Driving to contract management in health care institutes of developing countries

Public hospitals can privatize management activities by contracting with a private organization or person to perform the work. Management contract is a method which uses private sector for major government projects like hospitals. This study evaluates contract management in health care institutes of developing countries. Information has been collected by reviewing the management contract condition of selected countries. Different forms of public private partnership for private participation in hospitals were surveyed. The effects of management contract is expanding market opportunities to include public sector clients, capturing a market to be protected from competitors and providing a reliable and timely source of revenue. Contracting with non-governmental entities will provide better results than government provision of the same services. Contracting initiatives must be regulated and monitored at the highest level of government by experienced and astute policy makers, economists and operational personnel

Sinusitis in Saudi children

Sinusitis is considered one of the most common diseases in childhood, though no actual figures are quoted in the medical literature. This study, which was conducted in an ambulatory care facility at King Faisal Specialist Hospital and Research Centre in Riyadh, a referral center for all of Saudi Arabia, revealed a prevalence rate for sinusitis of 8.5% among new patients seen during 1988. The most common presenting symptoms was cough [54%], while persistent rhinorrhea accounted for only 15% of the presenting symptoms. The most frequent predisoping factor was allergy [26%], followed by hypertrophied adenoids [25%] and septal deviation [13%]. Other important factors, such as the low relative humidity in Riyadh, are also discussed