Assignment on Health System in Developing Countries

Added on - May 2020

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Running head: HEALTH SYSTEM IN DEVELOPING COUNTRIES1Health workers are engaged in dual practice (working in the public sector but also in theprivate sectorNameInstitutional Affiliation
HEALTH SYSTEM IN DEVELOPING COUNTRIES2Health System in Developing CountriesHealth system is a collection of institutions, group of people and accumulation ofsupplies that can be used to meet the health needs of the target group. Decentralization is thedistribution of people, things, and power in different locations. According to the proposal, thehealth system is in the process of being distributed to different districts in developing countries.Decentralization comes up with several benefits and challenges which organization should comeup with a solution to solving.Kenya is among developing countries that has encouraged decentralization of healthsector. Health services have been distributed to different counties. Private health institutions haveincreased at a high rate. Most of Kenyan citizens use private hospitals because they offer qualityservices compared to public sector. Kenya has come up with rules that govern the operation ofboth private and public health institutions. The rules help in offering quality services to thepatients. Public health institutions in Kenya offer low quality services because of low pay theyreceive. Also, public health workers are not given incentives to encourage them to offer qualityservices. Public sector in Kenya is facing a lot of negative impacts and most people prefer usingthe private sector.Benefits of DecentralizationDecentralization helps in distribution of resources to different areas. Also, it assists in thefair and equitable distribution of health services in different locations. People who were unableto receive government health services are able to access. Local people participating ingovernment health services will assist in communicating with the people involved on what they
HEALTH SYSTEM IN DEVELOPING COUNTRIES3need the government to supply to them. Health services decentralization will also help increating more jobs to the unemployed health worker (Cobos et al., 2017). Below is the discussionthe challenge of decentralization in an area where health workers engaged in both private andpublic health services and the solution.Impacts of Dual Practice at DistrictDual practice is the idea of operating both private and public hospital by health workers.There is an increase in the percentage of the number of private health units in the low-incomecountries. The private sector includes non-government organization, individual doctors, nursesand midwives and unqualified individuals who sell medicines on market stalls. The increase inthe private sector has increased due to increase in the number of qualified staff, failure of thepublic sector to meet the expectations and low payment of the staff in public sector. The increasein the private health sector has led to the idea of enabling of access to the services, shortages, anddistribution of the resources. Also, individuals argue on the need to increase the supply of drugs.Public health workers have two sources of income due to low pay. Workers in publichealth institutions are not provided with incentives for good performance. Lack of incentivesleads to them providing low quality of services and having an uncaring and unresponsive attitudetowards their patients. The public health workers open a private hospital and continue to work inthe public sector. In addition, the public resources are distributed unfairly. The middle-classpeople are the one who benefits from the resources distributed to the health institutions.Private health institutions operate with the main aim of getting profits as opposed topublic health institutions. Patients lack of knowledge leads to patients receiving low-qualitytreatment at private health services at high prices. Governments in developing countries areturning their resources to the private health institutions with the idea of making profits
HEALTH SYSTEM IN DEVELOPING COUNTRIES4(Abimbola et al., 2014). Therefore, the government fails to provide enough resources to thepublic health institutions and thus many patients are experiencing difficulties in finances to getquality health service. The poor in the low-income countries are forced by the situation to visitprivate health institutions for treatment.Moreover, other challenges faced by low-income countries are lack of finances, poorinfrastructure and service delivery. The government has not improved the roads and systems ofcommunications in the interior, and this leads to facing problems in operation of public healthinstitutions in district level (Coarasa et al., 2017). However, it is simple for the private healthinstitutions to operate from the interior because all their employees and information needed willbe given by an individual in the place. The public sector has few qualified individuals, and thoseindividuals operate on an hourly system. Therefore, the qualified medical workers open theirown hospitals to add on their income. This leads to qualified staff dedicating most of their timein their clinics.In addition, they influence their patients to tranfer to their private clinics so that they mayhave quality treatment. This happens mainly because of poor payment of health workers. Theprivate sector has a wide variety of qualified individuals. Patients are faced with the challenge ofchoosing the best health services to take. The confusion may lead to patient choosing the wrongmedical services because they have very little information about health service. Also, privateindividuals are answerable to any services and outcomes, financial rewards and penalties and thisleads to them been careful on delivering their services as opposed to when they are delivering thesame service in the public sector. In the public sector there is no one to be answerable to, andtherefore they will neglect their work and focus on the private investment they have.
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