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CRITICAL EVALUATION
HEALTH SYSTEM OF ZAMBIA
CHIMAROKE OBINYA
11/1/2010
The Black nation of Zambia has an impressive health system in comparism with
several other African countries worth preserving. This is a critical look at the areas
that need attention.
INTRODUCTION:
EVALUATION:
What is the organizational culture like? Too much control from the
center can result in rigidity and loss of ingenuity (Garside, 1999)
while too much flexibility can lead to chaos. Management should
be predisposed to unlearning and learning new beneficial
practices (ibid) that can greatly benefit the health system.
Traditional bureaucracy and professionalism are the identifiable
models of management in place (Hunter, 2007) in the country;
however gravitation towards the new public management model
where the units of the health system operate in a competitive
manner will improve performance (ibid).
Evaluation of service provision/output is a huge cornerstone in
this critical evaluation of the health system of Zambia. This
should be approached differently at the different health delivery
levels. What services are supposed to be offered at the health
center level, are they actually offered efficiently (Beghin, et al
1989) or do the staff here just serve as a referral stand, sending
small cases of mild dehydration to the primary hospital centers
where the few nurses and doctor (or rarely two doctors) are
already being overwhelmed by the patient load. A very functional
health center level will boost health care. This is the level of care
closest in location to families. It is also the major type of health
care in the remote areas. The citizens will benefit immensely from
a functional health center. This will equally reduce the patient
load at the primary level hospital.
CONCLUSION:
REFERENCES: