionals. Data were collected from a sample of 136 health care professionals (78 men, 58 women). The findings imply that the more emotionally intelligent health care professionals were, the less likely they were to experience emotional exhaustion and depersonalization whereas mor...

  3. Maternal and reproductive health financing in Burundi: public-sector contribution levels and trends from 2010 to 2012

    OpenAIRE

    Chaumont, Claire; Muhorane, Carmen; Moreira-Burgos, Isabelle; Juma, Ndereye; Avila-Burgos, Leticia

    2015-01-01

    Background An understanding of public financial flows to reproductive health (RH) at the country level is key to assessing the extent to which they correspond to political commitments. This is especially relevant for low-income countries facing important challenges in the area of RH. To this end, the present study analyzes public expenditure levels and trends with regards to RH in Burundi between the years 2010 to 2012, looking specifically at financing agents, health providers, and health fu...

  4. An Evaluation of the Persistence of Blat in Post-Soviet Societies: a Case Study of Ukraine’s Health Services Sector

    Directory of Open Access Journals (Sweden)

    Colin C Williams

    2015-12-01

    Full Text Available The use of personal connections to gain preferential access to goods and services and circumvent formal procedures exists in all countries to varying degrees. In this paper, the aim is to evaluate critically the continuing widespread positive depiction of this practice as a form of friendly help. Studying the health services sector in the city of Mykolayiv in Ukraine, this practice known as blat, widely used in Soviet societies to gain access to goods and services, is shown to persist in post-Soviet market societies but to have transformed. Those possessing connections and access to health services now increasingly view such access-assets as commodities to sell rather than provide them as non-monetised friendly favours. The outcome is a call for blat to be re-theorised more negatively as an exemplar of the darker side of social capital, and for a policy shift from doing nothing to seeking its eradication.

  5. Situation analysis of health care waste management in private sector hospitals in federal capital territory, islamabad, pakistan

    International Nuclear Information System (INIS)

    The deleterious and harmful effects of hospital waste on environment and human health is well documented in Pakistan. The hospital waste that may be produced as a result of patient care in hospitals, clinical settings including the diagnostic laboratories is one of the potential health hazards. It significantly contributes to the transfusion transmitted diseases and ever increasing incidence of HBV, HCV and HIV. (author)

  6. The Impact of Occupational Hazard Information on Employee Health and Safety: An Analysis by Professional Sectors in Spain

    Science.gov (United States)

    Saldaria, Miguel Angel Mariscal; Herrero, Susana Garcia; Rodriguez, Javier Garcia; Ritzel, Dale

    2012-01-01

    All workers have the right to perform their job duties under the best possible conditions, safeguarded from the harm which the execution of their duties may entail. In addition, employers have the obligation to guarantee this right to health, implementing a preventive system which assures the safety and health of the workers under their charge.…

  7. Occupational stress and health-related quality of life among public sector bank employees: A cross-sectional study in Mysore, Karnataka, India

    Directory of Open Access Journals (Sweden)

    Sowmya N Malamardi

    2015-01-01

    Full Text Available Background: Occupational morbidities have been estimated to cause an economic loss up to 10–20% of the gross national product of a country. It is an important cause of occupational morbidity and decreased quality of life (QOL for the workers. Aim: The aim of the present study is to assess the level of occupational stress and its association with the QOL among the public sector bank employees. Materials and Methods: The present study was conducted among employees of public sector banks in Mysore district, Karnataka, India. A cross-sectional study design was used for the study. Job stress was measured by using occupational stress index (OSI scale questionnaire and health-related QOL was measured using the short form 12 (SF-12 questionnaire. The sample size estimated for the study was 526 and cluster random sampling technique was used. Chi-square test was used to find the association between the study variables and level of stress. Multiple linear regression model was used to find the determinants of health-related QOL among the study subjects. Results: The total number of the study subjects was 546 out of which 57% were males and 43% were females. The proportion of study subjects reporting to be current smokers was 4.2% and almost all study subjects reported occasional alcohol consumption. The mean physical component summary (PCS score and mental component summary (MCS using the original United States standardization were 47.90 and 48.30, respectively. The individuals with mild stress scored higher in both PCS and MCS than the individuals who had moderate to severe stress levels. There was significant association of health related quality of life with the age of the respondent,presence of at least one morbidity and level of stress with health-related QOL. Conclusion: This study has shown an association of occupational stress with the QOL. There is a need for interventions aimed at mitigating the occupational stress among employees of the banking

  8. Regional Disparity in Physical Resources in the Health Sector in Iran: A Comparison of Two Time Periods

    Directory of Open Access Journals (Sweden)

    Ali AKBARI-SARI

    2015-10-01

    Full Text Available Background: One of the major health policy issues, in the both developed and developing countries, is the equality in the distribution of health resources. The aim of this study was to investigate the disparity in the distribution of health physical resources across the provinces of Iran in 2001 and 2011.Methods: This was a cross-sectional retrospective study which investigated inequality in the distribution of health physical resources by three indexes of Gini Coefficient, Gaswirth index and Index of Dissimilarity. The data on prov-inces were obtained from the yearbook statistics and Ministry of Health, and Medical Education. The Excel software was used to calculated indexes.Results: The finding showed the mean Gini Coefficient for all variables was 0.178 in 2001 and 0.158 in 2011. Besides, the mean Gaswirth index and index of dissimilarity were 11.5 and 1.5% in 2001 and 11 and 1.4% in 2011, respectively.Conclusion: There was slightly inequality in distribution of physical health resources in Iran. According to the results of three indexes, this study showed when Tehran province excluding from total sample, the inequality was decreased.

  9. Regional Disparity in Physical Resources in the Health Sector in Iran: A Comparison of Two Time Periods

    Science.gov (United States)

    AKBARI SARI, Ali; REZAEI, Satar; HOMAIE RAD, Enayatollah; DEHGHANIAN, Nasim; CHAVEHPOUR, Yousef

    2015-01-01

    Background: One of the major health policy issues, in the both developed and developing countries, is the equality in the distribution of health resources. The aim of this study was to investigate the disparity in the distribution of health physical resources across the provinces of Iran in 2001 and 2011. Methods: This was a cross-sectional retrospective study which investigated inequality in the distribution of health physical resources by three indexes of Gini Coefficient, Gaswirth index and Index of Dissimilarity. The data on provinces were obtained from the yearbook statistics and Ministry of Health, and Medical Education. The Excel software was used to calculated indexes. Results: The finding showed the mean Gini Coefficient for all variables was 0.178 in 2001 and 0.158 in 2011. Besides, the mean Gaswirth index and index of dissimilarity were 11.5 and 1.5% in 2001 and 11 and 1.4% in 2011, respectively. Conclusion: There was slightly inequality in distribution of physical health resources in Iran. According to the results of three indexes, this study showed when Tehran province excluding from total sample, the inequality was decreased. PMID:26258098

  10. Is there a demand for physical activity interventions provided by the health care sector? Findings from a population survey

    Directory of Open Access Journals (Sweden)

    Walter Lars

    2010-01-01

    Full Text Available Abstract Background Health care providers in many countries have delivered interventions to improve physical activity levels among their patients. Thus far, less is known about the population's interest to increase their physical activity levels and their opinion about the health care provider's role in physical activity promotion. The aims of this paper were to investigate the self-reported physical activity levels of the population and intention to increase physical activity levels, self-perceived need for support, and opinions about the responsibilities of both individuals and health care providers to promote physical activity. Methods A regional public health survey was mailed to 13 440 adults (aged 18-84 years living in Östergötland County (Sweden in 2006. The survey was part of the regular effort by the regional Health Authorities. Results About 25% of the population was categorised as physically active, 38% as moderately active, 27% as somewhat active, and 11% as low active. More than one-third (37% had no intentions to increase their physical activity levels, 36% had thought about change, while 27% were determined to change. Lower intention to change was mainly associated with increased age and lower education levels. 28% answered that physical activity was the most important health-related behaviour to change "right now" and 15% of those answered that they wanted or needed support to make this change. Of respondents who might be assumed to be in greatest need of increased activity (i.e. respondents reporting poor general health, BMI>30, and inactivity more than one-quarter wanted support to make improvements to their health. About half of the respondents who wanted support to increase their physical activity levels listed health care providers as a primary source for support. Conclusions These findings suggest that there is considerable need for physical activity interventions in this population. Adults feel great responsibility for

  11. Public Sector Performance

    NARCIS (Netherlands)

    B. Kuhry

    2004-01-01

    The performance of the public sector of national economies is a crucial factor in the race to achieve the goals in the Lisbon Agenda. It is therefore useful to relate differences in performance in education, health care, law and order, and public administration to differences in resource use and nat

  12. Public sector innovation

    DEFF Research Database (Denmark)

    Wegener, Charlotte

    perspective by providing evidence from an ethnographic field study on innovation in social and health care studies in Denmark. These studies are part of the vocational education and training (VET) system, which combines coursework at a college and internship in the elder care sector. The study is thus cross...

  13. Extending transaction cost economics: towards a synthesised approach for analysing contracting in health care markets with experience from the Australian private sector.

    Science.gov (United States)

    Donato, Ronald

    2010-12-01

    Transaction cost economics (TCE) has been the dominant economic paradigm for analysing contracting, and the framework has been applied in a number of health care contexts. However, TCE has particular limitations when applied to complex industry settings and there have been calls to extend the framework to incorporate dynamic theories of industrial organisation, specifically the resource-based view (RBV). This paper analyses how such calls for theoretical pluralism are particularly germane to health care markets and examines whether a combined TCE-RBV provides a more comprehensive approach for understanding the nature of contractual arrangements that have developed within the Australian private health care sector and its implications for informing policy. This Australian case study involved a series of interviews with 14 senior contracting executives from the seven major health funds (i.e. 97% of the insured population) and seven major private hospital groups (i.e. 73% of the private hospital beds). Study findings reveal that both the TCE perspective with its focus on exchange hazards, and the RBV approach with its emphasis on the dynamic nature of capabilities, each provide a partial explanation of the developments associated with contracting between health funds and hospital groups. For a select few organisations, close inter-firm relational ties involving trust and mutual commitment attenuate complex exchange hazards through greater information sharing and reduced propensity to behave opportunistically. Further, such close relational ties also provide denser communication channels for creating and transmitting more complex information enabling organisations to tap into each other's complementary resources and capabilities. For policymakers, having regard to both TCE and RBV considerations provides the opportunity to apply competition policy beyond the current static notions of efficiency and welfare gains, and cautions policymakers against specifying ex ante the

  14. Caring for parents with Alzheimer's: comparing perceptions of physical and mental health in the Jewish and Arab sectors in Israel.

    Science.gov (United States)

    Lowenstein, A

    1999-03-01

    This study examines the effects of demographic, ethnic, personal and familial resources on well-being--perceptions of physical and mental health--of children caring for parents with Alzheimer's, comparing Jewish and Arab caregivers. Two groups of 64 Jewish and 50 Arab caregivers were selected from a cognitive diagnostic unit operating in a geriatric rehabilitative hospital in the north of Israel. The theoretical base was family systems and stress theories, using the ABCX model. The results show that ethnicity and parent-child relations were the strongest predictors of physical and especially mental health of these caregivers, followed by employment status of the caregivers and patient's functioning. PMID:14617896

  15. Bridging the gap between health and non-health investments: moving from cost-effectiveness analysis to a return on investment approach across sectors of economy.

    Science.gov (United States)

    Sendi, Pedram

    2008-06-01

    When choosing from a menu of treatment alternatives, the optimal treatment depends on the objective function and the assumptions of the model. The classical decision rule of cost-effectiveness analysis may be formulated via two different objective functions: (i) maximising health outcomes subject to the budget constraint or (ii) maximising the net benefit of the intervention with the budget being determined ex post. We suggest a more general objective function of (iii) maximising return on investment from available resources with consideration of health and non-health investments. The return on investment approach allows to adjust the analysis for the benefits forgone by alternative non-health investments from a societal or subsocietal perspective. We show that in the presence of positive returns on non-health investments the decision-maker's willingness to pay per unit of effect for a treatment program needs to be higher than its incremental cost-effectiveness ratio to be considered cost-effective. PMID:18351456

  16. How shall we examine and learn about public-private partnerships (PPPs) in the health sector? Realist evaluation of PPPs in Hong Kong.

    Science.gov (United States)

    Wong, Eliza L Y; Yeoh, Eng-Kiong; Chau, Patsy Y K; Yam, Carrie H K; Cheung, Annie W L; Fung, Hong

    2015-12-01

    The World Health Organization advocates the goal of universal coverage of health systems to ensure that everyone can avail the services they need and are protected from the associated financial risks. Governments are increasingly engaging and interacting with the private sector in initiatives collectively referred to as public-private partnerships (PPPs) to enhance the capacity of health systems to meet this objective. Understanding the values that motivate partners and demonstrating commitment for building relationships were found to be key lessons in building effective PPPs; however there, remain many research gaps. This study focusses on the practice of PPPs at the inter-organisational (meso) level and interpersonal (micro) level in Hong Kong Special Administrative Region (HKSAR). The influence of the structural components of different PPPs on stakeholder interpretation and actions, as well as the eventual outcomes of the PPPs, is examined, in terms of a realist evaluation, which applies a context-mechanism-outcome configuration as the research methodology. Seven key factors initiating commitment in a partnership, critical for sustainable PPPs, were identified as follows: (1) building of trust; (2) clearly defined objectives and roles; (3) time commitment; (4) transparency and candid information, particularly in relation to risk and benefit; (5) contract flexibility; (6) technical assistance or financial incentive behind procedural arrangements; and (7) the awareness and acceptability of structural changes related to responsibility and decisions (power and authority). PMID:26605970

  17. Sobre a deontologia do intervencionismo estatal no setor saúde On the deontology of government interventionism in the health sector

    Directory of Open Access Journals (Sweden)

    Paulo Flávio Silveira

    1988-06-01

    Full Text Available Relata-se o processo que define a mercantilização, o corporativismo, as ações preventivas e educativas em saúde pública e as investigações científicas básicas e aplicadas na medicina de modo a caracterizar algumas causas e efeitos da aplicação da perspectiva de individualização que é decorrência dos princípios da doutrina utilitarista. Os problemas da assistência à saúde, os problemas educacionais e os fatores do desenvolvimento cultural, científico e econômico são discutidos através de uma análise inter-relacionada onde é detectada a tendência resistente à superação dessa perspectiva. Os princípios utilitaristas foram entendidos como produtores de efeitos contrários aos desejados pelo controle político, ou seja, a ineficiência do setor saúde, causada por este controle, passa a constituir, ela mesma, uma ameaça à ordem social que este arranjo político pretende manter. Assim, há exigências de concentração institucional das ações de saúde, de divisão técnica do trabalho e de desenvolvimento de tecnologias de processo que podem ser integradas à prática política atual a partir do entendimento apresentado.The attitude adopted to problems in the health sector is based on principles which arise from the doctrine of utilitarian philosophy which imposes a perspective of individualization incapable of providing structural solutions. The process which defines the mercantilization, the corporative system, the preventive and educative action in public health and both basic scientific investigation as well as that applied in Medicine is described insuch a way as to characterize some of the causes and the effects of this perspective. By means of the inter-connected analysis of the problems of health assistance, of education and of cultural, scientific and economic development, the tendency to resist the movement to replace this perspective and the consequence inertia of the evolution of the health sector is

  18. PERCEPTIONS AND ATTITUDES OF GERIATRIC HEALTH CARE SEEKERS TO THE BUILT ENVIRONMENTS OF HEALTH CARE PROVIDERS IN THE RURAL AND URBAN SECTORS OF TRIPURA

    Directory of Open Access Journals (Sweden)

    Aghore

    2014-08-01

    Full Text Available : The aged patients seem to be confronted with barriers when using health services. Yet, care providers are often oblivious to these barriers, although they may share to some extent the burden of responsibility for them. OBJECTIVES: To study the perceptions and attitudes of geriatric health care seekers towards the health care system. To assess the potential barriers that may restrict the geriatric people from using health services. METHODOLOGY: A cross sectional study was conducted among 200 participants’ ≥65 years who were attending health institutions in both rural and urban setting using pre-tested, semi- structured interview schedule. Statistical analyses were performed using Microsoft Excel 2007 and Epi-info version 6.0 software. RESULT: Positive impact was found on regard to the family doctor, essential works being carried out, knowledge about the institute (P=0.000, 0.014, 0.001 respectively. Exercise played significant role among the males and females (P=0.017. Literacy had some positive impact on health status (P=0.025, essential works being carried out for themselves (P=0.033 and helpful attitude of family members (P=0.019. CONCLUSION: The significance were being observed in regards to the personal and family level both of which could be related to ignorance towards the health care for themselves or for a geriatric member of any given ignorant family in both urban and rural setting

  19. Predicted sex ratio of juvenile Hawksbill Seaturtles inhabiting Buck Island Reef national monument, U.S. Virgin Islands

    Science.gov (United States)

    Geis, A.; Wibbels, T.; Phillips, B.; Hillis-Starr, Z.; Meylan, A.; Meylan, P.; Diez, C.; Van Dam, R.

    2003-01-01

    Hawksbill Seaturtles have temperature-dependent sex determination. As such, the resulting sex ratios are of conservational and ecological significance. Buck Island Reef is an interesting location for sex ratio studies since it represents a natural and unexploited foraging ground for hawksbills in the Caribbean. To examine sex ratios, blood samples were obtained from juvenile Hawksbill Seaturtles captured on Buck Island Reef over a four-year period. We used a radioimmunoassay to determine testosterone levels in those samples and compared those values to testosterone levels of juvenile hawksbills from the Caribbean whose sex has been verified by laparoscopy. The results of this study reveal a significantly female-biased sex ratio (approximately 80% female) occurs in this juvenile aggregation inhabiting Buck Island Reef.

  20. Single layer centrifugation (SLC) improves sperm quality of cryopreserved Blanca-Celtibérica buck semen.

    Science.gov (United States)

    Jiménez-Rabadán, P; Morrell, J M; Johannisson, A; Ramón, M; García-Álvarez, O; Maroto-Morales, A; Alvaro-García, P J; Pérez-Guzmán, M D; Fernández-Santos, M R; Garde, J J; Soler, A J

    2012-12-01

    The aim of the present study was to evaluate the effect of sperm selection by means of single layer centrifugation (SLC) on sperm quality after cryopreservation, either when SLC is used before freezing or after thawing, using Blanca-Celtibérica buck semen collected by electroejaculation (EE). Ejaculates from six bucks were collected by EE and divided into two aliquots. One of them (unselected) was diluted with Biladyl(®) by the two-step method and frozen over nitrogen vapor. The other aliquot was selected by the SLC technique and subsequently frozen in the same way as the unselected samples (SLC before freezing). In a further treatment, two unselected straws were thawed and SLC was carried out (SLC after thawing). At thawing, sperm motility of all samples ((i) unselected; (ii) selected before freezing and (iii) selected after thawing) was evaluated by CASA. In addition, integrity of the plasma membrane, mitochondrial membrane potential, ROS production and DNA fragmentation index were assessed by flow cytometry. Most of the sperm parameters were improved (P≤0.001) in samples selected by SLC after thawing in relation to unselected or selected by SLC before freezing. The percentage of progressive motile spermatozoa was greater (86%) for sperm samples selected after thawing compared with unselected (58%) or selected before freezing (54%). Moreover, percentages of spermatozoa with intact plasma membrane and spermatozoa with high mitochondrial membrane potential (hMMP) were also greater for sperm samples selected after thawing compared to sperm samples unselected or selected before freezing (spermatozoa with intact plasma membrane: 80% vs. 32% vs. 12%; spermatozoa with hMMP: 54% vs. 1% vs. 15%; respectively). Therefore, sperm quality after cryopreservation is improved in Blanca-Celtibérica buck ejaculates collected by EE when a sperm selection technique such as SLC is carried out after thawing. PMID:23084569

  1. Does the private sector receive an excessive return from investments in health care infrastructure projects? Evidence from the UK.

    Science.gov (United States)

    Vecchi, Veronica; Hellowell, Mark; Gatti, Stefano

    2013-05-01

    This paper is concerned with the cost-efficiency of Private Finance Initiatives (PFIs) in the delivery of hospital facilities in the UK. We outline a methodology for identifying the "fair" return on equity, based on the Weighted Average Cost of Capital (WACC) of each investor. We apply this method to assess the expected returns on a sample of 77 contracts signed between 1997 and 2011 by health care provider organisations in the UK. We show that expected returns are in general in excess of the WACC benchmarks. The findings highlight significant problems in current procurement practices and the methodologies by which bids are assessed. To minimise the financial impact of hospital investments on health care systems, a regulatory regime must ensure that expected returns are set at the "fair" rate. PMID:23332120

  2. A practical and systematic approach to organisational capacity strengthening for research in the health sector in Africa

    OpenAIRE

    Bates, Imelda; Boyd, Alan; Smith, Helen; Cole, Donald C

    2014-01-01

    Background Despite increasing investment in health research capacity strengthening efforts in low and middle income countries, published evidence to guide the systematic design and monitoring of such interventions is very limited. Systematic processes are important to underpin capacity strengthening interventions because they provide stepwise guidance and allow for continual improvement. Our objective here was to use evidence to inform the design of a replicable but flexible process to guide ...

  3. Knowledge, Attitudes, and Practices of Public Sector Primary Health Care Physicians of Rural North Karnataka Towards Obesity Management

    OpenAIRE

    Somannavar, Manjunath S.; Appajigol, Jayaprakash S.

    2014-01-01

    Introduction: Obesity is a risk factor for cardiovascular disease (CVD), diabetes mellitus (DM), and hypertension (HTN). In an era of rapidly growing prevalence of obesity, it is important to explore the current knowledge, attitude, and practices of primary care physicians. Materials and Methods: Study participants were medical officers (MOs) of primary health centers in three districts of North Karnataka. The questionnaire was developed by a review of literature in the field and validated wi...

  4. Evaluating the scope for energy-efficiency improvements in the public sector: Benchmarking NHSScotland's smaller health buildings

    Energy Technology Data Exchange (ETDEWEB)

    Murray, Joe; Burek, S. [School of the Built and Natural Environment, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA (United Kingdom); Pahl, O. [Caledonian Environment Centre, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA (United Kingdom)

    2008-03-15

    The National Health Service in Scotland (NHSScotland) has, in recent years, done much to reduce energy consumption in its major healthcare buildings (hospitals). On average, a reduction of 2% per year has been achieved since 2000, based on hospital buildings. However, there had been little or no attention paid to smaller premises such as health centres, clinics, dentists, etc. Such smaller healthcare buildings in Scotland constitute 29% of the total treated floor area of all NHSScotland buildings and, therefore, may contribute a similar percentage of carbon and other emissions to the environment. By concentrating on a sample of local health centres in Scotland, this paper outlines the creation of an energy benchmark target, which is part of a wider research project to investigate the environmental impacts of small healthcare buildings in Scotland and the scope for improvements. It was found that energy consumption varied widely between different centres but this variation could not be linked to building style, floor area or volume. Overall, it was found that a benchmark of 0.2 GJ/m{sup 3} would be challenging, but realistic. (author)

  5. Industrial sector

    International Nuclear Information System (INIS)

    The industrial sector is categorized as related to among others, the provision of technical and engineering services, supply of products, testing and troubleshooting of parts, systems and industrial plants, quality control and assurance as well as manufacturing and processing. A total of 161 entities comprising 47 public agencies and 114 private companies were selected for the study in this sector. The majority of the public agencies, 87 %, operate in Peninsular Malaysia. The remainders were located in Sabah and Sarawak. The findings of the study on both public agencies and private companies are presented in subsequent sections of this chapter. (author)

  6. Agricultural sector

    International Nuclear Information System (INIS)

    The applications of nuclear technology in agriculture sector cover the use of the technology at every aspects of agricultural activity, starting from the seed to harvesting as well as the management of plantations itself. In this sector, a total of 55 entities comprising 17 public agencies and 38 private companies were selected for the study. Almost all, 91 % of them are located in Peninsular Malaysia; the rest operates in Sabah and Sarawak. The findings of the study in the public agencies and private companies are presented in the next sections. (author)

  7. The evolving role of health care aides in the long-term care and home and community care sectors in Canada.

    Science.gov (United States)

    Berta, Whitney; Laporte, Audrey; Deber, Raisa; Baumann, Andrea; Gamble, Brenda

    2013-01-01

    Health Care Aides (HCAs) provide up to 80% of the direct care to older Canadians living in long-term care facilities, or in their homes. They are an understudied workforce, and calls for health human resources strategies relating to these workers are, we feel, precipitous. First, we need a better understanding of the nature and scope of their work, and of the factors that shape it. Here, we discuss the evolving role of HCAs and the factors that impact how and where they work. The work of HCAs includes role-required behaviors, an increasing array of delegated acts, and extra-role behaviors like emotional support. Role boundaries, particularly instances where some workers over-invest in care beyond expected levels, are identified as one of the biggest concerns among employers of HCAs in the current cost-containment environment. A number of factors significantly impact what these workers do and where they work, including market-level differences, job mobility, and work structure. In Canada, entry into this 'profession' is increasingly constrained to the Home and Community Care sector, while market-level and work structure differences constrain job mobility to transitions of only the most experienced workers, to the long-term care sector. We note that this is in direct opposition to recent policy initiatives designed to encourage aging at home. Work structure influences what these workers do, and how they work; many HCAs work for three or four different agencies in order to sustain themselves and their families. Expectations with regard to HCA preparation have changed over the past decade in Canada, and training is emerging as a high priority health human resource issue. An increasing emphasis on improving quality of care and measuring performance, and on integrated team-based care delivery, has considerable implications for worker training. New models of care delivery foreshadow a need for management and leadership expertise--these workers have not historically been

  8. Sensorless load torque estimation and passivity based control of buck converter fed DC motor.

    Science.gov (United States)

    Kumar, S Ganesh; Thilagar, S Hosimin

    2015-01-01

    Passivity based control of DC motor in sensorless configuration is proposed in this paper. Exact tracking error dynamics passive output feedback control is used for stabilizing the speed of Buck converter fed DC motor under various load torques such as constant type, fan type, propeller type, and unknown load torques. Under load conditions, sensorless online algebraic approach is proposed, and it is compared with sensorless reduced order observer approach. The former produces better response in estimating the load torque. Sensitivity analysis is also performed to select the appropriate control variables. Simulation and experimental results fully confirm the superiority of the proposed approach suggested in this paper. PMID:25893208

  9. Evaluation of Arm Processor-based Bionic Intelligent Controller for a Buck-boost Converte

    Directory of Open Access Journals (Sweden)

    M.V. Mini

    2015-07-01

    Full Text Available This study focuses on performance-comparison of different tuning methods for a PI controller applied to a buck-boost converter. Comparison between the controllers is made by analysis of design methodology implementation issues and empirically measured performance. Design of PI controller is based on frequency response of the converter. The optimization of PI controller is based on ant colony algorithm. Experimental results show that, tuning the PI controller using ACO algorithm gave better performance than the conventional algorithm. This is mainly due to the fact ACO is capable of reducing the overshoot without oscillation.

  10. Three phase six-switch PWM buck rectifier with power factor improvement

    International Nuclear Information System (INIS)

    Conventional Phase Controlled Rectifier injects low order current harmonics into the AC mains. Large size filtering components are required to attenuate these harmonics. In this paper, three phase six-switch PWM buck rectifier is presented which operates at nearly unity power factor and provides variable output voltage. Small size energy storing components are required depending upon switching frequency. MATLAB simulation is performed and modified Sinusoidal Pulse Width Modulation (SPWM) switching technique is used in 3kW prototype converter to demonstrate low input current THD, nearly unity displacement factor, well regulated output voltage and reduced switching losses compared to conventional SPWM.

  11. Bifurcations and chaos produced by the modulation signal in a PWM buck converter

    International Nuclear Information System (INIS)

    We present an analysis of the complex dynamics displayed by the classical buck converter, controlled with a Pulse-Width-Modulation technique. We show the conditions to make the circuit display a sliding mode and a null steady-state error. Also, some conditions for the existence of a periodic orbit with the same period as the modulation signal are established. Finally, taking the period of the modulation signal as a bifurcation parameter, we describe a situation where the controlled circuit exhibits chaotic behavior.

  12. A novel single phase buck PFC converter in discontinuous capacitor voltage mode operation

    Institute of Scientific and Technical Information of China (English)

    邓超平; 凌志斌; 叶芃生

    2003-01-01

    A novel single-phase Buck converter for power factor correction is proposed. It features simple control due to the constant duty ratio PWM used. It can obtain unity power factor by selecting a suitable LC filter at its input to force the voltage of capacitor to operate in discontinuous capacitor voltage mode. And by using another resonant LC filter at its output, it can not only eliminate the input current distortion at the vicinity of the zero crossing of the supply but also drastically reduce the 100 Hz output voltage ripple. The validity of analysis is confirmed by simulation results and experimental results.

  13. Bucking Coil Implementation on PMT for Active Cancelling of Magnetic Field

    CERN Document Server

    Gogami, T; Bono, J; Baturin, P; Chen, C; Chiba, A; Chiga, N; Fujii, Y; Hashimoto, O; Kawama, D; Maruta, T; Maxwell, V; Mkrtchyan, A; Nagao, S; Nakamura, S N; Reinhold, J; Shichijo, A; Tang, L; Taniya, N; Wood, S A; Ye, Z

    2013-01-01

    Aerogel and water Cerenkov detectors were employed to tag kaons for a lambda hypernuclear spectroscopic experiment which used the (e,e'K+) reaction in experimental Hall C at Jefferson Lab (JLab E05-115). Fringe fields from the kaon spectrometer magnet yielded ~5 Gauss at the photomultiplier tubes (PMT) for these detectors which could not be easily shielded. As this field results in a lowered kaon detection efficiency, we implemented a bucking coil on each photomultiplier tubes to actively cancel this magnetic field, thus maximizing kaon detection efficiency.

  14. Sensorless Load Torque Estimation and Passivity Based Control of Buck Converter Fed DC Motor

    Directory of Open Access Journals (Sweden)

    S. Ganesh Kumar

    2015-01-01

    Full Text Available Passivity based control of DC motor in sensorless configuration is proposed in this paper. Exact tracking error dynamics passive output feedback control is used for stabilizing the speed of Buck converter fed DC motor under various load torques such as constant type, fan type, propeller type, and unknown load torques. Under load conditions, sensorless online algebraic approach is proposed, and it is compared with sensorless reduced order observer approach. The former produces better response in estimating the load torque. Sensitivity analysis is also performed to select the appropriate control variables. Simulation and experimental results fully confirm the superiority of the proposed approach suggested in this paper.

  15. A unified active damping control for single-phase differential buck inverter with LCL-filter

    DEFF Research Database (Denmark)

    Yao, Wenli; Wang, Xiongfei; Zhang, Xiaobin;

    2015-01-01

    control of a grid-connected differential mode buck inverter with an LCL filter. A generalized small-signal model of the inverter is built first with the averaged switching model. It is shown that the LCL filter resonance merely occurs in the differential mode, while an LC filter resonance exists in the...... common mode, provided that the filter parameters of the two bridges are kept the same. A unified active damping control approach is then proposed for stabilizing the inverter and improving the transient performance under a wide range of grid impedance. Lastly, experimental tests are carried out and the...

  16. Desigualdades en la provisión de asistencia médica en el sector público de salud en Chile Inequalities in public health care provision in Chile

    Directory of Open Access Journals (Sweden)

    Oscar Arteaga

    2002-08-01

    Full Text Available Entre los años 1997 y 1999, el Ministerio de Salud de Chile impulsó la realización de estudios de la red asistencial en cada una de las 13 regiones del país, con el fin de poder orientar en ellas el desarrollo del sector salud y la cartera de inversiones. En este artículo se analizan algunos resultados de estos estudios. La cobertura del aseguramiento presenta variaciones geográficas, de edad y género. La atención médica ambulatoria y de hospitalización en el sector público presenta importantes variaciones geográficas. Sólo alrededor de un 20% de la capacidad total de producción de egresos de los hospitales de referencia nacional estaría siendo ofrecido al 60% de la población chilena que vive en regiones distintas de la Región Metropolitana. La asignación de recursos financieros para el nivel primario de atención muestra que las comunas que destinan mayores aportes per capita a salud no serían aquellas con mayor necesidad. La complementariedad de los sectores público y privado, así como el fortalecimiento de la autoridad sanitaria del Ministerio de Salud son ejes de desarrollo futuro del sector para mejorar la respuesta global del sistema de salud a las necesidades de la población.From 1997 to 1999, the Chilean Ministry of Health conducted studies on the health care networks in each of the country's 13 regions in order to help plan regional health sector development and define investment projects. Health insurance coverage displayed major geographic, age, and gender variations. Out-patient and in-patient medical care in the public sector showed substantial geographic variations. According to patient discharge records from national referral hospitals, only some 20% of total health care capability is used to treat 60% of the Chilean population living in regions outside the Greater Metropolitan area. Analysis of primary care funding shows that municipalities allocating the highest per capita funds are not the ones with the

  17. Hierarchical Velocity Control Based on Differential Flatness for a DC/DC Buck Converter-DC Motor System

    OpenAIRE

    Silva-Ortigoza, R.; C. Márquez-Sánchez; F. Carrizosa-Corral; M. Antonio-Cruz; J. M. Alba-Martínez; Saldaña-González, G.

    2014-01-01

    This paper presents a hierarchical controller that carries out the angular velocity trajectory tracking task for a DC motor driven by a DC/DC Buck converter. The high level control is related to the DC motor and the low level control is dedicated to the DC/DC Buck converter; both controls are designed via differential flatness. The high level control provides a desired voltage profile for the DC motor to achieve the tracking of a desired angular velocity trajectory. Then, a low level control ...

  18. Conceptual reflections about organizational and professional commitment in the health sector Reflexión conceptual sobre compromiso organizacional y profesional en el sector salud Reflexões conceituais sobre comprometimento organizacional e profissional no setor saúde

    Directory of Open Access Journals (Sweden)

    Eliana Ofelia LLapa-Rodríguez

    2008-06-01

    Full Text Available In the daily exercise of their functions, health professionals face a duality of systems, that is, the professional system and the organizational system, each of which has its own distinct values, principles and expectations. The authors aim to present organizational and professional commitment concepts and their relations in the context of the health sector. They consider that organizational and professional commitment are not incompatible, but can be reconciled in the organizational dynamics, and alert about the development of affective commitment in workers, due to the positive consequences for the organization and the profession.Dentro de su cotidiano, los profesionales de salud al ejecutar sus funciones enfrentan una dualidad de sistemas, es decir, el sistema profesional y el sistema organizacional, cada uno con sus valores, principios y expectativas distintos. El objetivo de los autores es presentar conceptos de compromiso organizacional y profesional y sus relaciones en el contexto del área de la salud. Consideran, que el compromiso organizacional y profesional no son incompatibles siendo, por tanto, conciliables dentro de la dinámica organizacional. Alertan para el desenvolvimiento de compromiso afectivo en trabajadores por las consecuencias positivas en la organización y profesión.Os profissionais de saúde, no cotidiano, ao exercerem suas funções enfrentam dualidade de sistemas, ou seja, o sistema profissional e o sistema organizacional, cada qual com seus valores, princípios e expectativas distintos. O objetivo dos autores é apresentar conceitos de comprometimento organizacional e profissional e suas relações no contexto do setor saúde. Considera-se que o comprometimento organizacional e o profissional não são incompatíveis, sendo, portanto, conciliáveis na dinâmica organizacional. Alerta-se, também, para o desenvolvimento do comprometimento afetivo dos trabalhadores pelas conseqüências positivas para a organiza

  19. Corruption in the health care sector: A barrier to access of orthopaedic care and medical devices in Uganda

    Science.gov (United States)

    2012-01-01

    Background Globally, injuries cause approximately as many deaths per year as HIV/AIDS, tuberculosis and malaria combined, and 90% of injury deaths occur in low- and middle- income countries. Given not all injuries kill, the disability burden, particularly from orthopaedic injuries, is much higher but is poorly measured at present. The orthopaedic services and orthopaedic medical devices needed to manage the injury burden are frequently unavailable in these countries. Corruption is known to be a major barrier to access of health care, but its effects on access to orthopaedic services is still unknown. Methods A qualitative case study of 45 open-ended interviews was conducted to investigate the access to orthopaedic health services and orthopaedic medical devices in Uganda. Participants included orthopaedic surgeons, related healthcare professionals, industry and government representatives, and patients. Participants’ experiences in accessing orthopaedic medical devices were explored. Thematic analysis was used to analyze and code the transcripts. Results Analysis of the interview data identified poor leadership in government and corruption as major barriers to access of orthopaedic care and orthopaedic medical devices. Corruption was perceived to occur at the worker, hospital and government levels in the forms of misappropriation of funds, theft of equipment, resale of drugs and medical devices, fraud and absenteeism. Other barriers elicited included insufficient health infrastructure and human resources, and high costs of orthopaedic equipment and poverty. Conclusions This study identified perceived corruption as a significant barrier to access of orthopaedic care and orthopaedic medical devices in Uganda. As the burden of injury continues to grow, the need to combat corruption and ensure access to orthopaedic services is imperative. Anti-corruption strategies such as transparency and accountability measures, codes of conduct, whistleblower protection, and higher

  20. Corruption in the health care sector: A barrier to access of orthopaedic care and medical devices in Uganda

    Directory of Open Access Journals (Sweden)

    Bouchard Maryse

    2012-05-01

    Full Text Available Abstract Background Globally, injuries cause approximately as many deaths per year as HIV/AIDS, tuberculosis and malaria combined, and 90% of injury deaths occur in low- and middle- income countries. Given not all injuries kill, the disability burden, particularly from orthopaedic injuries, is much higher but is poorly measured at present. The orthopaedic services and orthopaedic medical devices needed to manage the injury burden are frequently unavailable in these countries. Corruption is known to be a major barrier to access of health care, but its effects on access to orthopaedic services is still unknown. Methods A qualitative case study of 45 open-ended interviews was conducted to investigate the access to orthopaedic health services and orthopaedic medical devices in Uganda. Participants included orthopaedic surgeons, related healthcare professionals, industry and government representatives, and patients. Participants’ experiences in accessing orthopaedic medical devices were explored. Thematic analysis was used to analyze and code the transcripts. Results Analysis of the interview data identified poor leadership in government and corruption as major barriers to access of orthopaedic care and orthopaedic medical devices. Corruption was perceived to occur at the worker, hospital and government levels in the forms of misappropriation of funds, theft of equipment, resale of drugs and medical devices, fraud and absenteeism. Other barriers elicited included insufficient health infrastructure and human resources, and high costs of orthopaedic equipment and poverty. Conclusions This study identified perceived corruption as a significant barrier to access of orthopaedic care and orthopaedic medical devices in Uganda. As the burden of injury continues to grow, the need to combat corruption and ensure access to orthopaedic services is imperative. Anti-corruption strategies such as transparency and accountability measures, codes of conduct

  1. An occupational health programme for adults and children in the carpet weaving industry, Mirzapur, India: a case study in the informal sector.

    Science.gov (United States)

    Das, P K; Shukla, K P; Ory, F G

    1992-11-01

    tiles for light improvement in the loom sheds, training of community health volunteers and house-to-house health education. Another essential part of the programme is the provision of functional literacy classes for child and adult labourers in the carpet weaving industry. Occupational health as an entry point proved to be a successful approach in this segment of the informal sector, where child labour plays an important role. PMID:1439912

  2. Use of information and communication technologies to support effective work practice innovation in the health sector: a multi-site study

    Directory of Open Access Journals (Sweden)

    Georgiou Andrew

    2009-11-01

    Full Text Available Abstract Background Widespread adoption of information and communication technologies (ICT is a key strategy to meet the challenges facing health systems internationally of increasing demands, rising costs, limited resources and workforce shortages. Despite the rapid increase in ICT investment, uptake and acceptance has been slow and the benefits fewer than expected. Absent from the research literature has been a multi-site investigation of how ICT can support and drive innovative work practice. This Australian-based project will assess the factors that allow health service organisations to harness ICT, and the extent to which such systems drive the creation of new sustainable models of service delivery which increase capacity and provide rapid, safe, effective, affordable and sustainable health care. Design A multi-method approach will measure current ICT impact on workforce practices and develop and test new models of ICT use which support innovations in work practice. The research will focus on three large-scale commercial ICT systems being adopted in Australia and other countries: computerised ordering systems, ambulatory electronic medical record systems, and emergency medicine information systems. We will measure and analyse each system's role in supporting five key attributes of work practice innovation: changes in professionals' roles and responsibilities; integration of best practice into routine care; safe care practices; team-based care delivery; and active involvement of consumers in care. Discussion A socio-technical approach to the use of ICT will be adopted to examine and interpret the workforce and organisational complexities of the health sector. The project will also focus on ICT as a potentially disruptive innovation that challenges the way in which health care is delivered and consequently leads some health professionals to view it as a threat to traditional roles and responsibilities and a risk to existing models of care

  3. Georgia’s Cancer Awareness and Education Campaign: Combining Public Health Models and Private Sector Communications Strategies

    Directory of Open Access Journals (Sweden)

    Demetrius M. Parker

    2004-07-01

    Full Text Available The Georgia Cancer Awareness and Education Campaign was launched in September 2002 with the goals of supporting cancer prevention and early detection efforts, heightening awareness of and understanding about the five leading cancers among Georgia residents, and enhancing awareness and education about the importance of proper nutrition, exercise, and healthy lifestyles. The inaugural year of the campaign is outlined, beginning with adherence to the public health principles of surveillance, risk factor identification, intervention evaluation, and implementation. A strategic and integrated communications campaign, using tactics such as paid advertising, public service announcements, local community relations, media releases, a documentary film, special events, and other components, is described in detail with links to multimedia samples. With an estimated budget of $3.1 million, the first year of the campaign focuses on breast and cervical cancer screening and early detection.

  4. Round Six Of Partners Investing In Nursing's Future: Implications For The Health Sector, Policy Makers, And Foundations.

    Science.gov (United States)

    Jellinek, Paul S; Reinhardt, Renee J; Ladden, Maryjoan D; Salmon, Marla E

    2015-07-01

    In its 2011 report on the future of nursing, the Institute of Medicine issued recommendations to position nursing to meet the challenges of twenty-first-century health care. Following release of the report, the Robert Wood Johnson Foundation funded eleven local and regional partnerships of nurses, foundations, and other stakeholders to begin implementing some of the recommendations in their regions. A qualitative evaluation of these partnerships found that although not all goals were met, most of the partnerships achieved meaningful gains. Partnership participants emphasized the value of engaging foundations and other stakeholders from outside nursing in the implementation process, the necessity of funding for implementation, the need for policy makers to address constraints that local and regional partnerships by themselves cannot address, and the unique leadership and convening role that local and regional foundations can play to help their regions respond to complex challenges for the nursing profession. PMID:26153320

  5. Employees’ perceptions of the implementation of affirmative action in the health sector in the Standerton District in South Africa

    Directory of Open Access Journals (Sweden)

    E Rankhumse

    2001-09-01

    Full Text Available Since the inception of a fully democratic government in South Africa in 1994, government and trade unions have been placing increasing pressure on government departments and public institutions to introduce steps to correct racial discrimination through the implementation of affirmative action (AA. This study, which was carried out in the Standerton Health District, assesses employees’ perceptions of and attitudes towards the implementation of AA. A quantitative design was used. Data was gathered from a total population of 360 employees by means of a questionnaire. The study revealed the following major themes: • Respondents feel that if AA were effectively implemented, there would be an increase in productivity. • There is strong support for the implementation of AA appointments. • The implementation of AA will fail if the goals of AA are not properly and effectively communicated to all employees.

  6. PROCESS MATTERS - EMPIRICALLY EVALUATING ADMINISTRATIVE TRIBUNALS IN THE HEALTH SECTOR: THE QUESTIONABLE NEUTRALITY OF ADMINISTRATIVE TRIBUNAL PROCESS

    Directory of Open Access Journals (Sweden)

    Lydia Stewart Ferreira

    2016-03-01

    Full Text Available The health tribunal process is assumed to be neutral and allow for the tribunal’s focus to be on the parties’ legal arguments. This study quantitatively examined approximately 400 decisions over a five-year period to determine whether or not health tribunal hearings are neutral or whether the hearing process itself affects the tribunal’s decision independent of the parties’ legal arguments. Certain tribunal procedures affected tribunal decisions independent of legal arguments. This novel quantitative research matrix, which analysed cases over a five year time period, identified trends which are overlooked in traditional legal analysis of judicial review.   Il est présumé que le processus d’audience du tribunal de la santé est neutre et permet au tribunal de se concentrer sur les arguments juridiques des parties. Cette étude porte sur l’analyse quantitative d’environ 400 décisions et s’est étendue sur une période de cinq années; elle visait à déterminer si les audiences du tribunal de la santé sont neutres ou non, ou si le processus d’audience même influence les décisions du tribunal indépendamment des arguments juridiques des parties. Cette nouvelle matrice de données quantitatives, qui a analysé des causes sur une période de cinq années, a permis de constater des tendances qui sont mises de côté dans les analyses juridiques traditionnelles du processus de contrôle judiciaire.

  7. Planos privados de saúde: luzes e sombras no debate setorial dos anos 90 Private health plans: light and shadow in the 1990s health sector debate

    Directory of Open Access Journals (Sweden)

    Ligia Bahia

    2001-01-01

    Full Text Available Este trabalho examina interfaces pública-privadas do mercado de planos e seguros no Brasil, procurando questionar as relações de autonomia e dependência das empresas de assistência médica suplementar com o SUS e alguns dos pressupostos que orientam o processo de regulação governamental. A análise desse mercado se apóia em referenciais extraídos da literatura e sobre informações provenientes de fontes oficiais, empresas de consultoria, dados de empresas de planos e seguros e depoimentos de seus dirigentes. Sugere-se a necessidade de ampliar a agenda de debates e pesquisas sobre o mosaico público-privado que estrutura o sistema de saúde brasileiro.This paper surveys public-private interfaces within the health insurance market in Brazil, seeking to question the relationships of autonomy and dependence between the supplementary health care enterprises and SUS, as well as some aspects conditioning government regulation. The analysis of this market is referenced on the related literature and on information provided by official sources, consulting businesses, health plans and insurances enterprises and their owners' accounts. One suggests the need for broadening the agenda on the public-private mosaic structuring the Brazilian health system.

  8. Dynamics and stabilization of peak current-mode controlled buck converter with constant current load

    Science.gov (United States)

    Leng, Min-Rui; Zhou, Guo-Hua; Zhang, Kai-Tun; Li, Zhen-Hua

    2015-10-01

    The discrete iterative map model of peak current-mode controlled buck converter with constant current load (CCL), containing the output voltage feedback and ramp compensation, is established in this paper. Based on this model the complex dynamics of this converter is investigated by analyzing bifurcation diagrams and the Lyapunov exponent spectrum. The effects of ramp compensation and output voltage feedback on the stability of the converter are investigated. Experimental results verify the simulation and theoretical analysis. The stability boundary and chaos boundary are obtained under the theoretical conditions of period-doubling bifurcation and border collision. It is found that there are four operation regions in the peak current-mode controlled buck converter with CCL due to period-doubling bifurcation and border-collision bifurcation. Research results indicate that ramp compensation can extend the stable operation range and transfer the operating mode, and output voltage feedback can eventually eliminate the coexisting fast-slow scale instability. Project supported by the National Natural Science Foundation of China (Grant No. 61371033), the Fok Ying-Tung Education Foundation for Young Teachers in the Higher Education Institutions of China (Grant No. 142027), the Sichuan Provincial Youth Science and Technology Fund, China (Grant Nos. 2014JQ0015 and 2013JQ0033), and the Fundamental Research Funds for the Central Universities, China (Grant No. SWJTU11CX029).

  9. Performance Analysis of Trench Power MOSFETs in High-Frequency Synchronous Buck Converter Applications

    Directory of Open Access Journals (Sweden)

    Yali Xiong

    2008-01-01

    Full Text Available This paper investigates the performance perspectives and theoretical limitations of trench power MOSFETs in synchronous rectifier buck converters operating in the MHz frequency range. Several trench MOSFET technologies are studied using a mixed-mode device/circuit modeling approach. Individual power loss contributions from the control and synchronous MOSFETs, and their dependence on switching frequency between 500 kHz and 5 MHz are discussed in detail. It is observed that the conduction loss contribution decreases from 40% to 4% while the switching loss contribution increases from 60% to 96% as the switching frequency increases from 500 KHz to 5 MHz. Beyond 1 MHz frequency there is no obvious benefit to increase the die size of either SyncFET or CtrlFET. The RDS(ON×QG figure of merit (FOM still correlates well to the overall converter efficiency in the MHz frequency range. The efficiency of the hard switching buck topology is limited to 80% at 2 MHz and 65% at 5 MHz even with the most advanced trench MOSFET technologies.

  10. The Series Connected Buck Boost Regulator Concept for High Efficiency Light Weight DC Voltage Regulation

    Science.gov (United States)

    Birchenough, Arthur G.

    2003-01-01

    Improvements in the efficiency and size of DC-DC converters have resulted from advances in components, primarily semiconductors, and improved topologies. One topology, which has shown very high potential in limited applications, is the Series Connected Boost Unit (SCBU), wherein a small DC-DC converter output is connected in series with the input bus to provide an output voltage equal to or greater than the input voltage. Since the DC-DC converter switches only a fraction of the power throughput, the overall system efficiency is very high. But this technique is limited to applications where the output is always greater than the input. The Series Connected Buck Boost Regulator (SCBBR) concept extends partial power processing technique used in the SCBU to operation when the desired output voltage is higher or lower than the input voltage, and the implementation described can even operate as a conventional buck converter to operate at very low output to input voltage ratios. This paper describes the operation and performance of an SCBBR configured as a bus voltage regulator providing 50 percent voltage regulation range, bus switching, and overload limiting, operating above 98 percent efficiency. The technique does not provide input-output isolation.

  11. A New Transformerless Single-Phase Buck-Boost AC Voltage Regulator

    Directory of Open Access Journals (Sweden)

    YALCIN, F.

    2016-05-01

    Full Text Available Voltage regulation is one of the important goals for electrical sources and consumers. In this paper a new transformerless single-phase AC voltage regulator based on buck-boost converter topology is presented. The regulator circuit has a simple structure using only two bidirectional active switches, one inductor and one capacitor. A closed loop control system is implemented for the proposed regulator operation. A control law depending on the instantaneous values of the regulator's real input and desired output voltage is obtained and supports the PI controller. The control law allows the controller to obtain efficient pulse width modulation (PWM switching duty ratio for the desired output voltage when the input voltage has surges or fluctuations and the output load is changed. An experimental laboratory setup has been implemented for the proposed AC voltage regulator. The obtained results demonstrate that the proposed topology is capable of and efficient for both bucking and boosting the input AC voltage to a high quality output voltage with a low total harmonic distortion (THD for different input voltage and load conditions.

  12. In vivo adverse effects of alpha-tocopherol on the semen quality of male bucks.

    Science.gov (United States)

    Majid, A; Qureshi, M S; Khan, R U

    2015-10-01

    Oxidative stress has detrimental effects on semen quality during spermatogenesis and semen processing for artificial insemination. This work was conducted to study the effect of different levels of vitamin E on the semen traits, oxidative status and trace minerals in Beetal bucks. Thirty-six bucks of similar body weight and age (1 year) were randomly divided into four groups. One group was kept as control with no supplementation (group 1), and the others were supplemented with 200 (group 2), 400 (group 3) and 800 IU (group 4) vitamin E/animal/day for 2 months. At the end of the experiment, semen samples were collected and evaluated. Seminal plasma was separated to study the concentration of superoxide dismutase (SOD), glutathione peroxidase (GPx), aspartate aminotransferase (AST), alanine aminotransferase (ALT) and trace minerals (Zn, Cu, Mn and Fe). Group 3 showed significantly higher (p mineral levels (Zn, Cu, Mn) in the seminal plasma. The increased supplementation from 0 to 400 showed a general increasing trend in improving semen quality. However, the dose of 800 IU/kg had no useful effect in further improving the semen quality. PMID:25580862

  13. Integrated mixed signal control IC for 500-kHz switching frequency buck regulator

    Science.gov (United States)

    Chen, Keng; Zhang, Hong

    2015-12-01

    The main purpose for this work is to study the challenges of designing a digital buck regulator using pipelined analog to digital converter (ADC). Although pipelined ADC can achieve high sampling speed, it will introduce additional phase lag to the buck circuit. Along with the latency brought by processing time of additional digital circuits, as well as the time delay associated with the switching frequency, the closed loop will be unstable; moreover, raw ADC outputs have low signal-to-noise ratio, which usually need back-end calibration. In order to compensate these phase lag and make control loop unconditional stable, as well as boost up signal-to-noise ratio of the ADC block with cost-efficient design, a finite impulse response filter followed by digital proportional-integral-derivative blocks were designed. All these digital function blocks were optimised with processing speed. In the system simulation, it can be found that this controller achieved output regulation within 10% of nominal 5 V output voltage under 1 A/µs load transient condition; moreover, with the soft-start method, there is no turn-on overshooting. The die size of this controller is controlled within 3 mm2 by using 180 nm CMOS technology.

  14. Driving circuit with high accuracy and large driving capability for high voltage buck regulators

    International Nuclear Information System (INIS)

    This paper presents a novel driving circuit for the high-side switch of high voltage buck regulators. A 40 V P-channel lateral double-diffused metal—oxide—semiconductor device whose drain—source and drain—gate can resist high voltage, but whose source—gate must be less than 5 V, is used as the high-side switch. The proposed driving circuit provides a stable and accurate 5 V driving voltage for protecting the high-side switch from breakdown and achieving low on-resistance and simple loop stability design. Furthermore, the driving circuit with excellent driving capability decreases the switching loss and dead time is also developed to reduce the shoot-through current loss. Therefore, power efficiency is greatly improved. An asynchronous buck regulator with the proposed technique has been successfully fabricated by a 0.35 μm CDMOS technology. From the results, compared with the accuracy of 16.38% of the driving voltage in conventional design, a high accuracy of 1.38% is achieved in this work. Moreover, power efficiency is up to 95% at 12 V input and 5 V output. (semiconductor integrated circuits)

  15. Sectoral development

    Czech Academy of Sciences Publication Activity Database

    Fungáčová, Zuzana; Katuščák, P.; Konečný, Tomáš; Shestakova, N.; Zemčík, P.

    Prague: Charles University in Prague, Center for Economic Research and Graduate Education : Economic s Institute, Academy of Sciences of the Czech Republic, 2007 - (Katuščák, P.; Zemčík, P.), s. 50-61 ISBN 978-80-7343-146-4 Institutional research plan: CEZ:AV0Z70850503 Keywords : sectoral development * Czech Republic Subject RIV: AH - Economic s http://www.cerge-ei.cz/pdf/ books /CR2007.pdf

  16. Sectoral development

    Czech Academy of Sciences Publication Activity Database

    Fungáčová, Z.; Katuščák, Peter; Konečný, T.; Shestakova, N.; Zemčík, Petr

    Prague: Charles University in Prague, Center for Economic Research and Graduate Education : Economic s Institute, Academy of Sciences of the Czech Republic, 2007 - (Katuščák, P.; Zemčík, P.), s. 50-61 ISBN 978-80-7343-146-4 Institutional research plan: CEZ:MSM0021620846 Keywords : sectoral development * Czech Republic Subject RIV: AH - Economic s http://www.cerge-ei.cz/pdf/ books /CR2007.pdf

  17. Sector exterior

    OpenAIRE

    Tena Junguito, Antonio

    2005-01-01

    Balanza de pagos de España: partidas, relaciones contables entre las distintas sub-balanzas y significado económico. Cálculo e interpretación de los indicadores de sector exterior: coeficiente de apertura externa, tasa de cobertura, propensión a exportar e importar, consumo aparente, elasticidad renta de la expoertación e importación, saldo comercial relativo y comercio intraindustrial.

  18. Enterprise sector

    Czech Academy of Sciences Publication Activity Database

    Dušek, Libor; Hanousek, Jan; Kočenda, Evžen; Ortmann, Andreas; Ostatnický, M.; Sklenář, P.; Svítková, K.; Vychodil, O.

    Praha : CERGE UK, 2004 - (Dušek, L.; Jurajda, Š.), s. 42-52 ISBN 80-7343-008-8 R&D Projects: GA AV ČR KSK9058117; GA ČR GA402/04/0167; GA MŠk ME 595 Institutional research plan: CEZ:AV0Z7085904 Keywords : enterprise sector Subject RIV: AH - Economics http://www.cerge-ei.cz/pdf/books/pdf_0304/V.pdf

  19. Energy sector

    International Nuclear Information System (INIS)

    Within the framework of assessing the state of the environment in Lebanon, this chapter describes primary energy demand, the electricity generating sector and environmental impacts arising from the energy sector.Apart from hydropower and traditional energy sources, which together represent 1.7% of energy consumption, all energy in Lebanon derives from imported petroleum products and some coal.Tables present the imports of different petroleum products (Gasoil, Kerosene, fuel oil, coal etc...), their use, the energy balance and demand.Energy pricing and pricing policies, formal and informal electricity generations in Lebanon are described emphasized by tables. The main environmental impacts are briefly summarized. Thermal power stations give rise to emissions of Sulphur dioxide (SO2), particulates, oxides of nitrogen (NOx) and CO/CO2 from combustion of primary fuel informally generated power from both industry and domestic consumption produce particulate materials and emissions of NOx and SO2 projected emissions of SO2 from the power sector with the present generating capacity and with the new combined cycle power plants in operation are shown. Other environmental impacts are described. Recommendations for supply and environment policy are presented

  20. An International Comparative Public Health Analysis of Sex Trafficking of Women and Girls in Eight Cities: Achieving a More Effective Health Sector Response

    OpenAIRE

    Macias Konstantopoulos, Wendy; Ahn, Roy; Alpert, Elaine J.; Cafferty, Elizabeth; McGahan, Anita; Williams, Timothy P.; Castor, Judith Palmer; Wolferstan, Nadya; Purcell, Genevieve; Burke, Thomas F

    2013-01-01

    Sex trafficking, trafficking for the purpose of forced sexual exploitation, is a widespread form of human trafficking that occurs in all regions of the world, affects mostly women and girls, and has far-reaching health implications. Studies suggest that up to 50 % of sex trafficking victims in the USA seek medical attention while in their trafficking situation, yet it is unclear how the healthcare system responds to the needs of victims of sex trafficking. To understand the intersection of se...