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The Service Delivery Indicators (SDIs) provides a set of key indicators serving as a benchmark for service delivery performance in the health and education sectors in Sub-Saharan Africa. The overarching objective of the SDIs is to ascertain the quality of service delivery in primary education and basic health services. This would in turn enable governments and service providers alike to identify gaps and bottlenecks, as well as track progress over time, and across countries. The SDI survey interviewed 403 heath providers across Tanzania between May 2014 and July 2014. This technical report presents the findings from the implementation of the SDI in the health sector in Tanzania in 2014. Survey implementation activities took place following extensive consultations with the government and key stakeholders on survey design, sampling, and adaptation of survey instruments. A major challenge for Tanzania's health sector is the shortage of skilled human resources for health (HRH). This survey found that provider knowledge and abilities were not adequate to deliver quality services. Caseload per provider and absenteeism are relatively low, so the issue is not over burdened providers. There seems to be ample room for a significant increase in the caseload of Tanzanian providers, i.e. the level of productivity in health service delivery, without jeopardizing quality. In addition to increasing the volume of skilled HRH to address the shortage of providers, improvements in management, supervision and training is important to improving service delivery. Health for all in Tanzania will mean the simultaneous availability of widely accessible inputs and skilled providers.

In the past decade, the problems of primary health care delivery have encompassed the problems of poverty, illness, fertility, mortality, & preventive medicine. Basic medicine-oriented at the village level by various medical groups, government strategies, & international health programs-or decentralization & expansion of Ur medicine to Ru areas have been the diverse experimental approaches. Many of the programs have not been sustained or successful over the long term. It is necessary to question whether primary health care is then the best form of medicine, or merely the one we are most habituated to & comfortable with. Primary health care, in & of itself, may not be nearly as effective as multidisciplinary approaches integrating SE planning, social sciences, epidemiologists, medical administrators, etc. Trial & error over time & endurance are the best indicators of what will & will not constitute the best approach & delivery of medical service. Present systems of primary health care should not be scrapped, but neither so firmly entrenched as to be unmodifiable. 1 Table. A. Rothman.

Do improvements in health service delivery affect trust in political leaders in Africa? Citizens expect their government to provide social services. Intuitively, improvements in service delivery should lead to higher levels of trust in and support for political leaders. However, in contexts where inadequate services are the norm, and where political support is linked to ethnic or religious affiliation, there may be weak linkages between improvements in service delivery and changes in trust in political leaders. To examine this question empirically, we take advantage of a national intervention that improved health service delivery in 500 primary health care facilities in Nigeria, to estimate the impact of residence within 10 km of one or more of the intervention facilities on trust in the president, local councils, the ruling party, and opposition parties. Using difference-in-difference models, we show that proximity to the intervention led to increases in trust in the president and the ruling party. By contrast, we find no evidence of increased trust in the local council or opposition parties. Our study also examines the role of ethnicity and religious affiliation in mediating the observed increases in trust in the president. While there is a large literature suggesting that both the targeting of interventions, and the response of citizens to interventions is often mediated by ethnic, geographic or religious identity, by contrast, we find no evidence that the intervention was targeted at the president's ethnic group, zone, or state of origin. Moreover, there is suggestive evidence that the intervention increased trust in the president more among those who did not share these markers of identity with the president. This highlights the possibility that broad-based efforts to improve health services can increase trust in political leaders even in settings where political attitudes are often thought to be mediated by group identity.

More than 25 years into the implementation of the Local Government Code of 1991, it is inconclusive whether fiscal decentralization indeed improves health service delivery in the Philippines. There is lack of studies that employ rigorous quantitative approach to address the research issue at hand. In this regard, the study attempts to contribute to the small body of literature and motivate further research and generation of reliable data that are crucial for evidence-based/informed policymaking. In particular, the study proposes an analytical framework that examines the effects of fiscal decentralization on health service delivery using difference-in-differences (DID) method. It draws up the standard measure of the extent/degree of fiscal decentralization affecting the health sector. Such endeavor is the first ever attempt to measure the extent/degree of health devolution in the Philippines, i.e., in terms of the health expenditure decentralization ratio. The output variables of interest include access to safe water and sanitation, health facility-based delivery, and access to hospital inpatient services. The control variables include two measures of fiscal decentralization to account for financial/fiscal autonomy of the local government units (LGUs) on the income side (i.e., the ratio of LGU own-source revenue to LGU expenditures and ratio of LGU own-source revenue to LGU income); LGU health spending as a proportion of total LGU expenditures; and per capita LGU income. The choice of variables was constrained by unavailability of disaggregated data at the LGU level. [.]

Decentralization of mental health services delivery through the
implementation of community‐based mental health centres has greatly
increased the complexity in the administration of US mental health
programmes. Decision makers have to allocate limited resources between
traditional hospital programmes and the community centres. Presents a
goalprogramming‐planning model which allows the decision maker to
analyse trade‐offs between healthcare objectives as well as to assess
the budgetary and staff ramifications of various policy decisions.
Illustrates the model through the use of a case example from a
Midwestern US mental health services programme.

Intro; Healthcare in Motion; Copyright Page; Contents; List of Figures and Tables; Introduction; Part I. Healthcare and Differential Mobility Empowerments; Chapter 1. "Stuck in Motion"; Chapter 2. "It's Too Risky to Leave the House"; Chapter 3. (Im)mobile Populations and Health Rights; Part II. The Effect of Imagination on Mobility as a Resource in the Search for Care and Caring; Chapter 4. Fluid and Mobile Identities; Chapter 5. Egg Donor Social Mobility and Expansion of Czech Reproductive Medicine; Chapter 6. Governing Mobility of Health Workers across Borders

Report by the Arizona Health Services Department on the Delivery Act of 1981 that endeavors to promote health care for indigent Arizona citizens. To implement that commitment, this report outlines the activities proposed for the prevention and early detection of disease, and containment of health care costs and improvement of financial accessibility to health services through the promotion of third party coverage. This report was created under the auspices of the Arizona Department of Health Services, and Dr. James Sarn is given as a contact person. Bruce Babbitt was serving as Governor at the time. This collection pertains to Public Health Nursing among Native American people, with emphasis on the Navajo Tribe. This collection consists of correspondence, a manuscript, a questionnaire, and responses, personal reminiscences, articles, essays, many government documents and pamphlets, as well as photographs (see Photographic Collection), which depict Reservation life through the eyes of Public Health nurses, Native Americans, and government officials and includes a wealth of statistical material and government data.