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Enhancing Resource Allocation in Health Care: Addressing Disparities and Improving Services

This presentation discusses issues related to resource allocation in the health care sector, focusing on disparities, recruitment challenges, lack of facilities, poor utilization of institutions, and inefficient power delegation. Solutions proposed include district-based recruitment, cadre revisions, improved training, and enhanced stakeholder involvement. Suggestions for better resource management, such as criteria development, outsourcing, and empowerment at the district level, are also highlighted.

catherine-sallas
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Enhancing Resource Allocation in Health Care: Addressing Disparities and Improving Services

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  1. Presentation Group 1.

  2. Disparity in Allocation of Resources-Issues • 1. Recruitment more from Kurunegala • 2. Cadre is not revised for a long time. • 3. Lack of facilities for improvement of quality of services by health care workers. • 4. Poor utilization of small institutions • 5. Additional burden created by IDP-new settlers. • 6. Kalpitiya DH is poorly prepared for a disaster – eg war

  3. Issues contd. • 7. Due consideration in allocating resources is not given to the fact that TH Kurunegala is managed by line ministry which is separately resources allocated to it.Allocation of resources • 8. Poor Information system – Population, needs, facilities, Public complaints/requests. • 9. Poor cleaning & waste management.

  4. Issues contd. • 10. Poor implementation of power/authority during decentralization process down to districts & institutions. • DPDHS does not have the power for disciplinary actions

  5. Solutions-HR • 1. Recruitment only from the district/Transfers only after a certain period – unskilled labour • 2. Recruitment of skilled labour by a district quota. • 3. Get the authority for training of technical staff to the province. • 4. Frequent cadre revision according to the need.

  6. Solutions • 5. Scientific needs assessment on human resource development/others . • 6. Appointing a policy planning committee – including all stake holders. • 7. Implementation of referral & back referral system with steps to improve people’s confidence & faith of people. • 8. Get the IDP-new settlers included in to the Puttalam district-Increase the allocation of resources.

  7. Solutions • 9. ETU unit - fully equipped for at least DHs • 10. Transfer scheme implementation • 11. District health development committee should meet with Health Minister, Secretary, PDHS, DPDHS, MPs other stake holders-to meet regularly • 12. Provincial Health development committee of higher capacity.

  8. Solutions • 13. Consider the allocation of resources allocated to TH Kurunegala while allocating resources to Puttalam. • 14. Develop criteria to allocate resoureces between districts. • 15. Out sourcing some identified services. • 16. Hospital committee members should represent district committee-Stake holders/beneficiaries should contribute to hospital development.

  9. Solutions • 17. Proper delegation of power/authority down to the districts/Institutions. • Financial authority to main hospitals-at least to maintain urgent essential services.

  10. Allocation of resourcesIssues contd.

  11. Thank You

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