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Devolution in Health Care

  Nov 1, 2013
 

Accessing heath care varies across Countries, groups and Individuals which is mainly influenced by economic and political state of affairs. Health care Systems on the other hand are organizations established to meet the health needs of target populations.


The program began with a panel discussion with four policymaking guests; Prof George Moseley III of Harvard University,Faculty at Strathmore Business School; Dr. Dennis Ogola, Managing Director, Avenue Group Hospitals; Prof. Chis Forest, Consulting pediatrician and Faculty at Strathmore Business School and Dr. Felix Olale, Executive chairman of Excelisa Group and Academic Director for MBA program. The four having engaged in various healthcare section and projects in turn, gave more insight with regards to Healthcare, their systems and devolution in the panel discussion that was coordinated.


Kenya changed course in 2007 when it launched the Vision 2030. One of the attainable goals was to influence Health and make it not just accessible but also of quality. It would be impossible to reach Vision 2030 without including key aspects like investing in people and additional guidance in health beyond what is in the constitution.


Health Systems and Transition

A Nation like Kenya would work around two things in order to achieve enhanced transition according to Prof. George. One of these is “Do not automatically model your-self like the United States”. Things happen at the operational level in the United States that is dissimilar but well worth paying attention to. Secondly, “Fragmentation of systems”. This is due to inefficiencies that are introduced and patient details that fall into cracks.


As healthcare transitions, start with public health and private care approach in line with thinking of the children and families through its integration to the systems to be used. In addition to achieve advanced devolution, reflect upon Data. Data structures are strictly essential. Prof. Chris Forest stressed out that the Transfer type is key whether it’s the use of Age-sex or ICD.These would enable the transfer of resources in accordance to highly required resources and also allow for evaluation of whether or not strategic goals are met.


Private Sector vs. Public Sector Viewpoint

Dr. Dennis painted a picture of how the private sector is interested in devolution. Private sectors are not only looking to make profits but also a number of aspects. One of these is Health care fighting solutions such as Innovative models. These models provide access to people even in the deepest of areas in Kenya. On target to regulations of systems, Private sectors are concerned with what institutions provide which has to be the right quality healthcare.


On the Public sector side, Dr. Felix mentioned that public sector has its methods. For allocation of resources and financing are devolved to Central governments, this is measured through population base. Regulation stays at Central government and this was streamlined to drive regulations to Counties aligned to the pieces of work they did to have Joint board to deal with such issues. This sector provides basic healthcare services but does not target all goals. As a tool the public and private sector should assimilate to provide quality healthcare whether non-profit or for-profit.


Participants were able to interrelate with the panel speakers through the Question and Answer session. The speakers were asked to outline the measure of tracking the progress and how regularities are followed. Dr. Felix explained that competition is not a bad thing in terms of affordable quality access. He marked on Counties that received better services with a shift- method on the public sector side. This would for example, shift resources from a better to a less enhanced county to enable balancing. Prof. Chris Forest placed on added points on competition by people seeking healthcare outside communities. Competition is essential as it stimulates change that is positive even between counties.


There is more to health than the health care system. The responsibility for public health, which includes sanitation, infectious diseases and related education, is should be shared between the three orders of government: national, provincial and local.



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