Dr S Sridharan Ministry of Health Colombo – 08 Sri Lanka

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  • Dr S SridharanMinistry of HealthColombo 08 Sri Lanka

  • Health Systems

    GoalsImproving the health of the population they serve

    Responding to peoples expectations

    Providing financial protection against the cost of ill health*

  • Overall level of healthDistribution of health in the populationInstitutions with overall level of responsivenessDistribution of such institutions with responsivenessDistribution of financial contribution *

  • World Health Report 2000 page 31Some systems are highly unresponsive

    A common complaint in many countries about public sector health workers

    focus on their rudeness in relation with patients


  • Responsiveness Reducing the damage to ones dignity and autonomy and the fear and shame that sickness often brings with it

    Treat the people with individual dignity

    Their needs should be promptly attended to minimise long delays in waiting for diagnosis and treatment *

  • Respect the value of peoples time and reduce their anxiety Ensure confidentiality

    Allow choices

    Treat them with dignity

    Ensure there is no error, delays, rudeness, hostility and indifference by the health worker

    Protect them against financial cost of illness


  • Ensure there is no error, delays, rudeness, hostility and indifference by the health worker

    Protect them against financial cost of illness


  • Is not a measure of how the system responds to health needs which shows up in health outcomes

    but, of how the system performs relative to non health aspects meeting or not meeting a populations expectations of how it should be treated by providers of prevention, curative or non personal services.*

  • World Health Report 2000 page 33 the poor was identified as the main disadvantaged group. They are treated with less respect for their dignity to have less choice of providers & to be offered poorer quality amenities (basic needs) than the non poor. They were granted as being treated worse than urban dwellers

  • Respect for personsDignityBeing shown respect

    Maintaining privacy during physical examination

    Confidentiality of information

    Medical history kept confidential

    Consulting with health providers in a manner that your discussions could not be overheard*

  • Autonomy

    Being involved in deciding on your case and treatment if you want to

    Having the providers ask your permission before starting treatments or tests*

  • 4. Communicationhaving the provider to listen to you carefully.

    having the provider explain things so you can understand

    having patients to ask questions*

  • Client orientation

    5. Prompt attention

    Having health care provider within reasonable distance and travel time form home

    Duties and treatments

    Having fast care in emergencies

    Having short working times for appointments and consultations and getting test done


  • 6. Quality of basic amenities

    Enough space, seating, fresh air in waiting rooms and wards

    Clean facilities ( toilets, eating places)

    Clean healthy food

    Having short waiting list for non emergency cases*

  • Social support during care

    - being allowed visits from relatives and friends

    - being allowed provision of food and other gifts from relatives

    - having freedom for religious practices*

  • 7. Choice of provider

    being able to chose the doctor or other person providing you health care

    being able to change the provider


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