1 / 14

Enhancing Healthcare Access: Impact of Health Systems and Access Barriers in the Caribbean

Explore the effects of health system structures and access barriers on public health services in the Caribbean region. Analyze factors influencing healthcare access, including financial, political, and infrastructural barriers. Examine initiatives to improve access, quality care, and human resources management. Identify challenges and opportunities for enhancing healthcare access in the Caribbean.

essien
Télécharger la présentation

Enhancing Healthcare Access: Impact of Health Systems and Access Barriers in the Caribbean

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Effects of Health Systems i. Access barriers to public health services

  2. Group 4 • Englebert Emmanuel (Belize) • Rufus Ewing (Turks & Caicos) • Xysta Edmunds (St. Lucia) • Tessa Stroude (Grenada) • Sandra Smith (Bahamas) • Jackie Gernay (PAHO Jamaica) • Alfonso Ayala (Belize)

  3. Group 4Access • Definition: Probability of obtaining health care when it is needed • HSR doesn’t happen in isolation. Determinants that affect HSR: global economics, different interpretation, other initiatives (SRH, older adults, rights of the child, vulnerable groups, HIV/AIDS, etc.) • Barriers: financial (user fee), political, geographical, infrastructural, migration, ID requirement for NHI,

  4. Access • There is a need for increase access to population considering culture, language, economic situation (user fees, transport, medications, insurance, NHI, global economy, etc.), identification, • With HSR access has improved in general. Limitations still exist.

  5. Access • Rationalization process influenced drug provision and distribution, levels of care, extension of hours, public information, etc. • Table 10: needs desegregation by age groups, match level of care with age groups • p 64 rephrasing of questions is needed • Has waiting time being reduced at primary level the same day? • In the Caribbean, there is a lack of comprehensive services with missed opportunities.

  6. Access • Have health facilities reduced their functional access barriers (language, hours, gender)?

  7. j. Quality care • P. 59 • Various levels of initiatives have taken place over time. Not necessarily due to reform. • Some initiatives in a fragmented way not guided by central level policies • Comments on quality were done yesterday • Barriers: weak central level exercising its functions

  8. Labour market and human resources for health • P. 51 • Most countries don’t look seriously at HR • Financial and burocratic limitations to deal with HR issues • Regional health reform has impacted HR • Inappropriate remuneration triggers migration of health professionals

  9. Human Resorces management • Rapid turn over of HR for health • A positive impact from HSR has been the creation of HR unit at different levels of development • There are no clear HR development plan or strategic framework. • Training and hiring of specialists responds more to public demand rather than a national plan

  10. Human Resources management • There is minimum work on HR management but not serious HR research • P. 52 Change question to: How is HR distributed? Take out yes and no • Remove remuneration and take out yes and no • p. 53 Is there professional migration? Which careers? Where?

  11. HR • Table 18 • Clear and comparable periods of time, annual basis • Need to clear definition of aux. nurse • Table 19 • Difference of row 3, 4 • Ratios need to disaggregate by year due to social determinants • Clarification on contracting modalities in the table

  12. HR • Rephrasing Public Health Schools to Schools offering Public Health training

  13. Actors interaction • p. 73 • Were changes formulated by agreement of involved actors, including central authority? • In the Caribbean, we don’t have health system segmentation like in LA • Q 5 Include international loans and all of the above

  14. Actors • P. 75 • q 11 needs clarification

More Related