NOTICE: CANCHID will be adding a Gopher and World Wide Web Site early in
the New Year. At that point it will start to "break out" information services
as between information for access and (listserv) information distribution.
Here CANCHID is posting the new issue of PHNFLASH 49 from the World Bank.
It has three short interesting items. - Sam Lanfranco,
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= PHNFLASH Electronic Newsletter #
# on Population, Health & Nutrition Issues =
= PHN Dept. World Bank #
# Issue 49, December 14, 1994 =
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>>>In this issue...
* Quality of Care
* International Graduate Program in Thailand
* Mekong Eye Doctor Vacancy in Cambodia <<<
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Dear PHNFLASH subscribers:
Thus far, we have received over 100 replies to our survey.
We would like to thank the many who have responded to
our survey. We have received very positive and
constructive comments and will be implementing them over time.
We would still like to hear from the rest of you. For a copy of
the survey form, please send a request to: [log in to unmask]
Thank you,
Vivian Hon
PHNLINK administrator
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>>> QUALITY OF CARE <<<
According to Willy De Geyndt, Principal Public Health Specialist for Asia
Technical Department Human Resources and Social Development Division (ASTHR),
the need for quality assurance in health care has only recently emerged as a
priority in developing countries. Interest has been growing rapidly with
countries including Zambia, Uganda and Ghana, establishing national
committees on quality assurance.
The classical definition of quality of care is the degree of conformity
of actual care with predetermined criteria. Hence, the process of improving
quality requires defining the criteria by which to judge progress, developing
a mechanism to collect baseline data and ensuring a mechanism that allows for
changes in the "degree of variation from conformity."
In a study of 83 Bank appraisal reports on population, health and nutrition
(PHN) projects passed between 1990-93, De Geyndt found that only 14 of the
reports recognized the quality of care problem and proposed remedial
steps. Quality of care, in these cases, was typically defined in terms of
the shortage of structural inputs, such as dilapidated buildings and
pervasiveness of drug shortages.
De Geyndt notes that structural inputs are necessary but not sufficient
condition for measuring quality. He proposes a conceptual model based on
structure, process and outcome. Process measures what is actually done to and
for the patient in giving and receiving care. Project design should emphasize
process measures and incorporate the philosophy and methods of quality
improvement to assess and improve the service delivery processes
purposefully and continuously. Outcomes which are the end results of the
correct process of patient care and of the timely availability of the
necessary inputs may be measured using indicators of mortality, morbidity
and functional impairment. Because outcomes can and are often affected by
exogenous factors, it is therefore more effective to improve the health care
delivery process continously and to ensure the availability of critical
inputs.
[extracted from Health Policy no. 8, November 1994]
"Managing the Quality of Health Care in Developing Countries" by Willy de
Geyndt is a forthcoming World Bank Technical Paper
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>>> MEKONG EYE DOCTORS (MED) VACANCY IN CAMBODIA <<<
Within the scope of the "MED Eye Care Development Programme for Pursat
Province in the Royal Kingdom of Cambodia" Foundation, MED has a
position for an experienced ophthalmologist/eye Surgeon to be deployed
per 1 April 1995 for a first period of six months at Pursat Provincial
Hospital, Pursat, Cambodia.
The successful candidate will provide:
* general and clinical class training in opthalmology to a group of
selected candidates from the hospital
* theoretical and practical training and instruction at OPD
* theoretical and practical training and instruction on surgical
treatment of major eye diseases (cataract, pterygium, glaucoma,
entropion).
* regular performance of OPD consultations and eye surgery at the
hospital.
Candidates must have experience in working under hardship circumstances
and a good working knowledge in English and French. Interested applicants
should send an application letter, a curriculum vitae and names of at least
two referees, to:
MED Head Office
Attn: Dr Eric J. van Agtmaal
Director
Prof. Junkerslaan 3
1185 JL Amstelveen
THE NETHERLANDS
Phone: 31-20-6473879
Fax: 31-20-6432490
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>>> International Graduate Program, Thailand <<<
The Department of Health and Social Sciences at Mahidol University,
Nakornpathom, Thailand, will be considering applications for the International
Graduate Program in Health Social Science, tentatively scheduled to begin
June 1, 1995, at the university's Salaya campus. This program began in the
1993-94 academic year, and is partially funded by the Ford Foundation.
The program provides advanced training and research opportunities in the field
of health social sciences for students in the Asia/Pacific region. There is
a specialized reproductive health component available for those interested.
For a copy of the program brochure and/or application form, contact:
Dr. Preecha Upayokin,
Director - Master's Degree Program in Health Social Science
(International)
Department of Health Social Sciences
Mahidol University
25/25 Puthamoltol 4
Salaya 73170, Nakornpathom
Thailand.
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