Health Services Management, Quality and Safety

Health Services Management, Quality and Safety

Good health services are those that deliver effective, safe and quality personal and non-personal health interventions to those who need them, when are where needed, with minimum waste of resources. To make progress on UHC, health services have to be improved in parallel with better health financing. There is renewed attention to ‘who is being left behind’ in terms of access to essential health services. There is increased attention to improving the quality of frontline services so that more people use them, and to patient safety. The range of services that need to be delivered is also changing, as populations age: by 2020, the number of people over 60 years old will outnumber children under 5 years old in the South-East Asia Region. The burden of non-communicable diseases is rising. There are new service delivery models being explored, and a renewed focus on delivering more integrated care.

Community-based health services

Community health services are a sub-system of the overall health system, a tier between primary facilities and communities. It is the vehicle carries the primary health care services to people, families and communities and links them with institutional based primary care component.

Community health services have a long history in South-East Asia Region and has many success stories. They have made a key contribution to eradication of smallpox and polio, and reduction of morbidity and mortality from several other communicable diseases, and reduced maternal, infant and child mortality, deaths and improving sanitation.

Community-based health services cover maternal and child health services, immunization, health education, improving water and sanitation, waste management, reduction of malnutrition, prevention of tuberculosis, malaria, HIV, noncommunicable diseases, health education, oral health services, community-based rehabilitation and palliative care.

Community health services are provided by wide range of care providers paid by government as full time field staff. In some countries these services are provided by nonprofessional informally trained health workers or health volunteers. The Department of Health Systems Development works with Member States to streamline and strengthen community-based health services in the Region.

For further information, please see the links below:

Patient safety

Health services are not safe as they could be. Estimates show that one in ten patients experience adverse events in hospitals. Half of health care associated infections (HAI) are preventable. Unsafe injections account for 33% of viral hepatitis B, and over 70% of injections in primary care are unnecessary. An estimated 20 to 40% total health spending is wasted due to poor quality care.

For further information, please see the links below: