Faculty members from the Department of Obstetrics & Gynaecology, College of Health Sciences [8] – University of Nairobi [9] Dr. Alfred Osoti [10] and Dr. Rose Kosgei [11], had a meeting with Consultants from Partnerships for Innovative Medical Education in Kenya (PRIME-K) [12] decentralized sites. Institutions represented were: Karatina District Hospital, Pumwani Maternity Hospital, Isiolo Dist...

For several decades, land use in Malinau district was dictated by the central government through the allocation of land to agriculture, timber concessions and mining companies. Now, with a policy of decentralization in place, district governments have a greater say in the allocation of land use. As a part of the district government development programs to increase district revenue, several fore...

An N. Massaro, R. B. Govindan, Gilbert Vezina, Taeun Chang, Nickie N. Andescavage, Yunfei Wang, Tareq Al-Shargabi, Marina Metzler, Kari Harris, and Adre J. du Plessis Division of Neonatology, Children’s National Health System, Washington, District of Columbia; Division of Fetal and Transitional Medicine, Children’s National Health System, Washington, District of Columbia; Division of Diagnostic...

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 ...

The district health system in Ghana today is characterized by high resource-uncertainty and narrow decision-space. This article builds a theory-driven historical case study to describe the influence of path-dependent administrative, fiscal and political decentralization processes on development of the district health system and district manager decision-space. Methods included a non-exhaustive ...

Medical influence on health service management at district level could be eroded as the new Griffiths management arrangements are introduced by district health authorities. Most districts are changing the composition and functions of the district management team to accommodate their new general managers. District general managers are required to prepare new management arrangements for their dis...

In 1994, a national quality assurance programme was established in Uganda to strengthen district-level management of primary health care services. Within 18 months both objective and subjective improvements in the quality of services had been observed. In the examples documented here, there was a major reduction in maternal mortality among pregnant women referred to Jinja District Hospital, a r...

1 Nursing School, Southwest Medical University, Jiangyang District, Luzhou, China. 2 Basic School, Guangzhou University of Chinese Medicine, University Island, Panyu District, Guangzhou, China. 3 Department of Oncology, The Affiliated Hospital of Southwest Medical University, Jiangyang District, Luzhou, China. 4 Department of Orthopedic, The Affiliated Hospital of Southwest Medical University, ...

About one-third of the general practices in the Oxfordshire Health District have access to beds in community hospitals as well as district general hospitals. Hospital Activity Analysis data were used to calculate the average number of hospital beds occupied daily by patients registered with each general practice in the district. Practices with and without access to community hospitals were comp...

in recent decades, urban planning has tended to humanist urbanism. in this regard foot travels and bicycle use are the two strategies that urban planners and transportation engineers are using them as adequate alternatives for making cities more people friendly. using bicycle is known as a strategy that has a great role in decreasing traffic among developing countries in recent decades. these c...