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Health SystemsHealth Systems
GoalsImproving the health of the population they
serve
Responding to peoples expectations
Providing financial protection against the cost of ill health
2
Overall level of health Distribution of health in the population Institutions with overall level of
responsiveness Distribution of such institutions with
responsiveness Distribution of financial contribution
3
World Health Report 2000 page 31
“Some systems are highly unresponsive
A common complaint in many countries about public sector health workers
focus on their rudeness in relation with patients”
4
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
5
•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
6
•Ensure there is no error, delays, rudeness, hostility and indifference by the health worker
•Protect them against financial cost of illness
7
“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.”
8
World Health Report 2000 World Health Report 2000 page 33page 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 persons1. Dignity
Being shown respect
Maintaining privacy during physical examination
2. Confidentiality of information Medical history kept confidential
Consulting with health providers in a manner that your discussions could not be overheard
10
3.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
11
4. Communication having the provider to listen to you
carefully.
having the provider explain things so you can understand
having patients to ask questions12
Client orientation5. Prompt attentionHaving health care provider within
reasonable distance and travel time form home
Duties and treatmentsHaving fast care in emergenciesHaving short working times for
appointments and consultations and getting test done13
6. Quality of basic amenities
Enough space, seating, fresh air in waiting rooms and wards
Clean facilities ( toilets, eating places)Clean healthy foodHaving short waiting list for non
emergency cases14
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
15
7. Choice of provider
being able to chose the doctor or other person providing you health care
being able to change the provider