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Health Systems Management Flashcards

1
Q

Define management

A

It is getting things done through people in order to achieve objectives using available resources efficiently

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2
Q

State 5 components of the management process

A

Planning
Organization
Staffing
Leadership or directing
Controlling

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3
Q

What is planning in management process concerned with x4

A

Planning is forecasting future action
The future
Defined goals
Making choices
Effective and efficient use of resources

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4
Q

State three examples of planning tools

A

HSSP- health sector strategy plan
DIP- district implementation process
Daily work plan and log of activities

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5
Q

Define organization

A

Systematic arrangement of people and resources to accomplish the desired goals

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6
Q

Define organization and what it involves in management process x3

A

Organization- a systematic arrangement of people and resources to accomplish the desired goals.

Assessment and allocation of resources
Budget and financial management
Policies and protocols

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7
Q

Define leadership and what it involves in management process

A

A process whereby an individual influences a group of individuals to achieve a common goal
It involves decision making, team work, supervision and delegation

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8
Q

Define controlling and what it involves in management process

A

A process of monitoring performance and taking action to ensure desired results
It involves setting standards, communication and follow up

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9
Q

Define decentralization

A

The transfer of power, authority, resources and responsibilities to levels of government below the central government

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10
Q

Define public policy and state when it is formulated

A

It is what a government decides to do or not to do
It is formulated when there is a problem that requires government attention and action

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11
Q

State the decentralization policy objectives x3

A
  1. To create a democratic environment facilitating participation of the grassroots in decision making
  2. To promote accountability and good governance at local levels
  3. To mobilize the masses for socioeconomic development at local level
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12
Q

State 4 functions of the Malawi deliberative district council

A
  1. To make policy and decisions on local governance and development
  2. To promote local democratic institutions and participation
  3. To mobilize resources within and outside the district
  4. To promote economic development through approval of district development plan
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13
Q

State two functions of the district executive committee in Malawi

A

To give options on various issues
To provide professional advice to the district council

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14
Q

Describe ADC -Area development committee and its functions x2

A

The village development committee under the TA
1. Determine development interventions required in the area
2. Mobilize community resources

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15
Q

How can decentralization be more effective x3

A

Communication
Collaboration
Coordination

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16
Q

Define health system

A

All the structures, resources, policies and processes needed to ensure the health of a population

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17
Q

What are some of the services or procedures a health system may include x5

A

Direct service delivery to the population
Supporting services that make delivery possible
Financial arrangements
Health workforce and the development
Physical infrastructure

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18
Q

What is the overall functions of health system x3

A

Setting policies
Planning and allocation of resources
Monitoring performance

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19
Q

WHO health system framework x6

A

Good Service delivery
Health workforce - well performing
Health Information - well functioning
Medical products
Health financing system
Leadership or governance

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20
Q

What are the 4 goals or outcomes of WHO health system

A

Responsiveness
Improved health
Improved efficiency
Social and financial risk protection

21
Q

4 characteristics of a good health service

A

Effective
Safe
Good quality
Minimum wastage of resources

22
Q

Define a health policy

A

A statement of a decision regarding a goal in health care and a plan for achieving that goal

23
Q

What is the goal of Malawi growth and development strategy MGDS

A

To reduce poverty through sustained economic growth and infrastructure development

24
Q

State the basis at which the EHP essential health package is selected x2

A

Use of country’s epidemiological and disease profile
Cost effectiveness of the interventions

25
State 4 goals of quarterly review of DIP
To make appropriate adjustments To ensure participation of NGOs and development partners To link reviews with evidence based decision making To have a thorough review of the DIP
26
Define epidemiology and state its 3 types
The study of health and disease in a population Descriptive, analytic and experimental
27
When can a cross sectional study be used in analytical epidemiology x2
When current values of exposure variables are unalterable overtime When it represent values present at the initiation of disease eg blood group
28
State one difference between choice of descriptive and analytical epidemiology
Descriptive is done when very little is known about the disease and analytical is done when there is some theoretical knowledge available
29
What are the three components of a health policy
Objectives Strategies Goals
30
Define essential health package
It is a set of prioritized but limited basic health services that focuses on the main causes of morbidity and mortality
31
State the 5 decentralization structures in the district
District deliberative structure District executive structure Area development committee Area executive committee Village head committee
32
Functions of the district health management team DHMT x4
Management Planning Monitoring and Evaluation Supervision Coordination
33
State the PESTEL analysis and it’s purpose
It is a tool that is used to understand possible impact of external environment on a project Political Environmental Social Technological Economical Legislative
34
Define PEARL and what its used for
It is used to assess if a problem is feasible or not Propriety - is it your responsibility Economics - does it make economic sense Acceptability - will the community accept it Resources- is funding available Legality - is the program legal
35
How to use PESTEL analysis in community diagnosis x3
Rate community health problems to a specific factor Rank the health problems depending on the factor with much influence Come up with the best interventions for the problem
36
Define objective
A framework around which a program is constructed and amended
37
State 5 objectives of Essential Health Package
Reduce the burden of disease Contribute to poverty reduction Tool for priority setting Improve equitable access to health services Increase the efficiency of the PH sector
38
Primary health care purpose
It provides outreach activities such as health education, antenatal and postnatal care
39
Purpose of secondary health care
It provides intermediary level of care such as surgical services for those dealing with obstetric emergencies and general medical conditions
40
Purpose of tertiary hospitals x2
They provide medical and surgical care of the most complex medical conditions Responsible for training and conducting research
41
Challenges of HMIS Health management information systems x5
Poor data collection Limited electronic health records Communication networks are limited and expensive Lack of motivation Lack of skilled medical record professionals
42
Conditions of a functioning health system x4
Governance Financing Human and physical resources Organization and management of device delivery
43
Components of a Health system x5
Direct service delivery to the population Supporting services to make sure service delivery is possible Health workforce and their development Physical infrastructure for service delivery Financial arrangements - insurance, funding, aid System of regulation and licensing which protects the public
44
Players involved in provision and financing of health services x4
Public non profit Profit private sectors International and bilateral donors Foundations Voluntary organizations
45
State 4 roles of the district nursing officer
Mobilize resources Ensure annual renewal of nurses licenses Plan and implement nursing and care using critical thinking Ensure good working environment for nurses Report all issues concerning nursing to other departments of the DHMT
46
State 5 roles of the human resource for health
Recruitment and selection Performance and management Compensation and benefits Training and development Employee relations
47
What is the difference between essential and generic drugs
Essentials- drugs used to treat the most common conditions Generics- drugs available in their chemical name and nature
48
Describe the management of essential drugs by the pharmacy x4
Request and issue voucher used by those requesting the drug Stock card to keep track of stock Favorable storage conditions eg refrigerators Physical inventory at the end of the month

Community Health (6 decks)

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