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Sub-national and district management: Organization and implementation of health services

Organization

• Essential health packages: what are they for? what do they change
  2008, Health Services Delivery Technical Brief No.2
  Aim to concentrate scarce resources on interventions which provide the best 'value for money', improved efficiency; equity; political empowerment, accountability, and more effective care; a guaranteed minimum; there must be additional deliberate efforts to improve access. Implementing an EHP is not just a technical exercise. Political and institutional processes need to be engaged; EHPs are not a solution for weak management. Implementation has implications for budget allocations, essential medicines lists; the distribution and training of health workers and information systems.
  (14 pages, pdf 192kb)
• Organizing Work Better
  Global Health Technical Briefs, 2004, USAID
  Increasingly, organizations must do more with the same or reduced resources. Simple changes in the way work is organized can help to serve clients better, offer more satisfying work to staff, operate more effectively and become more efficient.
  (2 pages, pdf 166kb)
  En français: Amélioration de l'organisation du travail
  En español: Cómo Organizar Mejor el Trabajo
• Organizing for Quality: Options for Country Programs
  David Nicholas, 1999, Quality Assurance Project
  Examines national level structures that organize QA functions and activities in different ways to facilitate quality work at the facility management and provider levels
  (24 pages, pdf 462kb)
  En français: Organisation de la qualité: options pour des programmes nationaux
  
• Health Systems in East Asia: What Can Developing Countries Learn from Japan and the Asian Tigers?
  pdf, 316kb
  Adam Wagstaff, WPS3790, 2005, The World Bank
  Republic of Korea, Singapore and Taiwan; different approaches to financing and delivery; progressivity of health finance and the system design: ceilings on social insurance contributions, the benefit package, reduced copayments for the poor; corporatizing public hospitals; danger of providers shifting demand from schemes with regulated prices to those with unregulated prices; diagnosis-related groups; separation of prescribing and dispensing
  (21 pages, pdf 309kb)
• Aide-Memoire Surgical and Emergency Obstetrical Care at First Referral Level: Essential Surgical Care
  2003
  Personnel; education; facilities; equipment and instruments; supply system; quality system;
  (2 pages, pdf 66kb)

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