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  • Title: New needs in health management.
    Author: Schaefer M.
    Journal: World Health Forum; 1989; 10(3-4):438-47. PubMed ID: 2637731.
    Abstract:
    National health development policies demand the building of operational and management capacities. A WHO study has identified key requirements in these areas and has found that few countries are in a position to meet them. A detailed study of the World Health Organization's (WHO) need to analyze its technical cooperation in management development took place in 1987-88 in developing and developed countries. Premises of the study were: 1) that management is not a separate function but is essential to the health system served by it; 2) the full range of management involves programming, funding, developing the health system, and guiding its operations; and 3) the adequacy of management is measured by the efficiency and effectiveness with which services and other health promoting interventions are delivered. Data was supplied by observing national personnel ranging from village health workers to health ministers in developing countries in 4 WHO regions. Several countries have good health development systems. The poorest countries have the least developed health systems. Countries with early stage developing systems have made little progress in health development. Countries with middle stage developing systems have been able to set up strategies and policies for health development. Countries with mature systems emphasize curative medical care. There are many problems, however, and are many mistaken notions of management. Management involves guidance. Health system capacity should offer many things. Health system development is limited by environmental factors. Leaders must have a systematic view of health development. An assessment of health system strengths and weaknesses should be made. The management part of a system building strategy should have attention paid to it. Management of resource development should not be neglected. Operational factors should also be considered.
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