Agreement Primary Health Care

Implementation of policy directions and technical capabilities makes implementation the next challenge. Our study showed that district leaders have real authorities in negotiating contractual agreements with NSPs. This was a significant difference from previous models of contracting-out allocation in Tanzania in other reported studies. In these earlier models, contractual agreements were entered into centrally by the Ministry of Health and district authorities excluded the choice of NPNs and contract negotiation processes [6]. 1 Commonwealth of Australian Governments (2011), National Health Reform Agreement, Clauses 10; A1-A4 2 Commonwealth of Australian Governments (2011), National Health Reform Agreement, Article 8. 3 Commonwealth of Australian Governments (2012), National Healthcare Agreement, 24-27 Liu X, Hotchkiss DR, Bose S. The effectiveness of the allocation of primary health services in developing countries: a review of the evidence. Health plan. 2008;23:1-13.

Liu X, Hotchkiss DR, Bose S. The impact of the contract-out on the performance of the health system: a conceptual framework. Health policy. 2007:82:200-11. Linde A. Tanzanian Public Policy Assessment Study: a particular focus on education, health and the environment. A master`s job. Kalmar: Linnaeus University; Ministry of Health and Social Affairs [MoHSW]. Agreement on the provision of health services between the government and service providers. Dar es Salaam: MoHSW; 2007.

Rypkema S. Lessons from health sector experiences in contracting in Africa, Vol. Antwerp: Medicus Mundi International Newsletter; 2002. Benova L, Macleod D, Footman K, Cavallaro F, Lynch C, Campbell O. Private sector role in the management of childbirth: results of cross-sectional surveys in 57 low- and middle-income countries using demographic and medical surveys. Too Med Int Health. 2015;20(12):1657–73. The framework also recognizes the role of the consumer and caregivers. The lack of a patient-centered centre of gravity in the health sector can lead to fragmented care, consumers who are ill-informed about their care needs and choices, and gaps and duplication in the services they receive. Through their commitment and access to reliable and appropriate information and support, consumers are better able to comply with treatment systems and manage lifestyle risk factors, which will improve clinical outcomes and improve quality of life. Primary health care is an important part of the comprehensive health system in Australia. While significant reforms have taken place throughout the health care and aged care system, there has so far been no national approach to basic health care.

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