Pressured by the demands of a growing population and limited by resources in a volatile economy, the government of Tanzania has created a decentralized multi-tiered health system. The majority of the system’s health facilities (approx. 65%) are government-run; however faith-based and for-profit providers also supply instrumental care services (Borghi et al. 2012). The system assumes and facilitates disparities in individuals’ wealth and accessibility to care. It employs a hierarchy of health services to provide people with general health services locally, and then refer them to increasingly more centralized and specialized facilities as needed. At the base of this operation are “health workers” (HW), who provide primary care to local community …show more content…
For example, in the last 15 years the government has created four public health insurance schemes. However, these schemes are only available to public servants, which help explain a low national insurance coverage, estimated 18.1%,(Mtei et al. 2012). The largest scheme, National Health Insurance (NHI), provides public servants and immediate family members with healthcare by requiring them to pay 3% of their monthly income. The government then matches this …show more content…
In of 2010, the population of Tanzania was 43.2 million and had an annual growth rate of 2.5%. Thus, by 2025 the system will have to accommodate the needs of 50% more people (Borghi et al. 2012). The system is also faced with the task of meeting the demands of a population with rapidly changing health concerns. For example, between 1990 and 2013, the IHME estimates that the Disability Adjusted life years (DALY) and Years Life Lost (YLL) for HIV/AIDS, increased by 123% and 128% in
The health care organization with which I am familiar and involved is Kaiser Permanente where I work as an Emergency Room Registered Nurse and later promoted to management. Kaiser Permanente was founded in 1945, is the nation’s largest not-for-profit health plan, serving 9.1 million members, with headquarters in Oakland, California. At Kaiser Permanente, physicians are responsible for medical decisions, continuously developing and refining medical practices to ensure that care is delivered in the most effective manner possible. Kaiser Permanente combines a nonprofit insurance plan with its own hospitals and clinics, is the kind of holistic health system that President Obama’s health care law encourages. It still operates in a half-dozen states from Maryland to Hawaii and is looking to expand...
Health care providers not knowing their surrounding community impacts the way they provide health care to a patient. I hope to use my background in community work with underrepresented populations and the qualities I gained to hopefully reduce and someday diminish the concern that health care isn’t keeping up with the demographics of the surrounding community. The third health care concern I will talk about is another near and dear to me which is the severely low quality health care women in developing countries receive.
For decades, one of the many externalities that the government is trying to solve is the rising costs of healthcare. "Rising healthcare costs have hurt American competitiveness, forced too many families into bankruptcy to get their families the care they need, and driven up our nation's long-term deficit" ("Deficit-Reducing Healthcare Reform," 2014). The United States national government plays a major role in organizing, overseeing, financing, and more so than ever delivering health care (Jaffe, 2009). Though the government does not provide healthcare directly, it serves as a financing agent for publicly funded healthcare programs through the taxation of citizens. The total share of the national publicly funded health spending by various governments amounts to 4 percent of the nation's gross domestic product, GDP (Jaffe, 2009). By 2019, government spending on Medicare and Medicaid is expected to rise to 6 percent and 12 percent by 2050 (Jaffe, 2009). The percentages, documented from the Health Policy Brief (2009) by Jaffe, are from Medicare and Medicaid alone. The rapid rates are not due to increase of enrollment but growth in per capita costs for providing healthcare, especially via Medicare.
This shows the significance that health care workers can have on patient care.
According to World Health Organization, the statics show that: - The world needs 17 million more health workers, especially in Africa and South East Asia. - African Region bore the highest burden with almost two thirds of the global maternal deaths in 2015 - In Sub-Saharn Africa, 1 child in 12 dies before his or her 5th birthday - Teenage girls, sex workers and intravenous drug users are mong those left behind by the global HIV response - TB occurs with 9.6 million new cases in 2014 - In 2014, at least 1.7 billion people needed interventions against neglected tropical diseases (NTDs) (“Global Health Observatory data”, n.d.) B. A quote of Miss Emmeline Stuart, published in the article in
Out of all the industrialized countries in the world, the United States is the only one that doesn’t have a universal health care plan (Yamin 1157). The current health care system in the United States relies on employer-sponsored insurance programs or purchase of individual insurance plans. Employer-sponsored coverage has dropped from roughly 80 percent in 1982 to a little over 60 percent in 2006 (Kinney 809). The government does provide...
One of many solutions to help families to be able to afford health care is public option. This is an alternative solution to affordable healthcare for all. This works by having a government-run healthcare program which are exclusively available to two groups that lack employer provided health insurance. This program is also available to low income families or individuals. This program is sold just like how private companies sell their insurance in a New Health Insurance Exchange. The system is designed so that private companies are not able to take advantage of customers and opening a wider range of choices to choose from. Keeping costs down and premiums low helps avoid the problem of losing customers.
...e crucial change needed in health services delivery, with the aim of transforming the current deteriorated system into a true “health care” system. (ANA, 2010)
A country’s health care system refers to all the institutions, programs, personnel, procedures, and the resources that are used to meet the health needs of its population. Health care systems vary from one country to another, depending on government policies and the health needs of the population. Besides, health care programs are flexible in the sense that they are tailored to meet health needs as they arise. Among the stakeholders in the formulation of a country’s health care system are governments, religious groups, non-governmental organizations, charity organizations, trade/labor unions, and interested individuals (Duckett, 2008). These entities formulate, implement, evaluate, and reform health services according to the needs of the sections of the population they target.
Access to health care in Ethiopia has left many people without proper health care and eventual death. Millions of people living in Ethiopia die because of the lack of access to the health care system; improving the access to the healthcare system in Ethiopia can prevent many of the deaths that occur, but doing so will pose a grueling and challenging task. According to Chaya (2012), poor health coverage is of particular concern in rural Ethiopia, where access to any type of modern health institution is limited at best (p. 1). If citizen of Ethiopia had more accessibility of the healthcare system more individuals could be taught how to practice safe health practices. In Ethiopia where HIV, and maternal and infant mortality rates are sky high, more education on the importance of using the healthcare system and makin...
...ld Health Organization (WHO) report shows that, most people living with HIV or at risk for HIV do not have access to treatment, care and prevention and there is still no cure. In spite of these challenges, there have been successes. Global efforts have been made to address the epidemic, specifically in the last decade. The HIV prevalence rates have been reduced in a small but growing number of countries due to prevention and new HIV infections are believed to be on the decline. In addition to this, the number of people with HIV receiving treatment in resource poor countries has increased 10 times since 2002, nearing an estimated 4 million by 2008.
Reforming health care system has been a hot topic for many years. A society's commitment to health care reflects some of it's most basic values about what it is to be a member of the human community (Cockerham, 2012). Legislators have been proposing diferrent policies in an effort to solve this dilemma without significant progress. All proposals to expand insurance coverage have had certain flaws and were sometimes far from being ideal or even realistic.
The country faces various health challenges including a high burden of communicable diseases (such as HIV/AIDS that is responsible for 29.3% of all deaths, malaria and Tuberculosis) and non-communicable diseases (Government of Kenya, 2011). Health services are provided by government, missionaries, ...
- Organisation and Management of Health Care, April 2002, Version 2.0 , Main Contributor: Katie Enock, Public Health Specialist, Harrow Primary Care Trust www.healthknowledge.org.uk
...ile the pandemic will absolutely leverage the rate of financial development, structural alterations are furthermore expected to be one of the prime economic hallmarks of the AIDS pandemic (Arndt 427-449). The effect of the HIV/AIDS epidemic can be visualized by the overwhelming change in mortality rate of South Africans. The yearly number of mortalities from HIV increased distinctly between the years 1997, when about 316,559 people died, and 2006 when an estimated 607,184 people died ("HIV AIDS IN SOUTH AFRICA"). Those who are currently assuming the burden of the increase in mortality rate are adolescents and young adults. Virtually one-in-three females of ages 25-29, and over 25% of males aged 30-34, are currently living with HIV in South Africa (UNAIDS). The good news, thanks to better supply of ARV treatment, is that life-expectancy has risen vastly since 2005.