Health Care System PDF

HEALTH CARE SYSTEM
TOPIC OUTLINE
 Alma Ata Declaration

The promotion and
 Health Care Delivery System
protection of the health of the people is
 Determinants of Health
essential to sustain economic and social
 Goals and Functions
development and contributes to a better
 Primary Health Care
quality of life and to world peace
 The Shortcoming of the Health
Care Delivery WHAT ARE THE IMPLICATION OF
THESE CONCEPTS?
ALMA ATA DECLARATION
RESPONSIBILITY
September 1978
Who should be finallyresponsible for
“Health is a fundamental human right and
that the attainment of the highest possible
healthcare?
level of health is a most important worldwide EQUITY
goal whose realization requires the action of
many other social and economic sectors in What is the concept of EQUITY?
addition to the health sector"
DEVELOPMENT
What is the relationship of healthand

development
ALMA ATA DECLARATION
The government has a responsibility for
The existing gross inequality in the health

status of the people particularly between
developed and developing countries as
wellas within countries is politically, socially, the health of their people which can be
andeconomically unacceptable and is, fulfilled only by the provision of
therefore,of common concern to all countries. adequate health and social
measures.
The responsibility mainly of the
government
Not the responsibility of the health

sector alone
That any form of health inequity is not

acceptable
AMARTYA SEN
a Nobel prize winner economist
"Even the economy is poor,major health

achievements can be achieved by using
resources in a socially productive way."
Equality means each individual or group of

people is given the same resources or
opportunities. Equity recognizes that each HEALTH CARE SYSTEM
person has different
"The
circumstances and allocates the
exact resources and opportunities
needed to reach an equal
outcome
What we have taken care up so

far?
Health is a human right combination of resources,

organization,financing, and management
that culminate inthe delivery of health A health system is, therefore, more
services to thepopulation’’ thanthe pyramid of publicly owned
facilitiesthat deliver personal health services
"In World Health Organization Report
in 2000 health system was defined
as "all the organizations, institutions
and resources that are devoted to
producing health actions’’
A health system consists of all

organizations, people, and actionswhose
primary intent is to promote, restore or
maintain health.
HEALTH CARE DELIVERY SYSTEM
This includes efforts to influence determinants

of health as well as moredirect health-
improving activities
DETERMINANTS OF HEALTH
4 vital health system function
HEALTH SERVICE PROVISION
HEALTH SERVICE INPUTS
STEWARDSHIP
HEALTH FINANCING
GOALS AND FUNCTION OF HEALTH
SYSTEM OF HEALTH SYSTEM
HEALTH INFORMATION SYSTEM
A well functioning health information

systemis one that ensures the-
production- analysis- dissemination and
use of reliable and timely information on
health determinants, healthsystems
performance and health status
MEDICAL PRODUCTS
A well-functioning system ensures Wherever people lack social protection
equitable access to essential medical and payment for care is largely out
products, vaccines, and technologies of of the pocket at the point of service.
assured quality, safety, efficacy, andcost- They can be confronted with
effectiveness, and their scientifically catastrophic expenses.
sound andcost-effectiveness use.
03 FRAGMENTED AND FRAGMENTING
Leadership and governance CARE
Leadership and governance involves - excessive specialization

ensuring strategic policy frameworks
exists and are combined with effective - a narrow focus on disease control
over sight, coalition-building, the - health care for the poor and
provision of appropriate regulations and marginalized
incentives,attention to system design, and
accountability  highly fragmented
 severely under resources
financing system
-development AID oftenaids in
A good health financing system raises
fragmentation
adequate funds for health, in way
 that ensure people can use

needed services, and
 are protected from financial
catastrophe or impoverishment
associated with having to pay
for them
FIVE COMMON SHORTCOMINGS OF

HEALTH CARE DELIVERY
01 INVERSE CARE
People with the most means, whose

needs are less often consume care the
most. Those with the least means,
with the greatest problems, consume
care the least.
02 IMPOVERISHING CARE(TO DEPRIVE)

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HEALTH CARE SYSTEM

 Alma Ata Declaration

What is the relationship of healthand

ALMA ATA DECLARATION

The government has a responsibility for

The existing gross inequality in the health

Not the responsibility of the health

That any form of health inequity is not

a Nobel prize winner economist

"Even the economy is poor,major health

Equality means each individual or group of

What we have taken care up so

Health is a human right combination of resources,

A health system consists of all

HEALTH CARE DELIVERY SYSTEM

This includes efforts to influence determinants

4 vital health system function

HEALTH SERVICE PROVISION

HEALTH SERVICE INPUTS

HEALTH INFORMATION SYSTEM

A well functioning health information

Leadership and governance involves - excessive specialization

 that ensure people can use

FIVE COMMON SHORTCOMINGS OF

People with the most means, whose

02 IMPOVERISHING CARE(TO DEPRIVE)

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