ASSESSING PERFORMANCE OF BOTSWANA’S PUBLIC HOSPITAL SYSTEM: THE USE OF THE WORLD HEALTH ORGANIZATION HEALTH SYSTEM PERFORMANCE ASSESSMENT FRAMEWORK

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SEITIO KGOKGWE ONALENNA; GAULD ROBIN DC; HILL PHILIP C.; BARNETT PAULINE

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Journal: International Journal of Health Policy and Management Year:2014 | Volume:3 | Issue:4 Page(s): 179-189

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Title

ASSESSING PERFORMANCE OF BOTSWANA’S PUBLIC HOSPITAL SYSTEM: THE USE OF THE WORLD HEALTH ORGANIZATION HEALTH SYSTEM PERFORMANCE ASSESSMENT FRAMEWORK

Author(s)

SEITIO KGOKGWE ONALENNA | GAULD ROBIN DC | HILL PHILIP C. | BARNETT PAULINE | Issue Writer Certificate

Keywords

BOTSWANA

PUBLIC HOSPITALS

SERVICE DELIVERY

WORLD HEALTH ORGANIZATION HEALTH SYSTEM PERFORMANCE ASSESSMENT FRAMEWORK (WHO HSPSF)

Abstract

Background: Very few studies have assessed performance of BOTSWANA PUBLIC HOSPITALS. We draw from a large research study assessing performance of the BOTSWANA Ministry of Health (MoH) to evaluate the performance of public hospital system using the World Health Organization Health Systems Performance Assessment Framework (WHO HSPAF). We aimed to evaluate performance of BOTSWANA public hospital system; relate findings of the assessment to the potential for improvements in hospital performance; and determine the usefulness of the WHO HSPAF in assessing performance of hospital systems in a developing country.Methods: This article is based on data collected from document analysis, 54 key informants comprising senior managers and staff of the MoH (N=40) and senior officers from stakeholder organizations (N=14), and surveys of 42 hospital managers and 389 health workers. Data from documents and transcripts were analyzed using content and thematic analysis while data analysis for surveys was descriptive determining proportions and percentages.Results: The organizational structure of the BOTSWANA’s public hospital system, authority and decision-making are highly centralized. Overall physical access to health services is high. However, challenges in the distribution of facilities and inpatient beds create inequities and inefficiencies. Capacity of the hospitals to deliver services is limited by inadequate resources. There are significant challenges with the quality of care.Conclusion: While BOTSWANA invested considerably in building hospitals around the country resulting in high physical access to services, the organization and governance of the hospital system, and inadequate resources limit SERVICE DELIVERY. The ongoing efforts to decentralize management of hospitals to district level entities should be expedited. The WHO HSPAF enabled us to conduct a comprehensive assessment of the public hospital system. Though relatively new, this approach proved useful in this study.

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APA: Copy

SEITIO KGOKGWE, ONALENNA, GAULD, ROBIN DC, HILL, PHILIP C., & BARNETT, PAULINE. (2014). ASSESSING PERFORMANCE OF BOTSWANA’S PUBLIC HOSPITAL SYSTEM: THE USE OF THE WORLD HEALTH ORGANIZATION HEALTH SYSTEM PERFORMANCE ASSESSMENT FRAMEWORK. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, 3(4), 179-189. SID. https://sid.ir/paper/337973/en

Vancouver: Copy

SEITIO KGOKGWE ONALENNA, GAULD ROBIN DC, HILL PHILIP C., BARNETT PAULINE. ASSESSING PERFORMANCE OF BOTSWANA’S PUBLIC HOSPITAL SYSTEM: THE USE OF THE WORLD HEALTH ORGANIZATION HEALTH SYSTEM PERFORMANCE ASSESSMENT FRAMEWORK. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT[Internet]. 2014;3(4):179-189. Available from: https://sid.ir/paper/337973/en

IEEE: Copy

ONALENNA SEITIO KGOKGWE, ROBIN DC GAULD, PHILIP C. HILL, and PAULINE BARNETT, “ASSESSING PERFORMANCE OF BOTSWANA’S PUBLIC HOSPITAL SYSTEM: THE USE OF THE WORLD HEALTH ORGANIZATION HEALTH SYSTEM PERFORMANCE ASSESSMENT FRAMEWORK,” INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, vol. 3, no. 4, pp. 179–189, 2014, [Online]. Available: https://sid.ir/paper/337973/en

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