Towards a healthy district : organizing and managing district health systems based on primary health care / E. Tarimo.
Material type:
TextPublication details: Geneva : World Health Organization, 1991. Description: 105 pISBN: 9241544120Title translated: Pour une meilleure santé au niveau du district : comment organiser et gérer des systèmes de santé de district fondés sur les soins de santé primaires; Por un distrito sano : cómo organizar y administrar sistemas de salud de distrito basados en la atención primariaSubject(s): Community health services -- organization and administration | Health planning | Primary health care -- organization and administration | Community Health and Primary Health CareNLM classification: WA 546.1Online resources: Click here to access online Abstract: A practical, step-by-step guide to the ways in which better planning and management can be used to improve the services of district health systems. Firmly rooted in practical experience, the book adopts a problem-oriented approach, stressing plans and actions that respond to everyday problems and fall within the reach of the district health team. The objective is to help managers and other personnel in developing countries anticipate problems, avoid common errors, make wise choices, and keep ambitions in line with the realities of needs and resources. To this end, the book makes abundant use of practical examples, case histories, checklists, and photographs to give concrete meaning to the rich advice provided. The book features nine chapters focused on each of the main stages in the planning cycle, moving from analysis of the present situation to the implementation of specific measures and the monitoring of their effectiveness. The opening chapters show readers how to assess the existing district health system, identify its strengths and weaknesses, establish priorities, and set programme objectives and targets. Emphasis is placed on the use of simple questions and simple tools to make complex problems more easily understood and managed. The most extensive chapters concentrate on action, outlining measures that can be taken to improve health services, encourage joint action with the community and with other service sectors, and facilitate the smooth implementation of improvements. Details range from a list of factors to be considered when siting and designing the health centre to a series of sample treatment protocols and model job descriptions. Readers are reminded that the supermarket approach is a good model for organizing services, that training of traditional birth attendants in hospitals tends to institutionalize them and shift the responsibility for remuneration to the ministry of health, and that improvements in the status and financial rewards of staff may be needed to sustain motivation. The remaining chapters cover monitoring and control, including the use of tracer diseases and sentinel sites, and offer tips and advice for evaluating interventions and for making the most out of lessons learned from experience. A tabular presentation of 46 standards for evaluating the district health system concludes the book.
| Item type | Current library | Call number | Copy number | Status | Date due | Barcode |
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WHO HQ READING-RM | WA 546.1' 91TA (Browse shelf(Opens below)) | 1 | Available | 00033248 | |
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WHO HQ READING-RM | WA 546.1 91TA CHI (Browse shelf(Opens below)) | 1 | Available | 00040608 | |
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WHO HQ BORROWABLE-COLL-STACKS | WA 546.1' 91TA (Browse shelf(Opens below)) | 2 | Available | 00033247 | |
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WHO HQ ONLINE-IRIS | WA 546.1' 91TA (Browse shelf(Opens below)) | 3 | Available | O9241544120 |
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| WA 546.1 89OA Community involvement in health development : | WA 546.1' 89OA-1 L' engagement communautaire pour le développement sanitaire : | WA 546.1' 90OA Intervenci'on de la comunidad en el desarrollo sanitario : | WA 546.1' 91TA Towards a healthy district : | WA 546.1' 91WH Community involvement in health development : | WA 546.1' 95CA Strengthening health management in districts and provinces / | WA 546.1 96CA Renforcer la gestion des systèmes de santé dans les districts et les provinces / |
Microfiche copy available at Reference Desk.
A practical, step-by-step guide to the ways in which better planning and management can be used to improve the services of district health systems. Firmly rooted in practical experience, the book adopts a problem-oriented approach, stressing plans and actions that respond to everyday problems and fall within the reach of the district health team. The objective is to help managers and other personnel in developing countries anticipate problems, avoid common errors, make wise choices, and keep ambitions in line with the realities of needs and resources. To this end, the book makes abundant use of practical examples, case histories, checklists, and photographs to give concrete meaning to the rich advice provided. The book features nine chapters focused on each of the main stages in the planning cycle, moving from analysis of the present situation to the implementation of specific measures and the monitoring of their effectiveness. The opening chapters show readers how to assess the existing district health system, identify its strengths and weaknesses, establish priorities, and set programme objectives and targets. Emphasis is placed on the use of simple questions and simple tools to make complex problems more easily understood and managed. The most extensive chapters concentrate on action, outlining measures that can be taken to improve health services, encourage joint action with the community and with other service sectors, and facilitate the smooth implementation of improvements. Details range from a list of factors to be considered when siting and designing the health centre to a series of sample treatment protocols and model job descriptions. Readers are reminded that the supermarket approach is a good model for organizing services, that training of traditional birth attendants in hospitals tends to institutionalize them and shift the responsibility for remuneration to the ministry of health, and that improvements in the status and financial rewards of staff may be needed to sustain motivation. The remaining chapters cover monitoring and control, including the use of tracer diseases and sentinel sites, and offer tips and advice for evaluating interventions and for making the most out of lessons learned from experience. A tabular presentation of 46 standards for evaluating the district health system concludes the book.
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