Human resource issues and its implications for health sector reforms

Given the growing complexities and challenges the health sector faces, reforms in this sector are inevitable. Often health sector reforms aimed to address many of these deficiencies and ensuring effectiveness and efficiency of resource use, they focus on making the health systems responsive through strengthening financial systems, ensuring local participation and public private partnerships, and autonomy of health facilities. The reform process, among other things, intrinsically makes some fundamental assumptions some of which are as follows: high organisational commitment of health care providers, high professional commitment of health care providers, and adequate skills of health care providers. This paper examines the commitment of district level health officials in the newly carved out state of Chhattisgarh in India. Since development oriented HR practices (HRD) are powerful tools to commit people working in health sector to enhance the quality of care, we believe that health sector reforms will have to concentrate on human resource issues and practices more than ever before in near future. The papers attempts to examine the following questions: (i) what is status of professional commitment, organisational commitment and technical competencies of health officials? (ii) what are the characteristics of human resource management practices in the health sector in the state? and (iii) how these management practices are linked with professional and organisational commitment? Finally the paper discusses the implications of these to health sector reform process.

Disease surveillance and patient care in remote regions: an exploratory study of collaboration among healthcare professionals in Amazonia

The development and deployment of information technology, particularly mobile tools, to support collaboration between different groups of healthcare professionals has been viewed as a promising way to improve disease surveillance and patient care in remote regions. The effects of global climate change combined with rapid changes to land cover and use in Amazonia are believed to be contributing to the spread of vector-borne emerging and neglected diseases. This makes empowering and providing support for local healthcare providers all the more important. We investigate the use of information technology in this context to support professionals whose activities range from diagnosing diseases and monitoring their spread to developing policies to deal with outbreaks. An analysis of stakeholders, their roles and requirements, is presented which encompasses results of fieldwork and of a process of design and prototyping complemented by questionnaires and targeted interviews. Findings are analysed with respect to the tasks of diagnosis, training of local healthcare professionals, and gathering, sharing and visualisation of data for purposes of epidemiological research and disease surveillance. Methodological issues regarding the elicitation of cooperation and collaboration requirements are discussed and implications are drawn with respect to the use of technology in tackling emerging and neglected diseases

Applying a User-centred Approach to Interactive Visualization Design

Analysing users in their context of work and finding out how and why they use different information resources is essential to provide interactive visualisation systems that match their goals and needs. Designers should actively involve the intended users throughout the whole process. This chapter presents a user-centered approach for the design of interactive visualisation systems. We describe three phases of the iterative visualisation design process: the early envisioning phase, the global specification hase, and the detailed specification phase. The whole design cycle is repeated until some criterion of success is reached. We discuss different techniques for the analysis of users, their tasks and domain. Subsequently, the design of prototypes and evaluation methods in visualisation practice are presented. Finally, we discuss the practical challenges in design and evaluation of collaborative visualisation environments. Our own case studies and those of others are used throughout the whole chapter to illustrate various approaches

Public management and essential public health functions

The authors provide an overview of how different approaches to improving public sector management relate to so-called core or essential public health functions, such as disease surveillance, health education, monitoring and evaluation, workforce development, enforcement of public health laws and regulations, public health research, and health policy development. The authors summarize key themes in the public management literature and draw lessons for their application to these core functions.Decentralization,Health Monitoring&Evaluation,Health Systems Development&Reform,Public Health Promotion,Enterprise Development&Reform,Health Monitoring&Evaluation,National Governance,Agricultural Knowledge&Information Systems,Banks&Banking Reform,Health Economics&Finance

Taking things into account: learning as kinaesthetically-mediated collaboration

This paper presents research on participant learning processes in challenge course workshops using the framework known as Cultural-Historical Activity Theory (CHAT). CHAT views learning as a shared, social process rather than as an individual event. Participants\u27 experiencing and learning was mediated by the physical and social conditions of the experience and by the contributions of other participants. The concept of mediation suggests that the meaning participants make of experience is not an individual event, but instead is enacted as a creative, collaborative process using cultural and institutional tools. The recognition that people\u27s physical, social and reflective learning processes are mediated, challenges longstanding assumptions about the radical autonomy of learners, about ‘direct experience,’ and about the centrality of independent, cognitive reflection in experiential learning. Empirical data showing processes of mediation are presented, and the implications for research and theory are discussed

The 10-tenets of adaptive management and sustainability: an holistic framework for understanding and managing the socio-ecological system

The three basic principles of sustainable development, relating to ecology, economy and society, have long been embedded within national and international strategies. In recent years we have augmented these principles by a further seven considerations giving rise to the so-called 10-tenets of sustainable management. Whilst theoretically appealing, discussion of the tenets to date has been largely generic and qualitative and, until the present paper, there has been no formal and quantitative application of these tenets to an actual example. To promote the concept of successful and sustainable environmental management there is the need to develop a robust and practical framework to accommodate value judgements relating to each of the tenets. Although, as originally presented, the tenets relate specifically to management measures, they may also be applied directly to a specific development or activity. This paper examines the application of the tenets in both of these contexts, and considers their incorporation into an assessment tool to help visualise and quantify issues of sustainability

Hypermedia as medium

Claims and rebuttals that hypermedia (the associative, nonlinear interconnection of multimedia materials) is a fundamentally innovative means of thinking and communicating are described. This representational architecture has many advantages that make it a major advance over other media; however, it also has several intrinsic problems that severly limits its effectiveness as a medium. These advantages and limits in applications are discussed