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Sustainability Strategies for Regional Health

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Good Health and Well-Being

Part of the book series: Encyclopedia of the UN Sustainable Development Goals ((ENUNSDG))

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Definition

Sustainability denotes the ability of government (ministries, department, and agencies), private, and civil society sectors to perform certain activities on continuum scale, especially at the end of donor-supported regime, by keeping the project moving at a desired phase, for impact and/or outcomes (Joaquin 1998; Lyson et al. 2001). Regional health is a new healthcare concept which deals with healthcare issues at the grassroot level. It is an emerging concept which addresses health issues within a rural populace (Frank et al. 2005). Regional health system (RHS) is defined by its regional boundaries (Dash 2009), characterized by its financing, coordination, organizing, risk pooling, health services provision, and management capacity among others (Yap 2017). The fundamental goal of regional health system is to improve the health status of the target community (Frank et al. 2005).

Introduction

Sustainability as a concept is vague lacking in distinct definition, characterized by...

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References

  • Adler-Milstein J, McAfee AP, Bates DW, Jha AK (2007) The state of regional health information organizations: current activities and financing. Health Affairs 27(1):w60–w9

    Google Scholar 

  • Airhihenbuwa C (2007) Healing our differences – the crisis of global health and the – politics of identity. Rowman & Littlefield Publishers, Lanham

    Google Scholar 

  • Airhihenbuwa C, Okoror T, Shefer T, Brown D, Iwelunmor J, Smith E, Adam M, Simbayi L, Zungu N, Dlakulu R (2009) Stigma, culture, and HIV and AIDS in the Western Cape, South Africa: an application of the PEN-3 cultural model for community-based research. J Black Psychol 35(4):407–432

    Article  Google Scholar 

  • Alavi M, Leidner D (2001) Review: Knowledge management and knowledge management systems: conceptual foundation and research issues. MIS Q 25(1):107–136

    Article  Google Scholar 

  • Alexander J, Zuckerman H, Pointer D (1995) The challenges of governing integrated health care systems. Health Care Manag Rev 20:69–92

    Article  CAS  Google Scholar 

  • Anthony C, Abbas M, Allen A, Ball S, Bell S, Bellamy R et al (2009) Managing the health effects of climate change. Lancet 373(9676):1693–1733

    Article  Google Scholar 

  • Bates DW, Ebell M, Gotlieb E, Zapp J, Mullins H (2003) A proposal for electronic medical records in US primary care. J Am Med Inform Assoc 10(1):1–10

    Article  Google Scholar 

  • Berman E (1997) Dealing with cynical citizens. Public Adm Rev 57:105–112

    Article  Google Scholar 

  • Boyce J, Lamont T (1998) The new health authorities -moving forward, moving back. Br Med J 316:215

    Article  CAS  Google Scholar 

  • Broadhead P, Duckett S, Lavender G (1989) Developing a mandate for change: planning as a political process. Community Health Stud 13:243–257

    Article  CAS  Google Scholar 

  • Brownlea A (1987) Participation: myths, realities and prognosis. Soc Sci Med 25:605–614

    Article  CAS  Google Scholar 

  • Carlile PR (2002) A pragmatic view of knowledge and boundaries: boundary objects in new product development. Organ Sci 13(4):442–455

    Article  Google Scholar 

  • Chambers DA, Glasgow RE, Stange KC (2013) The dynamic sustainability framework: addressing the paradox of sustainment amid ongoing change. Implement Sci 8(1):117

    Article  Google Scholar 

  • Charles C, Demaio S (1993) Lay participation in health care decision-making: a conceptual framework. J Health Polit Policy Law 18:881–904

    Article  CAS  Google Scholar 

  • Chaulagai CN, Moyo CM, Koot J, Moyo HBM, Sambakunsi TC, Khunga FM, Naphini PD (2005) Design and implementation of a health management information system in Malawi: issues, innovations and results. Health Policy Plan 20(6):375–384

    Google Scholar 

  • Chilundo B, Aanestad M (2004) Negotiating multiple rationalities in the process of integrating the information system of disease specific health programs. Electron J Inf Syst Dev Ctries 20(2):1–28

    Google Scholar 

  • Creighton J (1993) Involving citizens in community decision making: a guide book. Program for Community Problem Solving, Washington, DC

    Google Scholar 

  • Damtew Z (2005) Management information systems of HIV/AIDS, TB and Malaria in Ethiopia. Unpublished Master thesis, University of Eduardo Mondlane, Maputo

    Google Scholar 

  • Dash P (2009) Developing a regional health system strategy. https://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/developing-a-regional-health-system-strategy

  • Dickerson C, Grills N, Henwood N, Jeffreys S, Lankester T (2012) The World Health Organization engaging with civil society networks to promote primary health care: a case study. Glob Health Gov 6(1)

    Google Scholar 

  • Eastis C (1998) Organizational diversity and the production of social capital. Am Behav Sci 42:66–577

    Article  Google Scholar 

  • Farrell C (2000) Citizen participation in governance. Public Money Manage 20:31–37

    Article  Google Scholar 

  • Fernandez ME (1994) Gender and indigenous knowledge. Indig Knowl Dev Monit 2(3):6–7

    Google Scholar 

  • Frank KN, Awoonor-Williams JK, Phillips JF, Jones TC, Miller RA (2005) The Ghana community-based health planning and services initiative for scaling up service delivery innovation. Health Policy Plan 20(1):25–34

    Article  Google Scholar 

  • Frankish CJ, Kwan B, Ratner PA, Higgins JW, Larsen C (2002) Challenges of citizen participation in regional health authorities. Soc Sci Med 54(10):1471–1480

    Article  Google Scholar 

  • Green L, Frankish J (1994) Organizational and community change as the social scientific basis for disease prevention and health promotion policy. Adv Med Sociol 4:209–233

    Google Scholar 

  • Greer S, Wismar M, Figueras J (2016) Introduction: strengthening governance amidst changing governance’, Strengthening Health System Governance: better policies, stronger performance’. WHO: European Observatory on Health Systems and Policies

    Google Scholar 

  • Hayes SE (1981) Uses and abuses of community development. A general account. Community Dev J 16(3):221

    Article  Google Scholar 

  • International Council for Science (ICIS) (2002) Science and traditional knowledge, report from the ICSU Study Group on Science and Traditional Knowledge. http://www.unesco.org/science/wcs/newsletter/fichiers_word_html/03%20June%20ICSU%20TK.htm

  • Joaquin L (1998) Development sustainability through community participation. Mixed results from the Philippine health sector. Brookfield USA, Aldershot

    Google Scholar 

  • John HL, Hanfling D, Burstein JL, DeAtley C, Barbisch D, Bogdan GM, Cantrill S (2004) Health care facility and community strategies for patient care surge capacity. Ann Emerg Med 44(3):253–261

    Article  Google Scholar 

  • Korac-Kakabadse N, Korac-Kakabadse A, Kouzmin A (2001) Leadership renewal: towards the philosophy of wisdom. Int Rev Adm Sci 67(2):207–227

    Article  Google Scholar 

  • Krickeberg K (2007) Principles of health information systems in developing countries. Health Inf Manag J 36(3):8–20

    Google Scholar 

  • Lewin S, Munabi-Babigumira S, Glenton C, Daniels K, Bosch-Capblanch X, van Wyk BE, Odgaard-Jensen J, Johansen M, Aja GN, Zwarenstein M (2010) Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases. Cochrane Database Syst Rev (3):CD004015

    Google Scholar 

  • Lippeveld T, Sauerborn R (2000) Routine data collection methods. In: Lippeveld T, Sauerborn R, Bordrat C (eds) Design and implementation of health information systems. WHO, Geneva

    Google Scholar 

  • Litsios S (2004) The Christian Medical Commission and the development of the World Health Organization’s primary health care approach. Am J Public Health 94(11):1884–1893

    Article  Google Scholar 

  • Lomas J (1998) Social capital and health: implications for public health and epidemiology. Soc Sci Med 47: 1181–1188

    Article  CAS  Google Scholar 

  • Lyons M, Smuts C, Stephens A (2001) Participation, empowerment and sustainability:(How) do the links work?. Urban Stud 38(8):1233–1251

    Google Scholar 

  • Makokha KTA (2002) Working with community organisations and civil society: the case of Uganda. A presentation at the European forum on rural development co-operation, 4th to 6th September, Montpellier, France

    Google Scholar 

  • Ma Rhea Z (2004) The preservation and maintenance of the knowledge of indigenous peoples and local communities: the role of education. J Aust Indig Issues 7(1):3–18

    Google Scholar 

  • Mengiste SA (2010) Analysing the challenges of IS implementation in public health institutions of a developing country: the need for flexible strategies. J Health Inform Dev Ctries 4(1):1–17

    Google Scholar 

  • Morfitt G (1998) Report of the Auditor General on regionalization, accountability and governance. Auditor General’s Office, Victoria

    Google Scholar 

  • Murray CJL, Frenk J (2000) A framework for assessing the performance of health systems. Bull World Health Organ 78:717–731

    CAS  Google Scholar 

  • Nicolini D, Gherardi S, Yanow D (2003) Knowing in organizations. A practice-based approach. M.E. Sharpe, Armonk

    Google Scholar 

  • Nonaka I (1994) A dynamic theory of organizational knowledge creation. Organ Sci 5(1):14–37

    Article  Google Scholar 

  • Nonaka I, Takeuchi H (1995) The knowledge creation company: how Japanese companies create the dynamics of innovation. Oxford University Press, New York

    Google Scholar 

  • Orlikowski W (2002) Knowing in practice: enacting a collective capability in distributed organizing. Organ Sci 13(3):249–273

    Article  Google Scholar 

  • Polanyi M (1967) The tacit dimension. Anchor, Garden City

    Google Scholar 

  • Rajasekaran B, Warren DM, Babu SC (1991) Indigenous natural-resource management systems for sustainable agricultural development – a global perspective. J Int Dev 3(1):1–15

    Article  Google Scholar 

  • Rasschaert F, Decroo T, Remartinez D, Telfer B, Lessitala F, Biot M, Candrinho B, Van Damme W (2014) Sustainability of a community-based anti-retroviral care delivery model–a qualitative research study in Tete, Mozambique. J Int AIDS Soc 17(1): 18910

    Article  Google Scholar 

  • Rengalakshmi R (2006) Harmonizing traditional and scientific knowledge systems in rainfall prediction and utilization. In: Bridging scales and knowledge systems. Island Press, Washington DC, pp 225–239

    Google Scholar 

  • Rene L (2003) Civil society influence on global health policy. In: Annotated bibliography of selected research on civil society and health. WHO Civil Society Initiative and Training and Research Support Centre, Harare. Available at http://www.tarsc.org/WHOCSI/globalhealth.php

  • Rural Health Information (2018) Rural Health Information Hub. https://www.ruralhealthinfo.org/toolkits/rural-toolkit/5/specific-issuestrategies. Accessed 13 Nov 2018

  • Sarriot E, Morrow M, Langston A, Weiss J, Landegger J, Tsuma L (2015) A causal loop analysis of the sustainability of integrated community case management in Rwanda. Soc Sci Med 131:147–155

    Article  Google Scholar 

  • SDG (2016) Sustainable development goal 16: UN. https://sustainabledevelopment.un.org/sdg16

  • Shediac-Rizkallah MC, Bone LR (1998) Planning for the sustainability of community-based health programs: conceptual frameworks and future directions for research, practice and policy. Health Educ Res 13(1): 87–108

    Article  CAS  Google Scholar 

  • Shiell A, Hawe P, Gold L (2008) Complex interventions or complex systems? Implications for health economic evaluation. BMJ 336(7656):1281

    Article  Google Scholar 

  • Starfield M, Shi L, Macinko J (2005) Contribution of primary care to health systems and health. Milbank Q 83(3):457–502

    Article  Google Scholar 

  • Stirman SW, Kimberly J, Cook N, Calloway A, Castro F, Charns M (2012) The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research. Implement Sci 7(1):17

    Article  Google Scholar 

  • Tewdwrjones M, Thomas H (1998) Collaborative action in local plan-making. Environ Plan 25:127–144

    Article  Google Scholar 

  • Veenstra G, Lomas J (1999) Home is where the governing is: social capital and regional health governance. Health Place 5:1–12

    Article  CAS  Google Scholar 

  • WHO (2001) Commission on Macroeconomics and Health. Macroeconomics and health: investing in health for economic development. WHO, Geneva

    Google Scholar 

  • WHO (World Health Organization) (2007) Community health workers: what do we know about them? The state of the evidence on programs, activities, costs and impact on health outcomes of using community health workers. Evidence and Information for Policy, Department of Human Resources for Health, Geneva, January 2007

    Google Scholar 

  • WHO (2016) European Observatory on Health Systems and Policies. Kosinska M Preface in ‘Strengthening health system governance: better policies, stronger performance’. WHO

    Google Scholar 

  • Yap JC (2017) Critical success factors for regional health systems – an international and local comparison of what makes regional health systems tick. Int J Integr Care 17(3):A135

    Article  Google Scholar 

  • Yasnoff WA et al (2004) A consensus action agenda for achieving the national health information infrastructure. J Am Med Inform Assoc 11(4):332–338

    Article  Google Scholar 

  • Zach SA (1999) Managing codified knowledge. Sloan Manag Rev 40(4):45–58

    Google Scholar 

  • Zakus J, Lysack C (1998) Revisiting community participation. Health Policy Plan 13:1–12

    Article  CAS  Google Scholar 

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Correspondence to Ibrahim Umar .

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Umar, I. (2020). Sustainability Strategies for Regional Health. In: Leal Filho, W., Wall, T., Azul, A.M., Brandli, L., Özuyar, P.G. (eds) Good Health and Well-Being. Encyclopedia of the UN Sustainable Development Goals. Springer, Cham. https://doi.org/10.1007/978-3-319-95681-7_41

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