BACKGROUND During the Suharto era public funding of health in Indonesia was low and the health services were tightly controlled by the central government; district health staff had practically no discretion over expenditure. Following the downfall of President Suharto there was a radical political, administrative and fiscal decentralization with delivery of services becoming the responsibility ...

conclusions hospital managers need to discover better ways to promote safety and health programs for their staff according to nurses’ area of work and their type of units. they should also encourage greater levels of participation in safety-enhancing initiatives in the hospital’s ethical climate, especially in the areas of nurses’ perceptions of their physician colleagues, and for nurses with a...

INTRODUCTION As part of a programme of research aiming to improve the outcomes of traumatically injured children, a multisource healthcare advocacy tool has been developed to allow trauma team members and hospital governance administrators to reflect and to act on complex trauma team-hospital systems interactions. We have termed this tool a Field Assessment Conditioning Tool (FACT). The FACT dr...

BACKGROUND Surgery is an essential component of health care, yet it has usually been overlooked in public health across the world. OBJECTIVES This study aimed to perform a situational analysis of essential surgical care management at district hospitals in Iran. MATERIALS AND METHODS This research was a descriptive and cross-sectional study performed at 42 first-referral district hospitals o...

The shortage of adequate facilities and qualified staff at district and community level means that tertiary eye care services in Viet Nam have been overburdened by high volumes of patients, not all of whom needed tertiary-level care. In Quang Nam province, an additional challenge is the mountainous terrain, which makes travel very difficult. To help reduce the pressure on tertiary centres and i...

public hospitals can privatize management activities by contracting with a private organization or person to perform the work. management contract is a method which uses private sector for major government projects like hospitals. this review study evaluated management contract conditions in selected countries. we focused on services under contract, different forms of management contract, metho...

OBJECTIVE To determine differences in the incidence of epilepsy associated with deprivation. DESIGN Cross-sectional study of new cases of epilepsy presenting over 3 years linked to census based population and deprivation data. SETTING Norfolk UK. PATIENTS Children aged 29 days to 14 years presenting to the only district hospital serving the study area. INTERVENTIONS None. MAIN OUTCOME...

SETTINGS Partners In Health Rwanda, in collaboration with the Ministry of Health, leads a multipronged approach to develop research capacity among health workers, particularly in rural areas. OBJECTIVES To describe the characteristics of participants and to assess the impact of an introductory research seminar series in three district hospitals in rural Rwanda. DESIGN This was a retrospecti...

OBJECTIVE To study the practice of nosocomial infection (NI) control in district hospitals. MATERIAL AND METHOD Descriptive study using questionnaires and group discussion. RESULTS From February-March 2002, five district hospitals in the northern region of Thailand were randomly enrolled. All members of the infection control committee (ICC) were included and data were available from 71 memb...