Health Services Administration

AD222
Hope Taderera

Course description

TUTORIAL QUESTIONS

TUTORIAL QUESTIONS

 

1.) “Theory on health policy and practice can be adequately understood from the New Right Perspectives.” Discuss.

 

Bradshaw Yvonne and Nancy North, 1997: Perspectives in Health Care: Macmillan Press Ltd, London

Booyen, 1996: Introduction to Health Service Management: Juta and Company Publication

 Gill Walt, 1994: Health Policy; an introduction to process and power: Witswatersrand University Press, Johannesburg

 

2.) Examine the rationale behind the health system building blocks framework in pursuing health system reform in low and middle-income countries.

 

Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies. http://www.who.int/healthinfo/systems/monitoring/en/ 

Nguyen Vinh Kim and Sama Martyn, (eds) 2008: Governing Health Systems in Africa: Council for the Development of Social Science Research in Africa, Dakar

Bradshaw Yvonne and Nancy North, 1997: Perspectives in Health Care: Macmillan Press Ltd, London

  

3.) Examine the policy prescriptions by the World Health Organization’s Primary Healthcare Approach towards healthcare that leaves noone behind. 

 

World Health Organization, (2008): World Health Organization Report; Primary Health Care, Now More than Ever. United Nations, New York

World Health Organization, (1978): Alma Atta 1978; Primary Health Care. United Nations, New York

Gill Walt, 1994: Health Policy; an introduction to process and power: Witswatersrand University Press, Johannesburg

Harvey .H, 1982: Health Planning, a systematic approach: Aspen Publications, London

 

4.) Discuss the national health policy challenges that have undermined the pursuit of equity in health in Zimbabwe.

Loewenson, R. & Sanders, D. (1988) (ed): The Political Economy of Health and Nutrition; Zimbabwe's Prospects. Macmillan, London

Ministry of Health and Child Welfare, (1998): The National Health Strategy for Zimbabwe (1997-2007); Working for Equity and Quality in health. Government Printers, Harare

Ministry of Health and Child Welfare, (2001): Organization and functions; Working for Equity and Quality. Office of the Secretariat for Health, Government Publications, Zimbabwe

Ministry of Health and Child Welfare, (2009): The National Health Strategy for Zimbabwe (2009-2013); Equity and Quality in health, a People’s Right. Government Printers, Harare

Renfrew, A. (1992): ESAP & health; the effects of the Economic Structural Adjustment Programme on the health of the people of Zimbabwe. Mambo press, Gweru

Sanders, D. (1989): Equity in Health: Zimbabwe Nine Years On. paper presented to the Workshop on Health Manpower Issues in Relation to Equity in and Access to Health Services in Zimbabwe, Harare

 

5.) Examine the policy strategies to mitigate healthcare worker challenges in African and Asian countries.

 

Human Resources for Health Action Framework http://www.capacityproject.org/framework/

Nguyen Vinh Kim and Sama Martyn, (eds) 2008: Governing Health Systems in Africa: Council for the Development of Social Science Research in Africa, Dakar

Biomedcentral Journal of Human Resources for Health

 

6.) Explore challenges undermining the pursuit of the 2030 Global Health Workforce Strategy in low and middle-income countries.

 

The Lancet, Pubmed and Biomedcentral Journals on:

-Public Health Policy;

-Health Service Management;

-Human Resources for Health;

-Global Health Policy;

-WHO Bulletin; and

-Health Policy.

 

 

7.) Examine relevance of the three main ethical principles towards policy-oriented health research.

 

Nuremberg Code, 1949

Belmont Report , 1973

Declaration of Helsinki, October 2000

ICH Guidelines For Good Clinical Practice, ICH Harmonised Tripartite Guidelines, May, 1997

International Ethical Guidelines for Biomedical Research Involving Human Subjects; Prepared by the Council for International Organizations of Medical Sciences(CIOMS), 1991 Geneva

International Ethical Guidelines For Biomedical Research Involving Human Participants.

Council For International Organisation of Medical Sciences in collaboration with World Health Organisation (WHO). Geneva 2002

 World Health Organisation 2000. Operational Guidelines For Ethics Committees that Review Biomedical Research Geneva. TDR/PRD/ETHICS/2000.1  

 

8.) Explore the health reform policy lessons that can be drawn from the Community Health Compounds (CHPS) Initiative in Ghana.    

 

The Lancet, Pubmed and Biomedcentral Journals on:

-Public Health Policy;

-Health Service Management;

-Human Resources for Health;

-Global Health Policy;

-WHO Bulletin; and

-Health Policy.

Reading list

READING LIST

 

Required texts

Bradshaw Yvonne 1997: Perspectives in Health Care: Macmillan Press Ltd, London

 

Gill Walt 1994: Health Policy; an introduction to process and power: Witswatersrand University Press, Johannesburg

 

Harvey .H 1982: Health Planning, a systematic approach: Aspen Publications, London

 

Wheeler 2000: Management of Health Care: Cheltenham, Thames

 

 

Recommended texts

Amstrong 1991: A handbook of Personnel Management Practice: Kogan, London

 

Aronson 1985: Public Finance: McGraw Hill, New York

 

Bates 1983: Personnel management in Zimbabwe: Jan Investments and Consultancy, Harare

 

Booyen 1996: Introduction to Health Service Management: Juta and Company Publication

 

Buchanan 1987: The Public Finances; an introductory textbook: Hornewood, Illinois

 

Cole G. A 1993: Personnel management; Theory and Practice: DP Publications, London

 

Dean P and Pugh G 1979: Budgeting in developing countries: Routledge, London

 

Dirk J 1979: Public Finance and development strategy: John Hopkins, London

 

Flippo E 1984: Personnel Management: London, MacGraw Hill, London

 

Gant G 1999: Development Administration; Concepts, goals and methods: University of Wisconsin Press

 

Iraj Abedian, Brigid Strachan and Tania Ajam 1998: Transformation in action: Budgetary for Health Service Delivery:

 

Lindblom 1993: The Policy Making Process: Prentice Hall, Englewood Cliffs, New Jersey

 

Mills 1990: Health System Decentralization; Concepts, issues and country: World Health Organization, Geneva

 

Ministry of Health and Child Welfare :National Health Strategy for Zimbabwe 1997-2007: Government of Zimbabwe Publications 

 

Ministry of Health and Child Welfare 1997: Health Services Fund, Operational Manual: Government of Zimbabwe Publications

 

Ministry of Health and Child Welfare 2001: Working for Equity and Quality; Organization and functions: Government of Zimbabwe Publications

 

Ministry of Health and Child Welfare: Accounting Manual for the Health Services Fund: Government of Zimbabwe Publications

 

Ministry of Health and Child Welfare: Fees and Charges 2001: Government of Zimbabwe Publications

 

Mungiza-Mutizwa 1991: Staff Retention Study, Executive Study: Government of Zimbabwe Publications

 

Musgrave 1980: Public Finance; theory and practice: McGraw Hill, Tokyo

 

Sapru 1994: Development Administration: Sterling Publishers, New Delhi

 

Schluter .P 1988: Health Services Management: African Medical and Research Foundation, Nairobi

 

Vaughan .P 1990: Health Systems Decentralization, concept issues and country experience: World Health Organization, Geneva

 

Human Resources for Health Action Framework http://www.capacityproject.org/framework/

 

The Global Fund. http://www.theglobalfund.org/en/documents/operational/

 

World Health Organization Country Cooperation Strategy.  http://www.who.int/countryfocus/cooperation_strategy/en/

 

Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies. http://www.who.int/healthinfo/systems/monitoring/en/ 

 

Taderera. 2012. Occupational Health and Safety Management Systems: Institutional and Regulatory Frameworks in Zimbabwe. http://www.macrothink.org/journal/index.php/ijhrs/article/download/2149/2196.

 

International Labour Organization 2011. OSH-Management System; A Tool for Continual Improvement. http://www.ilo.org/public/english/region/afpro/cairo/downloads/wcms_153930.pdf.

 

Nuremberg Code, 1949

 

Belmont Report , 1973

 

Declaration of Helsinki, October 2000

 

ICH Guidelines For Good Clinical Practice, ICH Harmonised Tripartite Guidelines, May, 1997

 

International Ethical Guidelines for Biomedical Research Involving Human Subjects; Prepared by the Council for International Organizations of Medical Sciences(CIOMS), 1991 Geneva

 

International Ethical Guidelines For Biomedical Research Involving Human Participants.

 

Council For International Organisation of Medical Sciences in collaboration with World Health Organisation (WHO). Geneva 2002

 

World Health Organisation 2000. Operational Guidelines For Ethics Committees that Review Biomedical Research .Geneva. TDR/PRD/ETHICS/2000.1

 

 

E-resources recommended for up to date data

The Lancet, Pubmed and Biomedcentral Journals on:

-Public Health Policy;

-Health Service Management;

-Human Resources Management;

-Global Health Policy;

-WHO Bulletin; and

-Health Policy.

Plagiarism

Plagiarism     

Plagiarism the presentation of another person’s thoughts or words as one’s own in essays, dissertations or other assessed work constitutes grounds for failing a candidate on the work concerned sanctions that are more serious will be applied if circumstances warrant them. Plagiarism must be avoided, with particular care in course-work and essays and reports written in your own time. Direct quotations from the published or unpublished work of others must always be clearly identified as such by being placed inside quotation marks, and a full reference to their source must be provided in the proper form. Remember that a series of short quotations from several different sources, if not clearly identified as such, constitutes plagiarism just as much as does a single unacknowledged long quotation from a single source. Equally, if you summarize another person’s ideas or judgments, you must refer to that person in your text, and include the work referred to in your bibliography. Failure to observe these rules may result in an allegation of cheating. You should therefore consult your lecturer if you are in any doubt about what is permissible.

Description

Purpose of the Course

The course offers a theoretical and practical analysis of the public health policy and system in Zimbabwe and beyond. It is concerned with the strategic planning and implementation of health services and the processes that take place therein. The major issues in the discourse revolve around health policy formulation, design, planning, implementation, budgeting, health information systems and human resources, communication and health sector reform. It is designed for Public Administration, Political Science and Social Science students. The course equips students with research knowledge and skills to contribute to the governance and management of health systems, and towards the health system reform agenda. 

Qualifications and Goals

 Aims

  • to discuss theoretical and conceptual issues on health policy, system, and governance;

 

  • to discuss theoretical and conceptual issues on health system reform, and the Sustainable Development Agenda on Health;

 

Objectives

  • to analyse the health policy, system, and governance in Zimbabwe, Sub-Saharan Africa and beyond; and

 

  • to explore health system reform strategies in Zimbabwe in the context of the Zim Asset, and Sub-Saharan Africa and beyond in the Sustainable Development Agenda on Health.

Course content

Course Content

The course will provide discourse around issues in the following section.

 

1. Health Policy and System

  • Theoretical Perspectives on Health Policy and Practice
  • Health Systems Model
  • Health System Building Blocks

 

2. Health and Society

  • Sector Wide Approach in Health (SWAps)
  • Community Oriented Primary Health Care
  • Health Seeking Behaviour Models

 

3. Health Services Research and information systems

  • Research Utilization in health
  • Health Research Ethics
  • Health Information Management

 

4. Health Policy and System in Zimbabwe

  • Historical Background
  • Health policy context in Zimbabwe
  • Health governance and management in the context of Zim Asset   

 

5. The Health System Reform Agenda

  • Models and the Reform Cycle
  • Reform and the public policy process
  • Health system reform in Zimbabwe, Sub-Saharan Africa and beyond
  • Health system appraisal and human resource for health reform
  • The Sustainable Development Agenda on Health

 

6. Human Resource for Health Reform

  • The Global Agenda and Action on Human Resource for Health Reform
  • Theoretical and conceptual issues in Human Resource for Health Reform
  • Human Resources for Health Reform in Zimbabwe, Sub-Saharan Africa and beyond
  • Occupational Health and Safety in the public sector

 

7. Analysing Health Sector Reform Interventions

  • Decentralization in the health sector
  • The Decision Space Approach
  • Decision Space Mapping Analysis
  • Case studies

 

8. Deepening our Understanding for Quality in Health  

  • Global conceptual frameworks on DuQUA
  • Exploring the DuQUA agenda and implications for future health service administration

Teaching-training activities

Methods and Strategies of teaching

The course will be delivered through weekly lectures and tutorials. The content will continually be reviewed through research and consultation of other scholars. It will focus on Social Science theories from mainly the fields of Public Administration, Political Science and Public Health. It will also borrow from Psychology, Economics and Sociology though to a very limited extent. Apart from lecturers and tutorials, students will be encouraged to form study groups through which they may engage in discussion and source relevant reading material. A database with soft academic material has been created and will continually be reviewed to equip students with the most up to date publications, to complement what is already available.

Support

Lecturer: Mr H Taderera

Consultation times: Monday 1000-1100 hrs; Thursday 1200-1300 hrs;

and by Appointment

Office 236 New Commerce Building

Human and Physical Resources

Lecturer: Mr BH Taderera

Consultation times: Monday 1000-1100 hrs; Thursday 1200-1300 hrs;

and by Appointment

Office 236 New Commerce Building

Methods of evaluation

Student Assessment    

Students are required to attend lectures and tutorials. Course work will contribute 25% towards the final examination mark. 


Manager(s) for AD222 : Hope Taderera
Administrator for TSIME Online : Administrator
Phone : 18008
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