Leadership and Governance in Health
48 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is a key benefit of countries achieving health objectives described in the text?

  • Reduced morbidity and mortality. (correct)
  • Increased pharmaceutical expenditures.
  • Promotion of closed bidding processes.
  • Higher incidences of catastrophic illnesses.
  • Which sector is highlighted in the document as particularly vulnerable to corruption?

  • The pharmaceutical sector. (correct)
  • The educational sector.
  • The technology sector.
  • The agricultural sector.
  • Which of these is a recommended approach to mitigate corruption within pharmaceutical procurement?

  • Implementing open, competitive bidding processes. (correct)
  • Limiting technical specifications for offers.
  • Using only single source suppliers.
  • Maintaining poor documentation practices.
  • According to the text what is a core component of the DOTS strategy to combat TB?

    <p>Utilizing direct observation of treatment. (A)</p> Signup and view all the answers

    Besides DOTS expansion, what else is included in the Stop-TB strategy?

    <p>Contributing to primary healthcare strengthening. (B)</p> Signup and view all the answers

    Which action is aligned with the goal of strengthening health systems based on the primary care approach?

    <p>Focusing on overall health system improvement at the primary care level. (A)</p> Signup and view all the answers

    What is a key characteristic of a national strategic plan for tuberculosis?

    <p>It reflects the core components of the Stop-TB strategy. (C)</p> Signup and view all the answers

    What does the existence of policies on medicines procurement specifically emphasize?

    <p>The selection of cost-effective medicines with open, competitive bidding. (D)</p> Signup and view all the answers

    Which of the following is NOT identified as a broad category that determines health-care-provision governance, according to the provided content?

    <p>Financial viability (D)</p> Signup and view all the answers

    What do outcome-based indicators primarily measure in the context of health-care-provision governance?

    <p>The effective implementation of rules and procedures. (D)</p> Signup and view all the answers

    Which of the following best exemplifies an outcome-based indicator for health systems?

    <p>The availability of essential medicines in health facilities. (D)</p> Signup and view all the answers

    Why is the section primarily focused on rules-based indicators rather than outcome-based indicators?

    <p>Because outcome-based indicators are discussed in other sections of the handbook. (A)</p> Signup and view all the answers

    What is a key aspect to consider when selecting indicators to measure governance in health?

    <p>Usefulness and relevance. (A)</p> Signup and view all the answers

    According to the content, governance indicators should NOT be used in isolation when:

    <p>Designing policy recommendations for optimal health system performance. (B)</p> Signup and view all the answers

    What are the primary sources of information for rules-based health system governance indicators?

    <p>Expert analysis of administrative records and reviews of national health policies. (D)</p> Signup and view all the answers

    Which of the following is considered an administrative record used for rules-based indicators of governance?

    <p>National health strategies. (D)</p> Signup and view all the answers

    What is the primary goal of citizen report card surveys?

    <p>To enhance civil engagement and demand-side accountability. (A)</p> Signup and view all the answers

    Which of the following is NOT a main area assessed by the WHO's Good Governance for Medicines (GGM) program?

    <p>Private sector drug manufacturing. (D)</p> Signup and view all the answers

    According to the provided materials, what is the purpose of the 'national transparency assessment' in the GGM program?

    <p>To determine the level of transparency and potential for corruption. (A)</p> Signup and view all the answers

    Which document would be most useful to determine if a national health system is transparent and well-governed?

    <p>Budget documents, annual performance reviews and health indicators. (B)</p> Signup and view all the answers

    What does the GGM program by the WHO aim to curb?

    <p>Corruption in pharmaceutical sector systems. (C)</p> Signup and view all the answers

    What is the primary purpose of patient satisfaction surveys in the context of health services?

    <p>To gather information on the quality and responsiveness of health services. (B)</p> Signup and view all the answers

    What is the intended outcome of citizen participation in oversight and regulation?

    <p>To improve the quality and integrity of public services. (B)</p> Signup and view all the answers

    Which of the following is NOT directly linked to improving public health governance according to the provided material?

    <p>Increasing public awareness regarding healthy diets (D)</p> Signup and view all the answers

    According to the provided data, what does the 'Policy index' represent?

    <p>The sum of the scores of 10 governance indicators. (B)</p> Signup and view all the answers

    What do mechanisms for obtaining client input on health services intend to achieve?

    <p>To ensure timely and appropriate access to health services. (A)</p> Signup and view all the answers

    What is the maximum possible score for the 'Policy index'?

    <p>10 (C)</p> Signup and view all the answers

    What is the score assigned to an indicator within the 'Policy index' if an adequate policy is present?

    <p>1 (C)</p> Signup and view all the answers

    Which of the following is NOT specifically mentioned as a domain for review of national health policies?

    <p>Diabetes (C)</p> Signup and view all the answers

    What does indicator 1c specifically address in the context of national health system governance?

    <p>The process of medicines procurement. (A)</p> Signup and view all the answers

    Which of these factors is included in surveys of patient satisfaction and health service utilization?

    <p>The presence of essential medicines in facilities. (D)</p> Signup and view all the answers

    What international initiative is related to indicator 1d (Tuberculosis)?

    <p>The Stop-TB Strategy and the Global Plan to Stop TB 2006-2015 (C)</p> Signup and view all the answers

    Which aspect of the pharmaceutical supply chain is most susceptible to corruption and fraud?

    <p>Procurement processes (D)</p> Signup and view all the answers

    What is a primary concern regarding counterfeit drugs?

    <p>Mislabeling of drugs with respect to their identity or source. (D)</p> Signup and view all the answers

    Counterfeit medicines may include products that contain:

    <p>The correct ingredients but fake packaging. (B)</p> Signup and view all the answers

    What is a significant concern regarding both branded and generic drugs?

    <p>The prevalence of counterfeiting, which can affect either category. (C)</p> Signup and view all the answers

    Instances of counterfeit medicines include all of the following EXCEPT:

    <p>Products with correct ingredients in substandard packaging (D)</p> Signup and view all the answers

    Which of these issues is NOT a direct area of vulnerability in pharmaceutical procurement?

    <p>Storage of purchased products. (C)</p> Signup and view all the answers

    What is the primary objective of mislabeling in the context of counterfeit drugs?

    <p>To inaccurately represent the drug's identity or source. (D)</p> Signup and view all the answers

    Which of the following is a characteristic of a counterfeit medicine?

    <p>Lacking the necessary active ingredients entirely. (B)</p> Signup and view all the answers

    Which of the following is a key focus of the International Health Regulations, as indicated by the provided WHO document?

    <p>Providing guidance for national policy-makers and partners in public health. (D)</p> Signup and view all the answers

    According to the material, what aspect of health systems was specifically addressed in The World Health Report 2000?

    <p>Improving performance. (A)</p> Signup and view all the answers

    What does the 'Stop-TB strategy' emphasize in its approach to combating tuberculosis?

    <p>Implementing strategies focusing on building on and enhancing DOTS programs. (B)</p> Signup and view all the answers

    Which document specifically addresses the use of indicators for monitoring the pharmaceutical situation in countries?

    <p>Using indicators to measure country pharmaceutical situations: fact book on WHO Level I and Level II monitoring indicators. (B)</p> Signup and view all the answers

    Which of these best describes the focus of the WHO medicines strategy for 2004-2007?

    <p>Placing countries at the core of its strategy. (A)</p> Signup and view all the answers

    Which of the following best characterizes the research focus of the World Bank Working Paper No. 2195?

    <p>Aggregating governance indicators. (D)</p> Signup and view all the answers

    According to the resources provided, what is a key topic that influenced the 'Monitoring the Declaration of Commitment on HIV/AIDS' guidelines?

    <p>Construction of core indicators for reporting. (B)</p> Signup and view all the answers

    What is the central topic discussed in the Bulletin of the World Health Organization article by Saltman and Ferrousier-David?

    <p>The concept of stewardship in health policy. (C)</p> Signup and view all the answers

    Flashcards

    Determinants of Healthcare Governance

    Formal procedures, ownership arrangements, decentralization, stakeholder participation, and contextual factors that guide how a health system operates.

    Governance Performance

    How well rules and procedures are enforced and implemented, based on stakeholder experience.

    Outcome-Based Governance Indicators

    Indicators that measure the effectiveness of healthcare governance. Example: Availability of essential medicines in health facilities.

    Rules-Based Governance Indicators

    Indicators that measure the presence of rules, regulations, and policies related to healthcare governance. Example: Legal documents outlining health sector financing.

    Signup and view all the flashcards

    Administrative Records

    Legal documents, national health policies, budget documents, and regulations relevant to healthcare management and financing.

    Signup and view all the flashcards

    Expert Analysis of Administrative Records

    Expert analysis and review of administrative records, national policies, and legal documents to understand healthcare governance.

    Signup and view all the flashcards

    Data Sources for Outcome-Based Indicators

    Facility surveys, public expenditure reviews, and client assessments used to measure the real-world impact of healthcare governance.

    Signup and view all the flashcards

    Importance of Context for Governance Indicators

    Governance indicators should not be used alone to address health system problems. Consider a broader context.

    Signup and view all the flashcards

    Cost-Effective Medicine Procurement Policies

    A set of practices that aim to reduce corruption and promote transparency in the procurement of medicines. This includes policies specifying cost-effective medicines, open bidding for suppliers, and quality product assurance.

    Signup and view all the flashcards

    National TB Strategic Plan

    A national plan that outlines strategies to combat tuberculosis (TB), including measures to implement the Stop-TB strategy's six key components.

    Signup and view all the flashcards

    Stop-TB Strategy

    A comprehensive strategy with six key components for addressing tuberculosis (TB) globally, promoting effective treatment and control.

    Signup and view all the flashcards

    DOTS (Directly Observed Treatment, Short-course)

    A treatment program for TB patients, focusing on directly observed treatment short-course, ensuring regular medication intake and monitoring.

    Signup and view all the flashcards

    MDR-TB (Multidrug-resistant Tuberculosis)

    A type of tuberculosis (TB) that is resistant to multiple drugs, making treatment more difficult.

    Signup and view all the flashcards

    TB-HIV Co-infection

    The simultaneous presence of tuberculosis (TB) and HIV infection, increasing the severity of both diseases.

    Signup and view all the flashcards

    Key Components of National TB Strategic Plan

    A national plan for TB control must incorporate the Stop-TB strategy's principles of enhancing DOTS, addressing TB-HIV and MDR-TB, strengthening health systems, engaging healthcare providers, empowering patients and communities, and promoting research.

    Signup and view all the flashcards

    Corruption in Medicine Procurement

    Procurement of medicines can be susceptible to corruption, involving issues in inventory management, bidding processes, resource allocation, and quality control. Open bidding, good technical specifications, and transparent procedures are crucial to mitigate this risk.

    Signup and view all the flashcards

    Patient Satisfaction Surveys

    Surveys that gather feedback from patients about their experiences with healthcare services.

    Signup and view all the flashcards

    What do patient satisfaction surveys reveal?

    They provide insights into the effectiveness and responsiveness of healthcare delivery.

    Signup and view all the flashcards

    What are "Inputs" in patient satisfaction surveys?

    They assess if medical facilities have the necessary resources, like essential medications.

    Signup and view all the flashcards

    What are "Processes" in patient satisfaction surveys?

    They examine the processes of healthcare delivery, such as waiting times and adherence to treatment protocols.

    Signup and view all the flashcards

    What are "Outcomes" in patient satisfaction surveys?

    They measure the outcomes of healthcare interventions, focusing on improvements in health and reductions in illness and death.

    Signup and view all the flashcards

    What does an indicator measuring consumer satisfaction reflect?

    They indicate whether healthcare systems respond effectively to patient needs and satisfaction.

    Signup and view all the flashcards

    National Strategic Plan for Tuberculosis

    A policy that outlines the steps and goals for preventing and controlling tuberculosis.

    Signup and view all the flashcards

    National Malaria Strategy or Policy

    A policy that outlines the steps and goals for controlling malaria.

    Signup and view all the flashcards

    Reproductive Health Policy

    A formal document outlining strategies for ensuring healthy pregnancies and childbirth, aligned with international guidelines.

    Signup and view all the flashcards

    Child Immunization Plan

    A plan that outlines the steps for ensuring all children receive necessary vaccines within a defined timeframe.

    Signup and view all the flashcards

    Key Health Sector Documents

    Formal documents like annual reports, budgets, or health data publications that transparently share information about health system performance.

    Signup and view all the flashcards

    Client Input Mechanisms

    Methods like surveys or feedback sessions that allow people to share their experiences with health services and help improve them.

    Signup and view all the flashcards

    Counterfeit Drugs

    Deliberate and fraudulent mislabeling of drugs with incorrect identity, source, or ingredients.

    Signup and view all the flashcards

    Drug Procurement

    The process of buying drugs, including managing inventory, holding public bids, analyzing offers, allocating resources, making payments, receiving drugs, and ensuring quality.

    Signup and view all the flashcards

    Corruption in Drug Procurement

    When someone abuses their power in procurement to gain personal benefit, often by manipulating the process or falsifying information.

    Signup and view all the flashcards

    Fraud in Drug Procurement

    Using deception or trickery to gain something of value in the drug procurement process, often by creating fake documents or identities.

    Signup and view all the flashcards

    Types of Counterfeits

    Counterfeit drugs can contain wrong ingredients, no active ingredients, or insufficient amounts of the active ingredient.

    Signup and view all the flashcards

    Counterfeits: Branded and Generic

    Counterfeit drugs can be made to look like branded or generic products, making them difficult to spot.

    Signup and view all the flashcards

    The Risk of Counterfeits

    The issue of counterfeit drugs is serious, as people may be unknowingly taking ineffective or harmful medications.

    Signup and view all the flashcards

    Impact of Counterfeits

    Counterfeit drugs present a significant challenge to public health and safety, as they undermine trust in the pharmaceutical system.

    Signup and view all the flashcards

    Study Notes

    Leadership and Governance in Health

    • Governance in health is increasingly important, requiring strategic policy frameworks, effective oversight, and accountability.
    • Accountability is crucial for managing relationships between stakeholders in the health system (individuals, households, communities, firms, governments, and NGOs). This includes the delegation and understanding of service delivery, sufficient financing, performance evaluation of service delivery, and enforcement mechanisms (rewards and sanctions).
    • Governance in health is a cross-cutting theme deeply connected to issues of accountability.
    • Current health system strengthening focuses on leadership and governance to improve health outcomes, this area needs better monitoring and evaluation.

    Indicators for Measuring Health System Governance

    • Two types of indicators are used to measure governance: rules-based and outcome-based.
    • Rules-based indicators assess if countries have appropriate health system policies and strategies. Examples include having national essential medicines lists or specific policies on diseases like malaria. These are considered part of broader governance determinants which include factors like the structure of ownership, decentralization, community involvement, and other contextual factors.
    • Outcome-based indicators evaluate the implementation and effectiveness of rules and procedures. They consider experiences of stakeholders, looking at issues like the availability of essential medicines or health worker absenteeism. This type is less frequently used for the purpose of evaluating governance.
    • Focus should be on "rules-based" indicators.

    Sources of Information on Health System Governance

    • Measurement of rules-based governance indicators often involves a combination of expert analyses and reviews of national health policies.
    • Key data sources include legal and regulatory documents, national health strategies, budget documents, and regulations related to health system management, organization, and financing.

    Core Indicators

    • A composite governance policy index summarizes governance quality. This composite index is composed of 10 rules-based indicators and examines relevant health policies concerning various diseases and overall health system aspects.
    • Each indicator is scored 0 (no or inadequate policy) or 1 (adequate policy). There is a maximum score of 10 for the policy index.
    • The recommendations include core indicators related to existing national health strategies and their connection to national needs/priorities.
    • There are recommendations for up-to-date national medicines policies and a strategy for procurement methods and cost-effective medicine acquisition.
    • Strategic plans for tuberculosis (TB), along with consideration of TB-HIV co-infection and multidrug-resistant TB, are also recommended.
    • National strategies for malaria are also highlighted, encompassing drug efficacy monitoring, vector control, and insecticide resistance.
    • National responses related to HIV/AIDS and their adherence to global UNGASS guidelines.
    • Comprehensive reproductive health policies that are aligned with the ICPD action plan.
    • There should be comprehensive, multiyear plans for childhood immunization.
    • Dissemination of key health sector documents (like budget documents, performance reviews, and health indicators) is deemed important for transparency and accountability within the health sector.
    • Mechanisms for feedback from clients regarding appropriate and timely access to health services are vital.

    Tools and Resources

    • Citizen report card surveys and the WHO Good Governance for Medicines (GGM) programme: These tools aim to enhance civil engagement to increase service quality and accountability.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Description

    Explore the critical aspects of leadership and governance in health systems. This quiz covers the importance of accountability, strategic policy frameworks, and the roles of various stakeholders. Test your knowledge on indicators used to measure governance effectiveness in health care.

    More Like This

    Use Quizgecko on...
    Browser
    Browser