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Presentation Group 1.

Presentation Group 1. Disparity in Allocation of Resources-Issues. 1. Recruitment more from Kurunegala 2. Cadre is not revised for a long time. 3. Lack of facilities for improvement of quality of services by health care workers. 4. Poor utilization of small institutions

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Presentation Group 1.

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  1. Presentation Group 1.

  2. Disparity in Allocation of Resources-Issues • 1. Recruitment more from Kurunegala • 2. Cadre is not revised for a long time. • 3. Lack of facilities for improvement of quality of services by health care workers. • 4. Poor utilization of small institutions • 5. Additional burden created by IDP-new settlers. • 6. Kalpitiya DH is poorly prepared for a disaster – eg war

  3. Issues contd. • 7. Due consideration in allocating resources is not given to the fact that TH Kurunegala is managed by line ministry which is separately resources allocated to it.Allocation of resources • 8. Poor Information system – Population, needs, facilities, Public complaints/requests. • 9. Poor cleaning & waste management.

  4. Issues contd. • 10. Poor implementation of power/authority during decentralization process down to districts & institutions. • DPDHS does not have the power for disciplinary actions

  5. Solutions-HR • 1. Recruitment only from the district/Transfers only after a certain period – unskilled labour • 2. Recruitment of skilled labour by a district quota. • 3. Get the authority for training of technical staff to the province. • 4. Frequent cadre revision according to the need.

  6. Solutions • 5. Scientific needs assessment on human resource development/others . • 6. Appointing a policy planning committee – including all stake holders. • 7. Implementation of referral & back referral system with steps to improve people’s confidence & faith of people. • 8. Get the IDP-new settlers included in to the Puttalam district-Increase the allocation of resources.

  7. Solutions • 9. ETU unit - fully equipped for at least DHs • 10. Transfer scheme implementation • 11. District health development committee should meet with Health Minister, Secretary, PDHS, DPDHS, MPs other stake holders-to meet regularly • 12. Provincial Health development committee of higher capacity.

  8. Solutions • 13. Consider the allocation of resources allocated to TH Kurunegala while allocating resources to Puttalam. • 14. Develop criteria to allocate resoureces between districts. • 15. Out sourcing some identified services. • 16. Hospital committee members should represent district committee-Stake holders/beneficiaries should contribute to hospital development.

  9. Solutions • 17. Proper delegation of power/authority down to the districts/Institutions. • Financial authority to main hospitals-at least to maintain urgent essential services.

  10. Allocation of resourcesIssues contd.

  11. Thank You

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