Assuntos
Surtos de Doenças , Mycobacterium tuberculosis/efeitos dos fármacos , Tuberculose Resistente a Múltiplos Medicamentos/epidemiologia , Antituberculosos/uso terapêutico , Países em Desenvolvimento , Feminino , Humanos , Masculino , Mycobacterium tuberculosis/isolamento & purificação , Avaliação das Necessidades , Papua Nova Guiné/epidemiologia , Prevalência , Medição de Risco , Índice de Gravidade de Doença , Taxa de Sobrevida , Tuberculose Resistente a Múltiplos Medicamentos/diagnósticoRESUMO
This paper highlights the key changes to the health system over the past 20 years, including the impact of the Organic Law on Provincial Governments and Local-level Governments, the politicization of the system, the changing balance between government and development partners in financing the health system, and the development of a sector-wide approach in the Papua New Guinea health sector. It discusses reform efforts at bureaucratic and regulatory level to address these problems. Key health sector policy issues and lessons learned over the past two decades are highlighted. The paper concludes with an examination of what is needed to 'get back to basics' through mobilizing all health sector partners with the aim of getting the health system delivering improved health outcomes.
Assuntos
Redes Comunitárias/organização & administração , Atenção à Saúde , Reforma dos Serviços de Saúde , Programas Nacionais de Saúde/história , Garantia da Qualidade dos Cuidados de Saúde/história , Atenção à Saúde/história , Atenção à Saúde/organização & administração , Financiamento Governamental , Previsões , Reforma dos Serviços de Saúde/história , Reforma dos Serviços de Saúde/legislação & jurisprudência , História do Século XX , História do Século XXI , Humanos , Cooperação Internacional/história , Papua Nova Guiné , Dinâmica PopulacionalRESUMO
This paper highlights the key changes to the health system over the past 20 years, including the impact of the Organic Law on Provincial Governments and Local-level Governments, the politicization of the system, the changing balance between government and development partners in financing the health system, and the development of a sector-wide approach in the Papua New Guinea health sector. It discusses reform efforts at bureaucratic and regulatory level to address these problems. Key health sector policy issues and lessons learned over the past two decades are highlighted. The paper concludes with an examination of what is needed to 'get back to basics' through mobilizing all health sector partners with the aim of getting the health system delivering improved health outcomes.
