Healthcare Facilities In Emerging Countries

This multidisciplinary book brings together medical, management, and architectural disciplines in order to formulate new approaches to the programming, planning, and design of healthcare facilities that will improve the quality of healthcare systems in rapidly developing countries, respecting local culture. It achieves this aim by drawing upon case studies on healthcare facilities and services that were undertaken in Kolkata, India, where the public healthcare system is meager and most people do not have access to health services. The approaches presented pay appropriate attention to technical aspects and organizational set-up and are designed to achieve an adequate healthcare assistance, greater production efficiency, better use of local professional resources, and careful control of construction. They are also intended to promote educational progress and future independence in construction and management of the healthcare system. The book will appeal to all with an interest in design and organizational strategies to meet new healthcare challenges in India and other emerging countries.

This book is a practical guide for medical professionals with little or no business experience who are interested in establishing health care facilities in developing countries. It is an introduction to the kinds of basic research and planning required to identify viable solutions and reduce the risk of failure.

Beginning with an overview of the distribution and utilization of healthcare facilities in developing countries, this book presents an in-depth investigation of the role they play in Mau district, India. It analyses primary data collected through a sample survey of 680 households selected from 31 villages and two urban centres of Mau district. It then moves on to discuss the conceptual and theoretical framework of healthcare facilities, throwing light on the variation in their availability, accessibility and affordability. The book then considers the distribution of healthcare facilities, focusing on their spatio-temporal change and rural-urban variations, before moving on to addressing the relationship between the socio-economic characteristics of inhabitants and their utilization pattern of healthcare facilities in the area studied.

For the last two decades, major Asian economies have successfully kept their economic growth momentum going. Now, as these economies are entering a new phase of economic growth, more attention is being paid to their respective states of social development, especially the provision and the expansion of social security and, in particular, health care. Academic study of the development of health care in developing countries has been for the most part neglected by the literature, and in-depth country case studies that are directly comparable on a one-to-one basis have not yet been conducted in a systematic manner. This book volume also proposes a new stance on health policy and the health care policy paradigm, one that focuses on "saving lives" from premature death, as well as illness, accidents, misery and poverty, based on the normative theory of developmental social policy (DSP). This groundbreaking book will therefore serve as a valuable reference volume for health policy, social policy and public policy experts, social development experts, health and development economists, health sociologists, social workers, government administrators as well as other medical and health professionals and academics.

This report discusses several different approaches that support reforming health care services in developing countries. For some time now, health care services have been supported by government funds. As demands for improving health care services continue to increase additional demands will be placed on governments to respond. This, however, will not be easy. Slow economic growth and record budget deficits in the 1980's have forced reductions in public spending. Alternative approaches to finance health care services are needed. Such possible changes could involve: decentralization of federal government involvement; the promotion of nongovernment involvement; the imposition of user fees; and, establishing health insurance. Finally, the role of the Bank in pursuing new financing strategies is discussed.

Patient safety and quality improvement in health care remain a global priority. Subpar performance in health care, however, is still common more than a decade after the christening of patient safety in Africa. The core principle of safety and quality improvement systems is to identify and assess the root cause of failures in order to learn from them and devise a means to improve and to avoid recurrence. This book is designed to encourage, facilitate and empower healthcare workers in the development and implementation of strategically driven patient safety and quality improvement initiatives for safer healthcare systems and healthcare facilities in low- and middle-income countries (LMICs) of Africa. It also highlights some of the profound challenges and barriers to designing and implementing patient safety and quality improvement interventions or programmes in the region and reiterates the need to remain focused and determined to work out solutions with confidence and overcome these barriers. In the book, chapters highlight six essential components crucial for achieving evolutionary progress in safety and quality improvement in a healthcare system: Standard operating procedure Audit Research Safety management Quality management Evaluation Practical steps in planning and conducting these six essential components are outlined with some specific features to aid learning and facilitate their implementation. The authors have experience and expertise in the medical practice gained in Africa and a decade of knowledge and experience from consultancy work in safety and quality improvement in health care within and outside the region. Essentials for Quality and Safety Improvement in Health Care: A Resource for Developing Countries is authored for both medical professionals and those from other professions who are interested in and enthusiastic about patient safety and healthcare quality and therefore willing to build a career in this field. It is relevant to all health institutions, health and non-health workers, and can be used as a checklist while rendering quality and safe health care.

Beginning with an overview of the distribution and utilization of healthcare facilities in developing countries, this book presents an in-depth investigation of the role they play in Mau district, India. It analyses primary data collected through a sample survey of 680 households selected from 31 villages and two urban centres of Mau district. It then moves on to discuss the conceptual and theoretical framework of healthcare facilities, throwing light on the variation in their availability, accessibility and affordability. The book then considers the distribution of healthcare facilities, focusing on their spatio-temporal change and rural-urban variations, before moving on to addressing the relationship between the socio-economic characteristics of inhabitants and their utilization pattern of healthcare facilities in the area studied.

As the largest expenditure category of the health systems in both industrialised and developing countries, hospital care provision has been the focus of reforms over recent decades. This publication reviews recent trends in hospital policy reforms and options around the world; and includes case studies which offer insights into lessons learned. Issues considered include: differences in income levels, cultural settings and market environments; organisational changes such as increased management autonomy and privatisation; the need for parallel reforms and effective evaluation mechanisms.