Sample records for finance human resources

  1. 39 CFR 221.6 - Field organization.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... functional units responsible for finance, human resources, marketing, and operations support. (2) Reporting... support, finance, human resources, information technology, administrative support, and marketing. (2... assigned, Headquarters field units are responsible for legal services, corporate relations, human resources...

  2. Berkeley Lab - Materials Sciences Division

    Science.gov Websites

    MSD Support Human Resources Facilities & Space Planning Procurement and Property Proposals & ; Finance Templates Travel One-Stop Acknowledging MSD Support Human Resources Facilities & Space Planning Procurement and Property Proposals & Finance Templates Travel Human Resources General

  3. 76 FR 33286 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-08

    ... locations: Federal Housing Finance Agency, Office of Human Resources Management, 1700 G Street, NW... Human Resources Management, 1700 G Street, NW., Washington, DC 20552; 1625 Eye Street, NW., Washington...: Office of Human Resources Management, Federal Housing Finance Agency, 1625 Eye Street, NW., Washington...

  4. Financing Human Capital.

    ERIC Educational Resources Information Center

    Juffras, Jason; Sawhill, Isabel V.

    This paper examines the government's role in financing human capital investments. It first examines why private investments in education, training, and other forms of human capital are likely to fall short of socially desirable levels. It then reviews past trends in public support for human resource investments. Finally, it discusses current…

  5. Berkeley Lab - Materials Sciences Division

    Science.gov Websites

    MSD Support Human Resources Facilities & Space Planning Procurement and Property Proposals & ; Finance Templates Travel One-Stop Acknowledging MSD Support Human Resources Facilities & Space Operations For information regarding Human Resources, procedures for acknowledging MSD support, division

  6. Berkeley Lab - Materials Sciences Division

    Science.gov Websites

    ; Finance Templates Travel One-Stop Acknowledging MSD Support Human Resources Facilities & Space Planning Procurement and Property Proposals & Finance Templates Travel Facilities & Space Planning

  7. Berkeley Lab - Materials Sciences Division

    Science.gov Websites

    ; Finance Templates Travel One-Stop Acknowledging MSD Support Human Resources Facilities & Space Planning Procurement and Property Proposals & Finance Templates Travel Travel This page has been moved

  8. OHD/HL - PPC

    Science.gov Websites

    Management Program Execution RFC Development HOSIP Administrative and Human Resources Budget/Finance IT and to established policies and procedures. uc Budget/Finance - coordinate with NWS and NOAA Chief

  9. 75 FR 65528 - Membership of National Science Foundation's Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-25

    ..., Office of Budget, Finance and Award Management, and Chief Financial Officer; Brian W. Stone, Deputy... Director, Division of Human Resource Management and Chief Human Capital Officer, National Science..., Division of Human Resource Management and Chief Human Capital Officer; Mark L. Weiss, Director, Division of...

  10. Removing financial barriers to access reproductive, maternal and newborn health services: the challenges and policy implications for human resources for health

    PubMed Central

    2013-01-01

    Background The last decade has seen widespread retreat from user fees with the intention to reduce financial constraints to users in accessing health care and in particular improving access to reproductive, maternal and newborn health services. This has had important benefits in reducing financial barriers to access in a number of settings. If the policies work as intended, service utilization rates increase. However this increases workloads for health staff and at the same time, the loss of user fee revenues can imply that health workers lose bonuses or allowances, or that it becomes more difficult to ensure uninterrupted supplies of health care inputs. This research aimed to assess how policies reducing demand-side barriers to access to health care have affected service delivery with a particular focus on human resources for health. Methods We undertook case studies in five countries (Ghana, Nepal, Sierra Leone, Zambia and Zimbabwe). In each we reviewed financing and HRH policies, considered the impact financing policy change had made on health service utilization rates, analysed the distribution of health staff and their actual and potential workloads, and compared remuneration terms in the public sectors. Results We question a number of common assumptions about the financing and human resource inter-relationships. The impact of fee removal on utilization levels is mostly not sustained or supported by all the evidence. Shortages of human resources for health at the national level are not universal; maldistribution within countries is the greater problem. Low salaries are not universal; most of the countries pay health workers well by national benchmarks. Conclusions The interconnectedness between user fee policy and HRH situations proves difficult to assess. Many policies have been changing over the relevant period, some clearly and others possibly in response to problems identified associated with financing policy change. Other relevant variables have also changed. However, as is now well-recognised in the user fee literature, co-ordination of health financing and human resource policies is essential. This appears less well recognised in the human resources literature. This coordination involves considering user charges, resource availability at health facility level, health worker pay, terms and conditions, and recruitment in tandem. All these policies need to be effectively monitored in their processes as well as outcomes, but sufficient data are not collected for this purpose. PMID:24053731

  11. Removing financial barriers to access reproductive, maternal and newborn health services: the challenges and policy implications for human resources for health.

    PubMed

    McPake, Barbara; Witter, Sophie; Ensor, Tim; Fustukian, Suzanne; Newlands, David; Martineau, Tim; Chirwa, Yotamu

    2013-09-22

    The last decade has seen widespread retreat from user fees with the intention to reduce financial constraints to users in accessing health care and in particular improving access to reproductive, maternal and newborn health services. This has had important benefits in reducing financial barriers to access in a number of settings. If the policies work as intended, service utilization rates increase. However this increases workloads for health staff and at the same time, the loss of user fee revenues can imply that health workers lose bonuses or allowances, or that it becomes more difficult to ensure uninterrupted supplies of health care inputs.This research aimed to assess how policies reducing demand-side barriers to access to health care have affected service delivery with a particular focus on human resources for health. We undertook case studies in five countries (Ghana, Nepal, Sierra Leone, Zambia and Zimbabwe). In each we reviewed financing and HRH policies, considered the impact financing policy change had made on health service utilization rates, analysed the distribution of health staff and their actual and potential workloads, and compared remuneration terms in the public sectors. We question a number of common assumptions about the financing and human resource inter-relationships. The impact of fee removal on utilization levels is mostly not sustained or supported by all the evidence. Shortages of human resources for health at the national level are not universal; maldistribution within countries is the greater problem. Low salaries are not universal; most of the countries pay health workers well by national benchmarks. The interconnectedness between user fee policy and HRH situations proves difficult to assess. Many policies have been changing over the relevant period, some clearly and others possibly in response to problems identified associated with financing policy change. Other relevant variables have also changed.However, as is now well-recognised in the user fee literature, co-ordination of health financing and human resource policies is essential. This appears less well recognised in the human resources literature. This coordination involves considering user charges, resource availability at health facility level, health worker pay, terms and conditions, and recruitment in tandem. All these policies need to be effectively monitored in their processes as well as outcomes, but sufficient data are not collected for this purpose.

  12. Common Sense: Plain Talk to Legislators about School Finance.

    ERIC Educational Resources Information Center

    Hickrod, G. Alan; And Others

    This publication contains testimony, given by personnel at the Center for the Study of Educational Finance, initially intended for legislators at the federal and state levels to help them deal with public policy matters in K-12 finance. The first document is testimony given before the United States Senate Committee on Labor and Human Resources,…

  13. Military Review. Volume 83, Number 2, March-April 2003

    DTIC Science & Technology

    2003-04-01

    from political decisions, discriminatory policies, food shortages, disruption of agriculture, droughts, floods, inflation, and lack of finances ...Union. More than 30,000 HAOs are at work in the world today. HAOs are financed by private individual or group donations, foundation grants, and...munications to the U.S. public, finances , management practice, human resources, program, public policy, and implementation.14 Another coordi- nating

  14. Williamsburg County Human Resources Campus (WCHRC): Planning Report.

    ERIC Educational Resources Information Center

    Wynn, Eddie D.; And Others

    Investigating the feasibility of a human resources campus designed to locate all Williamsburg County (a rurally disadvantaged South Carolina county) health and social service agencies in one consolidated area, project objectives were to investigate: agency characteristics; ownership, management, and financing aspects of the campus concept;…

  15. [Financing Regional Dementia Networks in Germany: Determinants of Sustainable Healthcare Networks].

    PubMed

    Michalowsky, B; Wübbeler, M; Thyrian, J R; Holle, B; Gräske, J; Schäfer-Walkmann, S; Fleßa, S; Hoffmann, W

    2017-12-01

    Analysis of practice-based financing concepts in German dementia networks (DN); Provision of sustainable financing structures and their determinants in DN. Qualitative expert interviews with leaders of 13 DN were conducted. A semi-structured interview guide was used to analyse four main topics: Finance-related organization, cost, sources of funding and financial sustainability. DN were primarily financed by membership fees, earnings of services provided, public funds and payments by municipalities or health care providers. 63% of the DN reported a financial sustainability. Funds to support the interpersonal expanding, a mix of internal and external financing sources and investments of the municipality were determinants of a sustainable financing. Overall, DN in rural areas seemed to be disadvantaged due to a lack of potential linkable service providers. DN in urban regions are more likely able to gather sustainable funding resources. A minimum funding of 50.000 €/year for human resources coordinating the DN, seems to be a threshold for a sustainable DN. © Georg Thieme Verlag KG Stuttgart · New York.

  16. The Principles and Practice of Educational Management. Educational Management: Research and Practice.

    ERIC Educational Resources Information Center

    Bush, Tony, Ed.; Bell, Les, Ed.

    This book examines the main themes in educational management and leadership, including strategy, human resources, teaching and learning, finance, external relations, and quality. The 19 chapters are divided into 7 sections: "The Context of Educational Management,""Leadership and Strategic Management,""Human Resource Management,""Managing Learning…

  17. Leveraging Human and Fiscal Resources for School Improvement.

    ERIC Educational Resources Information Center

    Kelley, Carolyn

    1999-01-01

    Critiques "Handbook" chapters on achieving educational accountability and managing resources for school improvement. Accountability and finance research have shifted focus from resource allocation to organizational results. Principal-agent, expectancy, and risk theories provide lenses for viewing accountability. Research on how these…

  18. Effects of health decentralization, financing and governance in Mexico.

    PubMed

    Arredondo, Armando; Orozco, Emanuel

    2006-02-01

    To identify the effects of decentralization on health financing and governance policies in Mexico from the perspective of users and providers. A cross-sectional study was carried out in four states that were selected according to geopolitical and administrative criteria. Four indicators were assessed: changes and effects on governance, financing sources and funds, the final destination of resources, and fund allocation mechanisms. Data collection was performed using in-depth interviews with health system key personnel and community leaders, consensus techniques and document analyses. The interviews were transcribed and analyzed by thematic segmentation. The results show different effectiveness levels for the four states regarding changes in financing policies and community participation. Effects on health financing after decentralization were identified in each state, including: greater participation of municipal and state governments in health expenditure, increased financial participation of households, greater community participation in low-income states, duality and confusion in the new mechanisms for coordination among the three government levels, absence of an accountability system, lack of human resources and technical skills to implement, monitor and evaluate changes in financing. In general, positive and negative effects of decentralization on health financing and governance were identified. The effects mentioned by health service providers and users were related to a diversification of financing sources, a greater margin for decisions around the use and final destination of financial resources and normative development for the use of resources. At the community level, direct financial contributions were mentioned, as well as in-kind contributions, particularly in the form of community work.

  19. Evidences on weaknesses and strengths from health financing after decentralization: lessons from Latin American countries.

    PubMed

    Arredondo, Armando; Orozco, Emanuel; De Icaza, Esteban

    2005-01-01

    The main objective was to identify trends and evidence on health financing after health care decentralization. Evaluative research with a before-after design integrating qualitative and quantitative analysis. Taking into account feasibility, political and technical criteria, three Latin American countries were selected as study populations: Mexico, Nicaragua and Peru. The methodology had two main phases. In the first phase, the study referred to secondary sources of data and documents to obtain information about the following variables: type of decentralization implemented, source of finance, funds of financing, providers, final use of resources and mechanisms for resource allocation. In the second phase, the study referred to primary data collected in a survey of key personnel from the health sectors of each country. The trends and evidence reported in all five financing indicators may identify major weaknesses and strengths in health financing. Weaknesses: a lack of human resources trained in health economics who can implement changes, a lack of financial resource independence between the local and central levels, the negative behavior of the main macro-economic variables, and the difficulty in developing new financing alternatives. Strengths: the sharing between the central level and local levels of responsibility for financing health services, the implementation of new organizational structures for the follow-up of financial changes at the local level, the development and implementation of new financial allocation mechanisms taking as a basis the efficiency and equity principles, new technique of a per-capita adjustment factor corrected at the local health needs, and the increase of financing contributions from households and local levels of government.

  20. Value for money in South African health care: findings of a review of health expenditure and finance.

    PubMed

    Doherty, J; McIntyre, D; Bloom, G

    1996-01-01

    This article highlights the most striking findings of a review of health expenditure and finance in South Africa in 1992/3. The level of national expenditure on health care, and the distribution of resources between the public and private sectors, are discussed first. Then the article highlights the maldistribution of financial, physical and human resources on a geographic basis, racially and between levels of care. The cost of redressing inequities, at least at the primary care level, is mentioned in the context of seeking options for additional sources of finance. The article concludes by examining the planning prerequisites for successful reform.

  1. 75 FR 43944 - Membership of the Defense Logistics Agency (DLA) Senior Executive Service (SES) Performance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-27

    ... CONTACT: Ms. Lisa Novajosky, SES Program Manager, DLA Human Resources (J-14), Defense Logistics Agency..., Director, DLA Finance. Members: Mr. Brad Bunn, Director, DLA Human Resources (Non-Voting Member); Ms. Mae... management of the SES cadre. DATES: Effective Date: September 16, 2010. ADDRESSES: Defense Logistics Agency...

  2. A Case Study of the United States Navy’s Enterprise Resource Planning System

    DTIC Science & Technology

    2006-06-01

    incarnations, MRP-II added the capabilities of shop-floor management and distribution management activities. Later versions included the ability to manage ... finances , human resources, engineering, and project management. Enterprise Resource Planning systems were then developed as an integrated system

  3. Review of the Human Resources, Finance, and Information Technology Operations of the Seattle Public Schools

    ERIC Educational Resources Information Center

    Council of the Great City Schools, 2008

    2008-01-01

    In late 2007, the Council of the Great City Schools conducted a high-level management review of the school district's human resources, financial, and technology operations to: (1) Review and evaluate the leadership, management, organization, and operations of the respective departments; and (2) Develop recommendations and proposals that would…

  4. The Equity Challenge in China's Higher Education Finance Policy

    ERIC Educational Resources Information Center

    Sun, Fengshou; Barrientos, Armando

    2009-01-01

    Sustaining China's rapid economic growth in the future will come to depend in large part on the quantity and quality of the human resources it can mobilize. The paper considers the prospects for higher education financing, and highlights the importance of improving equity in access to higher education as a precondition for a sustainable expansion…

  5. Business Information Centres: New Resources Are Not Used.

    ERIC Educational Resources Information Center

    Drummond, Janet

    1984-01-01

    Presents findings from survey of Canadian information centers specializing in business, economics, or finance (corporate library, government department library, fee-based service, commercial database, association information center). Questions focused on three broad categories: human resources organization, relative use of different types of…

  6. Berkeley Lab - Materials Sciences Division

    Science.gov Websites

    MSD Support Human Resources Facilities & Space Planning Procurement and Property Proposals & Planning Procurement and Property Proposals & Finance Templates Travel Procurement and Property This

  7. Business Testing = BT. Test and Evaluation Methodology for Business Systems

    DTIC Science & Technology

    2010-05-12

    Not Intuitive Hard to Use Extensive Contractor Tail Stove Piped Systems Intelligence Transportation Logistics / Supply Finance Medical Human Resources...Capability 5 Politics Funding Requirements Busine s “IT” Acquisition Speed bumps Contracts Leadership Finance Testing Acquisition Engineering Security Legal... intelligent fool can make things bigger and more complex... It takes a touch of genius - and a lot of courage to move in the opposite direction

  8. 46 CFR 501.4 - Lines of responsibility.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    .... The Bureau of Certification and Licensing, Bureau of Enforcement, Bureau of Trade Analysis, Area Representatives, Office of Budget and Finance, Office of Human Resources, Office of Information Technology, and...

  9. Capacity Building and Financing Oral Health in the African and Middle East Region.

    PubMed

    Mumghamba, E G; Joury, E; Fatusi, O; Ober-Oluoch, J; Onigbanjo, R J; Honkala, S

    2015-07-01

    Many low- and middle-income countries do not yet have policies to implement effective oral health programs. A reason is lack of human and financial resources. Gaps between resource needs and available health funding are widening. By building capacity, countries aim to improve oral health through actions by oral health care personnel and oral health care organizations and their communities. Capacity building involves achieving measurable and sustainable results in training, research, and provision of care. Actions include advancement of knowledge, attitudes and skills, expansion of support, and development of cohesiveness and partnerships. The aim of this critical review is to review existing knowledge and identify gaps and variations between and within different income levels in relation to the capacity building and financing oral health in the African and Middle East region (AMER). A second aim is to formulate research priorities and outline a research agenda for capacity building and financing to improve oral health and reduce oral health inequalities in the AMER. The article focuses on capacity building for oral health and oral health financing in the AMER of the IADR. In many communities in the AMER, there are clear and widening gaps between the dental needs and the existing capacity to meet these needs in terms of financial and human resources. Concerted efforts are required to improve access to oral health care through appropriate financing mechanisms, innovative health insurance schemes, and donor support and move toward universal oral health care coverage to reduce social inequality in the region. It is necessary to build capacity and incentivize the workforce to render evidence-based services as well as accessing funds to conduct research on equity and social determinants of oral health while promoting community engagement and a multidisciplinary approach. © International & American Associations for Dental Research 2015.

  10. Access to essential drugs in Guyana: a public health challenge.

    PubMed

    Seoane-Vazquez, Enrique; Rodriguez-Monguio, Rosa

    2010-01-01

    Guyana's pharmaceutical sector faces major challenges that limit access to essential drugs. This study analyzes Guyana's drug policy and regulation, public financing, and drug procurement and delivery. The study also identifies main barriers to drug access and proposes alternatives to strengthen the country's public health functions. Data were collected from the country's regulatory agencies, public procurement agency, pharmacies, wholesalers, and pharmaceutical companies. The information was supplemented with interviews with a convenient sample of Guyanese health authorities and stakeholders. Data were also compiled from scientific databases, and web pages of the country's Ministries of Health, Commerce and Finance, the Bureau of Statistics, and international organizations. Major barriers to drug access include: (1) lack of national drug policy and regulation, and limited role of the regulatory authority; (2) inefficient drug selection and irrational drug use; (3) insufficient financial resources and lack of drug pricing policy; (4) inefficient planning and managing public supply system; (5) deficient epidemiological and information systems; and (6) inadequate infrastructures and human resources shortage. Improving drug access in Guyana requires the strengthening of the country's public health functions and the implementation of a national drug policy and pricing policy, streamlining the drug financing, procurement, and planning and managing drug supply; and adequate infrastructures and human resources. Copyright 2008 John Wiley & Sons, Ltd.

  11. Going with Best-of-Breed

    ERIC Educational Resources Information Center

    Ramaswami, Rama

    2010-01-01

    Back in the 1990s, enterprise resource planning (ERP) systems may not have been user-friendly, but what they tried to do was totally reasonable: replace stand-alone systems in various departments--such as finance, logistics, and human resources--with a single integrated software program. The idea was that although each department would still have…

  12. A Survey of Digital Humanities Centers in the United States. CLIR Publication No. 143

    ERIC Educational Resources Information Center

    Zorich, Diane M.

    2008-01-01

    In preparation for the 2008 Scholarly Communications Institute (SCI 6) focused on humanities research centers, the Council on Library and Information Resources (CLIR) commissioned a survey of digital humanities centers (DHCs). The immediate goals of the survey were to identify the extent of these centers and to explore their financing,…

  13. 78 FR 48156 - Notice of Commissioner and Staff Attendance at North American Electric Reliability Corporation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-07

    ... Committee and Board of Trustees Meetings Board of Trustees Corporate Governance and Human Resources Committee, Compliance Committee, Finance and Audit Committee, and Standards Oversight and Technology...

  14. Mapping financial flows for immunisation in Uganda 2009/10 and 2010/11: New insights for methodologies and policy.

    PubMed

    Guthrie, Teresa; Zikusooka, Charlotte; Kwesiga, Brendan; Abewe, Christabel; Lagony, Stephen; Schutte, Carl; Marinda, Edmore; Humphreys, Kerrin; Motlogelwa, Katlego; Nombewu, Zipozihle Chuma; Brenzel, Logan; Kinghorn, Anthony

    2015-05-07

    The Global Vaccine Action Plan highlights the need for immunisation programmes to have sustainable access to predictable funding. A good understanding of current and future funding needs, commitments, and gaps is required to enhance planning, improve resource allocation and mobilisation, and to avoid funding bottlenecks, as well as to ensure that co-funding arrangements are appropriate. This study aimed to map the resource envelope and flows for immunisation in Uganda in 2009/10 and 2010/11. To assess costs and financing of immunisation, the study applied a common methodology as part of the multi-country Expanded Program on Immunisation Costing (EPIC) study (Brenzel et al., 2015). The financial mapping developed a customised extension of the System of Health Accounts (SHA) codes to explore immunisation financing in detail. Data were collected from government and external sources. The mapping was able to assess financing more comprehensively than many studies, and the simultaneous costing of routine immunisation collected detailed data about human resources costs. The Ugandan government contributed 56% and 42% of routine immunisation funds in 2009/10 and 2010/11, respectively, higher than previously estimated, and managed up to 90% of funds. Direct delivery of services used 93% of the immunisation financial resources in 2010/11, while the above service delivery costs were small (7%). Vaccines and supplies (41%) and salaries (38%) absorbed most funding. There were differences in the key cost categories between actual resource flows and the estimates from the comprehensive multi-year plan (cMYP). Results highlight that governments and partners need to improve systems to routinely track immunisation financing flows for enhanced accountability, performance, and sustainability. The modified SHA coding allowed financing to be mapped to specific immunisation activities, and could be used for standardised, resource tracking compatible with National Health Accounts (NHA). Recommendations are made for refining routine resource mapping approaches. Copyright © 2014 Elsevier Ltd. All rights reserved.

  15. Ethics, economics, and public financing of health care

    PubMed Central

    Hurley, J.

    2001-01-01

    There is a wide variety of ethical arguments for public financing of health care that share a common structure built on a series of four logically related propositions regarding: (1) the ultimate purpose of a human life or human society; (2) the role of health and its distribution in society in advancing this ultimate purpose; (3) the role of access to or utilisation of health care in maintaining or improving the desired level and distribution of health among members of society, and (4) the role of public financing in ensuring the ethically justified access to and utilisation of health care by members of society. This paper argues that economics has much to contribute to the development of the ethical foundations for publicly financed health care. It focuses in particular on recent economic work to clarify the concepts of access and need and their role in analyses of the just distribution of health care resources, and on the importance of economic analysis of health care and health care insurance markets in demonstrating why public financing is necessary to achieve broad access to and utilisation of health care services. Key Words: Ethics • economics • health care financing PMID:11479353

  16. Ethics, economics, and public financing of health care.

    PubMed

    Hurley, J

    2001-08-01

    There is a wide variety of ethical arguments for public financing of health care that share a common structure built on a series of four logically related propositions regarding: (1) the ultimate purpose of a human life or human society; (2) the role of health and its distribution in society in advancing this ultimate purpose; (3) the role of access to or utilisation of health care in maintaining or improving the desired level and distribution of health among members of society, and (4) the role of public financing in ensuring the ethically justified access to and utilisation of health care by members of society. This paper argues that economics has much to contribute to the development of the ethical foundations for publicly financed health care. It focuses in particular on recent economic work to clarify the concepts of access and need and their role in analyses of the just distribution of health care resources, and on the importance of economic analysis of health care and health care insurance markets in demonstrating why public financing is necessary to achieve broad access to and utilisation of health care services.

  17. Health-financing reforms in southeast Asia: challenges in achieving universal coverage.

    PubMed

    Tangcharoensathien, Viroj; Patcharanarumol, Walaiporn; Ir, Por; Aljunid, Syed Mohamed; Mukti, Ali Ghufron; Akkhavong, Kongsap; Banzon, Eduardo; Huong, Dang Boi; Thabrany, Hasbullah; Mills, Anne

    2011-03-05

    In this sixth paper of the Series, we review health-financing reforms in seven countries in southeast Asia that have sought to reduce dependence on out-of-pocket payments, increase pooled health finance, and expand service use as steps towards universal coverage. Laos and Cambodia, both resource-poor countries, have mostly relied on donor-supported health equity funds to reach the poor, and reliable funding and appropriate identification of the eligible poor are two major challenges for nationwide expansion. For Thailand, the Philippines, Indonesia, and Vietnam, social health insurance financed by payroll tax is commonly used for formal sector employees (excluding Malaysia), with varying outcomes in terms of financial protection. Alternative payment methods have different implications for provider behaviour and financial protection. Two alternative approaches for financial protection of the non-poor outside the formal sector have emerged-contributory arrangements and tax-financed schemes-with different abilities to achieve high population coverage rapidly. Fiscal space and mobilisation of payroll contributions are both important in accelerating financial protection. Expanding coverage of good-quality services and ensuring adequate human resources are also important to achieve universal coverage. As health-financing reform is complex, institutional capacity to generate evidence and inform policy is essential and should be strengthened. Copyright © 2011 Elsevier Ltd. All rights reserved.

  18. 76 FR 20305 - Consultative Group To Eliminate the Use of Child Labor and Forced Labor in Imported Agricultural...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-12

    ..., productivity, working conditions, and human resource management). iii. Could include positive incentives for... guarantees, access to financing, inclusion in national or country of origin trade promotion/registries, and...

  19. Health systems analysis of eye care services in Zambia: evaluating progress towards VISION 2020 goals.

    PubMed

    Bozzani, Fiammetta Maria; Griffiths, Ulla Kou; Blanchet, Karl; Schmidt, Elena

    2014-02-28

    VISION 2020 is a global initiative launched in 1999 to eliminate avoidable blindness by 2020. The objective of this study was to undertake a situation analysis of the Zambian eye health system and assess VISION 2020 process indicators on human resources, equipment and infrastructure. All eye health care providers were surveyed to determine location, financing sources, human resources and equipment. Key informants were interviewed regarding levels of service provision, management and leadership in the sector. Policy papers were reviewed. A health system dynamics framework was used to analyse findings. During 2011, 74 facilities provided eye care in Zambia; 39% were public, 37% private for-profit and 24% owned by Non-Governmental Organizations. Private facilities were solely located in major cities. A total of 191 people worked in eye care; 18 of these were ophthalmologists and eight cataract surgeons, equivalent to 0.34 and 0.15 per 250,000 population, respectively. VISION 2020 targets for inpatient beds and surgical theatres were met in six out of nine provinces, but human resources and spectacles manufacturing workshops were below target in every province. Inequalities in service provision between urban and rural areas were substantial. Shortage and maldistribution of human resources, lack of routine monitoring and inadequate financing mechanisms are the root causes of underperformance in the Zambian eye health system, which hinder the ability to achieve the VISION 2020 goals. We recommend that all VISION 2020 process indicators are evaluated simultaneously as these are not individually useful for monitoring progress.

  20. [Financing of the scientific publication and protection of the scientific knowledge].

    PubMed

    Oliveira Filho, Renato Santos de; Hochman, Bernardo; Nahas, Fabio Xerfan; Ferreira, Lydia Masako

    2005-01-01

    The main purpose of a study is its publication on a scientific journal. Research financing agencies are important institutions so that studies can be developed and published. The most important research financing agencies that are discussed in this article are: "Coordenação de Aperfeiçoamento de Pessoal de Nível Superior" (CAPES), "Conselho Nacional de Desenvolvimento Científico e Tecnológico" (CNPq) and "Fundação de Amparo à Pesquisa do Estado de São Paulo" (FAPESP). CAPES' activities can be grouped in four different strategy lines: a) it evaluates the stricto sensu, at the post-graduation level; b) it provides access and development of scientific research; c) it provides investment on the development of high qualified human resources in Brazil and abroad, and d) it promotes international scientific cooperation. Although CAPES does not support directly scientific publications, almost all actions of this agency contribute to the development of scientific research and publication. CNPq has two main purposes: financing researches and development of human resources. It provides the researchers with financial aid to scientific publication. The grants for editing were specifically created for supporting the national scientific and technical publications edited by Brazilians institutions or societies. CNPq can also support Congresses, Symposiums and similar short-term courses. The Plataforma Lattes is also a branch of CNPq on which the Curriculum Lattes is available. This site has the curriculum vitae of the scientific community and is of great value for researchers. FAPESP also finances journal publications, articles and books that bring up original results of studies made by researchers from the state of São Paulo. It finances, partially, the travel expenses of innovative papers authors in meetings within the country or abroad. Brazilian authors are increasing the number of international publications. Universities, research institutes, financing agencies and private companies are more and more concerned with knowledge property. Researchers must understand the need of knowledge property and the financing agencies have to consider the patents achieved as a criteria of evaluation of scientific production.

  1. 28 CFR 100.15 - Disallowed costs.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... limited to: (1) Accounting and Finance, External Relations, Human Resources, Information Management, Legal...) costs are disallowed. G&A costs include, but are not limited to, any management, financial, and other... include, but are not limited to, any Marketing, Sales, Product Management, and Advertising expenses. (c...

  2. 28 CFR 100.15 - Disallowed costs.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... limited to: (1) Accounting and Finance, External Relations, Human Resources, Information Management, Legal...) costs are disallowed. G&A costs include, but are not limited to, any management, financial, and other... include, but are not limited to, any Marketing, Sales, Product Management, and Advertising expenses. (c...

  3. 28 CFR 100.15 - Disallowed costs.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... limited to: (1) Accounting and Finance, External Relations, Human Resources, Information Management, Legal...) costs are disallowed. G&A costs include, but are not limited to, any management, financial, and other... include, but are not limited to, any Marketing, Sales, Product Management, and Advertising expenses. (c...

  4. 28 CFR 100.15 - Disallowed costs.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... limited to: (1) Accounting and Finance, External Relations, Human Resources, Information Management, Legal...) costs are disallowed. G&A costs include, but are not limited to, any management, financial, and other... include, but are not limited to, any Marketing, Sales, Product Management, and Advertising expenses. (c...

  5. A New Approach to Special Education Finance: The Resource Cost Model.

    ERIC Educational Resources Information Center

    Geske, Terry G.; Johnston, Mary Jo

    1985-01-01

    Describes current practices in Illinois where a personnel reimbursement formula is used to finance special education. Summarizes the basic components of the Resource Cost Model (RCM), a complex school finance formula, and compares and contrasts RCM with Illinois' current method of financing special education. (MLF)

  6. HTA Implementation Roadmap in Central and Eastern European Countries

    PubMed Central

    Gheorghe, Adrian; Huic, Mirjana; Csanádi, Marcell; Kristensen, Finn Boerlum

    2016-01-01

    Abstract The opportunity cost of inappropriate health policy decisions is greater in Central and Eastern European (CEE) compared with Western European (WE) countries because of poorer population health and more limited healthcare resources. Application of health technology assessment (HTA) prior to healthcare financing decisions can improve the allocative efficiency of scarce resources. However, few CEE countries have a clear roadmap for HTA implementation. Examples from high‐income countries may not be directly relevant, as CEE countries cannot allocate so much financial and human resources for substantiating policy decisions with evidence. Our objective was to describe the main HTA implementation scenarios in CEE countries and summarize the most important questions related to capacity building, financing HTA research, process and organizational structure for HTA, standardization of HTA methodology, use of local data, scope of mandatory HTA, decision criteria, and international collaboration in HTA. Although HTA implementation strategies from the region can be relevant examples for other CEE countries with similar cultural environment and economic status, HTA roadmaps are not still fully transferable without taking into account country‐specific aspects, such as country size, gross domestic product per capita, major social values, public health priorities, and fragmentation of healthcare financing. Copyright © 2016 John Wiley & Sons, Ltd. PMID:26763688

  7. 25 CFR 26.23 - What is an Individual Self-Sufficiency Plan (ISP)?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Section 26.23 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HUMAN SERVICES JOB PLACEMENT... includes needed finances, special clothing, transportation, and support services necessary for employment; (3) Identifies all financial resources and defines the employment or training objective and...

  8. Health systems analysis of eye care services in Zambia: evaluating progress towards VISION 2020 goals

    PubMed Central

    2014-01-01

    Background VISION 2020 is a global initiative launched in 1999 to eliminate avoidable blindness by 2020. The objective of this study was to undertake a situation analysis of the Zambian eye health system and assess VISION 2020 process indicators on human resources, equipment and infrastructure. Methods All eye health care providers were surveyed to determine location, financing sources, human resources and equipment. Key informants were interviewed regarding levels of service provision, management and leadership in the sector. Policy papers were reviewed. A health system dynamics framework was used to analyse findings. Results During 2011, 74 facilities provided eye care in Zambia; 39% were public, 37% private for-profit and 24% owned by Non-Governmental Organizations. Private facilities were solely located in major cities. A total of 191 people worked in eye care; 18 of these were ophthalmologists and eight cataract surgeons, equivalent to 0.34 and 0.15 per 250,000 population, respectively. VISION 2020 targets for inpatient beds and surgical theatres were met in six out of nine provinces, but human resources and spectacles manufacturing workshops were below target in every province. Inequalities in service provision between urban and rural areas were substantial. Conclusion Shortage and maldistribution of human resources, lack of routine monitoring and inadequate financing mechanisms are the root causes of underperformance in the Zambian eye health system, which hinder the ability to achieve the VISION 2020 goals. We recommend that all VISION 2020 process indicators are evaluated simultaneously as these are not individually useful for monitoring progress. PMID:24575919

  9. Eating Healthy

    MedlinePlus

    ... Executive Secretariat Staff - 08E86 Office of the Director/Public Affairs Staff - 08E73 Office of Direct Service and Contracting Tribes - 08E17 Office of Environmental Health and Engineering - 10N14C Office of Finance and Accounting - 10E54 Office of Human Resources - 11E53A ...

  10. Indian Health Service

    MedlinePlus

    ... Executive Secretariat Staff - 08E86 Office of the Director/Public Affairs Staff - 08E73 Office of Direct Service and Contracting Tribes - 08E17 Office of Environmental Health and Engineering - 10N14C Office of Finance and Accounting - 10E54 Office of Human Resources - 11E53A ...

  11. Indian Health Disparities

    MedlinePlus

    ... Executive Secretariat Staff - 08E86 Office of the Director/Public Affairs Staff - 08E73 Office of Direct Service and Contracting Tribes - 08E17 Office of Environmental Health and Engineering - 10N14C Office of Finance and Accounting - 10E54 Office of Human Resources - 11E53A ...

  12. Sexual Assault

    MedlinePlus

    ... Executive Secretariat Staff - 08E86 Office of the Director/Public Affairs Staff - 08E73 Office of Direct Service and Contracting Tribes - 08E17 Office of Environmental Health and Engineering - 10N14C Office of Finance and Accounting - 10E54 Office of Human Resources - 11E53A ...

  13. Finance Committee actions ready health reform debate for House, Senate floors.

    PubMed

    1994-07-07

    The activity of the US Senate Finance Committee was reported for the health care reform bill, which was sent out of committee to the floor of the Senate on July 2, 1994. The bill out of committee did not include provision for universal insurance coverage, and included amendments that might remove abortion, family planning, and reproductive health services from the standard package of required employee benefits. Other health reform measures where reported out of the Senate Labor and Human Resources Committee, the House Ways and Means Committee, and the Education and Labor Committee, which all contained a provision for universal insurance coverage through employer mandates, a standard benefits package, and comprehensive family planning services and reproductive health care. The Labor and Human Resources bill included counseling and education for family planning. Both House bills exempted family planning services from cost sharing requirements. Abortion coverage in these three bills was covered under "services for pregnant women." The Senate Finance Committee bill adopted "market reforms" which would reduce the cost of coverage for employers. A standard benefits package would be determined by all employers, regardless of whether employers contributed to coverage. The critical point of the Senate Finance bill is that it provides the opportunity to deny services for abortion on religious or moral grounds and to deny services for contraception, AIDS treatment, or substance abuse, by making acceptance optional by states and by insurers and by employers. The House Rules Committee will begin the first week in August to reconcile differences in the House bills. The Senate will reconcile differences in some fashion, without a prescribed procedure.

  14. The Adoption of E-Learning across Professional Groups

    ERIC Educational Resources Information Center

    Gallaher, James; Wentling, Tim L.

    2004-01-01

    The purpose of the study was to determine the impact of professional group membership on the rate of adoption of e-learning. The sample consisted of Engineering, Finance, Human Resources, Legal, and Marketing professionals from a Fortune 500 manufacturing company. Professional groups were categorized based on Rogers (1995) five categories of…

  15. Understanding Market Concentration: Internet-Based Applications from the Banking Industry

    ERIC Educational Resources Information Center

    Hays, Fred H.; Ward, Sidne Gail

    2011-01-01

    Market structure is an essential topic in economics and finance courses, including bank management as well as many other business school courses, for example marketing, human resources and strategic management. Instructors explain the virtues of perfect competition and the evils of monopoly along with alternative market models. Often conversations…

  16. Another level of leadership: nurses on boards.

    PubMed

    Bleich, Michael R

    2014-12-01

    The movement to place nurses on boards of directors is growing, enriching boards with individuals possessing knowledge of clinical quality tied to care delivery models, human resource competencies and management, finance, and organizational change. Professional development educators are poised to advance a board's capacity to address complex health care problems.

  17. 46 CFR 501.3 - Organizational components of the Federal Maritime Commission.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Agency Ethics Official. (b) Offices of the Members of the Federal Maritime Commission. (c) Office of the...) Office of the General Counsel. (Ethics Official, Legislative Counsel.) (e) Office of Administrative Law..., Senior Agency Official for Privacy.) (1) Office of Budget and Finance. (2) Office of Human Resources...

  18. 46 CFR 501.3 - Organizational components of the Federal Maritime Commission.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Agency Ethics Official. (b) Offices of the Members of the Federal Maritime Commission. (c) Office of the...) Office of the General Counsel. (Ethics Official, Legislative Counsel.) (e) Office of Administrative Law..., Senior Agency Official for Privacy.) (1) Office of Budget and Finance. (2) Office of Human Resources...

  19. 46 CFR 501.3 - Organizational components of the Federal Maritime Commission.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Agency Ethics Official. (b) Offices of the Members of the Federal Maritime Commission. (c) Office of the...) Office of the General Counsel. (Ethics Official, Legislative Counsel.) (e) Office of Administrative Law..., Senior Agency Official for Privacy.) (1) Office of Budget and Finance. (2) Office of Human Resources...

  20. 46 CFR 501.3 - Organizational components of the Federal Maritime Commission.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Agency Ethics Official. (b) Offices of the Members of the Federal Maritime Commission. (c) Office of the...) Office of the General Counsel. (Ethics Official, Legislative Counsel.) (e) Office of Administrative Law..., Senior Agency Official for Privacy.) (1) Office of Budget and Finance. (2) Office of Human Resources...

  1. Institutional Management in Higher Education.

    ERIC Educational Resources Information Center

    Organisation for Economic Cooperation and Development, Paris (France). Centre for Educational Research and Innovation.

    This is the report of a conference sponsored by the Centre for Educational Research and Innovation. The conference discussed the findings of the Centre's 2-year program which attempted to demonstrate how the resource management of universities may be improved through better decisionmaking in the realms of finance, information, human flows, the use…

  2. 46 CFR 501.41 - Public requests for information and decisions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Services; (7) Office of the Managing Director; (i) Office of Budget and Finance; (ii) Office of Human Resources; (iii) Office of Information Technology; (iv) Office of Management Services; (v) Bureau of..., Saint Rose, LA 70087-0700. New York Area Representative, Building No. 75, Room 205B, JFK International...

  3. 46 CFR 501.41 - Public requests for information and decisions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Services; (7) Office of the Managing Director; (i) Office of Budget and Finance; (ii) Office of Human Resources; (iii) Office of Information Technology; (iv) Office of Management Services; (v) Bureau of..., Saint Rose, LA 70087-0700. New York Area Representative, Building No. 75, Room 205B, JFK International...

  4. 46 CFR 501.41 - Public requests for information and decisions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Services; (7) Office of the Managing Director; (i) Office of Budget and Finance; (ii) Office of Human Resources; (iii) Office of Information Technology; (iv) Office of Management Services; (v) Bureau of..., Saint Rose, LA 70087-0700. New York Area Representative, Building No. 75, Room 205B, JFK International...

  5. 46 CFR 501.41 - Public requests for information and decisions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Services; (7) Office of the Managing Director; (i) Office of Budget and Finance; (ii) Office of Human Resources; (iii) Office of Information Technology; (iv) Office of Management Services; (v) Bureau of..., Saint Rose, LA 70087-0700. New York Area Representative, Building No. 75, Room 205B, JFK International...

  6. Impact of Race on Business Students' Perceptions of Business Careers.

    ERIC Educational Resources Information Center

    Delvecchio, Susan; McEwan, Thaddeus; McEwen, Beryl C.

    2001-01-01

    Comparison of 238 African-American students (81% at traditionally black institutions) and 250 white students revealed no differences in preferences for accounting, finance, or market research careers. African Americans had a higher preference for human resource management careers regardless of age, academic standing, or work experience. (Contains…

  7. Strategic School Funding for Improved Student Achievement

    ERIC Educational Resources Information Center

    Chambers, Jay G.; Brown, James R.; Levin, Jesse; Jubb, Steve; Harper, Dorothy; Tolleson, Ray; Manship, Karen

    2010-01-01

    This article features Strategic School Funding for Results (SSFR) project, a new joint initiative of the American Institutes for Research (AIR) and Pivot Learning Partners (PLP) aimed at improving school finance, human resources, and management systems in large urban school districts. The goal of the project is to develop and implement more…

  8. HTA Implementation Roadmap in Central and Eastern European Countries.

    PubMed

    Kaló, Zoltán; Gheorghe, Adrian; Huic, Mirjana; Csanádi, Marcell; Kristensen, Finn Boerlum

    2016-02-01

    The opportunity cost of inappropriate health policy decisions is greater in Central and Eastern European (CEE) compared with Western European (WE) countries because of poorer population health and more limited healthcare resources. Application of health technology assessment (HTA) prior to healthcare financing decisions can improve the allocative efficiency of scarce resources. However, few CEE countries have a clear roadmap for HTA implementation. Examples from high-income countries may not be directly relevant, as CEE countries cannot allocate so much financial and human resources for substantiating policy decisions with evidence. Our objective was to describe the main HTA implementation scenarios in CEE countries and summarize the most important questions related to capacity building, financing HTA research, process and organizational structure for HTA, standardization of HTA methodology, use of local data, scope of mandatory HTA, decision criteria, and international collaboration in HTA. Although HTA implementation strategies from the region can be relevant examples for other CEE countries with similar cultural environment and economic status, HTA roadmaps are not still fully transferable without taking into account country-specific aspects, such as country size, gross domestic product per capita, major social values, public health priorities, and fragmentation of healthcare financing. © 2016 The Authors. Health Economics published by John Wiley & Sons Ltd.

  9. Kin investment in wage-labor economies : Effects on child and marriage market outcomes.

    PubMed

    Shenk, Mary K

    2005-03-01

    Various human groups, from food foragers to inner-city urban Americans, have used widespread sharing of resources through kin networks as a means of buffering themselves against fluctuations in resource availability in their environments. This paper addresses the effects of progressive incorporation into a wage-labor economy on the benefits of traditional kin networks for two social classes in urban South India. Predictions regarding the effects of kin network wealth, education, and size on child and spouse characteristics and methods of financing marriages are tested using various regression techniques. Despite the rapid growth of participation in a wage-labor economy, it is found that kin network characteristics still have an important impact on investment behavior among families in Bangalore in both social classes. Network wealth is found to have a positive effect on child and spouse characteristics, and large networks are found to act as significant drains on family resources. However, the results for education are broadly consistent with an interpretation of increasing family autonomy as parents' education has a far stronger influence on child and spouse characteristics across categories than network education does. Finally, professional-class parents are found to prefer financing marriages using formal mechanisms such as savings and bank loans while working-class parents preferentially finance marriages using credit from relatives and friends.

  10. Thinking Broadly: Financing Strategies for Youth Programs

    ERIC Educational Resources Information Center

    Deich, Sharon G.; Hayes, Cheryl D.

    2007-01-01

    This publication is part of a series of tools and resources on financing and sustaining youth programming. These tools and resources are intended to help policymakers, program developers, and community leaders develop innovative strategies for implementing, financing, and sustaining effective programs and policies. This strategy brief presents a…

  11. Resources for Higher Education: An Economist's View. (Reprint).

    ERIC Educational Resources Information Center

    Schultz, Theodore W.

    1969-01-01

    The limitations of economic analysis are evident when one considers the complexity of our society's needs and problems. Seven propositions which may be useful in planning and in financing higher education are: education is a form of human capital; the 3 major functions of higher education are discovering talent, instruction and research; there are…

  12. Understanding the business of employed physician practices.

    PubMed

    Sanford, Kathleen D

    2013-09-01

    Health system leaders should understand issues related to finance, compliance, human resources, quality, and safety in their employed physician practices to better support the success of these practices. New business and payment models are driving operational changes in physician offices. Catholic Health Initiatives (CHI) has added new system roles and responsibilities to oversee physician practices.

  13. Pacific Telecommunications Council Annual Conference Proceedings (18th, Honolulu, Hawaii, January 14-18, 1996).

    ERIC Educational Resources Information Center

    Wedemeyer, Dan J. Ed.; Nickelson, Richard, Ed.

    The Pacific Telecommunications Council's 18th annual conference is presented in two volumes. The PTC'96 gathering focused on seven streams: socio-economic issues; regulatory, legal and political issues; business and finance solutions; country studies; education, training, and human resources; convergence and networks; and technologies and…

  14. Tertiary Educational Infrastructural Development in Ghana: Financing, Challenges and Strategies

    ERIC Educational Resources Information Center

    Badu, Edward; Kissi, Ernest; Boateng, Emmanuel B.; Antwi-Afari, Maxwell F.

    2018-01-01

    Education is the mainstay of the development of any nation; and in developing countries it has become the backbone of human resource development, ensuring effective growth of the economy; however, its corresponding infrastructure development is lacking. Governments around the globe are finding it difficult to provide the needed infrastructure.…

  15. Healthy Weight for Life: Actions for Communities, Individuals, and Families

    MedlinePlus

    ... Executive Secretariat Staff - 08E86 Office of the Director/Public Affairs Staff - 08E73 Office of Direct Service and Contracting Tribes - 08E17 Office of Environmental Health and Engineering - 10N14C Office of Finance and Accounting - 10E54 Office of Human Resources - 11E53A ...

  16. Corporate information systems in health organisations.

    PubMed

    Smith, J

    1997-01-01

    This paper presents an overview of the nature of corporate information systems and their applications in health organisations. It emphasises the importance of financial and human resource information in the creation of a corporate data model. The paper summarises the main features of finance and human resource systems as they are used in health organisations. It looks at a series of case studies carried out in health organisations, which were selected on the basis of their representation of different aspects of service delivery. It also discusses the theoretical and practical perspectives of the systems themselves, their roles in information management, executive and decision support, and in planning and forecasting.

  17. Protecting your practice.

    PubMed

    Kerr, Joseph

    2015-01-01

    Dentists have much invested in their practices. They need to protect their practices from fraud and noncompliance. The author provides practical suggestions for how to significantly reduce the risk of fraud and theft in the practice without disrupting day-to-day operations. By adhering to nonintrusive policy and procedure changes, dental practice owners can reduce inherent risks of fraud and theft, while increasing financial and human resource knowledge regarding their practice. Practice owners with the appropriate policies and procedures benefit from significantly lower risk of loss from fraud and theft. Furthermore, they have a better understanding of their practice's finances and human resources. Copyright © 2015 American Dental Association. Published by Elsevier Inc. All rights reserved.

  18. Innovative financing for health: what is truly innovative?

    PubMed

    Atun, Rifat; Knaul, Felicia Marie; Akachi, Yoko; Frenk, Julio

    2012-12-08

    Development assistance for health has increased every year between 2000 and 2010, particularly for HIV/AIDS, tuberculosis, and malaria, to reach US$26·66 billion in 2010. The continued global economic crisis means that increased external financing from traditional donors is unlikely in the near term. Hence, new funding has to be sought from innovative financing sources to sustain the gains made in global health, to achieve the health Millennium Development Goals, and to address the emerging burden from non-communicable diseases. We use the value chain approach to conceptualise innovative financing. With this framework, we identify three integrated innovative financing mechanisms-GAVI, Global Fund, and UNITAID-that have reached a global scale. These three financing mechanisms have innovated along each step of the innovative finance value chain-namely resource mobilisation, pooling, channelling, resource allocation, and implementation-and integrated these steps to channel large amounts of funding rapidly to low-income and middle-income countries to address HIV/AIDS, malaria, tuberculosis, and vaccine-preventable diseases. However, resources mobilised from international innovative financing sources are relatively modest compared with donor assistance from traditional sources. Instead, the real innovation has been establishment of new organisational forms as integrated financing mechanisms that link elements of the financing value chain to more effectively and efficiently mobilise, pool, allocate, and channel financial resources to low-income and middle-income countries and to create incentives to improve implementation and performance of national programmes. These mechanisms provide platforms for health funding in the future, especially as efforts to grow innovative financing have faltered. The lessons learnt from these mechanisms can be used to develop and expand innovative financing from international sources to address health needs in low-income and middle-income countries. Copyright © 2012 Elsevier Ltd. All rights reserved.

  19. Tracking financial flows for immunization in Honduras.

    PubMed

    Valdés, Werner; Janusz, Cara Bess; Molina Aguilera, Ida Berenice; Mendoza, Lourdes; Díaz, Iris Yolanda; Resch, Stephen

    2015-05-07

    In Honduras, until 2008, vaccine and injection supplies were financed with domestic resources. With the introduction of rotavirus vaccine in 2009 and pneumococcal conjugate in 2011, the country's Expanded Program on Immunization required an influx of resources to support not only vaccine procurement but also investments in cold chain infrastructure and programmatic strategies. This paper examines the origin, allocation, and use of resources for immunization in 2011 in Honduras, with the aim of identifying gaps in financing. An adaptation of the System of Health Accounts (2011) codes was used to specifically track resources for immunization services in Honduras for 2011. All financial flows were entered into an Excel database, and each transfer of resources was coded with a financing source and a financing agent. These coded financing sources were then distributed by provider, health care function (activity), health care provision (line item or resource input), and beneficiary (geographic, population, and antigen). All costs were calculated in 2011 United States dollars. In 2011, financing for routine immunization in Honduras amounted to US$ 49.1 million, which is equal to 3.3% of the total health spending of US$ 1.49 billion and 0.29% of the GDP. Of the total financing, 64% originate from domestic sources. The other 36% is external financing, most importantly Gavi support for introducing new vaccines. This analysis identified potential financing gaps for many immunization-related activities besides procuring vaccines, such as expanding the cold chain, training, social mobilization, information systems, and research. The funding for Honduras' immunization program is a small share of total public spending on health. However, new vaccines recently added to the schedule with financial support from Gavi have increased the financing requirements by more than 30% in comparison to 2008. The Honduran government and its partners are developing sustainability plans to cover a financing gap that will occur when the country graduates from Gavi support in 2016. Access to lower vaccine prices will make the existing and future program, including the planned introduction of HPV vaccine to adolescent girls, more affordable. Copyright © 2015. Published by Elsevier Ltd.

  20. Illinois Public School Finance Project: State Superintendent's Preliminary School Finance Reform Recommendations. Resource and Background Materials.

    ERIC Educational Resources Information Center

    Illinois State Board of Education, Springfield.

    Preliminary recommendations of the state superintendent's office are presented in part I of this report on Illinois school finance reform. The recommendations are grouped under four areas: (1) distribution of state funds (with eight recommendations), (2) generation of revenues (with six recommendations), (3) management resources (with six…

  1. Financing Education: Why Should Tax Justice Be Part of the Solution?

    ERIC Educational Resources Information Center

    Ron Balsera, Maria; Klees, Steven J.; Archer, David

    2018-01-01

    This forum seeks to problematise issues related to the lack of resources to adequately finance public education systems. It explores potential solutions based on increased domestic resource mobilisation through progressive taxation in order to meet the growing financing gap needed to achieve Sustainable Development Goal (SDG) 4. While many…

  2. Changing Donor Funding and the Challenges of Integrated HIV Treatment.

    PubMed

    Nattrass, Nicoli; Hodes, Rebecca; Cluver, Lucie

    2016-07-01

    Donor financing for HIV prevention and treatment has shifted from supporting disease-specific ("vertical") programs to health systems strengthening ("horizontal") programs intended to integrate all aspects of care. We examine the consequences of shifting resources from three perspectives: first, through a broad analysis of the changing policy context of health care financing; second, through an account of changing priorities for HIV treatment in South Africa; and third, through a description of some clinical consequences that the authors observed in a research study examining adherence to antiretroviral therapy (ART) and sexual health among adolescents. We note that AIDS responses are neither completely vertical nor horizontal but rather increasingly diagonal, as disease-specific protocols operate alongside integrated supply chain management, human resource development, and preventive screening. We conclude that health care programs are better conceived of as networks of policies requiring different degrees of integration into communities. © 2016 American Medical Association. All Rights Reserved. ISSN 2376-6980.

  3. Scientific Research in the Kingdom of Saudi Arabia: Potential for Excellence and Indicators of Underdevelopment

    ERIC Educational Resources Information Center

    Alshayea, Ali

    2013-01-01

    This study analyzes the status of scientific research and development efforts in the Kingdom of Saudi Arabia, and then sheds lights on the potential for excellence in this area in terms of organization and structure, financing and partnership, and human resources. Accordingly, the study reviews both achievements and indicators of underdevelopment…

  4. Information Infrastructures for Integrated Enterprises

    DTIC Science & Technology

    1993-05-01

    PROCESSING demographic CAM realization; ule leveling; studies; prelimi- rapid tooling; con- accounting/admin- nary CAFE and tinuous cost istrative reports...nies might consider franchising some facets of indirect labor, such as selected functions of administration, finance, and human resources. Incorporate as...vices CAFE Corporate Average Fuel Economy CAD Computer-Aided Design 0 CAE Computer-Aided Engineering CAIS Common Ada Programming Support Environment

  5. Systemic Evaluation of Advisory Services to Family Farms in West Africa

    ERIC Educational Resources Information Center

    Faure, Guy; Rebuffel, Pierre; Violas, Dominique

    2011-01-01

    In West Africa, advisory services for family farms have been promoted to better address producers' needs. The paper aims to show that these services can be understood as a system whose functioning is strongly determined by the financing mechanisms, the governance mechanisms put in place, the quality of human resources delivering advice, and the…

  6. The art of customer service.

    PubMed

    Williams, Jeni

    2007-10-01

    Strategies for improving the consumer service skills of finance staff include: Hire employees who have a customer service background. Work with your human resources department to provide customer service training. Monitor new hires extensively. Offer front-end employees scripted language for situations they may face on the job. Measure the quality of customer service provided. Provide incentives for performance.

  7. Institute of social justice and medicine: developing a think tank to promote policy formation.

    PubMed

    Boozary, Andrew; Dugani, Sagar B

    2011-10-01

    The World Health Organization (WHO) defines health as a "resource for everyday living, not the objective of living"; however, worldwide, there remains an unmistakable inequity in level of health and access to healthcare. The WHO has published documents on financing health systems towards universal health coverage [1], promoting healthy life [2], improving performance of health systems [3], and enriching humanity [4], highlighting our shared responsibility towards improving both national and global health and access to healthcare. These documents also recognize that, despite our local and regional priorities, there is a global desire to develop international strategies to improve healthcare. [1] WHO Report. Health systems financing and the path to universal coverage. 2010. http://www.who.int/bulletin/health_financing/en/index.html [2] WHO Report. Reducing risks, promoting healthy life. 2002. http://www.who.int/whr/2002/en/index.html [3] WHO Bulletin. Health systems: improving performance. 2000. http://www.who.int/whr/2000/en/index.html [4] WHO Bulletin. Conquering suffering, enriching humanity 1997. http://www.who.int/whr/1997/en/index.html.

  8. Community College Finance Resource Development. UCLA Community College Bibliography

    ERIC Educational Resources Information Center

    Carducci, Rozana

    2006-01-01

    The references in this bibliography provide an overview of recent scholarship on community college finance and resource development. In addition to documents that present a national portrait and comparative analysis of community college funding models and resource management practices, this bibliography also includes recent publications that…

  9. Clean Energy Financing Programs: A Decision Resource for States and Communities

    EPA Pesticide Factsheets

    Describes financing-program options, key components of financing programs, and factors for states and communities to consider as they make decisions about getting started or updating their clean energy financing programs.

  10. National Center for Assisted Living

    MedlinePlus

    ... Resources Publications Social Media Facts and Figures Communities Finance Residents Workforce State Data Advocacy AHCA/NCAL Advocacy ... Media Resources Publications Social Media Facts & Figures Communities Finance Residents Workforce State Data Advocacy AHCA/NCAL Advocacy ...

  11. School Finance Reform in the Seventies: Achievements and Failures. Technical Analysis Paper.

    ERIC Educational Resources Information Center

    Brown, Lawrence L., III; And Others

    As a base for evaluating the need for further federal involvement in school finance, this study examines changes that have taken place in the distribution of resources within the states. It examines the effectiveness of school finance reform solely in terms of results--the resource levels made available in the school districts of a state and the…

  12. A Resource Cost Model: Implications for Local School District Planning in Comprehensive School Finance Reform Efforts.

    ERIC Educational Resources Information Center

    Lows, Raymond L.

    This paper describes the current and proposed systems for state and local financing of public education in Illinois and discusses the ramifications for local educational planners of a change from a foundation level program to a resource cost model approach. The paper begins with a brief historical overview of the finance reform effort that began…

  13. The Impact of School Finance Litigation on Resource Distribution: A Comparison of Court-Mandated Equity and Adequacy Reforms

    ERIC Educational Resources Information Center

    Springer, Matthew G.; Liu, Keke; Guthrie, James W.

    2009-01-01

    While there is a wealth of research on school finance equity and adequacy, and school finance theory clearly documents differences between the two concepts, no study has examined whether the reforms engendered by each approach actually differ in terms of resource distribution. The present study examines the issues using district-level data on…

  14. The Impact of School Finance Litigation on Resource Distribution: A Comparison of Court-Mandated Equity and Adequacy Reforms

    ERIC Educational Resources Information Center

    Springer, Matthew G.; Liu, Keke; Guthrie, James W.

    2008-01-01

    While there is a wealth of research on school finance equity and adequacy, and school finance theory clearly documents differences between the two concepts, no study has examined whether the reforms engendered by each approach actually differ in terms of resource distribution. This study examines the issues using district level data on expenditure…

  15. Geothermal Potential for China, Poland and Turkey with/Financing Workbook

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Keller, J G

    This collection of documents presents the results of assessments of the geothermal power potential in three countries: China, Poland, and Turkey. Also included is a Geothermal Financing Workbook, which is intended to provide a comprehensive package of information on financing, financing plans, financial analysis, and financial sources for smaller geothermal resource developers. All three countries are facing ever increasing demands for power in the coming decades, but each has some barriers to fully developing existing resources. For Poland and Turkey, it is important that legislation specific to geothermal resource development be enacted. For China, a crucial step is to developmore » more detailed and accurate estimates of resource potential. All three countries could benefit from the expertise of U.S. geothermal companies, and this collection of material provides crucial information for those interested companies.« less

  16. Public health services and systems research: current state of finance research.

    PubMed

    Ingram, Richard C; Bernet, Patrick M; Costich, Julia F

    2012-11-01

    There is a growing recognition that the US public health system should strive for efficiency-that it should determine the optimal ways to utilize limited resources to improve and protect public health. The field of public health finance research is a critical part of efforts to understand the most efficient ways to use resources. This article discusses the current state of public health finance research through a review of public health finance literature, chronicles important lessons learned from public health finance research to date, discusses the challenges faced by those seeking to conduct financial research on the public health system, and discusses the role of public health finance research in relation to the broader endeavor of Public Health Services and Systems Research.

  17. The Canadian STOP-PAIN project - Part 2: What is the cost of pain for patients on waitlists of multidisciplinary pain treatment facilities?

    PubMed

    Guerriere, Denise N; Choinière, Manon; Dion, Dominique; Peng, Philip; Stafford-Coyte, Emma; Zagorski, Brandon; Banner, Robert; Barton, Pamela M; Boulanger, Aline; Clark, Alexander J; Gordon, Allan S; Guertin, Marie-Claude; Intrater, Howard M; Lefort, Sandra M; Lynch, Mary E; Moulin, Dwight E; Ong-Lam, May; Racine, Mélanie; Rashiq, Saifee; Shir, Yoram; Taenzer, Paul; Ware, Mark

    2010-06-01

    The Canadian STOP-PAIN Project was designed to document the human and economic burden of chronic pain in individuals on waitlists of Multidisciplinary Pain Treatment Facilities (MPTF). This paper describes the societal costs of their pain. A subgroup of 370 patients was selected randomly from The Canadian STOP-PAIN Project. Participants completed a self-administered costing tool (the Ambulatory and Home Care Record) on a daily basis for three months. They provided information about publicly financed resources, such as health care professional consultations and diagnostic tests as well as privately financed costs, including out-of-pocket expenditures and time devoted to seeking, receiving, and providing care. To determine the cost of care, resources were valued using various costing methods, and multivariate linear regression was used to predict total cost. Overall, the median monthly cost of care was $1,462 (CDN) per study participant. Ninety-five percent of the total expenditures were privately financed. The final regression model consisted of the following determinants: educational level, employment status, province, pain duration, depression, and health-related quality of life. This model accounted for 35% of the variance in total expenditure (P < 0.001). The economic burden of chronic pain is substantial in patients on waitlists of MPTFs. Consequently, it is essential to consider this burden when making decisions regarding resource allocation and waitlist assignment for a MPTF. Resource allocation decision-making should include the economic implications of having patients wait for an assessment and for care.

  18. Una Guia Para Padres Para El Cuidado de Ninos (A Parent's Guide to Child Care).

    ERIC Educational Resources Information Center

    Oregon State Dept. of Human Resources, Salem.

    This booklet was designed to help parents in Oregon in finding and financing child care for their children. The first section of the booklet provides information on the Oregon Department of Human Resources' Adult and Family Services (AFS) Division's Aid for Dependent Children (ADC) and Employment Related Day Care (ERDC) programs. This section…

  19. Managing for Results in America's Great City Schools. A Report of the Performance Measurement and Benchmarking Project

    ERIC Educational Resources Information Center

    Council of the Great City Schools, 2008

    2008-01-01

    This report describes statistical indicators developed by the Council of the Great City Schools and its member districts to measure big-city school performance on a range of operational functions in business, finance, human resources and technology. The report also presents data city-by-city on those indicators. This is the second time that…

  20. The New Careers Concept. Potential for Public Employment of the Poor.

    ERIC Educational Resources Information Center

    Haskell, Mark A.

    This volume is one of the products that emerged from Project Labor Market, a study financed by the City of New York's Human Resources Administration to investigate the relation between poverty and the job market in New York City. Although focused on that city, the project's specific aim was to determine how a labor market policy could and should…

  1. Considerations on fundamental issues in establishing a universal coverage system for health in China.

    PubMed

    Lei, Hai Chao

    2008-11-01

    This study discusses basic health services in China. In this study common sense and international experience in establishing a high-performing health system were introduced. Five components are identified: basic qualified human resources for health; basic infrastructure; essential medicines; essential technology and procedures; and basic service pathways. Recommendations were presented based upon the Chinese situation. They are: increase public financing and lower private out-of-pocket payment for services; revitalize the functions of public facilities; merge different health financing schemes; co-ordinate public fiscal and pricing policies; prioritize public financing to preventive and primary healthcare; establish and strengthen the partnership between public and private facilities and insurance schemes; and re-organize the administrative system in health-based upon the rules of simplicity, unity, and efficiency. © 2008 Blackwell Publishing Asia Pty Ltd and Chinese Cochrane Center, West China Hospital of Sichuan University.

  2. DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    This paper responds to the Development Committee Communique of April 2006 requesting the World Bank to review existing financial instruments and explore the potential value of new financial instruments to accelerate investment in clean energy. It builds on the report 'Clean Energy and Development: Towards an Investment Framework' that was presented to the Development Committee at the April 2006 Spring Meeting and concludes: The major financing gap for the energy for development and energy access agendas can be met by deepening and broadening energy sector policy reform to attract private sector investments and additional public sector financing. A long-term stablemore » global regulatory framework, with differentiated responsibilities, is needed to stimulate private investments and provide predictability. The Bank proposes the development of a number of options to accelerate the transition to a low carbon economy. Risks of weather-related disasters need to be integrated into poverty and sustainable development strategies with a combination of public and private sector resources. Clean energy will address the following issues that affect poor people and undermine progress on many of the Millennium Development Goals: Pollution at the household level, especially indoor air pollution, which adversely affects human health; Environmental impacts at the local, national and regional level, including urban air pollution and acid deposition, which affects human health and ecological systems; and The adverse impacts of greenhouse gas emissions from the production of energy on agricultural productivity, water resources, human health, human settlements and ecological systems. 11 figs., 2 tabs., 2 annexes.« less

  3. Resilience Mitigation Financing Webinar for Water and Wastewater Utilities

    EPA Pesticide Factsheets

    The Resilience Mitigation Financing for Water and Wastewater Utilities webinar focuses on tools and financing resources to conduct resilience planning and to mitigate impacts before a disaster strikes.

  4. Ten best resources for conducting financing and benefit incidence analysis in resource-poor settings.

    PubMed

    Wiseman, Virginia; Asante, Augustine; Price, Jennifer; Hayen, Andrew; Irava, Wayne; Martins, Joao; Guinness, Lorna; Jan, Stephen

    2015-10-01

    Many low- and middle-income countries are seeking to reform their health financing systems to move towards universal coverage. This typically means that financing is based on people's ability to pay while, for service use, benefits are based on the need for health care. Financing incidence analysis (FIA) and benefit incidence analysis (BIA) are two popular tools used to assess equity in health systems financing and service use. FIA studies examine who pays for the health sector and how these contributions are distributed according to socioeconomic status (SES). BIA determines who benefits from health care spending, with recipients ranked by their relative SES. In this article, we identify 10 resources to assist researchers and policy makers seeking to undertake or interpret findings from financing and benefit incidence analyses in the health sector. The article pays particular attention to the data requirements, computations, methodological challenges and country level experiences with these types of analyses. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

  5. Water Infrastructure and Resiliency Finance Center

    EPA Pesticide Factsheets

    The Water Infrastructure and Resiliency Finance Center serves as a resource to communities to improve their wastewater, drinking water and stormwater systems, particularly through innovative financing and increased resiliency to climate change.

  6. Enrollment and Employees in Postsecondary Institutions, Fall 2014; and Financial Statistics and Academic Libraries, Fiscal Year 2014. First Look (Provisional Data). NCES 2016-005

    ERIC Educational Resources Information Center

    Ginder, Scott A.; Kelly-Reid, Janice E.; Mann, Farrah B.

    2015-01-01

    This First Look presents findings from the provisional data of the Integrated Postsecondary Data System (IPEDS) Spring 2015 data collection, which included four survey components: (1) Enrollment at postsecondary institutions during fall 2014; (2) Finance, for the 2014 fiscal year; (3) Human Resources at postsecondary institutions during fall 2014;…

  7. Managing for Results in America's Great City Schools. A Report of the Performance Measurement and Benchmarking Project, Spring 2008

    ERIC Educational Resources Information Center

    Council of the Great City Schools, 2008

    2008-01-01

    This report describes statistical indicators developed by the Council of the Great City Schools and its member districts to measure big-city school performance on a range of operational functions in business, finance, human resources and technology. The report also presents data city-by-city on those indicators. This is the second time that…

  8. AGU Committees

    NASA Astrophysics Data System (ADS)

    Administrative Committees are responsible for those functions required for the overall performance or well-being of AGU as an organization. These committees are Audit and Legal Affairs, Budget and Finance*, Development, Nominations*, Planning, Statutes and Bylaws*, Tellers.Operating Committees are responsible for the policy direction and operational oversight of AGU's primary programs. The Operating Committees are Education and Human Resources, Fellows*, Information Technology, International Participation*, Meetings, Public Affairs, Public Information, Publications*.

  9. Cyber Adversary Dynamics

    DTIC Science & Technology

    2013-02-01

    that the Government formulated or supplied the drawings, specifications, or other data does not license the holder or any other person or corporation ...preparation. Berk , V. H., Cybenko, G., Souza, I. G. D., & Murphy, J. P. (2012, January). “Managing Malicious Insider Risk through BANDIT.” In System... finances , human resources for example; • Tactics – Short term goals and techniques to achieve those goals; • Strategy – Long term outcomes and

  10. Financing Vocational Education and Training in Developing Countries. Training Discussion Paper No. 111.

    ERIC Educational Resources Information Center

    Herschbach, Dennis R.

    This document reports on financing vocational education and training (VET) in developing countries. It focuses on different ways that programs are financed, the link between financing and educational practice, and the conditions that govern the effective use of resources. Chapter I examines the use of public tax revenues to finance VET. It…

  11. 76 FR 6111 - Disclosure of Payments by Resource Extraction Issuers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-03

    ... Counsel, Division of Corporation Finance, or Elliot Staffin, Special Counsel in the Office of International Corporate Finance, Division of Corporation Finance, at (202) 551-3290, U.S. Securities and...

  12. Gaps in Capacity in Primary Care in Low-Resource Settings for Implementation of Essential Noncommunicable Disease Interventions

    PubMed Central

    Mendis, S.; Al Bashir, Igbal; Dissanayake, Lanka; Varghese, Cherian; Fadhil, Ibtihal; Marhe, Esha; Sambo, Boureima; Mehta, Firdosi; Elsayad, Hind; Sow, Idrisa; Algoe, Maltie; Tennakoon, Herbert; Truong, Lai Die; Lan, Le Thi Tuyet; Huiuinato, Dismond; Hewageegana, Neelamni; Fahal, Naiema A. W.; Mebrhatu, Goitom; Tshering, Gado; Chestnov, Oleg

    2012-01-01

    Objective. The objective was to evaluate the capacity of primary care (PC) facilities to implement basic interventions for prevention and management of major noncommunicable diseases (NCDs), including cardiovascular diseases and diabetes. Methods. A cross-sectional survey was done in eight low- and middle-income countries (Benin, Bhutan, Eritrea, Sri Lanka, Sudan, Suriname, Syria, and Vietnam) in 90 PC facilities randomly selected. The survey included questions on the availability of human resources, equipment, infrastructure, medicines, utilization of services, financing, medical information, and referral systems. Results and Conclusions. Major deficits were identified in health financing, access to basic technologies and medicines, medical information systems, and the health workforce. The study has provided the foundation for strengthening PC to address noncommunicable diseases. There are important implications of the findings of this study for all low- and middle-income countries as capacity of PC is fundamental for equitable prevention and control of NCDs. PMID:23251789

  13. The New World of Human Genetics: A dialogue between Practitioners & the General Public on Ethical, Legal & Social Implications of the Human Genome Project

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Schofield, Amy

    The history and reasons for launching the Human Genome project and the current uses of genetic human material; Identifying and discussing the major issues stemming directly from genetic research and therapy-including genetic discrimination, medical/ person privacy, allocation of government resources and individual finances, and the effect on the way in which we perceive the value of human life; Discussing the sometimes hidden ethical, social and legislative implications of genetic research and therapy such as informed consent, screening and preservation of genetic materials, efficacy of medical procedures, the role of the government, and equal access to medical coverage.

  14. Understanding Third-Party Ownership Financing Structures for Renewable Energy

    EPA Pesticide Factsheets

    The Toolbox for Renewable Energy Project Development's Understanding Third-Party Ownership Financing Structures for Renewable Energy page provides an overview of solar financing options, including leases and PPAs, and project development resources.

  15. Use of Online Information Resources by RMIT University Economics, Finance, and Marketing Students Participating in a Cooperative Education Program

    ERIC Educational Resources Information Center

    Costa, Cathy

    2009-01-01

    This paper examines the use of online information resources by Economics, Finance, and Marketing 3rd year students in a cooperative education program and explores some possible factors and issues that influence how students use these resources. The nature of Work Integrated Learning (WIL) programs, the business information environment, and the…

  16. Personal Finance in America's Schools Today.

    ERIC Educational Resources Information Center

    Teaching Topics, 1983

    1983-01-01

    Highlights from a survey of educational practices of personal finance teachers and resource materials for emerging topics are provided. Of the 6,100 secondary teachers in the United States and Canada who received questionnaires, 1,400 responded. With over 30 states having personal finance or consumer economics guidelines, personal finance courses…

  17. Insider Threat Study: Illicit Cyber Activity in the Banking and Finance Sector

    DTIC Science & Technology

    2005-06-01

    as a computer fraud case investigated by the Secret Service. Each case was analyzed from a behavioral and a technical perspective to identify...insider threat and address the issue from an approach that draws on human resources, corporate security, and information security perspectives. The ... Secret Service National Threat Assessment Center and the CERT Coordination Center of Carnegie Mellon University’s Software Engineering Institute joined

  18. Region and database management for HANDI 2000 business management system

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Wilson, D.

    The Data Integration 2000 Project will result in an integrated and comprehensive set of functional applications containing core information necessary to support the Project Hanford Management Contract. It is based on the Commercial-Off-The-Shelf product solution with commercially proven business processes. The COTS product solution set, of PassPort and People Soft software, supports finance, supply and chemical management/Material Safety Data Sheet, human resources.

  19. 30 CFR 937.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... government-financed highway or other construction. 937.707 Section 937.707 Mineral Resources OFFICE OF...-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-financed Highway or Other Construction, shall apply to surface coal mining and reclamation...

  20. 30 CFR 903.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... government-financed highway or other construction. 903.707 Section 903.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, applies to surface coal mining and...

  1. 30 CFR 921.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Government-financed highway or other construction. 921.707 Section 921.707 Mineral Resources OFFICE OF... Government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  2. 30 CFR 942.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... government-financed highway or other construction. 942.707 Section 942.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  3. 30 CFR 939.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Government-financed highway or other construction. 939.707 Section 939.707 Mineral Resources OFFICE OF... Government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  4. 30 CFR 937.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... government-financed highway or other construction. 937.707 Section 937.707 Mineral Resources OFFICE OF...-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-financed Highway or Other Construction, shall apply to surface coal mining and reclamation...

  5. 30 CFR 947.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... government-financed highway or other construction. 947.707 Section 947.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  6. 30 CFR 922.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... government-financed highway or other construction. 922.707 Section 922.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  7. 30 CFR 922.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... government-financed highway or other construction. 922.707 Section 922.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  8. 30 CFR 933.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... government-financed highway or other construction. 933.707 Section 933.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  9. 30 CFR 910.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... government-financed highway or other construction. 910.707 Section 910.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incidental to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  10. 30 CFR 942.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... government-financed highway or other construction. 942.707 Section 942.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  11. 30 CFR 939.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Government-financed highway or other construction. 939.707 Section 939.707 Mineral Resources OFFICE OF... Government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  12. 30 CFR 912.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Government-financed highway or other construction. 912.707 Section 912.707 Mineral Resources OFFICE OF...-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and reclamation...

  13. 30 CFR 912.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Government-financed highway or other construction. 912.707 Section 912.707 Mineral Resources OFFICE OF...-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and reclamation...

  14. 30 CFR 939.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Government-financed highway or other construction. 939.707 Section 939.707 Mineral Resources OFFICE OF... Government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  15. 30 CFR 912.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Government-financed highway or other construction. 912.707 Section 912.707 Mineral Resources OFFICE OF...-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and reclamation...

  16. 30 CFR 933.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... government-financed highway or other construction. 933.707 Section 933.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  17. 30 CFR 910.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... government-financed highway or other construction. 910.707 Section 910.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incidental to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  18. 30 CFR 905.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... government-financed highway or other construction. 905.707 Section 905.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  19. 30 CFR 922.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... government-financed highway or other construction. 922.707 Section 922.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  20. 30 CFR 905.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... government-financed highway or other construction. 905.707 Section 905.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  1. 30 CFR 905.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... government-financed highway or other construction. 905.707 Section 905.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  2. 30 CFR 921.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Government-financed highway or other construction. 921.707 Section 921.707 Mineral Resources OFFICE OF... Government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  3. 30 CFR 947.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... government-financed highway or other construction. 947.707 Section 947.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  4. 30 CFR 939.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Government-financed highway or other construction. 939.707 Section 939.707 Mineral Resources OFFICE OF... Government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  5. 30 CFR 947.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... government-financed highway or other construction. 947.707 Section 947.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  6. 30 CFR 905.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... government-financed highway or other construction. 905.707 Section 905.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  7. 30 CFR 942.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... government-financed highway or other construction. 942.707 Section 942.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  8. 30 CFR 903.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... government-financed highway or other construction. 903.707 Section 903.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, applies to surface coal mining and...

  9. 30 CFR 941.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Government-financed highway or other construction. 941.707 Section 941.707 Mineral Resources OFFICE OF... Government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  10. 30 CFR 933.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... government-financed highway or other construction. 933.707 Section 933.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  11. 30 CFR 905.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... government-financed highway or other construction. 905.707 Section 905.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  12. 30 CFR 910.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... government-financed highway or other construction. 910.707 Section 910.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incidental to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  13. 30 CFR 941.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Government-financed highway or other construction. 941.707 Section 941.707 Mineral Resources OFFICE OF... Government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  14. 30 CFR 903.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... government-financed highway or other construction. 903.707 Section 903.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, applies to surface coal mining and...

  15. 30 CFR 939.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Government-financed highway or other construction. 939.707 Section 939.707 Mineral Resources OFFICE OF... Government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  16. 30 CFR 937.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... government-financed highway or other construction. 937.707 Section 937.707 Mineral Resources OFFICE OF...-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-financed Highway or Other Construction, shall apply to surface coal mining and reclamation...

  17. 30 CFR 910.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... government-financed highway or other construction. 910.707 Section 910.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incidental to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  18. 30 CFR 933.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... government-financed highway or other construction. 933.707 Section 933.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  19. 30 CFR 941.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Government-financed highway or other construction. 941.707 Section 941.707 Mineral Resources OFFICE OF... Government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  20. 30 CFR 910.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... government-financed highway or other construction. 910.707 Section 910.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incidental to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  1. 30 CFR 903.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... government-financed highway or other construction. 903.707 Section 903.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, applies to surface coal mining and...

  2. 30 CFR 941.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Government-financed highway or other construction. 941.707 Section 941.707 Mineral Resources OFFICE OF... Government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  3. 30 CFR 922.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... government-financed highway or other construction. 922.707 Section 922.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  4. 30 CFR 933.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... government-financed highway or other construction. 933.707 Section 933.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  5. 30 CFR 937.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... government-financed highway or other construction. 937.707 Section 937.707 Mineral Resources OFFICE OF...-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-financed Highway or Other Construction, shall apply to surface coal mining and reclamation...

  6. 30 CFR 912.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Government-financed highway or other construction. 912.707 Section 912.707 Mineral Resources OFFICE OF...-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and reclamation...

  7. 30 CFR 942.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... government-financed highway or other construction. 942.707 Section 942.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  8. 30 CFR 903.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... government-financed highway or other construction. 903.707 Section 903.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, applies to surface coal mining and...

  9. 30 CFR 941.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Government-financed highway or other construction. 941.707 Section 941.707 Mineral Resources OFFICE OF... Government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  10. 30 CFR 921.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Government-financed highway or other construction. 921.707 Section 921.707 Mineral Resources OFFICE OF... Government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  11. 30 CFR 942.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... government-financed highway or other construction. 942.707 Section 942.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  12. 30 CFR 947.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... government-financed highway or other construction. 947.707 Section 947.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  13. 30 CFR 921.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Government-financed highway or other construction. 921.707 Section 921.707 Mineral Resources OFFICE OF... Government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  14. 30 CFR 921.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Government-financed highway or other construction. 921.707 Section 921.707 Mineral Resources OFFICE OF... Government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  15. 30 CFR 922.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... government-financed highway or other construction. 922.707 Section 922.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  16. 30 CFR 947.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... government-financed highway or other construction. 947.707 Section 947.707 Mineral Resources OFFICE OF... government-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and...

  17. 30 CFR 937.707 - Exemption for coal extraction incident to government-financed highway or other construction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... government-financed highway or other construction. 937.707 Section 937.707 Mineral Resources OFFICE OF...-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-financed Highway or Other Construction, shall apply to surface coal mining and reclamation...

  18. 30 CFR 912.707 - Exemption for coal extraction incident to Government-financed highway or other construction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Government-financed highway or other construction. 912.707 Section 912.707 Mineral Resources OFFICE OF...-financed highway or other construction. Part 707 of this chapter, Exemption for Coal Extraction Incident to Government-Financed Highway or Other Construction, shall apply to surface coal mining and reclamation...

  19. Sharing the benefits of genetic resources: from biodiversity to human genetics.

    PubMed

    Schroeder, Doris; Lasén-Díaz, Carolina

    2006-12-01

    Benefit sharing aims to achieve an equitable exchange between the granting of access to a genetic resource and the provision of compensation. The Convention on Biological Diversity (CBD), adopted at the 1992 Earth Summit in Rio de Janeiro, is the only international legal instrument setting out obligations for sharing the benefits derived from the use of biodiversity. The CBD excludes human genetic resources from its scope, however, this article considers whether it should be expanded to include those resources, so as to enable research subjects to claim a share of the benefits to be negotiated on a case-by-case basis. Our conclusion on this question is: 'No, the CBD should not be expanded to include human genetic resources.' There are essential differences between human and non-human genetic resources, and, in the context of research on humans, an essentially fair exchange model is already available between the health care industry and research subjects. Those who contribute to research should receive benefits in the form of accessible new health care products and services, suitable for local health needs and linked to economic prosperity (e.g. jobs). When this exchange model does not apply, as is often the case in developing countries, individually negotiated benefit sharing agreements between researchers and research subjects should not be used as 'window dressing'. Instead, national governments should focus their finances on the best economic investment they could make; the investment in population health and health research as outlined by the World Health Organization's Commission on Macroeconomics and Health; whilst international barriers to such spending need to be removed.

  20. [Spending and financing in health care: situation and trends].

    PubMed

    Molina, R; Pinto, M; Henderson, P; Vieira, C

    2000-01-01

    Being knowledgeable about national health expenditures and sources of financing is essential for decision-making. This awareness also makes it possible to evaluate the equity of allocation and the efficiency of utilization of these resources. Changes in financing have been a substantial component of health sector reform in the Americas. The goal has shifted from merely one of financial sustainability to simultaneously seeking equitable access to quality services. In this article the Pan American Health Organization (PAHO) presents a proposal for analyzing and designing a policy on health financing. The aim of the policy is to identify the mix of financing mechanisms most likely to simultaneously produce financial sustainability, equity, access, and efficiency. The PAHO proposal combines traditional mechanisms for generating resources (public funds from taxes, as well as private health insurance, national health insurance, and user fees) with complementary subsidy mechanisms for vulnerable groups. Health financing strategies ought to explicitly consider the financing both of care for individuals and of health interventions for the general public good, for which public financing is the most equitable and efficient approach.

  1. Is health care financing in Uganda equitable?

    PubMed

    Zikusooka, C M; Kyomuhang, R; Orem, J N; Tumwine, M

    2009-10-01

    Health care financing provides the resources and economic incentives for operating health systems and is a key determinant of health system performance. Equitable financing is based on: financial protection, progressive financing and cross-subsidies. This paper describes Uganda's health care financing landscape and documents the key equity issues associated with the current financing mechanisms. We extensively reviewed government documents and relevant literature and conducted key informant interviews, with the aim of assessing whether Uganda's health care financing mechanisms exhibited the key principles of fair financing. Uganda's health sector remains significantly under-funded, mainly relying on private sources of financing, especially out-of-pocket spending. At 9.6 % of total government expenditure, public spending on health is far below the Abuja target of 15% that GoU committed to. Prepayments form a small proportion of funding for Uganda's health sector. There is limited cross-subsidisation and high fragmentation within and between health financing mechanisms, mainly due to high reliance on out-of-pocket payments and limited prepayment mechanisms. Without compulsory health insurance and low coverage of private health insurance, Uganda has limited pooling of resources, and hence minimal cross-subsidisation. Although tax revenue is equitable, the remaining financing mechanisms for Uganda are inequitable due to their regressive nature, their lack of financial protection and limited cross-subsidisation. Overall, Uganda's current health financing is inequitable and fragmented. The government should take explicit action to promote equitable health care financing by establishing pre-payment schemes, enhancing cross-subsidisation mechanisms and through appropriate integration of financing mechanisms.

  2. Creating Dedicated Local and State Revenue Sources for Youth Programs

    ERIC Educational Resources Information Center

    Sherman, Rachel H.; Deich, Sharon G.; Langford, Barbara Hanson

    2007-01-01

    This publication is part of a series of tools and resources on financing and sustaining youth programming. These tools and resources are intended to assist policy makers, program developers and community leaders in developing innovative strategies for implementing, financing and sustaining effective programs and policies. This brief highlights six…

  3. A Guide to Successful Public Private Partnerships for Youth Programs

    ERIC Educational Resources Information Center

    Relave, Nanette; Deich, Sharon

    2007-01-01

    This publication is part of a series of tools and resources on financing and sustaining youth programming. These tools and resources are intended to help policymakers, program developers, and community leaders develop innovative strategies for implementing, financing, and sustaining effective programs and policies. This guide provides practical…

  4. Financing Community Schools: Leveraging Resources to Support Student Success

    ERIC Educational Resources Information Center

    Blank, Martin J.; Jacobson, Reuben; Melaville, Atelia; Pearson, Sarah S.

    2010-01-01

    Community schools are one of the most efficient and effective strategies to improve outcomes for students as well as families and communities. Community schools leverage public and private investments by generating additional financial resources from partners and other sources. This report looks at how community schools finance their work. It…

  5. Financing pediatric surgery in low-, and middle-income countries.

    PubMed

    Hsiung, Grace; Abdullah, Fizan

    2016-02-01

    Congenital anomalies once considered fatal, are now surgically correctable conditions that now allow children to live a normal life. Pediatric surgery, traditionally thought of as a privilege of the rich, as being too expensive and impractical, and which has previously been overlooked and excluded in resource-poor settings, is now being reexamined as a cost-effective strategy to reduce the global burden of disease-particularly in low, and middle-income countries (LMICs). However, to date, global pediatric surgical financing suffers from an alarming paucity of data. To leverage valuable resources and prioritize pediatric surgical services, timely, accurate and detailed global health spending and financing for pediatric surgical care is needed to inform policy making, strategic health-sector budgeting and resource allocation. This discussions aims to characterize and highlight the evidence gaps that currently exist in global financing and funding flow for pediatric surgical care in LMICs. Copyright © 2016. Published by Elsevier Inc.

  6. An analysis of GAVI, the Global Fund and World Bank support for human resources for health in developing countries.

    PubMed

    Vujicic, Marko; Weber, Stephanie E; Nikolic, Irina A; Atun, Rifat; Kumar, Ranjana

    2012-12-01

    Shortages, geographic imbalances and poor performance of health workers pose major challenges for improving health service delivery in developing countries. In response, multilateral agencies have increasingly recognized the need to invest in human resources for health (HRH) to assist countries in achieving their health system goals. In this paper we analyse the HRH-related activities of three agencies: the Global Alliance for Vaccines and Immunisation (GAVI); the Global Fund for Aids, Tuberculosis, and Malaria (the Global Fund); and the World Bank. First, we reviewed the type of HRH-related activities that are eligible for financing within each agency. Second, we reviewed the HRH-related activities that each agency is actually financing. Third, we reviewed the literature to understand the impact that GAVI, Global Fund and World Bank investments in HRH have had on the health workforce in developing countries. Our analysis found that by far the most common activity supported across all agencies is short-term, in-service training. There is relatively little investment in expanding pre-service training capacity, despite large health worker shortages in developing countries. We also found that the majority of GAVI and the Global Fund grants finance health worker remuneration, largely through supplemental allowances, with little information available on how payment rates are determined, how the potential negative consequences are mitigated, and how payments are to be sustained at the end of the grant period. Based on the analysis, we argue there is an opportunity for improved co-ordination between the three agencies at the country level in supporting HRH-related activities. Existing initiatives, such as the International Health Partnership and the Health Systems Funding Platform, could present viable and timely vehicles for the three agencies to implement this improved co-ordination.

  7. Resources for health promotion: rhetoric, research and reality.

    PubMed

    Minke, Sharlene Wolbeck; Raine, Kim D; Plotnikoff, Ronald C; Anderson, Donna; Khalema, Ernest; Smith, Cynthia

    2007-01-01

    Canadian political discourse supports the importance of health promotion and advocates the allocation of health resources to health promotion. Furthermore, the current literature frequently identifies financial and human resources as important elements of organizational capacity for health promotion. In the Alberta Heart Health Project (AHHP), we sought to learn if the allocation of health resources in a regionalized health system was congruent with the espoused support for health promotion in Alberta, Canada. The AHHP used a mixed method approach in a time series design. Participants were drawn from multiple organizational levels (i.e., service providers, managers, board members) across all Regional Health Authorities (RHAs). Data were triangulated through multiple collection methods, primarily an organizational capacity survey, analysis of organizational documents, focus groups, and personal interviews. Analysis techniques were drawn from quantitative (i.e., frequency distributions, ANOVAs) and qualitative (i.e., content and thematic analysis) approaches. In most cases, small amounts (<5%) of financial resources were allocated to health promotion in RHAs' core budgets. Respondents reported seeking multiple sources of public health financing to support their health promotion initiatives. Human resources for health promotion were characterized by fragmented responsibilities and short-term work. Furthermore, valuable human resources were consumed in ongoing searches for funding that typically covered short time periods. Resource allocations to health promotion in Alberta RHAs are inconsistent with the current emphasis on health promotion as an organizational priority. Inadequate and unstable funding erodes the RHAs' capacity for health promotion. Sustainable health promotion calls for the assured allocation of adequate, sustainable financial resources.

  8. Finding Funding: A Guide to Federal Sources for Youth Programs. Finding Funding Series

    ERIC Educational Resources Information Center

    Dobbins-Harper, Dionne; Bhat, Soumya

    2007-01-01

    This publication is part of a series of tools and resources on financing and sustaining youth programming. These tools and resources are intended to help policymakers, program developers, and community leaders develop innovative strategies for implementing, financing, and sustaining effective programs and policies. This guide outlines strategies…

  9. Financing Community Schools: Leveraging Resources to Support Student Success. Executive Summary

    ERIC Educational Resources Information Center

    Coalition for Community Schools, 2010

    2010-01-01

    Community schools are one of the most efficient and effective strategies to improve outcomes for students as well as families and communities. Community schools leverage public and private investments by generating additional financial resources from partners and other sources. This report looks at how community schools finance their work. It…

  10. A Comparative Assessment of Higher Education Financing in Six Arab Countries

    ERIC Educational Resources Information Center

    El-Araby, Ashraf

    2011-01-01

    This study analyses the policies for financing higher education in six Arab countries: Egypt, Jordan, Lebanon, Morocco, Syria, and Tunisia. It assesses the adequacy of spending on higher education, the efficiency with which resources are utilized, and the equity implications of resource allocations. Based on six detailed case studies, this…

  11. [Dilemmas of health financing].

    PubMed

    Herrera Zárate, M; González Torres, R

    1989-01-01

    The economic crisis had had a profound effect on the finances of health services in Mexico. The expenditure on health has decreased, both in absolute terms and in relation to the national gross product. Funding problems have been aggravated by inequities in budget distribution: social security institutions have been favored; geographical distribution of resources is concentrated in the central areas of the country and in the more developed states, and curative health care has prevailed over preventive medicine. Administrative inefficiency hinders even more the appropriate utilization of resources. Diversification of funding sources has been proposed, through external debt, local funding, and specific health taxing. But these proposals are questionable. The high cost of the debt service has reduced international credits as a source of financing. Resource concentration at the federal level, and the different compromises related to the economic solidarity pact have also diminished the potentiality of local state financing. On the other hand, a special health tax is not viable within the current fiscal framework. The alternatives are a better budget planning, a change in the institutional and regional distribution of resources, and improvement in the administrative mechanisms of funding.

  12. Policy development and challenges of global mental health: a systematic review of published studies of national-level mental health policies.

    PubMed

    Zhou, Wei; Yu, Yu; Yang, Mei; Chen, Lizhang; Xiao, Shuiyuan

    2018-05-18

    Mental health policy can be an essential and powerful tool to improve a population's mental health. However, around one third of countries do not possess a mental health policy, and there are large disparities in population coverage rates between high- and low-income countries. The goal of this study is to identify the transition and implementation challenges of mental health policies in both high-income countries (HICs) as well as middle- and low-income countries (MLICs). PubMed, Cochrane Library and Campbell Library were searched from inception to 31 December 2017, for studies on implemented mental health policies at the national level. Abstracts and the main texts of papers were double screened, and extracted data were analysed through thematic synthesis. A total of 93 papers were included in this study, covering 24 HICs, 28 MLICs and 5 regions. Studies on mental health policies, especially those of MLICs, kept increasing, but MLICs were still underrepresented in terms of publication quantity and study frequency. Based on the included studies, nine policy domains were summarized: service organizing, service provision, service quality, human resources, legislation and human rights, advocacy, administration, surveillance and research, and financing and budgeting. HICs incrementally enriched their policy content in all domains over centuries of development; following HICs' experience, mental health policies in MLICs have boomed since the 1990s and quickly extended to all domains. Implementation problems in HICs were mainly related to service organizing and service provision; for MLICs, more severe implementation problems converged on financing and budgeting, administration and human resources. Mental health policy developments in both HICs and MLICs present a process of diversification and enrichment. In terms of implementation, MLICs are faced with more and greater challenges than HICs, especially in funding, human resources and administration. Therefore, future efforts should not only be made on helping MLICs developing mental health policies, but also on promoting policy implementation under MLICs' local context.

  13. Intercollegiate Athletics: Revenues and Expenses, Gender and Minority Profiles, and Compensation in Athletic Departments. Testimony. Subcommittee on Commerce, Consumer Protection, and Competitiveness, Committee on Energy and Commerce, House of Representatives.

    ERIC Educational Resources Information Center

    Crawford, Clarence C.

    This publication presents the testimony of Clarence C. Crawford, the Associate Director of Education and Employment Issues for the Human Resources Division of the General Accounting Office (GAO). The testimony deals with the finances of the National Collegiate Athletic Association (NCAA) and its member schools, gender profiles in schools' athletic…

  14. Local governance responses to social inclusion for older rural Victorians: building resources, opportunities and capabilities.

    PubMed

    Winterton, Rachel; Clune, Samantha; Warburton, Jeni; Martin, John

    2014-09-01

    To explore how local governance enables access to resources, creates opportunities and increases capability for older people in rural communities to experience social inclusion. Twenty-six semi-structured interviews were undertaken with community stakeholders across two rural communities in north-east Victoria. Stakeholders were drawn from local government, and a range of community groups and organisations, as identified in a scoping study. Through the provision of community resources (e.g. physical and human infrastructure, organisational partnerships), local services and supports offer social and productive environments for participation. They also build individual resources (e.g. health, skills, finances, networks) to enable older people to participate within these environments, and provide assistance to allow older people to use individual and community resources. Community resources are integral in facilitating the development of older people's individual resources, and opportunities and capabilities for participation. These enable greater choice in participation, and contribute to the sustainability of community resources serving ageing populations. © 2013 The Authors. Australasian Journal on Ageing © 2013 ACOTA.

  15. Human Rights and the Political Economy of Universal Health Care: Designing Equitable Financing.

    PubMed

    Rudiger, Anja

    2016-12-01

    Health system financing is a critical factor in securing universal health care and achieving equity in access and payment. The human rights framework offers valuable guidance for designing a financing strategy that meets these goals. This article presents a rights-based approach to health care financing developed by the human right to health care movement in the United States. Grounded in a human rights analysis of private, market-based health insurance, advocates make the case for public financing through progressive taxation. Financing mechanisms are measured against the twin goals of guaranteeing access to care and advancing economic equity. The added focus on the redistributive potential of health care financing recasts health reform as an economic policy intervention that can help fulfill broader economic and social rights obligations. Based on a review of recent universal health care reform efforts in the state of Vermont, this article reports on a rights-based public financing plan and model, which includes a new business tax directed against wage disparities. The modeling results suggest that a health system financed through equitable taxation could produce significant redistributive effects, thus increasing economic equity while generating sufficient funds to provide comprehensive health care as a universal public good.

  16. Significance of Trends on Enrolment, Budget and Actual Expenditure in the Examination of Higher Education Financing in Tanzania

    ERIC Educational Resources Information Center

    Memba, Albert Zephaniah; Feng, Zhao Jun

    2016-01-01

    Financing of higher education in Tanzania is considered a crucial factor in realizing the country's development vision. It is for these reasons that Tanzania has been financing its higher education since its inception. Diminishing resource capacity and competing interests for government finance plunged the higher education into financial doldrums.…

  17. 75 FR 80977 - Disclosure of Payments by Resource Extraction Issuers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-23

    ...: Tamara Brightwell, Senior Special Counsel, Division of Corporation Finance, or Elliot Staffin, Special Counsel in the Office of International Corporate Finance, Division of Corporation Finance, at (202) 551... issuers would be required to disclose taxes on corporate profits, corporate income, and production and...

  18. 7 CFR 654.12 - Financing operations and maintenance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 6 2010-01-01 2010-01-01 false Financing operations and maintenance. 654.12 Section 654.12 Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES... Financially-Assisted Projects § 654.12 Financing operations and maintenance. Sources of funds needed to...

  19. Managerial implications of corporate board involvement and perceived market competition for quality improvement in nursing homes.

    PubMed

    Weech-Maldonado, R; Zinn, J S; Brannon, D

    1999-01-01

    This study examines the relationships among corporate board involvement, total quality management (TQM) adoption, perceived market competition, and the perceived effect of quality improvement (QI) activities for a sample of nursing homes in Pennsylvania. The findings of this study have several implications for healthcare managers interested in maximizing the effectiveness of QI efforts. Board involvement in quality improvement was an important predictor of QI outcomes in the areas of finance, resident care, and human resources. However, TQM adoption had a positive effect on human resources outcomes only. These findings suggest that board involvement in any organized form of QI may be more important than the adoption of a formal TQM program in the nursing home industry. TQM's emphasis on employee empowerment may account for its positive influence on human resources. Perceived competition was associated with better financial outcomes. Low-cost leadership can be a key to survival in more competitive markets, requiring a focus on efficiency and productivity issues in QI efforts. By focusing on process improvement, the facilities may achieve cost reductions that can result in an improved financial position. Facilities perceived to be in more competitive environments were also more likely to adopt TQM. This is consistent with the assertion by resource-dependence theorists that organizations facing competition for resources must be responsive to the needs of resource-providing constituencies.

  20. Personal Finance. Predrafted Individual Short-Term Plan/Records (Secondary Level): Directions for Resource Teachers, Teachers and Aides.

    ERIC Educational Resources Information Center

    Flores, Merced, Comp.

    Developed by experienced migrant education teachers incorporating Sight and Sound Program concepts, this volume presents predrafted individual short-term Plan/Records for personal finance for secondary level students, plus step-by-step directions for their use by Oregon resource teachers, classroom teachers, and aides. This approach assumes that…

  1. The ABC's of Financing Church and Synagogue Libraries. Acquiring Funds, Budgeting, Cash Accounting.

    ERIC Educational Resources Information Center

    Hannaford, Claudia

    The ABCs of financing church and synagogue libraries are presented in this guide as Acquiring Funds, Budgeting, and Cash Accounting. Acquiring funds and the basic means needed to start a library are described, including resources such as books, shelves, office supplies, and financial resources; ideas and methods are presented for soliciting both…

  2. [Hospital self-management policy in Chile: perceptions of decision-makers].

    PubMed

    Méndez, Claudio A; Miranda, Christian; Torres, M Cristina; Márquez, Myriam

    2013-01-01

    To learn the perceptions of decision-makers concerning the imple-men-t-ation stage of a hospital self-management policy in two highly complex hospitals in southern Chile. A descriptive, exploratory, qualitative study based on semi-structured in-depth interviews of decision-makers at the Regional Hospital of Valdivia and the Hospital San José de Osorno from August 2010 to December 2011. A convenience sample of 26 decision-makers was selected. The 26 interviews were recorded and transcribed verbatim. The information was analyzed using inductive content analysis. The interviewees consider the concept of self-management to be determined by autonomy in decision-making about resource allocation and the financing of health service delivery in the hospitals. They also stated that human resources and financing policies should be included to improve the implementation stage. They related weaknesses with the lack of organizational capabilities and managerial skills in the health teams implementing the changes. Conceptually, the hospital self-management policy is based on financial autonomy, and implementation is affected by persistent capacity gaps in policy design.

  3. Operations system administration plan for HANDI 2000 business management system

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Adams, D.E.

    The Hanford Data Integration 2000 (HANDI 2000) Project will result in an integrated and comprehensive set of functional applications containing core information necessary to support the Project Hanford Management Contract (PHMC). It is based on the Commercial-Off-The-Shelf (COTS) product solution with commercially proven business processes. This includes systems that support finance, supply, chemical management, human resources and payroll activities on the Hanford Site. The Passport (PP) software is an integrated application for Accounts Payable, Contract Management, Inventory Management, Purchasing, and Material Safety Data Sheets (MSDS). The PeopleSoft (PS) software is an integrated application for General Ledger, Project Costing, Human Resources,more » Payroll, Benefits, and Training. The implementation of this set of products, as the first deliverable of the HANDI 2000 Project, is referred to as Business Management System (BMS) and MSDS.« less

  4. Health care financing in Asia: key issues and challenges.

    PubMed

    Kwon, Soonman

    2011-09-01

    This article examines the major elements of health care financing such as financial risk protection, resource generation, resource pooling, and purchasing and payment; provides key lessons; and discusses the challenges for health care financing systems of Asian countries. With the exception of Japan, Korea, Taiwan, and Thailand, most health care systems of Asia provide very limited financial risk protection. The role of public prepaid schemes such as tax and social health insurance is minimal, and out-of-pocket payment is a major source of financing. The large informal sector is a major challenge to the extension of population coverage in many low-income countries of Asia, which must seek the optimal mix of tax subsidy and health insurance for universal coverage. Implementation of effective payment systems to control the behavior of health care providers is also a key factor in the success of health care financing reform in Asia.

  5. From Manpower Supply to Economic Revival: Governance and Financing of Chinese Higher Education.

    ERIC Educational Resources Information Center

    Wang, Chenzhi

    2000-01-01

    Describes main trends in the administration and financing of higher education in China over two decades and analyzes the resource allocation under the reform policies of administrative decentralization and financing diversification. Points out the economic significance of overcoming diseconomies of scale and inefficiencies. (SLD)

  6. Moving toward a Coherent School Finance System

    ERIC Educational Resources Information Center

    Rose, Heather

    2013-01-01

    California's current school finance system is a tangled web of funding programs, restrictions, inequities and confusion. Building a stronger finance system to benefit from resources is an important step in strengthening California's K-12 education system and better meeting the needs of its students. Gov. Brown has recently proposed the Local…

  7. [The health system of Bolivia].

    PubMed

    Ledo, Carmen; Soria, René

    2011-01-01

    This paper describes the Bolivian health system, including its structure and organization, its financing sources, its health expenditure, its physical, material and humans resources, its stewardship activities and the its health research institutions. It also discusses the most recent policy innovations developed in Bolivia: the Maternal and Child Universal Insurance, the Program for the Extension of Coverage to Rural Areas, the Family, Community and Inter-Cultural Health Model and the cash-transfer program Juana Azurduy intended to strengthen maternal and child care.

  8. Human Rights and the Political Economy of Universal Health Care

    PubMed Central

    2016-01-01

    Abstract Health system financing is a critical factor in securing universal health care and achieving equity in access and payment. The human rights framework offers valuable guidance for designing a financing strategy that meets these goals. This article presents a rights-based approach to health care financing developed by the human right to health care movement in the United States. Grounded in a human rights analysis of private, market-based health insurance, advocates make the case for public financing through progressive taxation. Financing mechanisms are measured against the twin goals of guaranteeing access to care and advancing economic equity. The added focus on the redistributive potential of health care financing recasts health reform as an economic policy intervention that can help fulfill broader economic and social rights obligations. Based on a review of recent universal health care reform efforts in the state of Vermont, this article reports on a rights-based public financing plan and model, which includes a new business tax directed against wage disparities. The modeling results suggest that a health system financed through equitable taxation could produce significant redistributive effects, thus increasing economic equity while generating sufficient funds to provide comprehensive health care as a universal public good. PMID:28559677

  9. Sustaining 21st Century Community Learning Centers: What Works for Programs and How Policymakers Can Help. Strategy Brief

    ERIC Educational Resources Information Center

    Szekely, Amanda; Padgette, Heather Clapp

    2006-01-01

    This tool is part of a series of technical assistance resources on financing and sustaining out-of-school time and community school initiative. These tools and resources are intended to assist policymakers, program developers and community leaders in developing financing and sustainability strategies to support effective initiatives. For nearly a…

  10. EPIC Studies: Governments Finance, On Average, More Than 50 Percent Of Immunization Expenses, 2010-11.

    PubMed

    Brenzel, Logan; Schütte, Carl; Goguadze, Keti; Valdez, Werner; Le Gargasson, Jean-Bernard; Guthrie, Teresa

    2016-02-01

    Governments in resource-poor settings have traditionally relied on external donor support for immunization. Under the Global Vaccine Action Plan, adopted in 2014, countries have committed to mobilizing additional domestic resources for immunization. Data gaps make it difficult to map how well countries have done in spending government resources on immunization to demonstrate greater ownership of programs. This article presents findings of an innovative approach for financial mapping of routine immunization applied in Benin, Ghana, Honduras, Moldova, Uganda, and Zambia. This approach uses modified System of Health Accounts coding to evaluate data collected from national and subnational levels and from donor agencies. We found that government sources accounted for 27-95 percent of routine immunization financing in 2011, with countries that have higher gross national product per capita better able to finance requirements. Most financing is channeled through government agencies and used at the primary care level. Sustainable immunization programs will depend upon whether governments have the fiscal space to allocate additional resources. Ongoing robust analysis of routine immunization should be instituted within the context of total health expenditure tracking. Project HOPE—The People-to-People Health Foundation, Inc.

  11. Brainline

    MedlinePlus

    ... People with TBI Managing Symptoms Treatment & Recovery Legal & Finances Community & Support Personal Stories & Blogs Resource Directory Caregivers ... Caregiver Emotions Staying Positive Health & Self-Care Legal & Finances Military Caregiving Personal Stories & Blogs Professionals Online Courses ...

  12. Projections of costs, financing, and additional resource requirements for low- and lower middle-income country immunization programs over the decade, 2011-2020.

    PubMed

    Gandhi, Gian; Lydon, Patrick; Cornejo, Santiago; Brenzel, Logan; Wrobel, Sandra; Chang, Hugh

    2013-04-18

    The Decade of Vaccines Global Vaccine Action Plan has outlined a set of ambitious goals to broaden the impact and reach of immunization across the globe. A projections exercise has been undertaken to assess the costs, financing availability, and additional resource requirements to achieve these goals through the delivery of vaccines against 19 diseases across 94 low- and middle-income countries for the period 2011-2020. The exercise draws upon data from existing published and unpublished global forecasts, country immunization plans, and costing studies. A combination of an ingredients-based approach and use of approximations based on past spending has been used to generate vaccine and non-vaccine delivery costs for routine programs, as well as supplementary immunization activities (SIAs). Financing projections focused primarily on support from governments and the GAVI Alliance. Cost and financing projections are presented in constant 2010 US dollars (US$). Cumulative total costs for the decade are projected to be US$57.5 billion, with 85% for routine programs and the remaining 15% for SIAs. Delivery costs account for 54% of total cumulative costs, and vaccine costs make up the remainder. A conservative estimate of total financing for immunization programs is projected to be $34.3 billion over the decade, with country governments financing 65%. These projections imply a cumulative funding gap of $23.2 billion. About 57% of the total resources required to close the funding gap are needed just to maintain existing programs and scale up other currently available vaccines (i.e., before adding in the additional costs of vaccines still in development). Efforts to mobilize additional resources, manage program costs, and establish mutual accountability between countries and development partners will all be necessary to ensure the goals of the Decade of Vaccines are achieved. Establishing or building on existing mechanisms to more comprehensively track resources and commitments for immunization will help facilitate these efforts. Copyright © 2013 Elsevier Ltd. All rights reserved.

  13. Money and Education: A Guide to Illinois School Finance.

    ERIC Educational Resources Information Center

    McMaster, Donald; Sinkin, Judy G.

    Illinois' education finance plan is described in the first of this report's two chapters, and the second chapter considers the finance plan's equity. Chapter 1 covers the state's Resource Equalizer Aid Program and the tax revenue it guarantees districts; the calculation of maximum tax guarantees and local shares; the apportionment of state aid;…

  14. Victory at the Polls: A Strategic Plan for Successful School Finance Elections.

    ERIC Educational Resources Information Center

    Funk, David L.

    1990-01-01

    Despite the recent upheaval in public finance, the typical school district still approaches, organizes, and perceives a school finance referendum no differently than 40 years ago. Political strategy remains a rather shunned, undeveloped resource at a time when election success is most needed and when school administrators cannot take public…

  15. Understanding School Finance: A Basic Guide for Pennsylvania School Directors. [Revised.

    ERIC Educational Resources Information Center

    Davare, David W.; And Others

    This book is designed to serve as a comprehensive resource on all aspects of school finance for Pennsylvania educators. Chapter 1 provides a historical overview of Pennsylvania school finance. The next three chapters examine the local, state, and federal sources of revenue. The fifth chapter explains the components of Pennsylvania's mandatory…

  16. Putting "Entrepreneurial Finance Education" on the Map: Including Social Capital in the Entrepreneurial Finance Curriculum

    ERIC Educational Resources Information Center

    Macht, Stephanie Alexandra

    2016-01-01

    Purpose: The purpose of this paper is to bring attention to "entrepreneurial finance education", an aspect of entrepreneurship education that is widely taught but neglected by the educational literature. It does so by exploring how social capital, a key resource for entrepreneurs, can be incorporated into entrepreneurial finance…

  17. Q&A: The Basics of California's School Finance System

    ERIC Educational Resources Information Center

    EdSource, 2006

    2006-01-01

    In a state as large and complex as California, education financing can become as complicated as rocket science. This two-page Q&A provides a brief, easy-to-understand explanation of California's school finance system and introduces the issues of its adequacy and equity. A list of resources providing additional information is provided.

  18. [Evolution and new perspectives of health care financing in developing countries].

    PubMed

    Audibert, Martine; Mathonnat, Jacky; de Roodenbeke, Eric

    2003-01-01

    Over the last twenty five years, the perspective of health care financing has dramatically changed in developing countries. In this context, it is worth reviewing the literature and the experiences in order to understand the major shifts on this topic. During the sixties, health care policies focused on fighting major epidemics. Programs were dedicated to reduce the threat to population health. Financing related to the mobilization of resources for these programs and most of them were not managed within national administrations. The success of these policies was not sustainable. After Alma Ata, primary health care became a priority but it took some years before the management of the health care district was introduced as a major topic. In the eighties, with the district policy and the Bamako Initiative, the economic approach became a major part of all health care policies. At that time, most of health care financing was related to cost recovery strategies. All the attention was then drawn on how it worked: Fee policies, distribution of revenues, efficient use of resources and so on. In the second half of the nineties, cost recovery was relegated to the back scene, health care financing policy then becoming a major front scene matter. Two major reasons may explain this change in perspective: HIV which causes a major burden on the whole health system, and fighting poverty in relation with debts reduction. In most developing countries, with high HIV prevalence, access to care is no longer possible within the framework of the ongoing heath care financing scheme. Health plays a major role in poverty reduction strategies but health care officials must take into account every aspect of public financing. New facts also have to be taken into account: Decentralization/autonomy policies, the growing role of third party payment and the rising number of qualified health care professionals. All these facts, along with a broader emphasis given to the market, introduce a need for a better management of resources through financing mechanisms. Some major reports from WHO and the World Bank are the landmarks of the evolution on how to approach health care financing: The 1993 World Bank report on investing in health, the 2000 WHO report on health in the world and the WHO report on macroeconomics and health. In this early millenium, there is a general agreement on some major aspects of health care financing such as: Lack of resources for financing health care; cost recovery as a part of any sustainable health care system; health as a public good needing some extended subsidies; protecting people from the burden of disease as a part of financing schemes; equity in relation with the public private mix at the center of many debates; financing as a key mechanism for the regulation of the whole health care system and not only as a resource mobilization; HIV in bringing up new problems clearly shows how all these matters are related. Health care financing is at the heart of ongoing questions on health care reforms. Although developing countries have low insurance coverage and weak modern medical care, they share the same questions as developed countries: How to promote technical and allocative efficiency? What place for incentives? What role for the public sector? How can market and contracting bring results? What progress through stewardship and better governance?

  19. Innovative Financing for Green Infrastructure

    EPA Pesticide Factsheets

    provides an overview of financing strategies and highlights a community that leveraged Clean Water State Revolving Fund (CWSRF) resources for a flood mitigation project that provided multiple economic, environmental, and social benefits.

  20. [The health system of Venezuela].

    PubMed

    Bonvecchio, Anabelle; Becerril-Montekio, Victor; Carriedo-Lutzenkirchen, Angela; Landaeta-Jiménez, Maritza

    2011-01-01

    This paper describes the Venezuelan health system, including its structure and coverage, financial sources, human and material resources and its stewardship functions. This system comprises a public and a private sector. The public sector includes the Ministry of Popular Power for Health (MS) and several social security institutions, salient among them the Venezuelan Institute for Social Security (IVSS). The MH is financed with federal, state and county contributions. The IVSS is financed with employer, employee and government contributions. These two agencies provide services in their own facilities. The private sector includes providers offering services on an out-of-pocket basis and private insurance companies. The Venezuelan health system is undergoing a process of reform since the adoption of the 1999 Constitution which calls for the establishment of a national public health system. The reform process is now headed by the Barrio Adentro program.

  1. National health financing policy in Eritrea: a survey of preliminary considerations

    PubMed Central

    2012-01-01

    Background The 58th World Health Assembly and 56th WHO Regional Committee for Africa adopted resolutions urging Member States to ensure that health financing systems included a method for prepayment to foster financial risk sharing among the population and avoid catastrophic health-care expenditure. The Regional Committee asked countries to strengthen or develop comprehensive health financing policies. This paper presents the findings of a survey conducted among senior staff of selected Eritrean ministries and agencies to elicit views on some of the elements likely to be part of a national health financing policy. Methods This is a descriptive study. A questionnaire was prepared and sent to 19 senior staff (Directors) in the Ministry of Health, Labour Department, Civil Service Administration, Eritrean Confederation of Workers, National Insurance Corporation of Eritrea and Ministry of Local Government. The respondents were selected by the Ministry of Health as key informants. Results The key findings were as follows: the response rate was 84.2% (16/19); 37.5% (6/16) and 18.8% said that the vision of Eritrean National Health Financing Policy (NHFP) should include the phrases ‘equitable and accessible quality health services’ and ‘improve efficiency or reduce waste’ respectively; over 68% indicated that NHFP should include securing adequate funding, ensuring efficiency, ensuring equitable financial access, protection from financial catastrophe, and ensuring provider payment mechanisms create positive incentives to service providers; over 80% mentioned community participation, efficiency, transparency, country ownership, equity in access, and evidence-based decision making as core values of NHFP; over 62.5% confirmed that NHFP components should consist of stewardship (oversight), revenue collection, revenue pooling and risk management, resource allocation and purchasing of health services, health economics research, and development of human resources for health; over 68.8% indicated cost-sharing, taxation and social health insurance as preferred revenue collection mechanisms; and 68.75% indicated their preferred provider payment mechanism to be a global (lump sum) budget. Conclusion This study succeeded in gathering the preliminary views of senior staff of selected Eritrean ministries and agencies regarding the likely elements of the NHFP, i.e. the vision, objectives, components, provider payment mechanisms, and health financing agency and its governance. In addition to stakeholder surveys, it would be helpful to inform the development of the NHFP with other pieces of evidence, including cost-effectiveness analysis of health services and interventions, financial feasibility analysis of financing options, a survey of the political and professional acceptability of financing options, national health accounts, and equity analyses. PMID:22929308

  2. National health financing policy in Eritrea: a survey of preliminary considerations.

    PubMed

    Kirigia, Joses Muthuri; Zere, Eyob; Akazili, James

    2012-08-28

    The 58th World Health Assembly and 56th WHO Regional Committee for Africa adopted resolutions urging Member States to ensure that health financing systems included a method for prepayment to foster financial risk sharing among the population and avoid catastrophic health-care expenditure. The Regional Committee asked countries to strengthen or develop comprehensive health financing policies. This paper presents the findings of a survey conducted among senior staff of selected Eritrean ministries and agencies to elicit views on some of the elements likely to be part of a national health financing policy. This is a descriptive study. A questionnaire was prepared and sent to 19 senior staff (Directors) in the Ministry of Health, Labour Department, Civil Service Administration, Eritrean Confederation of Workers, National Insurance Corporation of Eritrea and Ministry of Local Government. The respondents were selected by the Ministry of Health as key informants. The key findings were as follows: the response rate was 84.2% (16/19); 37.5% (6/16) and 18.8% said that the vision of Eritrean National Health Financing Policy (NHFP) should include the phrases 'equitable and accessible quality health services' and 'improve efficiency or reduce waste' respectively; over 68% indicated that NHFP should include securing adequate funding, ensuring efficiency, ensuring equitable financial access, protection from financial catastrophe, and ensuring provider payment mechanisms create positive incentives to service providers; over 80% mentioned community participation, efficiency, transparency, country ownership, equity in access, and evidence-based decision making as core values of NHFP; over 62.5% confirmed that NHFP components should consist of stewardship (oversight), revenue collection, revenue pooling and risk management, resource allocation and purchasing of health services, health economics research, and development of human resources for health; over 68.8% indicated cost-sharing, taxation and social health insurance as preferred revenue collection mechanisms; and 68.75% indicated their preferred provider payment mechanism to be a global (lump sum) budget. This study succeeded in gathering the preliminary views of senior staff of selected Eritrean ministries and agencies regarding the likely elements of the NHFP, i.e. the vision, objectives, components, provider payment mechanisms, and health financing agency and its governance. In addition to stakeholder surveys, it would be helpful to inform the development of the NHFP with other pieces of evidence, including cost-effectiveness analysis of health services and interventions, financial feasibility analysis of financing options, a survey of the political and professional acceptability of financing options, national health accounts, and equity analyses.

  3. Obligations of low income countries in ensuring equity in global health financing.

    PubMed

    Barugahare, John; Lie, Reidar K

    2015-09-08

    Despite common recognition of joint responsibility for global health by all countries particularly to ensure justice in global health, current discussions of countries' obligations for global health largely ignore obligations of developing countries. This is especially the case with regards to obligations relating to health financing. Bearing in mind that it is not possible to achieve justice in global health without achieving equity in health financing at both domestic and global levels, our aim is to show how fulfilling the obligation we propose will make it easy to achieve equity in health financing at both domestic and international levels. Achieving equity in global health financing is a crucial step towards achieving justice in global health. Our general view is that current discussions on global health equity largely ignore obligations of Low Income Country (LIC) governments and we recommend that these obligations should be mainstreamed in current discussions. While we recognise that various obligations need to be fulfilled in order to ultimately achieve justice in global health, for lack of space we prioritise obligations for health financing. Basing on the evidence that in most LICs health is not given priority in annual budget allocations, we propose that LIC governments should bear an obligation to allocate a certain minimum percent of their annual domestic budget resources to health, while they await external resources to supplement domestic ones. We recommend and demonstrate a mechanism for coordinating this obligation so that if the resulting obligations are fulfilled by both LIC and HIC governments it will be easy to achieve equity in global health financing. Although achieving justice in global health will depend on fulfillment of different categories of obligations, ensuring inter- and intra-country equity in health financing is pivotal. This can be achieved by requiring all LIC governments to allocate a certain optimal per cent of their domestic budget resources to health while they await external resources to top up in order to cover the whole cost of the minimum health opportunities for LIC citizens.

  4. Allocations for HANDI 2000 business management system

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Wilson, D.

    The Data Integration 2000 Project will result in an integrated and comprehensive set of functional applications containing core information necessary to support the Project Hanford Management Contract. It is based on the Commercial-Off-The-Shelf product solution with commercially proven business processes. The COTS product solution set, of PassPort and People Soft software, supports finance, supply and chemical management/Material Safety Data Sheet, human resources. Allocations at Fluor Daniel Hanford are burdens added to base costs using a predetermined rate.

  5. Quality and Safety as a Core Leadership Competency.

    PubMed

    Bleich, Michael R

    2018-05-01

    A leader's toolbox of competencies comprises knowledge, skills, and abilities in clinical care, finance, human resource management, and more. As essential as these are, a strong command of quality and safety competencies is sovereign in leading and managing, ensuring an optimal patient experience. Four core areas of quality and safety competencies are presented: systems science, knowledge workers, implementation science and big data, and quality safety tools and techniques. J Contin Educ Nurs. 2018;49(5):200-202. Copyright 2018, SLACK Incorporated.

  6. The Effect of the Immigration of Soviet Jews to Israel on Israel’s Economy and Human Resources

    DTIC Science & Technology

    1993-06-01

    S 𔃺 0,"• The basic method will be a SWOT (strengths, weaknesses, opportunities I and threats) analysis followed by strategy formulation S suggestion...Middle east. 00 This thesis investigates the expected effects of the immigrants on the Israeli economy and society. The purpose of this analysis is...consistent source of external financing. This aid , which is especially responsive to emergencies, provides a safety net. Large funding drives were of

  7. [Maternal-child health; the last 30 years].

    PubMed

    Mardones-Restat, F

    1990-01-01

    The dynamics of the health policies of the last 30 years in Chile have been strongly influenced by the following issues: the achieved consciousness of the population that the access to health care is a human right; the important increase of the coverage of the health sector; the development of the human resources for health; and in the last decade the effect of the international recession that ultimately affected the financial situation of the Minister of Health and therefore leading to a stabilization of main health indexes. Other recent facts were the weakness of the normative central rol; the delegation of the primary health care to the mayor; the financing of local health services according to the number of consultancies (FAPEN), and the development of a system of private services (ISAPRES) for the higher income population, that concentrate a high proportion of the sector's resources.

  8. Examining the Effects of School-Level Variables on Elementary School Students' Academic Achievement: The Use of Structural Equation Modeling

    ERIC Educational Resources Information Center

    Della Sala, Matthew Robert

    2014-01-01

    School finance scholars have called for the alignment of accountability policies with state finance formulae to allocate resources toward student learning goals (Adams, 2008; Ryan, 2008; Superfine, 2009; Verstegen, 2002). With the presence of accountability policies that focus on improving students' academic achievement, state finance systems must…

  9. Health care financing in Nigeria: Implications for achieving universal health coverage.

    PubMed

    Uzochukwu, B S C; Ughasoro, M D; Etiaba, E; Okwuosa, C; Envuladu, E; Onwujekwe, O E

    2015-01-01

    The way a country finances its health care system is a critical determinant for reaching universal health coverage (UHC). This is so because it determines whether the health services that are available are affordable to those that need them. In Nigeria, the health sector is financed through different sources and mechanisms. The difference in the proportionate contribution from these stated sources determine the extent to which such health sector will go in achieving successful health care financing system. Unfortunately, in Nigeria, achieving the correct blend of these sources remains a challenge. This review draws on relevant literature to provide an overview and the state of health care financing in Nigeria, including policies in place to enhance healthcare financing. We searched PubMed, Medline, The Cochrane Library, Popline, Science Direct and WHO Library Database with search terms that included, but were not restricted to health care financing Nigeria, public health financing, financing health and financing policies. Further publications were identified from references cited in relevant articles and reports. We reviewed only papers published in English. No date restrictions were placed on searches. It notes that health care in Nigeria is financed through different sources including but not limited to tax revenue, out-of-pocket payments (OOPs), donor funding, and health insurance (social and community). In the face of achieving UHC, achieving successful health care financing system continues to be a challenge in Nigeria and concludes that to achieve universal coverage using health financing as the strategy, there is a dire need to review the system of financing health and ensure that resources are used more efficiently while at the same time removing financial barriers to access by shifting focus from OOPs to other hidden resources. There is also need to give presidential assent to the national health bill and its prompt implementation when signed into law.

  10. Commonsense Investments in a Shared Future: Business Support of Public Schools. The New School Finance Research Agenda: Resource Utilization and School Districts. Finance Collaborative Working Paper #6.

    ERIC Educational Resources Information Center

    Lewis, Mary Ellen James

    A decade ago, the business community began to pursue tentative, new relationships with schools; the focus was on long-term educational improvement, frequently targeted to core academic subjects. Now partnerships are everywhere, involving thousands of schools and hundreds of thousands of local people. This essay discusses the resources brought to…

  11. Health financing and integration of urban and rural residents' basic medical insurance systems in China.

    PubMed

    Zhu, Kun; Zhang, Luying; Yuan, Shasha; Zhang, Xiaojuan; Zhang, Zhiruo

    2017-11-07

    China is in the process of integrating the new cooperative medical scheme (NCMS) and the urban residents' basic medical insurance system (URBMI) into the urban and rural residents' basic medical insurance system (URRBMI). However, how to integrate the financing policies of NCMS and URBMI has not been described in detail. This paper attempts to illustrate the differences between the financing mechanisms of NCMS and URBMI, to analyze financing inequity between urban and rural residents and to identify financing mechanisms for integrating urban and rural residents' medical insurance systems. Financing data for NCMS and URBMI (from 2008 to 2015) was collected from the China health statistics yearbook, the China health and family planning statistics yearbook, the National Handbook of NCMS Information, the China human resources and social security statistics yearbook, and the China social security yearbook. "Ability to pay" was introduced to measure inequity in health financing. Individual contributions to NCMS and URBMI as a function of per capita disposable income was used to analyze equity in health financing between rural and urban residents. URBMI had a financing mechanism that was similar to that used by NCMS in that public finance accounted for more than three quarters of the pooling funds. The scale of financing for NCMS was less than 5% of the per capita net income of rural residents and less than 2% of the per capita disposable income of urban residents for URBMI. Individual contributions to the NCMS and URBMI funds were less than 1% of their disposable and net incomes. Inequity in health financing between urban and rural residents in China was not improved as expected with the introduction of NCMS and URBMI. The role of the central government and local governments in financing NCMS and URBMI was oscillating in the past decade. The scale of financing for URRBMI is insufficient for the increasing demands for medical services from the insured. The pooling fund should be increased so that it can better adjust to China's rapidly aging population and epidemiological transitions as well as protect the insured from poverty due to illness. Individual contributions to the URBMI and NCMS funds were small in terms of contributors' incomes. The role of the central government and local governments in financing URRBMI was not clearly identified. Individual contributions to the URRBMI fund should be increased to ensure the sustainable development of URRBMI. Compulsory enrollment should be required so that URRBMI improves the social medical insurance system in China.

  12. Solar Resources for Universities | State, Local, and Tribal Governments |

    Science.gov Websites

    Federal Tax Incentives for Battery Storage Systems Non-Power Purchase Agreement (PPA) Options to Financing Financing for Solar Deployment on University Campuses Non-Power Purchase Agreement (PPA) Options to

  13. Using the Community Reinvestment Act To Help Finance Initiatives for Children, Families and Communities. Financing Strategy Brief.

    ERIC Educational Resources Information Center

    Gruenstein, Debbie

    The Community Reinvestment Act (CRA) is designed to encourage banks and thrifts to meet the financial credit and service needs of low- and moderate-income neighborhoods, requiring that lenders use their private-sector resources to meet the financing needs of all communities in which lenders conduct business. This brief outlines several types of…

  14. Financing indicators for health care decentralization in Latin America: information and suggestions for health planning.

    PubMed

    Arredondo, A; Parada, I

    2001-01-01

    This article presents the results from an evaluative longitudinal study with before-after design. The main objective was to determine the effects of health care decentralization on changes in health financing. Taking into account feasibility, political and technical criteria, three Latin American countries were selected as study populations: Mexico, Nicaragua and Peru. The methodology had two main phases. In the first phase, the study referred to secondary sources of data and documents to obtain information about the following variables: type of decentralization implemented, source of finance, funds of financing, providers, final use of resources and mechanisms for resource allocation. In the second phase, the study referred to primary data collected in a survey of key personnel from the health sectors of each country. Taking into account the changes implemented in the three countries, as well as the strengths and weaknesses of each country in financing and decentralization, a rule for decision-making is proposed that attempts to identify the main financial changes implemented in each country and the basic indicators that can be used in future years to direct the planning, assessment, adjustment and correction of health financing and decentralization.

  15. Capacity assessment of selected health care facilities for the pilot implementation of Package for Essential Non-communicable Diseases (PEN) intervention in Ghana.

    PubMed

    Nyarko, Kofi Mensah; Ameme, Donne Kofi; Ocansey, Dennis; Commeh, Efua; Markwei, Mehitabel Tori; Ohene, Sally-Ann

    2016-01-01

    Non-communicable diseases (NCDs) continue to pose threats to human health and development worldwide. Though preventable, NCDs kill more people annually than all other diseases combined. The four major NCDs namely cardiovascular diseases, chronic respiratory diseases, diabetes and cancers share common modifiable risk factors. In order to prevent and control NCDs, Ghana has adopted the World Health Organisation Package for Essential NCD (WHO-PEN) intervention, to be piloted in selected districts before a nationwide scale-up. We assessed the capacity of these facilities for the implementation of the WHO-PEN pilot. We conducted a cross-sectional health facility-based survey using a multistage sampling technique. We collected data on human resource, equipment, service utilization, medicines availability and health financing through interviews and observation. Descriptive data analysis was performed and expressed in frequencies and relative frequencies. In all, 23 health facilities comprising two regional hospitals, three district hospitals, nine health centres and nine Community-based Health Planning and Services (CHPS) compounds from three regions were surveyed. All the hospitals had medical officers whilst 4 (44.4%) of the health centres had physician assistants. Health financing is mainly by the National Health Insurance Scheme (NHIS). None of the health facilities had spacers and only one health centre had oxygen cylinder, glucometer and nebulizer. Gaps exist in the human resource capacity and service delivery at the primary care levels, the focus of WHO-PEN intervention. Adequately equipping the primary health care level with trained health workers, basic equipment, medications and diagnostics will optimize the performance of WHO-PEN intervention when implemented.

  16. Capacity assessment of selected health care facilities for the pilot implementation of Package for Essential Non-communicable Diseases (PEN) intervention in Ghana

    PubMed Central

    Nyarko, Kofi Mensah; Ameme, Donne Kofi; Ocansey, Dennis; Commeh, Efua; Markwei, Mehitabel Tori; Ohene, Sally-Ann

    2016-01-01

    Introduction Non-communicable diseases (NCDs) continue to pose threats to human health and development worldwide. Though preventable, NCDs kill more people annually than all other diseases combined. The four major NCDs namely cardiovascular diseases, chronic respiratory diseases, diabetes and cancers share common modifiable risk factors. In order to prevent and control NCDs, Ghana has adopted the World Health Organisation Package for Essential NCD (WHO-PEN) intervention, to be piloted in selected districts before a nationwide scale-up. We assessed the capacity of these facilities for the implementation of the WHO-PEN pilot. Methods We conducted a cross-sectional health facility-based survey using a multistage sampling technique. We collected data on human resource, equipment, service utilization, medicines availability and health financing through interviews and observation. Descriptive data analysis was performed and expressed in frequencies and relative frequencies. Results In all, 23 health facilities comprising two regional hospitals, three district hospitals, nine health centres and nine Community-based Health Planning and Services (CHPS) compounds from three regions were surveyed. All the hospitals had medical officers whilst 4 (44.4%) of the health centres had physician assistants. Health financing is mainly by the National Health Insurance Scheme (NHIS). None of the health facilities had spacers and only one health centre had oxygen cylinder, glucometer and nebulizer. Conclusion Gaps exist in the human resource capacity and service delivery at the primary care levels, the focus of WHO-PEN intervention. Adequately equipping the primary health care level with trained health workers, basic equipment, medications and diagnostics will optimize the performance of WHO-PEN intervention when implemented. PMID:28149441

  17. [The health system of Colombia].

    PubMed

    Guerrero, Ramiro; Gallego, Ana Isabel; Becerril-Montekio, Victor; Vásquez, Johanna

    2011-01-01

    This document briefly describes the health conditions of the Colombian population and, in more detail, the characteristics of the Colombian health system. The description of the system includes its structure and coverage; financing sources; expenditure in health; physical material and human resources available; monitoring and evaluation procedures; and mechanisms through which the population participates in the evaluation of the system. Salient among the most recent innovations implemented in the Colombian health system are the modification of the Compulsory Health Plan and the capitation payment unit, the vertical integration of the health promotion enterprises and the institutions in charge of the provision of services and the mobilization of additional resources to meet the objectives of universal coverage and the homologation of health benefits among health regimes.

  18. Al Qaeda in Iraq: Demobilizing the Threat

    DTIC Science & Technology

    2005-12-01

    sources of manpower, finances , and material resources as well as an informational forum for disseminating the group’s message.9 Preexisting...education within their own country and finance the educational export of their form of Islam throughout the region as visible evidence of their...activists, finances , and military equipment. In a parallel effort, other Muslim states also exported their militant activists to Afghanistan to do their

  19. Financing the HIV response in sub-Saharan Africa from domestic sources: Moving beyond a normative approach.

    PubMed

    Remme, Michelle; Siapka, Mariana; Sterck, Olivier; Ncube, Mthuli; Watts, Charlotte; Vassall, Anna

    2016-11-01

    Despite optimism about the end of AIDS, the HIV response requires sustained financing into the future. Given flat-lining international aid, countries' willingness and ability to shoulder this responsibility will be central to access to HIV care. This paper examines the potential to expand public HIV financing, and the extent to which governments have been utilising these options. We develop and compare a normative and empirical approach. First, with data from the 14 most HIV-affected countries in sub-Saharan Africa, we estimate the potential increase in public HIV financing from economic growth, increased general revenue generation, greater health and HIV prioritisation, as well as from more unconventional and innovative sources, including borrowing, health-earmarked resources, efficiency gains, and complementary non-HIV investments. We then adopt a novel empirical approach to explore which options are most likely to translate into tangible public financing, based on cross-sectional econometric analyses of 92 low and middle-income country governments' most recent HIV expenditure between 2008 and 2012. If all fiscal sources were simultaneously leveraged in the next five years, public HIV spending in these 14 countries could increase from US$3.04 to US$10.84 billion per year. This could cover resource requirements in South Africa, Botswana, Namibia, Kenya, Nigeria, Ethiopia, and Swaziland, but not even half the requirements in the remaining countries. Our empirical results suggest that, in reality, even less fiscal space could be created (a reduction by over half) and only from more conventional sources. International financing may also crowd in public financing. Most HIV-affected lower-income countries in sub-Saharan Africa will not be able to generate sufficient public resources for HIV in the medium-term, even if they take very bold measures. Considerable international financing will be required for years to come. HIV funders will need to engage with broader health and development financing to improve government revenue-raising and efficiencies. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  20. Daily Living Resources

    MedlinePlus

    ... PPMD. Click here to review PPMD’s policy on corporate support . Daily Living Resources PPMD Resource Fair Participants ... About PPMD ❯ Mission & Impact Staff & Board News History Finance & Operations Partners Media Contact us Get Involved ❯ Donate ...

  1. Universal Health Coverage for India by 2022: A Utopia or Reality?

    PubMed Central

    Singh, Zile

    2013-01-01

    It is the obligation of the state to provide free and universal access to quality health-care services to its citizens. India continues to be among the countries of the world that have a high burden of diseases. The various health program and policies in the past have not been able to achieve the desired goals and objectives. 65th World Health Assembly in Geneva identified universal health coverage (UHC) as the key imperative for all countries to consolidate the public health advances. Accordingly, Planning Commission of India constituted a high level expert group (HLEG) on UHC in October 2010. HLEG submitted its report in Nov 2011 to Planning Commission on UHC for India by 2022. The recommendations for the provision of UHC pertain to the critical areas such as health financing, health infrastructure, health services norms, skilled human resources, access to medicines and vaccines, management and institutional reforms, and community participation. India faces enormous challenges to achieve UHC by 2022 such as high disease prevalence, issues of gender equality, unregulated and fragmented health-care delivery system, non-availability of adequate skilled human resource, vast social determinants of health, inadequate finances, lack of inter-sectoral co-ordination and various political pull and push of different forces, and interests. These challenges can be met by a paradigm shift in health policies and programs in favor of vulnerable population groups, restructuring of public health cadres, reorientation of undergraduate medical education, more emphasis on public health research, and extensive education campaigns. There are still areas of concern in fulfilling the objectives of achieving UHC by 2022 regarding financing model for health-care delivery, entitlement package, cost of health-care interventions and declining state budgets. However, the Government's commitment to provide adequate finances, recent bold social policy initiatives and enactments such as food security bill, enhanced participation by civil society in all health matters, major initiative by some states such as Tamil Nadu to improve health, water, and sanitation services are good enough reasons for hope that UHC can be achieved by 2022. However, in the absence of sustained financial support, strong political will and leadership, dedicated involvement of all stakeholders and community participation, attainment of UHC by 2022 will remain a Utopia. PMID:23878417

  2. Universal health coverage for India by 2022: a utopia or reality?

    PubMed

    Singh, Zile

    2013-04-01

    It is the obligation of the state to provide free and universal access to quality health-care services to its citizens. India continues to be among the countries of the world that have a high burden of diseases. The various health program and policies in the past have not been able to achieve the desired goals and objectives. 65(th) World Health Assembly in Geneva identified universal health coverage (UHC) as the key imperative for all countries to consolidate the public health advances. Accordingly, Planning Commission of India constituted a high level expert group (HLEG) on UHC in October 2010. HLEG submitted its report in Nov 2011 to Planning Commission on UHC for India by 2022. The recommendations for the provision of UHC pertain to the critical areas such as health financing, health infrastructure, health services norms, skilled human resources, access to medicines and vaccines, management and institutional reforms, and community participation. India faces enormous challenges to achieve UHC by 2022 such as high disease prevalence, issues of gender equality, unregulated and fragmented health-care delivery system, non-availability of adequate skilled human resource, vast social determinants of health, inadequate finances, lack of inter-sectoral co-ordination and various political pull and push of different forces, and interests. These challenges can be met by a paradigm shift in health policies and programs in favor of vulnerable population groups, restructuring of public health cadres, reorientation of undergraduate medical education, more emphasis on public health research, and extensive education campaigns. There are still areas of concern in fulfilling the objectives of achieving UHC by 2022 regarding financing model for health-care delivery, entitlement package, cost of health-care interventions and declining state budgets. However, the Government's commitment to provide adequate finances, recent bold social policy initiatives and enactments such as food security bill, enhanced participation by civil society in all health matters, major initiative by some states such as Tamil Nadu to improve health, water, and sanitation services are good enough reasons for hope that UHC can be achieved by 2022. However, in the absence of sustained financial support, strong political will and leadership, dedicated involvement of all stakeholders and community participation, attainment of UHC by 2022 will remain a Utopia.

  3. Work and Welfare. Prepared for the Subcommittee on Employment and Productivity of the Committee on Labor and Human Resources and the Subcommittee on Social Security and Income Maintenance of the Committee on Finance, United States Senate, 99th Congress, 2nd Session.

    ERIC Educational Resources Information Center

    Malone, Margaret

    This report chronicles the history of the Federal role in welfare programs and training and employment programs since the New Deal. Part I presents a chronological summary of legislative action since 1935 and briefly discusses some major issues the Congress has tried to resolve, including: whether Aid to Families with Dependent Children (AFDC)…

  4. Finance leadership imperatives in clinical redesign.

    PubMed

    Harris, John; Holm, Craig E; Inniger, Meredith C

    2015-03-01

    As physicians embrace their roles in managing healthcare costs and quality, finance leaders should seize the opportunity to engage physicians in clinical care redesign to ensure both high-quality performance and efficient resource use. Finance leaders should strike a balance between risk and reward to achieve a portfolio of clinical initiatives that is organizationally sustainable and responsive to current external drivers of payment changes. Because these initiatives should be driven by physicians, the new skill set of finance leaders should include an emphasis on relationship building to achieve consensus and drive change across an organization.

  5. Innovations in Wind and Solar PV Financing

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Cory, K.; Coughlin, J.; Jenkin, T.

    2008-02-01

    There is growing national interest in renewable energy development based on the economic, environmental, and security benefits that these resources provide. Historically, greater development of our domestic renewable energy resources has faced a number of hurdles, primarily related to cost, regulation, and financing. With the recent sustained increase in the costs and associated volatility of fossil fuels, the economics of renewable energy technologies have become increasingly attractive to investors, both large and small. As a result, new entrants are investing in renewable energy and new business models are emerging. This study surveys some of the current issues related to windmore » and solar photovoltaic (PV) energy project financing in the electric power industry, and identifies both barriers to and opportunities for increased investment.« less

  6. How College Students Finance Their Education: A National Survey of the Educational Interests, Aspirations, and Finances of College Sophomores in 1969-70.

    ERIC Educational Resources Information Center

    Haven, Elizabeth W.; Horch, Dwight H.

    The main purpose of this study was to examine how students and their families finance a year of postsecondary education. Included is a detailed accounting for the 1969-70 academic year of the resources and expenditures of unmarried full-time students, most of whom were college sophomores. Major emphasis was placed in the instutitional practice of…

  7. Energy Efficiency Financing for Low- and Moderate-Income Households: Current State of the Market, Issues, and Opportunities

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Leventis, Greg; Kramer, Chris; Schwartz, Lisa

    Ensuring that low- and moderate-income (LMI) households have access to energy efficiency is equitable, provides energy savings as a resource to meet energy needs, and can support multiple policy goals, such as affordable energy, job creation, and improved public health. Although the need is great, many LMI households may not be able to afford efficiency improvements or may be inhibited from adopting efficiency for other reasons. Decision-makers across the country are currently exploring the challenges and potential solutions to ramping up adoption of efficiency in LMI households, including the use of financing. The report’s objective is to offer state andmore » local policymakers, state utility regulators, program administrators, financial institutions, consumer advocates and other LMI stakeholders with an understanding of: -The relationship between LMI communities and financing for energy efficiency, including important considerations for its use such as consumer protections -The larger programmatic context of grant-based assistance and other related resources supporting LMI household energy efficiency -Lessons learned from existing energy efficiency financing programs serving LMI households -Financing products used by these programs and their relative advantages and disadvantages in addressing barriers to financing or to energy efficiency uptake for LMI households« less

  8. A fuzzy logic approach toward solving the analytic enigma of health system financing.

    PubMed

    Chernichovsky, Dov; Bolotin, Arkady; de Leeuw, David

    2003-09-01

    Improved health, equity, macroeconomic efficiency, efficient provision of care, and client satisfaction are the common goals of any health system. The relative significance of these goals varies, however, across nations, communities and with time. As for health care finance, the attainment of these goals under varying circumstances involves alternative policy options for each of the following elements: sources of finance, allocation of finance, payment to providers, and public-private mix. The intricate set of multiple goals, elements and policy options defies human reasoning, and, hence, hinders effective policymaking. Indeed, "health system finance" is not amenable to a clear set of structural relationships. Neither is there a universe that can be subject to statistical scrutiny: each health system is unique. "Fuzzy logic" models human reasoning by managing "expert knowledge" close to the way it is handled by human language. It is used here for guiding policy making by a systematic analysis of health system finance. Assuming equal welfare weights for alternative goals and mutually exclusive policy options under each health-financing element, the exploratory model we present here suggests that a German-type health system is best. Other solutions depend on the welfare weights for system goals and mixes of policy options.

  9. Evaluation of health resource utilization efficiency in community health centers of Jiangsu Province, China.

    PubMed

    Xu, Xinglong; Zhou, Lulin; Antwi, Henry Asante; Chen, Xi

    2018-02-20

    While the demand for health services keep escalating at the grass roots or rural areas of China, a substantial portion of healthcare resources remain stagnant in the more developed cities and this has entrenched health inequity in many parts of China. At its conception, China's Deepen Medical Reform started in 2012 was intended to flush out possible disparities and promote a more equitable and efficient distribution of healthcare resources. Nearly half a decade of this reform, there are uncertainties as to whether the attainment of the objectives of the reform is in sight. Using a hybrid of panel data analysis and an augmented data envelopment analysis (DEA), we model human resources, material, finance to determine their technical and scale efficiency to comprehensively evaluate the transverse and longitudinal allocation efficiency of community health resources in Jiangsu Province. We observed that the Deepen Medical Reform in China has led to an increase concern to ensure efficient allocation of community health resources by health policy makers in the province. This has led to greater efficiency in health resource allocation in Jiangsu in general but serious regional or municipal disparities still exist. Using the DEA model, we note that the output from the Community Health Centers does not commensurate with the substantial resources (human resources, materials, and financial) invested in them. We further observe that the case is worst in less-developed Northern parts of Jiangsu Province. The government of Jiangsu Province could improve the efficiency of health resource allocation by improving the community health service system, rationalizing the allocation of health personnel, optimizing the allocation of material resources, and enhancing the level of health of financial resource allocation.

  10. Production roll out plan for HANDI 2000 business management system

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Adams, D.E.

    The Hanford Data Integration 2000 (HANDI 2000) Project will result in an integrated and comprehensive set of functional applications containing core information necessary to support the Project Hanford Management Contract (PHMC). It is based on the Commercial-Off-The-Shelf (COTS) product solution with commercially proven business processes. The COTS product solution set, of Passport (PP) and PeopleSoft (PS) software, supports finance, supply, human resources, and payroll activities under the current PHMC direction. The PP software is an integrated application for Accounts Payable, Contract Management, Inventory Management, Purchasing and Material Safety Data Sheets (MSDS). The PS software is an integrated application for Projects,more » General Ledger, Human Resources Training, Payroll, and Base Benefits. This set of software constitutes the Business Management System (BMS) and MSDS, a subset of the HANDI 2000 suite of systems. The primary objective of the Production Roll Out Plan is to communicate the methods and schedules for implementation and roll out to end users of BMS.« less

  11. [Plansalud: Decentralized and agreed sector plan for the capacity development in health, Peru 2010-2014].

    PubMed

    Huamán-Angulo, Lizardo; Liendo-Lucano, Lindaura; Nuñez-Vergara, Manuel

    2011-06-01

    Human resources are the backbone of health sector actions; however, they are not necessarily the area with the greatest attention, therefore, the Ministry of Health of Peru (MINSA) together with regional governments, led the Decentralized and Agreed Sector Plan for the Capacity Development in Health 2010-2014 (PLANSALUD) with the aim of strengthening the capacities of Human Resources for Health (HRH) and contribute to health care efficient development, quality, relevance, equity and multiculturalism, in the context of descentralization, the Universal Health Insurance (AUS) and health policies. To achieve this goal, they have proposed three components (technical assistance, joint training and education - health articulation) that bring together an important set of interventions, which are planned and defined according to the national, regional and local levels, thus contributing to improve the government capacity, capability management and delivery of health services. This paper presents a first approach of PLANSALUD, including aspects related to planning, management, financing, structure and functioning, as well as monitoring and evaluation measures.

  12. The effects of Constitutional Amendment 29 on the regional allocation of public funds for the National Health Service in Brazil.

    PubMed

    Piola, Sérgio Francisco; de França, José Rivaldo Mello; Nunes, André

    2016-02-01

    This article analyzes the effects of Constitutional Amendment 29 in financing the Brazilian National Health Service, SUS, between 2000 and 2010. The aim was to analyze how the resources that were allocated by the three spheres of government were used on a general basis and in specific regions. Analysis was also conducted on the possible repercussions of the Amendment in the allocation of finances for SUS. The results showed: an important increase in the designated resources that were used by the three spheres of government during the aforementioned period. There was an increase in real terms of 112% in consolidated spending and an 89% increase in spending per capita by the three spheres. There was also more participation from the States, the Federal District and the Municipalities in financing the system. However, in spite of the increase in the use of financial resources, regional inequalities, in relation to spending per capita, remained practically unchanged.

  13. Russian Ural and Siberian Media Education Centers

    ERIC Educational Resources Information Center

    Fedorov, Alexander

    2014-01-01

    The comparative analysis of the models and functions of the media education centres showed that despite having some definite differences and peculiarities, they have the following common features: differentiated financing resources (public financing, grants, business organizations, etc.) and regional media information support; presence of famous…

  14. 76 FR 27035 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-10

    ... Power Resources Management, LLC, GDF SUEZ Energy Marketing NA, Inc., Hopewell Cogeneration Limited... & Company, Power Receivable Finance, LLC. Description: Land Acquisition Report of J. Aron & Company and Power Receivable Finance, LLC under LA11-1. Filed Date: 05/02/2011. Accession Number: 20110502-5534...

  15. Aspects of Financing Non-Formal Education.

    ERIC Educational Resources Information Center

    Morales, Francisco X. Swett

    1983-01-01

    Various financing structures for nonformal education are presented, using examples from Colombia, Brazil, Costa Rica, and Ecuador. Many resources of the formal education system can be used in the planning, coordination, and execution of nonformal education. The importance of community involvement and financial backing is stressed. (JA)

  16. Financing Educational Imperatives. A Report.

    ERIC Educational Resources Information Center

    Canadian Teachers' Federation, Ottawa (Ontario).

    This document reports the proceedings of a conference held to discuss the availability of educational resources and the financing of education in Canada. The conference focused specifically on the financial implications of redesigning educational institutions to be capable of flexible response to students' needs, making educational benefits more…

  17. Human Exploration and Development in the Solar System

    NASA Astrophysics Data System (ADS)

    Mendell, Wendell

    2017-05-01

    Emergence of ballistic missile technology after the Second World War enabled human flight into Earth's orbit, fueling the imagination of those fascinated with science, technology, exploration, and adventure. The performance of astronauts in the early flights assuaged concerns about the functioning of "the human system" in the absence of normal gravity. However, researchers in space medicine have observed degradation of crews after longer exposure to the space environment and have developed countermeasures for most of them, although significant challenges remain. With the dawn of the 21st century, well-financed and technically competent commercial entities began to provide more affordable alternatives to historically expensive and risk-averse government-funded programs. Space's growing accessibility has encouraged entrepreneurs to pursue plans for potentially autarkic communities beyond Earth, exploiting natural resources on other worlds. Should such dreams prove to be technically and economically feasible, a new era will open for humanity with concomitant societal issues of a revolutionary nature.

  18. Accelerated reforms in healthcare financing: the need to scale up private sector participation in Nigeria.

    PubMed

    Ejughemre, Ufuoma John

    2014-01-01

    The health sector, a foremost service sector in Nigeria, faces a number of challenges; primarily, the persistent under-funding of the health sector by the Nigerian government as evidence reveals low allocations to the health sector and poor health system performance which are reflected in key health indices of the country.Notwithstanding, there is evidence that the private sector could be a key player in delivering health services and impacting health outcomes, including those related to healthcare financing. This underscores the need to optimize the role of private sector in complementing the government's commitment to financing healthcare delivery and strengthening the health system in Nigeria. There are also concerns about uneven quality and affordability of private-driven health systems, which necessitates reforms aimed at regulation. Accordingly, the argument is that the benefits of leveraging the private sector in complementing the national government in healthcare financing outweigh the challenges, particularly in light of lean public resources and finite donor supports. This article, therefore, highlights the potential for the Nigerian government to scale up healthcare financing by leveraging private resources, innovations and expertise, while working to achieve the universal health coverage.

  19. 12 CFR 1278.5 - Approval by Director.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Banks and Banking FEDERAL HOUSING FINANCE AGENCY FEDERAL HOME LOAN BANKS VOLUNTARY MERGERS OF FEDERAL... and managerial resources of the Constituent Banks, the future prospects of the Continuing Bank, and... as to each other Bank and the Office of Finance. If the Director denies the merger application, FHFA...

  20. 12 CFR 1278.5 - Approval by Director.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Banks and Banking FEDERAL HOUSING FINANCE AGENCY FEDERAL HOME LOAN BANKS VOLUNTARY MERGERS OF FEDERAL... and managerial resources of the Constituent Banks, the future prospects of the Continuing Bank, and... as to each other Bank and the Office of Finance. If the Director denies the merger application, FHFA...

  1. Cost Framework for Teacher Preparation and Professional Development.

    ERIC Educational Resources Information Center

    Rice, Jennifer King

    In 2000, the Finance Project received a planning grant to launch a new initiative on financing professional development in education. This report contributes to the understanding of resources required to successfully implement, replicate, or scale up professional development initiatives. The first section examines what preservice and inservice…

  2. Personal Finance Resource Guide.

    ERIC Educational Resources Information Center

    Oregon State Dept. of Education, Salem.

    This personal finance guide assists teachers and curriculum committees in the selection of appropriate materials. The listings follow a common format: title; a brief description of the materials; the areas covered; the cost of materials; and information on how to obtain them. Materials cover the following areas: financial planning; purchase of…

  3. Berkeley Lab - Materials Sciences Division

    Science.gov Websites

    Emergency Diversity and Inclusion Committee Members Lab Contacts Resources & Operations Acknowledging ; Finance Templates Travel One-Stop Personnel Resources Committees In Case of Emergency Looking for MSD0010

  4. Finances and well-being: a dynamic equilibrium model of resources.

    PubMed

    Gorgievski-Duijvesteijn, Marjan J; Bakker, Arnold B; Schaufeli, Wilmar B; van der Heijden, Peter G M

    2005-07-01

    This study of 513 Dutch farmers tested a dynamic equilibrium model of resources (an extension of the conservation of resources theory; S. E. Hobfoll, 1989, 1998, 2001). With structural equation modeling, the advantages of a 3-wave longitudinal design were comprehensively used, such as addressing bidirectional causal effects and within-individual vs. between-individual change. This allowed for a careful analysis of the management function of resources in the stress process. Results showed that well-being had stronger within-person stability than finances. Increased levels of financial problems temporarily increased psychological distress but not self-reported illness. Conversely, farmers with higher stable baselines of psychological distress also had higher baselines of self-reported illness and experienced more negative changes in their financial situation. Copyright (c) 2005 APA, all rights reserved.

  5. 31 CFR 560.209 - Prohibited transactions with respect to the development of Iranian petroleum resources.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... development of petroleum resources located in Iran, or (2) A guaranty of another person's performance under... person, of (1) A contract for the financing of the development of petroleum resources located in Iran, or...

  6. 31 CFR 560.209 - Prohibited transactions with respect to the development of Iranian petroleum resources.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... development of petroleum resources located in Iran, or (2) A guaranty of another person's performance under... person, of (1) A contract for the financing of the development of petroleum resources located in Iran, or...

  7. 31 CFR 560.209 - Prohibited transactions with respect to the development of Iranian petroleum resources.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... development of petroleum resources located in Iran, or (2) A guaranty of another person's performance under... person, of (1) A contract for the financing of the development of petroleum resources located in Iran, or...

  8. Risk-Return Relationship in a Complex Adaptive System

    PubMed Central

    Song, Kunyu; An, Kenan; Yang, Guang; Huang, Jiping

    2012-01-01

    For survival and development, autonomous agents in complex adaptive systems involving the human society must compete against or collaborate with others for sharing limited resources or wealth, by using different methods. One method is to invest, in order to obtain payoffs with risk. It is a common belief that investments with a positive risk-return relationship (namely, high risk high return and vice versa) are dominant over those with a negative risk-return relationship (i.e., high risk low return and vice versa) in the human society; the belief has a notable impact on daily investing activities of investors. Here we investigate the risk-return relationship in a model complex adaptive system, in order to study the effect of both market efficiency and closeness that exist in the human society and play an important role in helping to establish traditional finance/economics theories. We conduct a series of computer-aided human experiments, and also perform agent-based simulations and theoretical analysis to confirm the experimental observations and reveal the underlying mechanism. We report that investments with a negative risk-return relationship have dominance over those with a positive risk-return relationship instead in such a complex adaptive systems. We formulate the dynamical process for the system's evolution, which helps to discover the different role of identical and heterogeneous preferences. This work might be valuable not only to complexity science, but also to finance and economics, to management and social science, and to physics. PMID:22479416

  9. Risk-return relationship in a complex adaptive system.

    PubMed

    Song, Kunyu; An, Kenan; Yang, Guang; Huang, Jiping

    2012-01-01

    For survival and development, autonomous agents in complex adaptive systems involving the human society must compete against or collaborate with others for sharing limited resources or wealth, by using different methods. One method is to invest, in order to obtain payoffs with risk. It is a common belief that investments with a positive risk-return relationship (namely, high risk high return and vice versa) are dominant over those with a negative risk-return relationship (i.e., high risk low return and vice versa) in the human society; the belief has a notable impact on daily investing activities of investors. Here we investigate the risk-return relationship in a model complex adaptive system, in order to study the effect of both market efficiency and closeness that exist in the human society and play an important role in helping to establish traditional finance/economics theories. We conduct a series of computer-aided human experiments, and also perform agent-based simulations and theoretical analysis to confirm the experimental observations and reveal the underlying mechanism. We report that investments with a negative risk-return relationship have dominance over those with a positive risk-return relationship instead in such a complex adaptive systems. We formulate the dynamical process for the system's evolution, which helps to discover the different role of identical and heterogeneous preferences. This work might be valuable not only to complexity science, but also to finance and economics, to management and social science, and to physics.

  10. Educational Need in the Public Economy.

    ERIC Educational Resources Information Center

    Alexander, Kern, Ed.; Jordan, K. Forbis, Ed.

    Designed as a basic resource document for public policy makers and school finance program planners, this final publication of the National Educational Finance Project presents a variety of data and arguments to support the concept of increased public investment in elementary and secondary schools. Within the different chapters, various authors…

  11. 7 CFR 1783.14 - What are the eligibility criteria for RFP loan recipients?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...) RURAL UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE (CONTINUED) REVOLVING FUNDS FOR FINANCING WATER AND WASTEWATER PROJECTS (REVOLVING FUND PROGRAM) Revolving Fund Program Loans § 1783.14 What are the eligibility.... (b) The loan recipient must be unable to finance the proposed project from their own resources or...

  12. [The actual issues of health financing in foreign countries].

    PubMed

    Efremov, D V; Zhiliaeva, E P

    2011-01-01

    The article discusses the actions recommended by WHO and applied in foreign countries to overcome the issues concerning public health financing. The emphasis is made upon enhancing the effectiveness of implementation of available resources and struggle with corruption and fraud. The corresponding measures applied in the Russian Federation are listed.

  13. School Finance Adequacy: What Is It and How Do We Measure It?

    ERIC Educational Resources Information Center

    Picus, Lawrence O.

    2001-01-01

    Discusses legal definition of school-finance "adequacy" and four methods for determining the cost of an adequate system: Cost function, observational methods, professional judgment, and costs of a comprehensive school design. Draws implications for school districts' resource-allocation decisions based on adequacy. (Contains 21 references.) (PKP)

  14. Fiscal Federalism and Local Government Finance in Nigeria

    ERIC Educational Resources Information Center

    Alo, Ejikeme Nonso

    2012-01-01

    Fiscal federalism deals with the sharing of resources in a federated nation. Over the years problems about local government finance have become an important aspect of intergovernmental relations. Constitutionally, local government is the third tier of government which exists as an independent entity, possessing some degree of autonomy and…

  15. China's role as a global health donor in Africa: what can we learn from studying under reported resource flows?

    PubMed

    Grépin, Karen A; Fan, Victoria Y; Shen, Gordon C; Chen, Lucy

    2014-12-30

    There is a growing recognition of China's role as a global health donor, in particular in Africa, but there have been few systematic studies of the level, destination, trends, or composition of these development finance flows or a comparison of China's engagement as a donor with that of more traditional global health donors. Using newly released data from AidData on China's development finance activities in Africa, developed to track under reported resource flows, we identified 255 health, population, water, and sanitation (HPWS) projects from 2000-2012, which we descriptively analyze by activity sector, recipient country, project type, and planned activity. We compare China's activities to projects from traditional donors using data from the OECD's Development Assistance Committee (DAC) Creditor Reporting System. Since 2000, China increased the number of HPWS projects it supported in Africa and health has increased as a development priority for China. China's contributions are large, ranking it among the top 10 bilateral global health donors to Africa. Over 50% of the HPWS projects target infrastructure, 40% target human resource development, and the provision of equipment and drugs is also common. Malaria is an important disease priority but HIV is not. We find little evidence that China targets health aid preferentially to natural resource rich countries. China is an important global health donor to Africa but contrasts with traditional DAC donors through China's focus on health system inputs and on malaria. Although better data are needed, particularly through more transparent aid data reporting across ministries and agencies, China's approach to South-South cooperation represents an important and distinct source of financial assistance for health in Africa.

  16. [Trends in hospital care].

    PubMed

    Vecina Neto, Gonzalo; Malik, Ana Maria

    2007-01-01

    This paper analyses trends in the delivery of hospital services in Brazil, considering the setting, the current situation and its challenges, examining what still remains to be done. The variables studied for the analysis of the setting are: demography, epidemiological profile, human resources, technology, medicalization, costs, review of the role of the citizen, legislation, equity, hospital-centricity and regionalization, care fractioning and bed availability. The Brazilian setting was studied through the supplementary healthcare model, financing and the healthcare area production chain. The observations of the current situation present external evaluation models, outsourcing, public-private relationships, de-hospitalization and financing. The analysis of the challenges examines the need for long range planning, the quest for new legal models for the 'business', the use of information and information systems, cost controls and the need for enhanced efficiency and compliance with legal directives, guaranteed universal access to full healthcare facilities, the inclusion of primary prevention in healthcare procedures, integrating the public and private sectors and engaging physicians in solving problems.

  17. Accruals for HANDI 2000 business management system

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Wilson, D.

    The Data Integration 2000 Project will result in an integrated and comprehensive set of functional applications containing core information necessary to support the Project Hanford Management Contract. It is based on the Commercial-Off-The-Shelf product solution with commercially proven business processes. The COTS product solution set, of PassPort and People Soft software, supports finance, supply and chemical management/Material Safety Data Sheet, human resources. Accruals are made at the project level. At the inception of each project, Project Management and the Accounts Payable Group make a mutual decision on whether periodic accrual entries should be made for it.

  18. A geropsychiatric unit without walls.

    PubMed

    Nadler-Moodie, Marlene; Gold, Jerry

    2005-01-01

    The continued population growth of people over the age of 65 correlates with the growth in the number of older people who experience a mental health crisis or frank mental illness. Currently there is a paucity of treatment programs that are specialized for the geropsychiatric patient. Given the limitations of finances and human resources as well as the constraints sometimes imposed by regulatory agencies, interdisciplinary health care workers are challenged to provide optimum care in traditional settings. This article describes how an inpatient psychiatric unit can be modified to replicate some of the best practices of a designated geropsychiatric unit with positive results.

  19. "More money for health - more health for the money": a human resources for health perspective.

    PubMed

    Campbell, James; Jones, Iain; Whyms, Desmond

    2011-07-15

    At the MDG Summit in September 2010, the UN Secretary-General launched the Global Strategy for Women's and Children's Health. Central within the Global Strategy are the ambitions of "more money for health" and "more health for the money". These aim to leverage more resources for health financing whilst simultaneously generating more results from existing resources - core tenets of public expenditure management and governance. This paper considers these ambitions from a human resources for health (HRH) perspective. Using data from the UK Department for International Development (DFID) we set out to quantify and qualify the British government's contributions on HRH in developing countries and to establish a baseline.. To determine whether activities and financing could be included in the categorisation of 'HRH strengthening' we adopted the Agenda for Global Action on HRH and a WHO approach to the 'working lifespan' of health workers as our guiding frameworks. To establish a baseline we reviewed available data on Official Development Assistance (ODA) and country reports, undertook a new survey of HRH programming and sought information from multilateral partners. In financial year 2008/9 DFID spent £901 million on direct 'aid to health'. Due to the nature of the Creditor Reporting System (CRS) of the Organisation for Economic Co-operation and Development (OECD) it is not feasible to directly report on HRH spending. We therefore employed a process of imputed percentages supported by detailed assessment in twelve countries. This followed the model adopted by the G8 to estimate ODA on maternal, newborn and child health. Using the G8's model, and cognisant of its limitations, we concluded that UK 'aid to health' on HRH strengthening is approximately 25%. In quantifying DFID's disbursements on HRH we encountered the constraints of the current CRS framework. This limits standardised measurement of ODA on HRH. This is a governance issue that will benefit from further analysis within more comprehensive programmes of workforce science, surveillance and strategic intelligence. The Commission on Information and Accountability for Women's and Children's Health may present an opportunity to partially address the limitations in reporting on ODA for HRH and present solutions to establish a global baseline.

  20. 31 CFR 537.302 - Economic development of resources located in Burma.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Economic development of resources... REGULATIONS General Definitions § 537.302 Economic development of resources located in Burma. (a) The term economic development of resources located in Burma means activities pursuant to a contract the subject of...

  1. 31 CFR 537.302 - Economic development of resources located in Burma.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Economic development of resources... REGULATIONS General Definitions § 537.302 Economic development of resources located in Burma. (a) The term economic development of resources located in Burma means activities pursuant to a contract the subject of...

  2. 31 CFR 537.302 - Economic development of resources located in Burma.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Economic development of resources... REGULATIONS General Definitions § 537.302 Economic development of resources located in Burma. (a) The term economic development of resources located in Burma means activities pursuant to a contract the subject of...

  3. 31 CFR 537.302 - Economic development of resources located in Burma.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false Economic development of resources... REGULATIONS General Definitions § 537.302 Economic development of resources located in Burma. (a) The term economic development of resources located in Burma means activities pursuant to a contract the subject of...

  4. 31 CFR 537.302 - Economic development of resources located in Burma.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false Economic development of resources... REGULATIONS General Definitions § 537.302 Economic development of resources located in Burma. (a) The term economic development of resources located in Burma means activities pursuant to a contract the subject of...

  5. Comparative analysis of methods and sources of financing of the transport organizations activity

    NASA Astrophysics Data System (ADS)

    Gorshkov, Roman

    2017-10-01

    The article considers the analysis of methods of financing of transport organizations in conditions of limited investment resources. A comparative analysis of these methods is carried out, the classification of investment, methods and sources of financial support for projects being implemented to date are presented. In order to select the optimal sources of financing for the projects, various methods of financial management and financial support for the activities of the transport organization were analyzed, which were considered from the perspective of analysis of advantages and limitations. The result of the study is recommendations on the selection of optimal sources and methods of financing of transport organizations.

  6. Reproductive health financing in Kenya: an analysis of national commitments, donor assistance, and the resources tracking process.

    PubMed

    Sidze, Estelle M; Pradhan, Jalandhar; Beekink, Erik; Maina, Thomas M; Maina, Beatrice W

    2013-11-01

    Understanding the flow of resources at the country level to reproductive health is essential for effective financing of this key component of health. This paper gives a comprehensive picture of the allocation of resources for reproductive health in Kenya and the challenges faced in the resource-tracking process. Data are drawn from Kenyan budget estimates, reproductive health accounts, and the Resource Flows Project database and compare budgets and spending in 2005-06 with 2009-10. Despite policies and programmes in place since 1994, services for family planning, maternity care and infant and child health face serious challenges. As regards health financing, the government spends less than the average in sub-Saharan Africa, while donor assistance and out-of-pocket expenditure for health are high. Donor assistance to Kenya has increased over the years, but the percentage of funds devoted to reproductive health is lower than it was in 2005. We recommend an increase in the budget and spending for reproductive health in order to achieve MDG targets on maternal mortality and universal access to reproductive health in Kenya. Safety nets for the poor are also needed to reduce the burden of spending by households. Lastly, we recommend the generation of more comprehensive reproductive health accounts on a regular basis. Copyright © 2013 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

  7. Financing in a Period of Retrenchment: A Primer for Small Colleges.

    ERIC Educational Resources Information Center

    O'Neill, Joseph P.; Grier, Phillip M.

    Perspectives concerning the effective use of a small college's resources and assets in a time of declining government support and decreasing enrollments are presented. Attention is directed to improving cash flow, staff reduction and early retirement, external sources of long-term financing, college financial student aid, and managing real estate…

  8. Costs and Financing in Open Schools

    ERIC Educational Resources Information Center

    Du Vivier, Ed

    2008-01-01

    These self-instructional resources have their origins in a workshop on the Costs and Financing of Open & Distance Learning which took place from 6-10 August 2007 in Gabarone, Botswana. The workshop was sponsored by the Commonwealth of Learning (COL) with the overall aim of building capacity to plan, negotiate and manage appropriate financial…

  9. Educational Resource Multipliers for Use in Local Public Finance: An Input-Output Approach.

    ERIC Educational Resources Information Center

    Boardman, A. E.; Schinnar, A. P.

    1982-01-01

    Develops an input-output model, with related multipliers, showing how changes in earmarked and discretionary educational funds (whether local, state, or federal) affect all of a state's districts and educational programs. Illustrates the model with Pennsylvania data and relates it to the usual educational finance approach, which uses demand…

  10. Equity in Texas Public School Finance: Some Historical Perspectives.

    ERIC Educational Resources Information Center

    Walker, Billy D.

    The history of equity concerns in Texas public school finance, spanning over a century, is reviewed in this report. Three issues related to three reform eras are discussed: equitable availability of public schooling, equal resources for schools, and school effectiveness. State responses to the issues included equalization of opportunities in rural…

  11. Internet Resources for Reference: Finance and Investment.

    ERIC Educational Resources Information Center

    Mai, Brent Alan

    1997-01-01

    When called upon to aid in filtering through finance and investment information on the Internet, the business librarian is also faced with knowing what is available and how to find it. Web sites are identified that provide information about stocks and their exchanges, mutual funds, bonds, company annual reports, and taxes. (Author/AEF)

  12. Preserving Privilege: Inequity of the Illinois Education Finance System.

    ERIC Educational Resources Information Center

    Lewis, James H.

    The system for financing education in Illinois fails to deliver sufficient resources to the school districts that need them most. Although no individual or administrative unit acts to deprive particular groups, the system as a whole does. Using Census figures, state and local tax records and information from the Illinois Board of Education, this…

  13. Financing Education in a Climate of Change. Eighth Edition.

    ERIC Educational Resources Information Center

    Brimley, Vern, Jr.; Garfield, Rulon R.

    Since the publication of the seventh edition of this textbook in 1999, there have been many new developments in the education finance arena. Those changes are discussed in this eighth edition. Additional new material includes Internet resources, new exercises for further "laboratory" work, updated figures and tables, and fresh information on court…

  14. To What Extent Is Long-term Care Representative of Elderly Care? A Case Study of Elderly Care Financing in Lombardy, Italy

    PubMed Central

    Brenna, Elenka; Gitto, Lara

    2017-01-01

    The ageing of European population has been rapidly increasing during the last decades, and the problem of elderly care financing has become an issue for policy-makers. Long-term care (LTC) financing is considered a suitable proxy of the resources committed to elderly care by each government, but the preciseness of this approximation depends on the extent to which LTC is representative of elderly care within each country. Since there is a broad heterogeneity in LTC funding, organization and setting among European States, it is difficult to find a common parameter representing the public resources destined to the elderly care. We address these topics employing as a case study an Italian region, Lombardy, which in terms of population, dimension, healthcare organization and economic development could be compared to other European countries. The method we suggest, which consists basically in a careful estimate of all the public resources employed in the provision of services exclusively destined to the elderly, could be applied, with the due differences, to other European countries or regions. PMID:28812846

  15. AgrAbility: Frequently Asked Questions

    MedlinePlus

    ... AgrAbility Resources AgrAbility Services Equipment and Vehicle Modifications Financing-Related Matters Other Modifications Other Disability and Agricultural-related questions Main Menu Home About AgrAbility State Projects Directory The Toolbox AT Database Resources Veterans & Beginning ...

  16. The human qualities needed to complete the global eradication of polio

    PubMed Central

    2013-01-01

    Abstract Although the 99% decrease seen in global polio incidence between 1988 and 2000 represented remarkable progress towards polio eradication, tackling the last 1% of polio has proved tantalizingly difficult. Pockets of endemic transmission currently persist both on the border between Afghanistan and Pakistan and in northern Nigeria. These pockets have permitted the reinfection of countries that were previously polio-free. Global strategic plans for polio eradication set out the activities, resources and financing needed to overcome the managerial, technical and security challenges faced by those tasked with the interruption of poliovirus transmission. However, polio eradication also depends on the less tangible but equally important human qualities of energy, realism, articulacy, determination, imagination, collaboration, adaptability, tactical awareness, innovation, openness and nimbleness (the initial letters of which give the acronym “ERADICATION”). By paying attention to these human qualities, the stakeholders involved may be more likely to achieve global polio eradication. PMID:23599552

  17. The Government Finance Database: A Common Resource for Quantitative Research in Public Financial Analysis

    PubMed Central

    Pierson, Kawika; Hand, Michael L.; Thompson, Fred

    2015-01-01

    Quantitative public financial management research focused on local governments is limited by the absence of a common database for empirical analysis. While the U.S. Census Bureau distributes government finance data that some scholars have utilized, the arduous process of collecting, interpreting, and organizing the data has led its adoption to be prohibitive and inconsistent. In this article we offer a single, coherent resource that contains all of the government financial data from 1967-2012, uses easy to understand natural-language variable names, and will be extended when new data is available. PMID:26107821

  18. The Government Finance Database: A Common Resource for Quantitative Research in Public Financial Analysis.

    PubMed

    Pierson, Kawika; Hand, Michael L; Thompson, Fred

    2015-01-01

    Quantitative public financial management research focused on local governments is limited by the absence of a common database for empirical analysis. While the U.S. Census Bureau distributes government finance data that some scholars have utilized, the arduous process of collecting, interpreting, and organizing the data has led its adoption to be prohibitive and inconsistent. In this article we offer a single, coherent resource that contains all of the government financial data from 1967-2012, uses easy to understand natural-language variable names, and will be extended when new data is available.

  19. Mental health research in Brazil: policies, infrastructure, financing and human resources.

    PubMed

    Mari, Jair de Jesus; Bressan, Rodrigo A; Almeida-Filho, Naomar; Gerolin, Jerônimo; Sharan, Pratap; Saxena, Shekhar

    2006-02-01

    The objective of this descriptive study was to map mental health research in Brazil, providing an overview of infrastructure, financing and policies mental health research. As part of the Atlas-Research Project, a WHO initiative to map mental health research in selected low and middle-income countries, this study was carried out between 1998 and 2002. Data collection strategies included evaluation of governmental documents and sites and questionnaires sent to key professionals for providing information about the Brazilian mental health research infrastructure. In the year 2002, the total budget for Health Research was USD 101 million, of which USD 3.4 million (3.4) was available for Mental Health Research. The main funding sources for mental health research were found to be the São Paulo State Funding Agency (FAPESP, 53.2%) and the Ministry of Education (CAPES, 30.2%). The rate of doctors is 1.7 per 1,000 inhabitants, and the rate of psychiatrists is 2.7 per 100,000 inhabitants estimated 2000 census. In 2002, there were 53 postgraduate courses directed to mental health training in Brazil (43 in psychology, six in psychiatry, three in psychobiology and one in psychiatric nursing), with 1,775 students being trained in Brazil and 67 overseas. There were nine programs including psychiatry, neuropsychiatry, psychobiology and mental health, seven of them implemented in Southern states. During the five-year period, 186 students got a doctoral degree (37 per year) and 637 articles were published in Institute for Scientific Information (ISI)-indexed journals. The investment channeled towards postgraduate and human resource education programs, by means of grants and other forms of research support, has secured the country a modest but continuous insertion in the international knowledge production in the mental health area.

  20. "The family is the clinic, the community is the hospital": community mental health in Timor-Leste.

    PubMed

    Hawkins, Zoe; Tilman, Teofilo

    2011-07-01

    This paper describes the history and recent development of mental health services in Timor-Leste, a small developing country recovering from conflict. Challenges to effective service delivery are discussed as well as plans for future development. Timor-Leste's mental health service began just over a decade ago. Unlike many other low and middle income countries where hospital-based services predominate, the mental health model in Timor-Leste is entirely community based. However, challenges to effective mental health care delivery are similar to most developing countries and include a lack of sufficient financial resources, human resources, and mental health infrastructure. Addressing these issues successfully requires political will, a greater prioritization of mental health services, close coordination between stakeholders, as well as developments in the area of education, training and infrastructure. Greater understanding and education about the links between mental and physical health would benefit the overall health of the population, and integration of these respective policies may prove a successful method of more equitably redistributing finances and resources.

  1. The Future of UNESCO: Strategies for Attracting New Resources

    ERIC Educational Resources Information Center

    Heyneman, Stephen P.

    2011-01-01

    UNESCO suffers from two structural incompatibilities. The first is between the breadth of its stated goals and paucity of its financing. The second is between the countries who largely finance the organization and the many other countries who claim its benefits. As a consequence the functions of UNESCO are not critical to the interests of the…

  2. Wisconsin's Elementary-Secondary School Finance Reform Legislation: Assembly Substitute Amendment 1 to 1973 Assembly Bill 300.

    ERIC Educational Resources Information Center

    Buchmiller, Archie A.

    This paper traces the development of school finance reform pressures in Wisconsin from pressure in 1967 for property tax reform to 1973 legislative reform proposals. The 1973 proposal is designed to provide further equalization of educational opportunity to all Wisconsin students and to guarantee adequate financial resources to provide these…

  3. Philosophy Rather than Finance: Redirecting the Discourse Concerning Inequitable School Funding in Illinois

    ERIC Educational Resources Information Center

    Fitzgerald, Robert

    2015-01-01

    The funding of public education in many states, especially Illinois, is characterized by inequity. The reality is that students across the state are subject to a disparity in fiscal resources between those attending schools in the wealthiest and poorest districts. The cause of this dilemma is threefold. First, Illinois has a school finance scheme…

  4. Developing a School Finance System for K-12 Reform in Qatar

    ERIC Educational Resources Information Center

    Guarino, Cassandra M.; Galama, Titus; Constant, Louay; Gonzalez, Gabriella; Tanner, Jeffery C.; Goldman, Charles A.

    2009-01-01

    Reform-minded leaders of Qatar, who have embarked on a sweeping reform of their nation's education system, asked RAND to evaluate the education finance system that has been adopted and to offer suggestions for improvements. The authors analyze the system's evolution and resource allocation patterns between 2004 and 2006 and develop analytic tools…

  5. Pocketwise: Personal Finance Economics K-2. Teacher Resource Manual. EconomicsAmerica.

    ERIC Educational Resources Information Center

    Carter, Carmen; Heiman, Jan; Mitchell, Julie; Morgan, Jack

    This book is designed to help students in grades K-2 make better decisions as spenders, savers, borrowers, and managers of money. The learning experiences focus on personal finance and money management. The 14 lessons are divided into 4 units focusing on money, spending, saving, and borrowing and credit. Lesson titles include: (1) "A Very…

  6. Accessing the Health Care Financing System: A Resource Guide for Local Education Agencies. Bulletin No. 91298.

    ERIC Educational Resources Information Center

    Wisconsin State Dept. of Public Instruction, Madison.

    This guide is intended to assist Wisconsin school districts in accessing the health care financing system as a means of supporting specialized services. Topics covered include: determination of a local education agency's potential for third-party covered services; the need to become a certified provider dependent upon the funding source;…

  7. Lifting All Boats? Finance Litigation, Education Resources, and Student Needs in the Post-"Rose" Era

    ERIC Educational Resources Information Center

    Sims, David P.

    2011-01-01

    "Rose v. Council for Better Education" (1989) is often considered a transition point in education finance litigation, heralding an era of increasing concern for measurable adequacy of education across a broad spectrum of student needs. Prior research suggests that post-Rose lawsuits had less effect on the distribution of school spending…

  8. School Finance Reform: A Weighted Pupil Formula for California. Report 1

    ERIC Educational Resources Information Center

    Perry, Mary

    2012-01-01

    Governor Jerry Brown has called for a major overhaul of California's school finance policies. His proposal for a weighted pupil funding system would simplify the rules that govern the distribution of funds to schools and school districts, while targeting a larger share of available resources to the schools and students with the greatest needs. In…

  9. Financing EU Student Mobility: A Proposed Credit Union Scheme for Europe. Research & Occasional Paper Series: CSHE.17.10

    ERIC Educational Resources Information Center

    Hoareau, Cecile

    2010-01-01

    Governments worldwide face the challenge of financing a growing student population with limited resources, especially in the current context of difficult economic recovery. Student loan schemes, because they appear as cost-efficient and are defendable on the lines of social equity (students invest in their future), are increasingly politically…

  10. Financing results and value in behavioral health services.

    PubMed

    2003-11-01

    Current changes require that behavioral health care leaders understand how public and private financing mechanisms interact and how, now more than ever, behavioral health care leadership must span multiple systems and financing streams. Understanding how financing mechanisms work, what they create, and what they cause is essential if we are to make the most of increasingly limited and increasingly complex resource streams in today's health care market. This article explores a different paradigm of what adds value to publicly funded behavioral health care systems, and provides the framework for the American College of Mental Health Administration's call to behavioral health care administrators to take a new approach to the considerations behind funding decisions and payment mechanisms.

  11. The shaded side of the UHC cube: a systematic review of human resources for health management and administration in social health protection schemes.

    PubMed

    Obermann, Konrad; Chanturidze, Tata; Glazinski, Bernd; Dobberschuetz, Karin; Steinhauer, Heiko; Schmidt, Jean-Olivier

    2018-02-20

    Managers and administrators in charge of social protection and health financing, service purchasing and provision play a crucial role in harnessing the potential advantage of prudent organization, management and purchasing of health services, thereby supporting the attainment of Universal Health Coverage. However, very little is known about the needed quantity and quality of such staff, in particular when it comes to those institutions managing mandatory health insurance schemes and purchasing services. As many health care systems in low- and middle-income countries move towards independent institutions (both purchasers and providers) there is a clear need to have good data on staff and administrative cost in different social health protection schemes as a basis for investing in the development of a cadre of health managers and administrators for such schemes. We report on a systematic literature review of human resources in health management and administration in social protection schemes and suggest some aspects in moving research, practical applications and the policy debate forward.

  12. Financing Renewable Energy Projects in Developing Countries: A Critical Review

    NASA Astrophysics Data System (ADS)

    Donastorg, A.; Renukappa, S.; Suresh, S.

    2017-08-01

    Access to clean and stable energy, meeting sustainable development goals, the fossil fuel dependency and depletion are some of the reasons that have impacted developing countries to transform the business as usual economy to a more sustainable economy. However, access and availability of finance is a major challenge for many developing countries. Financing renewable energy projects require access to significant resources, by multiple parties, at varying points in the project life cycles. This research aims to investigate sources and new trends in financing RE projects in developing countries. For this purpose, a detail and in-depth literature review have been conducted to explore the sources and trends of current RE financial investment and projects, to understand the gaps and limitations. This paper concludes that there are various internal and external sources of finance available for RE projects in developing countries.

  13. Political and economic unfairness in health system of Pakistan: a hope with the recent reforms.

    PubMed

    Shaikh, B T; Ejaz, I; Achakzai, D K; Shafiq, Y

    2013-01-01

    For the last few years, Pakistan's health system has faced numerous challenges pertaining to human resource and its deployment, resource allocation among the different tiers of the health care system, infrastructure development and unfair access to care. The enactment of the recent constitutional amendment has made the health system's situation even more uncertain than before. A detailed literature review was carried out to understand fairness an responsiveness in health systems. The findings of the review were then compiled particularly in the wake of recent constitutional amendment defining heaIth sector reforms in Pakistan. Various levels, features and components of health system of Pakistan were looked into in view of understanding the extent of 'fairness', 'responsiveness' and adequacy'. Healthcare financing; geographic distribution of health care facilities; human resources in health; access to health services and essential medicines: the allocations to urban and rural segments; and finally understanding the health positioning in national agenda and priorities were examined for this purpose. In the post-devolution scenario, provinces muLst think systematically how to deal with the capacity issues to manage different components of health care system. Nonetheless, as a country, collective actions would be required to avoid any pitfalls, while approaching Millennium Developmenit Goals by 2015.

  14. Opinions of Swedish citizens, health-care politicians, administrators and doctors on rationing and health-care financing.

    PubMed

    Rosén, Per; Karlberg, Ingvar

    2002-06-01

    To compare the views of citizens and health-care decision-makers on health-care financing, the limits of public health-care, and resource allocation. A postal survey based on a randomized sample of adults taken by the national registration and stratified samples of health-care politicians, administrators, and doctors in five Swedish counties. A total number of 1194 citizens (response rate 60%) and 427 decision-makers (response rate 69%). The general public have high expectations of public health-care, expectations that do not fit with the decision-makers' views on what should be offered. To overcome the discrepancy between demand and resources, physicians prefer increased patient fees and complementary private insurance schemes to a higher degree than do the other respondents. Physicians take a more favourable view of letting politicians on a national level exert a greater influence on resource allocation within public health-care. A majority of physicians want politicians to assume a greater responsibility for the exclusion of certain therapies or diagnoses. Most politicians, on the other hand, prefer physicians to make more rigorous decisions as to which medical indications should entitle a person to public health-care. The gap between public expectations and health-care resources makes it more important to be clear about who should be accountable for resource-allocation decisions in public health-care. Significant differences between physicians' and politicians' opinions on financing and responsibility for prioritization make the question of accountability even more important.

  15. Resource Allocation and Improved Student Performance: Teachers' Perspectives on School Finance Administration.

    ERIC Educational Resources Information Center

    Rudo, Zena H.

    As expectations rise for students to perform at higher levels, the question of how best to support student performance through resources becomes paramount. In determining new ways to better allocate resources, administrators must consider teacher input on what has/has not been effective in supporting increased student performance. Teachers…

  16. [The health system of Uruguay].

    PubMed

    Aran, Daniel; Laca, Hernán

    2011-01-01

    This paper describes the Uruguayan health system, including its structure and coverage, its financial sources, the level and distribution of its health expenditure, the physical, material and human resources available, its stewardship functions, the institutions in charge of information and research, and the level and type of citizen's participation in the operation and evaluation of the system. The most recent policy innovations are also discussed, including the creation of the National Comprehensive Health System, the National Health Insurance, the National Health Fund and the Comprehensive Health Care Program. Finally, the impact of these innovations in health expenditure, fairness of health financing, coverage levels and main health indicators is analyzed.

  17. "Health for all" in a least-developed country.

    PubMed Central

    Shonubi, Aderibigbe M. O.; Odusan, Olatunde; Oloruntoba, David O.; Agbahowe, Solomon A.; Siddique, M. A.

    2005-01-01

    The World Health Organization's (WHO) concept of primary healthcare as the basis for comprehensive healthcare delivery for developing countries has not been effectively applied in many of these countries. The Kingdom of Lesotho, one of the world's least-developed countries, has been able to provide a fairly comprehensive healthcare system for its citizenry based on prmary healthcare principles and a strong commitment on the part of the government despite severe limitations of finance and human resource capacity as well as difficult mountainous terrains. This paper presents the highlights of this system of healthcare delivery with the hope that other developing countries would draw some lessons from the model. PMID:16080673

  18. Natural resources and the spread of HIV/AIDS: Curse or blessing?

    PubMed

    Sterck, Olivier

    2016-02-01

    This paper answers two questions: "What impact have natural resources had on the spread of the HIV epidemic so far?" and "What role can natural resource rents play in order to finance the long-run response to HIV/AIDS?" Using a panel dataset covering 137 countries from 1990 until 2008, de Soysa and Gizelis (2013) provided evidence in Social Science & Medicine that oil-rich countries are more deeply affected by the HIV and TB epidemics. They concluded that government of resource-rich countries failed to implement effective public policies for dealing with the epidemics. In this paper, I show that their results are (1) not robust, (2) based on an inappropriate choice of dependent variable and (3) spurious because series are non-stationary. After correcting for these issues, I find no robust relationship between resource rents and the spread of HIV and TB. The paper concludes by emphasizing the potential of natural resources rents for financing the long-term liability brought about by the HIV/AIDS epidemic in sub-Saharan Africa. Copyright © 2015 Elsevier Ltd. All rights reserved.

  19. Financing at the Leading 100 Research Universities: A Study of Financial Dependency, Concentration, and Related Institutional Characteristics. AIR Forum 1981 Paper.

    ERIC Educational Resources Information Center

    McCoy, Marilyn; And Others

    Financing at the leading 100 research universities in the United States was studied during 1975-79, along with the programmatic and resource characteristics of the institutions, using data collected by the National Science Foundation and by the Higher Education General Information Survey program. The results clearly indicate that the leading…

  20. Financing and Educational Policy in Sri Lanka (Ceylon). Financing Educational Systems: Country Case Studies-1.

    ERIC Educational Resources Information Center

    Hallak, Jacques

    The retrospective case study presented is part of a research project undertaken to determine ways in which developing nations can best allocate resources to education in light of their social and economic levels. Past socioeconomic trends in Sri Lanka and its economy in the 1970's are considered first. The case study then moves into descriptions…

  1. "A False Dilemma": Should Decisions about Education Resource Use Be Made at the State or Local Level?

    ERIC Educational Resources Information Center

    Timar, Thomas B.; Roza, Marguerite

    2010-01-01

    Over the past 30 years, states have assumed a greater role in financing education. The presumption of local control has been superseded by systems of state control. This shift in authority raises several critical questions. Chief among them is, "What effect has centralization of education financing had on the capacity of school districts to…

  2. Redesigning School Finance Systems: Lessons from CPRE Research. CPRE Policy Briefs. RB-50

    ERIC Educational Resources Information Center

    Odden, Allan

    2007-01-01

    This policy brief describes how the Consortium for Policy Research in Education (CPRE) has approached the objectives of educational equity and adequacy over the past decade and a half, and reveals how their current finance research has begun to explicitly link the level and use of resources with strategies that districts and schools can deploy to…

  3. Financing strategic plans for not-for-profits.

    PubMed

    Wong-Hammond, Laca; Damon, Lorie

    2013-07-01

    To succeed in today's complex economic environment, a not-for-profit health system requires an effective strategic capital planning process that harmonizes three elements: The organization's long-term business plan and mission. Existing financial resources and finance options available to support the organization's business plan. Financial risk and return on equity to the organization's stakeholders (within acceptable parameters for business risk).

  4. The Slippery Slope of Air Force Downsizing: A Strategy Connection

    DTIC Science & Technology

    2013-02-14

    as the reductions continue. As an example, commanders and their Airmen are responsible for being administration, personnel, finance, communciations ... computer efficient because the expertise in their units or base has been reduced, eliminated or consolidated. This impacts the time and resources...are the areas that require additional research. • Issue: Other functional issues (Logistics, Finance, Contracting, Communications/ computers , Nuclear

  5. Financing Child Care. A Public Policy Report from the Ewing Marion Kauffman Foundation. Winter 2002.

    ERIC Educational Resources Information Center

    Ewing Marion Kauffman Foundation, Kansas City, MO.

    This public policy report focuses on financing child care in the United States. The report contains brief articles on the following topics: (1) child care wages in comparison to other positions; (2) benefits to businesses when employees have high-quality child care; (3) resources for funding early education systems; (4) comparison of the cost of…

  6. 31 CFR 562.101 - Relation of this part to other laws and regulations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Relation of this part to other laws and regulations. 562.101 Section 562.101 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY IRANIAN HUMAN RIGHTS...

  7. 31 CFR 562.101 - Relation of this part to other laws and regulations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Relation of this part to other laws and regulations. 562.101 Section 562.101 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY IRANIAN HUMAN RIGHTS...

  8. 31 CFR 562.101 - Relation of this part to other laws and regulations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false Relation of this part to other laws and regulations. 562.101 Section 562.101 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY IRANIAN HUMAN RIGHTS...

  9. 31 CFR 562.101 - Relation of this part to other laws and regulations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false Relation of this part to other laws and regulations. 562.101 Section 562.101 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY IRANIAN HUMAN RIGHTS...

  10. Finding the Funds for Health Resources.

    ERIC Educational Resources Information Center

    Osorio, Jenny; Marx, Eva; Bauer, Louise

    2000-01-01

    Identifying, securing, and sustaining funding are the greatest challenges to establishing and maintaining school health programs. A federal/state government alliance (the School Health Program Finance Project) provides funding information; foundations and businesses provide substantial financial support. Districts should employ resource mapping to…

  11. Comparative study of Canadian-United States resources programs

    USGS Publications Warehouse

    DeYoung,, John H.

    1975-01-01

    Chapter A: Report of the resource endowment, infrastructure development, tax incentives and exploration financing. Chapter B: Recent changes in Canadian tax laws affecting the mineral industries. Chapter C: The impact of recent changes in Canadian tax laws on the mineral industries.

  12. Human Capital Contracts: "Equity-Like" Instruments for Financing Higher Education. Policy Analysis.

    ERIC Educational Resources Information Center

    Palacios, Miguel

    Human capital contracts are "equity-like" instruments for financing higher education. Since repayment depends on earning and adjusts to student capital to pay, these contracts should be more attractive to students than traditional loans. By making transparent the relative economic value of certain fields of study or the value of degrees from…

  13. Global Fund investments in human resources for health: innovation and missed opportunities for health systems strengthening.

    PubMed

    Bowser, Diana; Sparkes, Susan Powers; Mitchell, Andrew; Bossert, Thomas J; Bärnighausen, Till; Gedik, Gulin; Atun, Rifat

    2014-12-01

    Since the early 2000s, there have been large increases in donor financing of human resources for health (HRH), yet few studies have examined their effects on health systems. To determine the scope and impact of investments in HRH by the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), the largest investor in HRH outside national governments. We used mixed research methodology to analyse budget allocations and expenditures for HRH, including training, for 138 countries receiving money from the Global Fund during funding rounds 1-7. From these aggregate figures, we then identified 27 countries with the largest funding for human resources and training and examined all HRH-related performance indicators tracked in Global Fund grant reports. We used the results of these quantitative analyses to select six countries with substantial funding and varied characteristics-representing different regions and income levels for further in-depth study: Bangladesh (South and West Asia, low income), Ethiopia (Eastern Africa, low income), Honduras (Latin America, lower-middle income), Indonesia (South and West Asia, lower-middle income), Malawi (Southern Africa, low income) and Ukraine (Eastern Europe and Central Asia, upper-middle income). We used qualitative methods to gather information in each of the six countries through 159 interviews with key informants from 83 organizations. Using comparative case-study analysis, we examined Global Fund's interactions with other donors, as well as its HRH support and co-ordination within national health systems. Around US$1.4 billion (23% of total US$5.1 billion) of grant funding was allocated to HRH by the 138 Global Fund recipient countries. In funding rounds 1-7, the six countries we studied in detail were awarded a total of 47 grants amounting to US$1.2 billion and HRH budgets of US$276 million, of which approximately half were invested in disease-focused in-service and short-term training activities. Countries employed a variety of mechanisms including salary top-ups, performance incentives, extra compensation and contracting of workers for part-time work, to pay health workers using Global Fund financing. Global Fund support for training and salary support was not co-ordinated with national strategic plans and there were major deficiencies in the data collected by the Global Fund to track HRH financing and to provide meaningful assessments of health system performance. The narrow disease focus and lack of co-ordination with national governments call into question the efficiency of funding and sustainability of Global Fund investments in HRH and their effectiveness in strengthening recipient countries' health systems. The lessons that emerge from this analysis can be used by both the Global Fund and other donors to improve co-ordination of investments and the effectiveness of programmes in recipient countries. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2013; all rights reserved.

  14. Budget and financing of mental health services: baseline information on 89 countries from WHO's project atlas.

    PubMed

    Saxena, Shekhar; Sharan, Pratap; Saraceno, Benedetto

    2003-09-01

    Very little information is available on budget and financing of mental health services in the world. During year 2001, WHO collected information from all countries on resources available for mental health care as a part of Project Atlas. The present report seeks to describe the situation regarding federal budgets and financing of mental health care at the country level. It also examines the association between relative allocation of health budget to mental health and mental health policy, programme and resource indicators in 89 countries. The information was collected through a questionnaire (with an accompanying glossary) that was sent to the mental health focal point in the Ministry of Health of each country. Eighty nine countries provided information on their mental health budget as a proportion of health budget. In addition, information was obtained on policy, programme and mental health resource indicators (beds, personnel, services to special population and availability of drugs). The results showed that 32% of 191 countries did not have a specified budget for mental health. Of the 89 countries that supplied the requisite information 36% spent less than 1% of their total health budget on mental health. Many countries from Africa (79%) and the South East Asia (63%) were in this subgroup. Comparison with the Global Burden of Disease data showed a marked disparity between burden and resources. Lower income countries allocated a lesser proportion of their health budget on mental health in comparison to higher income countries. The primary method of financing mental health care in most countries was tax-based (60.2%), but many low-income countries depended on out-of-pocket expenditure (16.4%). The presence of mental health policies and programmes in general was not associated with the proportion of health budget allocated to mental health. Counties categorized based on the proportion of mental health budget to health budget, differed significantly in terms of policy on disability benefits and mental health resource indicators (beds, personnel, services for special populations and availability of drugs). Federal allocation for mental health care in most countries is low compared to the burden of these disorders. There is also a large disparity among countries and regions. Limitations of the study were, an exclusive reliance on government sources and the difficulty some governments faced in providing accurate information on federal mental health budget as it was not identified separately. To use resources more efficiently and judiciously, countries should support integration of services, reallocation of mental health beds, training in mental health to providers and services for special populations. Most countries need to increase their mental health budgets in order to provide necessary services. Countries with out-of-pocket payment as the primary method of mental health financing should seek to establish social insurance mechanisms. More research needs to be conducted to gather specific information on mental health financing in relation to policy and service planning.

  15. Financing health development projects: some macro-economic considerations.

    PubMed

    Sorkin, A L

    1986-01-01

    The paper briefly discusses the importance of macro-economic policy in health sector financing. The ways in which monetary and fiscal policy (macro-economic policy) affect interest rates, price levels and aggregate output are presented. The main portion of the paper considers a variety of methods for public financing of health and development projects. These approaches are analyzed in light of distributional and efficiency considerations. One way of increasing health sector resources is through reallocation from other sectors of the economy. The potential for redistribution from the defense to the health service industry is briefly considered.

  16. Resource Allocation Models and Accountability: A Jamaican Case Study

    ERIC Educational Resources Information Center

    Nkrumah-Young, Kofi K.; Powell, Philip

    2008-01-01

    Higher education institutions (HEIs) may be funded privately, by the state or by a mixture of the two. Nevertheless, any state financing of HE necessitates a mechanism to determine the level of support and the channels through which it is to be directed; that is, a resource allocation model. Public funding, through resource allocation models,…

  17. Introduction: Alternative Public School Financing.

    ERIC Educational Resources Information Center

    Disend, David S., Ed.

    2000-01-01

    Argues that time and money are the two critical resources to allocate in any plan, and certainly regarding public education. Discusses four important elements in the debate about the use of resources: efficiency, content, effectiveness, and fairness. Outlines difficulties and questions regarding school funding. (SR)

  18. EPA's Role in International Environment, Trade and Finance

    EPA Pesticide Factsheets

    Both domestically and globally, protecting human health and the environment is essential to sustainable economic growth and development. EPA works in trade, environment and finance to protect these goals.

  19. Financing the Business. Unit 11. Level 1. Instructor Guide. PACE: Program for Acquiring Competence in Entrepreneurship. Third Edition. Research & Development Series No. 301-11.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Center on Education and Training for Employment.

    This instructor guide for a unit on business financing in the PACE (Program for Acquiring Competence in Entrepreneurship) curriculum includes the full text of the student module and lesson plans, instructional suggestions, and other teacher resources. The competencies that are incorporated into this module are at Level 1 of learning--understanding…

  20. Money in the Middle: Personal Finance Economics 6-8. Money in the Middle. Teacher Resource Manual. EconomicsAmerica.

    ERIC Educational Resources Information Center

    Forgue, Raymond E.; Randolph, Beth; Farley, Mary Ann

    This book is designed to help students in grades 6-8 make better decisions as spenders, savers, borrowers, and managers of money. The learning experiences focus on personal finance and money management. The 10 lessons divided into 4 units include: (1) "Check It Out"; (2) "Party Planners"; (3) "What Would You Do?"; (4)…

  1. Formula Budgeting and the Financing of Public Higher Education: Panacea or Nemesis for the 1980s? The AIR Professional File No. 3, Fall 1979.

    ERIC Educational Resources Information Center

    Gross, Francis M.

    Formula budgeting in the financing of public higher education is examined. Budget formulas are defined as a means of applying predetermined average cost rates to quantifiable institutional program measures in order to calculate the dollar resource requirements for a future year. Seven characteristics of budget formulas are described: (1) their…

  2. Exploring family home food environments: Household resources needed to utilise weekly deliveries of free fruits and vegetables.

    PubMed

    Carty, Sophie A; Mainvil, Louise A; Coveney, John D

    2017-04-01

    An adapted ethnographic approach was used to explore household factors that influence family fruit and vegetable consumption when access and cost barriers are removed. 'Structural' barriers, such as food affordability and accessibility, are likely to influence fruit and vegetable consumption in disadvantaged households, but households may require additional resources (human and social) to increase consumption. Five low-income and five high-income households with children (N = 39 individuals) were observed in their home environment for three months. Including both advantaged and disadvantaged families allowed exploration of socioeconomic factors influencing these households. Each household received a free box of fresh fruit and vegetables each week for 10-12 weeks, delivered to their home, and were home-visited twice a week by a researcher (40+ hours per household). An inductive analysis of rich observational and discussion data revealed themes describing factors influencing household fruit and vegetable consumption. Household food cultures were dynamic and influenced by available resources. Even when free produce was delivered to homes, these households required human resource (personal drivers influenced by early life exposure and household dynamics) and external social networks to make use of them. When household finances and/or labour were limited, there was greater dependence on external organisations for tangible support. Even when structural barriers were removed, disadvantaged families needed a range of resources across the life course to improve eating behaviours, including sufficient, motivated and skilled labour and harmonious family relationships. Strategies targeting these households must consider structural, social, cultural and intra-familial influences on food choice. © 2016 Dietitians Association of Australia.

  3. "More money for health - more health for the money": a human resources for health perspective

    PubMed Central

    2011-01-01

    Background At the MDG Summit in September 2010, the UN Secretary-General launched the Global Strategy for Women's and Children's Health. Central within the Global Strategy are the ambitions of "more money for health" and "more health for the money". These aim to leverage more resources for health financing whilst simultaneously generating more results from existing resources - core tenets of public expenditure management and governance. This paper considers these ambitions from a human resources for health (HRH) perspective. Methods Using data from the UK Department for International Development (DFID) we set out to quantify and qualify the British government's contributions on HRH in developing countries and to establish a baseline.. To determine whether activities and financing could be included in the categorisation of 'HRH strengthening' we adopted the Agenda for Global Action on HRH and a WHO approach to the 'working lifespan' of health workers as our guiding frameworks. To establish a baseline we reviewed available data on Official Development Assistance (ODA) and country reports, undertook a new survey of HRH programming and sought information from multilateral partners. Results In financial year 2008/9 DFID spent £901 million on direct 'aid to health'. Due to the nature of the Creditor Reporting System (CRS) of the Organisation for Economic Co-operation and Development (OECD) it is not feasible to directly report on HRH spending. We therefore employed a process of imputed percentages supported by detailed assessment in twelve countries. This followed the model adopted by the G8 to estimate ODA on maternal, newborn and child health. Using the G8's model, and cognisant of its limitations, we concluded that UK 'aid to health' on HRH strengthening is approximately 25%. Conclusions In quantifying DFID's disbursements on HRH we encountered the constraints of the current CRS framework. This limits standardised measurement of ODA on HRH. This is a governance issue that will benefit from further analysis within more comprehensive programmes of workforce science, surveillance and strategic intelligence. The Commission on Information and Accountability for Women's and Children's Health may present an opportunity to partially address the limitations in reporting on ODA for HRH and present solutions to establish a global baseline. PMID:21762511

  4. [Alternatives for the financing of health care in Latin America and the Caribbean].

    PubMed

    Campino, A C

    1995-06-01

    Latin America and the Caribbean (LAC) countries are experiencing both an economic crisis and a crisis in the public sector. As a result it is impossible to increase the amount of resources available to the health sector, unless there is a drastic restructuring of the way in which financing occurs. The measures so far referred to in the economic debate - user fees, cost recovery, privatization - at best represent partial solutions. Given the magnitude of health problem in LAC countries, they are unable to generate the amount of money needed to cover the deficit of financial resources for medical treatment. The central idea behind this article is that in order to cover the deficit of resources for medical it is necessary to utilize fiscal resources. It is shown that it is possible to increase the amount of financial resources available for medical treatment either through increases in taxes and/or through an increase in the proportion of the government budget dedicated to medical treatment. Increases in taxes collected provide a feasible alternative. In some of the poor countries of Latin America and the Caribbean, the proportion of the Gross National Product that goes for the payment of taxes is well below the figure for that proportion found in developed countries. To increase the proportion of the government budget dedicated to medical treatment is a political decision that depends solely upon the discretion of the governments concerned. The potential of Social Emergency Funds and debt swaps to finance innovations in the production of medical treatment services, thus maintaining the current level to activity in the sector, is discussed.

  5. Ethics and geographical equity in health care

    PubMed Central

    Rice, N.; Smith, P.

    2001-01-01

    Important variations in access to health care and health outcomes are associated with geography, giving rise to profound ethical concerns. This paper discusses the consequences of such concerns for the allocation of health care finance to geographical regions. Specifically, it examines the ethical drivers underlying capitation systems, which have become the principal method of allocating health care finance to regions in most countries. Although most capitation systems are based on empirical models of health care expenditure, there is much debate about which needs factors to include in (or exclude from) such models. This concern with legitimate and illegitimate drivers of health care expenditure reflects the ethical concerns underlying the geographical distribution of health care finance. Key Words: Health economics • resource allocation • ethics of regional health care finance • capitation systems PMID:11479357

  6. Getting Real: A Different Perspective on the Relationship between School Resources and Student Outcomes

    ERIC Educational Resources Information Center

    Greene, G. Kennedy; Huerta, Luis A.; Richards, Craig

    2007-01-01

    Most research on the association between school resources and student outcomes has concentrated on finances as measured in dollars. This study takes a fresh look at the issue by focusing on the allocation of real resources, defined as the personnel and materiel used to increase student learning, which are more relevant measures of a school's…

  7. When Money Matters: How Educational Expenditures Improve Student Performance and How They Don't. A Policy Information Perspective.

    ERIC Educational Resources Information Center

    Wenglinsky, Harold

    Little agreement exists on which school expenditures and resources are most likely to improve student resources or whether resources really matter at all. This study compiles a national database of school finance information and analyzes the data to address the importance of school expenditures. Data were collected from the National Assessment of…

  8. An Examination of Resource Allocation Strategies and Finance Adequacy: Case Studies of American Samoa Department of Education Secondary Schools

    ERIC Educational Resources Information Center

    Nikolao-Mutini, Akenese Epifania

    2012-01-01

    The purpose of this study was to analyze American Samoa Department of Education (ASDE) and collect allocation of resources data and determine how the resources are used to increase student performance among a purposeful sample of three public high schools with similar demographics, challenges, fiscal constraints and funding sources located in the…

  9. Balancing water resources development and environmental sustainability in Africa: a review of recent research findings and applications.

    PubMed

    McClain, Michael E

    2013-09-01

    Sustainable development in Africa is dependent on increasing use of the continent's water resources without significantly degrading ecosystem services that are also fundamental to human wellbeing. This is particularly challenging in Africa because of high spatial and temporal variability in the availability of water resources and limited amounts of total water availability across expansive semi-arid portions of the continent. The challenge is compounded by ambitious targets for increased water use and a rush of international funding to finance development activities. Balancing development with environmental sustainability requires (i) understanding the boundary conditions imposed by the continent's climate and hydrology today and into the future, (ii) estimating the magnitude and spatial distribution of water use needed to meet development goals, and (iii) understanding the environmental water requirements of affected ecosystems, their current status and potential consequences of increased water use. This article reviews recent advancements in each of these topics and highlights innovative approaches and tools available to support sustainable development. While much remains to be learned, scientific understanding and technology should not be viewed as impediments to sustainable development on the continent.

  10. Stakeholder's perspective: Sustainability of a community health worker program in Afghanistan.

    PubMed

    Najafizada, Said Ahmad Maisam; Labonté, Ronald; Bourgeault, Ivy Lynn

    2017-02-01

    The objectives of this study were two-fold: 1) to examine how different stakeholders define sustainability, and 2) to identify barriers to and facilitators of the sustainability of the Afghan CHW program. We interviewed 63 individual key informants, and conducted 11 focus groups [35 people] with policymakers, health managers, community health workers, and community members across Afghanistan. The participants were purposefully selected to provide a wide range of perspectives. Different stakeholders define sustainability differently. Policymakers emphasize financial resources; health managers, organizational operations; and community-level stakeholders, routine frontline activities. The facilitators they identify include integration into the health system, community support, and capable human resources. Barriers they noted include lack of financial resources, poor program design and implementation, and poor quality of services. Measures to ensure sustainability could be national revenue allocation, health-specific taxation, and community financing. Sustainability is complicated and has multiple facets. The plurality of understanding of sustainability among stakeholders should be addressed explicitly in the program design. To ensure sustainability, there is a need for a coordinated effort amongst all stakeholders. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. 2010 Resource Cards on California Schools

    ERIC Educational Resources Information Center

    EdSource, 2010

    2010-01-01

    With an index, and separate sections that cover related topics, this booklet provides fingertip access to the latest information about California's public education system. The 2010 Resource Cards also include a robust section on community colleges. This booklet contains the following sections: (1) School Finance/Related Laws, which includes…

  12. Health Science Libraries in India--Their Resources and Services.

    ERIC Educational Resources Information Center

    Dixit, R. P.

    1995-01-01

    Identifies four types of health science libraries in India relating to health and family welfare: research, academic, medical, and hospital. Results of a nationwide survey of library resources are discussed, including finance, books and monographs, periodicals, manpower, equipment, and services. Suggestions for improvement are offered. (LRW)

  13. Preparing Principals for Resource Allocation Decisions.

    ERIC Educational Resources Information Center

    Campbell, Trudy; Sparkman, William E.

    1990-01-01

    Although school administrators lead one of the most important and largest national enterprises, the opportunities and incentives for acquiring the necessary leadership skills are limited. Courses in school finance are usually fairly general and seldom touch on school-site budget issues or identify which resources actually contribute to desired…

  14. Financing the Business. Unit 11. Level 3. Instructor Guide. PACE: Program for Acquiring Competence in Entrepreneurship. Third Edition. Research & Development Series No. 303-11.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Center on Education and Training for Employment.

    This instructor guide for a unit on business finance in the PACE (Program for Acquiring Competence in Entrepreneurship) curriculum includes the full text of the student module and lesson plans, instructional suggestions, and other teacher resources. The competencies that are incorporated into this module are at Level 3 of learning--starting and…

  15. An optimal contract approach to hospital financing.

    PubMed

    Boadway, Robin; Marchand, Maurice; Sato, Motohiro

    2004-01-01

    Existing models of hospital financing advocate mixed schemes which include both lump-sum and cost-based payments. The doctor is generally the unique decision maker, which is unrealistic in a hospital setting where both managers and doctors are involved. This paper develops a model in which managers and doctors are responsible for different decisions within the hospital. In this model, public authorities who provide the financing, hospital managers who allocate resources within the hospital, and doctors who assign patients to either a low-tech or a high-tech therapy have information of increasing quality on the casemix of patients. The public authorities sign with hospital managers contracts specifying some lump-sum financing and some size of a high-tech equipment. In turn, managers, who know the broad mix of patients in the hospital, sign with hospital doctors contracts that specify the non-medical resources allocated to this facility as well as some remuneration. Doctors, who know each patient's illness severity, select the patients to be treated by the high-tech facility, and receive from public authorities some fee-for-service payment that is differentiated according to the low- or high-tech treatment used for curing their patients. What emerges is a two-stage agency problem in which contracts are designed to elicit information in the most efficient way.

  16. Raising the bar on recruitment and retention.

    PubMed

    Macdonald, Lisa

    2002-06-01

    Although finding and keeping talented staff is a problem that affects virtually every healthcare organization, Falls Church, Virginia-based Inova Health System found itself particularly challenged by a fiercely competitive market and failing employee retention system. Large percentages of staff in Inova's finance division were employed for less than one year. To address this staffing crisis, department leadership joined with human resource representatives and employees to pursue a practical strategy emphasizing self-analysis, responsive solutions, and promotion of recruitment activities. In less than a year, the division had exceeded its expectations--vacancies were significantly reduced, use of temporary replacements had ceased, and members of the public were recognizing the organization as an industry leader.

  17. Catastrophic payments for health care in Asia.

    PubMed

    van Doorslaer, Eddy; O'Donnell, Owen; Rannan-Eliya, Ravindra P; Somanathan, Aparnaa; Adhikari, Shiva Raj; Garg, Charu C; Harbianto, Deni; Herrin, Alejandro N; Huq, Mohammed Nazmul; Ibragimova, Shamsia; Karan, Anup; Lee, Tae-Jin; Leung, Gabriel M; Lu, Jui-Fen Rachel; Ng, Chiu Wan; Pande, Badri Raj; Racelis, Rachel; Tao, Sihai; Tin, Keith; Tisayaticom, Kanjana; Trisnantoro, Laksono; Vasavid, Chitpranee; Zhao, Yuxin

    2007-11-01

    Out-of-pocket (OOP) payments are the principal means of financing health care throughout much of Asia. We estimate the magnitude and distribution of OOP payments for health care in fourteen countries and territories accounting for 81% of the Asian population. We focus on payments that are catastrophic, in the sense of severely disrupting household living standards, and approximate such payments by those absorbing a large fraction of household resources. Bangladesh, China, India, Nepal and Vietnam rely most heavily on OOP financing and have the highest incidence of catastrophic payments. Sri Lanka, Thailand and Malaysia stand out as low to middle income countries that have constrained both the OOP share of health financing and the catastrophic impact of direct payments. In most low/middle-income countries, the better-off are more likely to spend a large fraction of total household resources on health care. This may reflect the inability of the poorest of the poor to divert resources from other basic needs and possibly the protection of the poor from user charges offered in some countries. But in China, Kyrgyz and Vietnam, where there are no exemptions of the poor from charges, they are as, or even more, likely to incur catastrophic payments. (c) 2007 John Wiley & Sons, Ltd.

  18. Hospital financing reform and case-mix measurement: An international review

    PubMed Central

    Wiley, Miriam M.

    1992-01-01

    A review of reforms in the financing of hospital services in eight European countries and Australia reveals a commitment to a common objective of relating resource use to hospital workload by means of a standardized case-mix framework in the pursuit of greater efficiency. While this objective is also shared with the U.S. prospective payment system (PPS), it is noteworthy that the majority of countries reviewed favor a global budgeting approach to financing hospital services. Ongoing evaluation of these reforms should facilitate an assessment of the merits of case-mix adjusted global budgeting relative to the patient-based alternative. PMID:10122001

  19. The geographic applications program of the U. S. Geological Survey

    USGS Publications Warehouse

    Gerlach, Arch C.

    1969-01-01

    The fundamental objective of modern Geography is to improve man's level of living through a better understanding of man-environment inter actions. Related goals of the USGS program for applications of remote sensor data to Geographical research are: (1) the analysis and improvement of land use, with special emphasis on urban problems; and (2) more effective use of the total available energy budget, including insolation, mineral fuels, atomic energy, human resources, and mental energy, all of which are integrated into man-environment interactions. The collection of data through remote sensors in air craft and spacecraft is financed largely by funds from NASA, and is part of the much broader EROS Program of the Department of the Interior. Results to date have achieved much toward the identification of remote sensor signatures for Earth features and human activities, and toward evaluation of instruments for collecting essential information.

  20. Investigating the Environment: Investigating Resource Acquisition and Use.

    ERIC Educational Resources Information Center

    Sheridan, Jack

    This unit provides the student with a simulated experience in the development of decision making skills. The acquisition of petroleum resources in a hypothetical republic provides the basic scenario around which the simulation develops. Students are supplied with specific information about petroleum geology, finances, and drilling. With this…

  1. Vocational-Technical Education Financial Study. Executive Summary.

    ERIC Educational Resources Information Center

    Indiana State Board of Vocational and Technical Education, Indianapolis.

    A review of Indiana's current system of financing public vocational-technical education was limited to these concerns: the resource needs of vocational-technical education to keep the current delivery system up-to-date and the resources necessary to expand vocational-technical education services to those not being served. Although the current…

  2. 31 CFR 537.410 - Contracts and subcontracts regarding economic development of resources in Burma.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... economic development of resources in Burma. 537.410 Section 537.410 Money and Finance: Treasury Regulations... BURMESE SANCTIONS REGULATIONS Interpretations § 537.410 Contracts and subcontracts regarding economic... supervision and guarantee of another person's performance of a contract that includes the economic development...

  3. Financing Higher Education Institutions in the 21st Century.

    ERIC Educational Resources Information Center

    Ehrenberg, Ronald G.

    This paper discusses the growing resource imbalance that is emerging between public and private institutions of higher education and the growing inequality of resources that is occurring within the public and private sectors. It illustrates implications of some of these changes for patterns of faculty compensation and faculty turnover observed…

  4. Adding It Up: A Guide for Mapping Public Resources for Children, Youth and Families

    ERIC Educational Resources Information Center

    Flynn-Khan, Margaret; Ferber, Thaddeus; Gaines, Elizabeth; Pittman, Karen

    2006-01-01

    This guide is a joint effort from the Forum for Youth Investment and the Finance Project designed to help decision makers and community leaders both learn the importance of a good children youth and families (CYF) resource map and lay out the process of creating or improving a CYF resource map of their own. The handbook has been designed to…

  5. What to Do with the Bounty? Organizational Patterns for the Implementation of Resources Allocated by the Courage to Change (Oz Letmura) Reform

    ERIC Educational Resources Information Center

    Tamir, Emanuel; Shaked, Lea

    2016-01-01

    The research investigated the way in which school administrations implement resources provided by Israel's "Courage to Change" reform. The uniqueness of this reform stems from the fact that the allocated resources come in the form of "weekly instruction time" rather than finance, and the school management needs to decide how to…

  6. Timeline historical review of income and financial transactions: a reliable assessment of personal finances.

    PubMed

    Black, Anne C; Serowik, Kristin L; Ablondi, Karen M; Rosen, Marc I

    2013-01-01

    The need for accurate and reliable information about income and resources available to individuals with psychiatric disabilities is critical for the assessment of need and evaluation of programs designed to alleviate financial hardship or affect finance allocation. Measurement of finances is ubiquitous in studies of economics, poverty, and social services. However, evidence has demonstrated that these measures often contain error. We compare the 1-week test-retest reliability of income and finance data from 24 adult psychiatric outpatients using assessment-as-usual (AAU) and a new instrument, the Timeline Historical Review of Income and Financial Transactions (THRIFT). Reliability estimates obtained with the THRIFT for Income (0.77), Expenses (0.91), and Debt (0.99) domains were significantly better than those obtained with AAU. Reliability estimates for Balance did not differ. THRIFT reduced measurement error and provided more reliable information than AAU for assessment of personal finances in psychiatric patients receiving Social Security benefits. The instrument also may be useful with other low-income groups.

  7. Biobank Finances: A Socio-Economic Analysis and Review.

    PubMed

    Gee, Sally; Oliver, Rob; Corfield, Julie; Georghiou, Luke; Yuille, Martin

    2015-12-01

    This socio-economic study is based on the widely held view that there is an inadequate supply of human biological samples that is hampering biomedical research development and innovation (RDI). The potential value of samples and the associated data are thus not being realized. We aimed to examine whether the financing of biobanks contributes to this problem and then to propose a national solution. We combined three methods: a qualitative case study; literature analysis; and informal consultations with experts. The case study enabled an examination of the complex institutional arrangements for biobanks, with a particular focus on cost models. For the purposes of comparison, a typology for biobanks was developed using the three methods. We found that it is not possible to apply a standard cost model across the diversity of biobanks, and there is a deficit in coordination and sustainability and an excess of complexity. We propose that coordination across this diversity requires dedicated resources for a national biobanking distributed research infrastructure. A coordination center would establish and improve standards and support a national portal for access. This should be financed centrally by public funds, possibly supplemented by industrial funding. We propose that: a) sample acquisition continues to be costed into projects and project proposals to ensure biobanking is driven by research needs; b) core biobanking activities and facilities be supported by central public funds distributed directly to host public institutions; and c) marginal costs for access be paid for by the user.

  8. The occupational safety and health scorecard--a business case example for strategic management.

    PubMed

    Köper, Birgit; Möller, Klaus; Zwetsloot, Gerard

    2009-12-01

    Human resources and health issues are crucial in terms of corporate competitiveness. However, systematic, continuous and strategically aligned occupational safety and health (OSH) management is scarcely applied in companies. One major reason for this could be the lack of generally accepted and standardised OSH control methods. Our objective was thus to conceptualize a method by which qualitative factors such as human resources and OSH aspects contribute to the performance or value-added layer of an organization. We developed a business case based on the well-known and accepted Balanced Scorecard approach, which we adapted and applied to the management of OSH issues. The concept was implemented in the course of a comprehensive case study at a German automobile manufacturer. We gathered health as well as finance data in order to test which health-related indicators had an impact on financial performance. The demonstration of, and reporting on, how the promotion of workplace health contributes strategically to the organization is crucial for both health and human resource managers. Based on multivariate regression analyses, our main finding was that the Balanced Scorecard approach is an adequate means to control OSH issues in terms of strategic health management. Our analyses demonstrated that health-related interventions contribute significantly to performance aspects such as quality, productivity, absenteeism, and cost reduction. Therefore, the financial impact of health-related aspects / interventions could be demonstrated by means of the OSH scorecard. The availability and quality of health data within the context of overall corporate performance data needs to be improved in order to bridge OSH-related and performance issues of an organization.

  9. Financing the Business. Unit 11. Level 2. Instructor Guide. PACE: Program for Acquiring Competence in Entrepreneurship. Third Edition. Research & Development Series No. 302-11. Series No. 302-11.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Center on Education and Training for Employment.

    This instructor guide for a unit on business financing in the PACE (Program for Acquiring Competence in Entrepreneurship) curriculum includes the full text of the student module and lesson plans, instructional suggestions, and other teacher resources. The competencies that are incorporated into this module are at Level 2 of learning--planning for…

  10. Scaling up antiretroviral therapy in Uganda: using supply chain management to appraise health systems strengthening.

    PubMed

    Windisch, Ricarda; Waiswa, Peter; Neuhann, Florian; Scheibe, Florian; de Savigny, Don

    2011-08-01

    Strengthened national health systems are necessary for effective and sustained expansion of antiretroviral therapy (ART). ART and its supply chain management in Uganda are largely based on parallel and externally supported efforts. The question arises whether systems are being strengthened to sustain access to ART. This study applies systems thinking to assess supply chain management, the role of external support and whether investments create the needed synergies to strengthen health systems. This study uses the WHO health systems framework and examines the issues of governance, financing, information, human resources and service delivery in relation to supply chain management of medicines and the technologies. It looks at links and causal chains between supply chain management for ART and the national supply system for essential drugs. It combines data from the literature and key informant interviews with observations at health service delivery level in a study district. Current drug supply chain management in Uganda is characterized by parallel processes and information systems that result in poor quality and inefficiencies. Less than expected health system performance, stock outs and other shortages affect ART and primary care in general. Poor performance of supply chain management is amplified by weak conditions at all levels of the health system, including the areas of financing, governance, human resources and information. Governance issues include the lack to follow up initial policy intentions and a focus on narrow, short-term approaches. The opportunity and need to use ART investments for an essential supply chain management and strengthened health system has not been exploited. By applying a systems perspective this work indicates the seriousness of missing system prerequisites. The findings suggest that root causes and capacities across the system have to be addressed synergistically to enable systems that can match and accommodate investments in disease-specific interventions. The multiplicity and complexity of existing challenges require a long-term and systems perspective essentially in contrast to the current short term and program-specific nature of external assistance.

  11. Health Policy and Systems Research in Twelve Eastern Mediterranean Countries: a stocktaking of production and gaps (2000-2008).

    PubMed

    El-Jardali, Fadi; Jamal, Diana; Ataya, Nour; Jaafar, Maha; Raouf, Saned; Matta, Claudia; Michael, Saja; Smith, Colette

    2011-10-07

    The objectives of this study are to: (1) profile the production of Health Policy and Systems Research (HPSR) published between 2000 and 2008 in 12 countries in the Eastern Mediterranean Region (EMR): Bahrain, Egypt, Jordan, Lebanon, Libya, Morocco, Oman, Palestine, Sudan, Syria, Tunisia, and Yemen; (2) identify gaps; and (3) assess the extent to which existing HPSR produced in the region addresses regional priorities pertaining to Health Financing, Human Resources for Health and the Role of the Non-State Sector. This is the first stocktaking paper of HPSR production and gaps in the EMR. Articles indexed on Medline between years 2000 and 2008 for the 12 study countries were selected. A MeSH term based search was conducted using country names. Articles were assessed using a coding sheet adapted for the region which included themes on: Governance Arrangements, Financial Arrangements, Delivery Arrangements, and Implementation Strategies. Identified articles were matched against regional research priorities to assess the extent to which research production aligns with priorities. A total of 1,487 articles (11.94%) fit the criteria in the coding sheet. Results showed an increase in HPSR production which peaked after 2005. Most identified articles focused on Delivery Arrangements (68.1%), and Implementation Strategies (24.4%). Most HPSR addressed priorities in Human Resources for Health (39%), and some articles focused on Health Financing (12%) and Role of the Non-State Sector (6.1%). Despite global calls for producing and translating HPSR into policy, there are still significant gaps in the EMR. More efforts are needed to produce HPSR and align production and translation with the demand for evidence by policymakers. Findings can help inform and direct future plans and activities for the Evidence Informed Policy Network- EMR, World Health Organization- EMR, and the Middle East and North Africa Health Policy Forum, in addition to being useful for countries that host or are planning to host KT platforms in the region.

  12. Wasteful use of financial resources in public hospitals in Turkey: a trend analysis.

    PubMed

    Ozgulbas, Nermin; Kisa, Adnan

    2006-01-01

    The Turkish health system is mainly financed by public sources such as taxes and premiums collected from workers. According to 2003 data, total health expenditures were 4.5% of the country's Gross Domestic Product. Currently, 56% of the system is financed by the Ministry of Health, and services are also provided by the Ministry. The main sources of finance among the Ministry of Health hospitals are general budget contributions made by the Ministry and revolving funds. The purpose of this study is to evaluate the financial conditions of those Ministry of Health hospitals that have revolving funds. The financial trends of 2514 hospitals were followed from 1996 to 2000, and financial statement analyses were conducted. The results of the study show that the Ministry of Health hospitals are not professionally administered for their financial situation and also that their financial resources are not used effectively. The hospitals had difficulty in collecting debts and had problems in cash returns. At the end of the study, policy suggestions are made for health care managers toward improving financial conditions in these public hospitals.

  13. [Payment mechanisms and financial resources management for consolidation of Ecuador's health system].

    PubMed

    Villacrés, Tatiana; Mena, Ana Cristina

    2017-06-08

    Analyze the proposal by the Ministry of Public Health to reform the public financing model in Ecuador with regard to pooling of funds and payment mechanisms. A literature review was done of the financing model, the current legal framework, and the budgetary bases in Pubmed, SciELO, LILACS Ecuador, and regional LILACS using the key words health financing, health financing systems, capitation, pooling of funds, health system reform Ecuador, health system Ecuador, and health payment mechanisms. Books and other documents suggested by health systems experts were also included. Review of the financing model enabled identifying the historical segmentation of Ecuador's health system; out of this, the Ministry of Public Health conceived its proposal to reform the financing model. The Ministry's proposed solutions are pooling of funds and payment of services at the first level of care through payment per capita adjusted for socioeconomic and demographic risks. Progress made in reforming the financing model includes design of the proposals and their implementation mechanisms, and discussions with stakeholders. Implementation of these changes may produce improvements for the health system in efficiency, spreading of risks, incentives for meeting health objectives, as well as contribute to its sustainability and advance toward universal health coverage. Nevertheless, legal, political, and operational constraints are hampering their implementation.

  14. The Financial Resource Allocation Process at Compton Community College: A Redirection.

    ERIC Educational Resources Information Center

    Compton Community Coll. Federation of Teachers, CA.

    This paper presents a historical portrait of the process of financial resource allocation at Compton Community College (CCC). Introductory material provides information on the college, its organization, and its budgeting and accounting procedures. Next, changes in finances occurring between 1974-75 and 1977-78 are outlined, including the growth of…

  15. Essentials of Illinois School Finance: A Guide to Techniques, Issues and Resources.

    ERIC Educational Resources Information Center

    Fritts, James B.

    This book is a tool for Illinois school business officials, superintendents, and other administrators with budgeting responsibilities. It is also a resource for school board members. The foreword describes the financial responsibilities of the school board along with the caveat that financial management is staff work, not board work. Detailed…

  16. 31 CFR 537.412 - Investments in entities involved in economic development projects in Burma.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... economic development projects in Burma. 537.412 Section 537.412 Money and Finance: Treasury Regulations... economic development of resources located in Burma is prohibited by § 537.204 where the company's profits are predominantly derived from the company's economic development of resources located in Burma. (b...

  17. Development and Validation of a PTSD-Related Impairment Scale

    DTIC Science & Technology

    2012-06-01

    Social Adjustment Scale (SAS-SR) (58] Dyadic Adjustment Scale (DAS) [59] Life Stressors and Social Resources Inventory ( LISRES ) [60] 3...measure that gauges on- 200 Social Resources lnven- 2. Spouse/partner going life stressors and social resources tory ( LISRES ; Moos & 3. Finances as well...measures (e.g., ICF checklist, LISRES ; Moos, Penn, & Billings, 1988) may nor be practical or desirable in many healthcare settings or in large-scale

  18. Early appraisal of China's huge and complex health-care reforms.

    PubMed

    Yip, Winnie Chi-Man; Hsiao, William C; Chen, Wen; Hu, Shanlian; Ma, Jin; Maynard, Alan

    2012-03-03

    China's 3 year, CN¥850 billion (US$125 billion) reform plan, launched in 2009, marked the first phase towards achieving comprehensive universal health coverage by 2020. The government's undertaking of systemic reform and its affirmation of its role in financing health care together with priorities for prevention, primary care, and redistribution of finance and human resources to poor regions are positive developments. Accomplishing nearly universal insurance coverage in such a short time is commendable. However, transformation of money and insurance coverage into cost-effective services is difficult when delivery of health care is hindered by waste, inefficiencies, poor quality of services, and scarcity and maldistribution of the qualified workforce. China must reform its incentive structures for providers, improve governance of public hospitals, and institute a stronger regulatory system, but these changes have been slowed by opposition from stakeholders and lack of implementation capacity. The pace of reform should be moderated to allow service providers to develop absorptive capacity. Independent, outcome-based monitoring and evaluation by a third-party are essential for mid-course correction of the plans and to make officials and providers accountable. Copyright © 2012 Elsevier Ltd. All rights reserved.

  19. Planning, Managing, and Financing in the 1980s. Achieving Excellence, Diversity, and Access in the Context of Stable Resources and Demands for Increased Productivity. Proceedings of the 1977 NCHEMS National Assembly (Denver, Colorado, November 6-8, 1977).

    ERIC Educational Resources Information Center

    Western Interstate Commission for Higher Education, Boulder, CO. National Center for Higher Education Management Systems.

    The 1977 National Assembly of the National Center for Higher Education Management Systems addressed specific aspects of excellence, diversity, and access to postsecondary education and suggested ways to preserve these values in planning, managing, and financing in the 1980's. The following conference papers are presented: "Placing Value…

  20. Global health goals: lessons from the worldwide effort to eradicate poliomyelitis.

    PubMed

    Aylward, R Bruce; Acharya, Arnab; England, Sarah; Agocs, Mary; Linkins, Jennifer

    2003-09-13

    The Global Polio Eradication Initiative was launched in 1988. Assessment of the politics, production, financing, and economics of this international effort has suggested six lessons that might be pertinent to the pursuit of other global health goals. First, such goals should be based on technically sound strategies with proven operational feasibility in a large geographical area. Second, before launching an initiative, an informed collective decision must be negotiated and agreed in an appropriate international forum to keep to a minimum long-term risks in financing and implementation. Third, if substantial community engagement is envisaged, efficient deployment of sufficient resources at that level necessitates a defined, time-limited input by the community within a properly managed partnership. Fourth, although the so-called fair-share concept is arguably the best way to finance such goals, its limitations must be recognised early and alternative strategies developed for settings where it does not work. Fifth, international health goals must be designed and pursued within existing health systems if they are to secure and sustain broad support. Finally, countries, regions, or populations most likely to delay the achievement of a global health goal should be identified at the outset to ensure provision of sufficient resources and attention. The greatest threats to poliomyelitis eradication are a financing gap of US 210 million dollars and difficulties in strategy implementation in at most five countries.

  1. Why public health services? Experiences from profit-driven health care reforms in Sweden.

    PubMed

    Dahlgren, Göran

    2014-01-01

    Market-oriented health care reforms have been implemented in the tax-financed Swedish health care system from 1990 to 2013. The first phase of these reforms was the introduction of new public management systems, where public health centers and public hospitals were to act as private firms in an internal health care market. A second phase saw an increase of tax-financed private for-profit providers. A third phase can now be envisaged with increased private financing of essential health services. The main evidence-based effects of these markets and profit-driven reforms can be summarized as follows: efficiency is typically reduced but rarely increased; profit and tax evasion are a drain on resources for health care; geographical and social inequities are widened while the number of tax-financed providers increases; patients with major multi-health problems are often given lower priority than patients with minor health problems; opportunities to control the quality of care are reduced; tax-financed private for-profit providers facilitate increased private financing; and market forces and commercial interests undermine the power of democratic institutions. Policy options to promote further development of a nonprofit health care system are highlighted.

  2. How changes to Irish healthcare financing are affecting universal health coverage.

    PubMed

    Briggs, Adam D M

    2013-11-01

    In 2010, the World Health Organisation (WHO) published the World Health Report - Health systems financing: the path to universal coverage. The Director-General of the WHO, Dr Margaret Chan, commissioned the report "in response to a need, expressed by rich and poor countries alike, for practical guidance on ways to finance health care". Given the current context of global economic hardship and difficult budgetary decisions, the report offered timely recommendations for achieving universal health coverage (UHC). This article analyses the current methods of healthcare financing in Ireland and their implications for UHC. Three questions are asked of the Irish healthcare system: firstly, how is the health system financed; secondly, how can the health system protect people from the financial consequences of ill-health and paying for health services; and finally, how can the health system encourage the optimum use of available resources? By answering these three questions, this article argues that the Irish healthcare system is not achieving UHC, and that it is unclear whether recent changes to financing are moving Ireland closer or further away from the WHO's ambition for healthcare for all. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  3. To What Extent Is Long-term Care Representative of Elderly Care? A Case Study of Elderly Care Financing in Lombardy, Italy.

    PubMed

    Brenna, Elenka; Gitto, Lara

    2017-02-25

    The ageing of European population has been rapidly increasing during the last decades, and the problem of elderly care financing has become an issue for policy-makers. Long-term care (LTC) financing is considered a suitable proxy of the resources committed to elderly care by each government, but the preciseness of this approximation depends on the extent to which LTC is representative of elderly care within each country. Since there is a broad heterogeneity in LTC funding, organization and setting among European States, it is difficult to find a common parameter representing the public resources destined to the elderly care. We address these topics employing as a case study an Italian region, Lombardy, which in terms of population, dimension, healthcare organization and economic development could be compared to other European countries. The method we suggest, which consists basically in a careful estimate of all the public resources employed in the provision of services exclusively destined to the elderly, could be applied, with the due differences, to other European countries or regions. © 2017 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

  4. 33 CFR 332.4 - Planning and documentation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ....g., typical channel cross-sections), watershed size, design discharge, and riparian area plantings... achieved to ensure the long-term sustainability of the resource, including long-term financing mechanisms...

  5. Contracting out of health services in developing countries.

    PubMed

    McPake, B; Banda, E E

    1994-03-01

    Contracting out is emerging as a common policy issue in a number of developing countries. The theoretical case for contracting out suggests many advantages in combining public finance with private provision. However, practical difficulties such as those of ensuring that competition takes place between potential contractors, that competition leads to efficiency and that contracts and the process of contracting are effectively managed, suggest that such advantages may not always be realized. Most countries are likely only to contemplate restricted contracting of small-scale non-clinical services in the short term. Prerequisites of more extensive models appear to be the development of information systems and human resources to that end. Some urban areas of larger countries may have the existing preconditions for more successful large-scale contracting.

  6. Examining corporate reputation judgments with generalizability theory.

    PubMed

    Highhouse, Scott; Broadfoot, Alison; Yugo, Jennifer E; Devendorf, Shelba A

    2009-05-01

    The researchers used generalizability theory to examine whether reputation judgments about corporations function in a manner consistent with contemporary theory in the corporate-reputation literature. University professors (n = 86) of finance, marketing, and human resources management made repeated judgments about the general reputations of highly visible American companies. Minimal variability in the judgments is explained by items, time, persons, and field of specialization. Moreover, experts from the different specializations reveal considerable agreement in how they weigh different aspects of corporate performance in arriving at their global reputation judgments. The results generally support the theory of the reputation construct and suggest that stable estimates of global reputation can be achieved with a small number of items and experts. (c) 2009 APA, all rights reserved.

  7. Biosphere reserves: Attributes for success.

    PubMed

    Van Cuong, Chu; Dart, Peter; Hockings, Marc

    2017-03-01

    Biosphere reserves established under the UNESCO Man and the Biosphere Program aim to harmonise biodiversity conservation and sustainable development. Concerns over the extent to which the reserve network was living up to this ideal led to the development of a new strategy in 1995 (the Seville Strategy) to enhance the operation of the network of reserves. An evaluation of effectiveness of management of the biosphere reserve network was called for as part of this strategy. Expert opinion was assembled through a Delphi Process to identify successful and less successful reserves and investigate common factors influencing success or failure. Ninety biosphere reserves including sixty successful and thirty less successful reserves in 42 countries across all five Man and the Biosphere Program regions were identified. Most successful sites are the post-Seville generation while the majority of unsuccessful sites are pre-Seville that are managed as national parks and have not been amended to conform to the characteristics that are meant to define a biosphere reserve. Stakeholder participation and collaboration, governance, finance and resources, management, and awareness and communication are the most influential factors in the success or failure of the biosphere reserves. For success, the biosphere reserve concept needs to be clearly understood and applied through landscape zoning. Designated reserves then need a management system with inclusive good governance, strong participation and collaboration, adequate finance and human resource allocation and stable and responsible management and implementation. All rather obvious but it is difficult to achieve without commitment to the biosphere reserve concept by the governance authorities. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Equity, governance and financing after health care reform: lessons from Mexico.

    PubMed

    Arredondo, Armando; Orozco, Emanuel

    2008-01-01

    To determine, from the perspective of providers, community leaders and users of health services, equity, governance and health financing outcomes of the Mexican health system reform.Cross-sectional study oriented towards the qualitative analysis of financing, governance and equity indicators for the uninsured population. Taking into account feasibility, as well as political and technical criteria, six Mexican states were selected as study populations and a qualitative research was conducted during 2004-2006. Two hundred and forty in-depth interviews were applied, in all selected states, to 60 decision-makers, including medical and administrative personnel; 60 service providers at health centres; 60 representatives of civil organizations, including municipal representatives and, finally, 60 members of health committees and users of services at second and first levels of care units. The analysis of interviews was performed using ATLAS-Ti software. An outcome mapping of health reform was developed. For political actors, Mexican health system reform has not modified dependence on the central level; ignorance about reform strategies and lack of participation in the search for financial resources to finance health systems were evidenced. Also, in all states under study, community leaders and users of services reported the need to improve an effective accountability system at both municipal and state levels. Health strategies for equity, governance and financing do not have adequate mechanisms to promote participation from all social actors. Improving this situation is a very important goal in the Mexican health democratization process, in the context of health care reform. There are relevant positive and negative effects of the reform on equity, governance and financing in health. Special emphasis is placed on the analysis of lessons learned in Mexico and the usefulness of the main strengths and weaknesses, as relevant evidences for other middle-income countries which are designing, implementing and evaluating reform strategies in order to achieve equity in resource allocation, good levels of governance and a greater financial protection in health.

  9. Quality care during labour and birth: a multi-country analysis of health system bottlenecks and potential solutions

    PubMed Central

    2015-01-01

    Background Good outcomes during pregnancy and childbirth are related to availability, utilisation and effective implementation of essential interventions for labour and childbirth. The majority of the estimated 289,000 maternal deaths, 2.8 million neonatal deaths and 2.6 million stillbirths every year could be prevented by improving access to and scaling up quality care during labour and birth. Methods The bottleneck analysis tool was applied in 12 countries in Africa and Asia as part of the Every Newborn Action Plan process. Country workshops engaged technical experts to complete the survey tool, which is designed to synthesise and grade health system "bottlenecks", factors that hinder the scale up, of maternal-newborn intervention packages. We used quantitative and qualitative methods to analyse the bottleneck data, combined with literature review, to present priority bottlenecks and actions relevant to different health system building blocks for skilled birth attendance and basic and comprehensive emergency obstetric care. Results Across 12 countries the most critical bottlenecks identified by workshop participants for skilled birth attendance were health financing (10 out of 12 countries) and health workforce (9 out of 12 countries). Health service delivery bottlenecks were found to be the most critical for both basic and comprehensive emergency obstetric care (9 out of 12 countries); health financing was identified as having critical bottlenecks for comprehensive emergency obstetric care (9 out of 12 countries). Solutions to address health financing bottlenecks included strengthening national financing mechanisms and removing financial barriers to care seeking. For addressing health workforce bottlenecks, improved human resource planning is needed, including task shifting and improving training quality. For health service delivery, proposed solutions included improving quality of care and establishing public private partnerships. Conclusions Progress towards the 2030 targets for ending preventable maternal and newborn deaths is dependent on improving quality of care during birth and the immediate postnatal period. Strengthening national health systems to improve maternal and newborn health, as a cornerstone of universal health coverage, will only be possible by addressing specific health system bottlenecks during labour and birth, including those within health workforce, health financing and health service delivery. PMID:26390886

  10. Karlynn Cory | NREL

    Science.gov Websites

    . Research Interests Clean energy project financing Renewable energy techno-economic analysis Distributed Distributed Energy Future: Volume II A Case Study of Integrated Distributed Energy Resource Planning by

  11. Home Modifications

    MedlinePlus

    ... income and ability to pay. Public and private financing options may also be available. Sources of support ... Learn more by visiting https://www.ncoa.org/economic-security/home-equity/ . Search for additional resources in ...

  12. 40 CFR 230.94 - Planning and documentation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...-sections), watershed size, design discharge, and riparian area plantings. (8) Maintenance plan. A... sustainability of the resource, including long-term financing mechanisms and the party responsible for long-term...

  13. 28 CFR 571.13 - Institution release preparation program.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... nutrition. (2) Employment. (3) Personal finance/consumer skills. (4) Information/community resources. (5) Release requirements and procedures. (6) Personal growth and development. (c) To assist in the release...

  14. 28 CFR 571.13 - Institution release preparation program.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... nutrition. (2) Employment. (3) Personal finance/consumer skills. (4) Information/community resources. (5) Release requirements and procedures. (6) Personal growth and development. (c) To assist in the release...

  15. 28 CFR 571.13 - Institution release preparation program.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... nutrition. (2) Employment. (3) Personal finance/consumer skills. (4) Information/community resources. (5) Release requirements and procedures. (6) Personal growth and development. (c) To assist in the release...

  16. Depression, anxiety, and personal finance behavior: implications for the classical economic conception of humans as rational decision-makers.

    PubMed

    Lester, David; Yang, Bijou; Spinella, Marcello

    2006-12-01

    In a sample of 138 college students, the personal finance behaviors of impulse control and organization were negatively associated with the use of recreational drugs and with scores on measures of depression, mania, and anxiety.

  17. Australian University International Student Finances

    ERIC Educational Resources Information Center

    Forbes-Mewett, Helen; Marginson, Simon; Nyland, Chris; Ramia, Gaby; Sawir, Erlenawati

    2009-01-01

    The omission of international students from the Australian Vice-Chancellor's Committee (AVCC) 2007 national study on student finances is indicative of a pattern of exclusion. The exclusion is unacceptable from a humane perspective and feeds the belief that Australians perceive international students primarily as "cash cows". This study…

  18. Health financing reform in Uganda: How equitable is the proposed National Health Insurance scheme?

    PubMed

    Orem, Juliet Nabyonga; Zikusooka, Charlotte Muheki

    2010-10-13

    Uganda is proposing introduction of the National Health Insurance scheme (NHIS) in a phased manner with the view to obtaining additional funding for the health sector and promoting financial risk protection. In this paper, we have assessed the proposed NHIS from an equity perspective, exploring the extent to which NHIS would improve existing disparities in the health sector. We reviewed the proposed design and other relevant documents that enhanced our understanding of contextual issues. We used the Kutzin and fair financing frameworks to critically assess the impact of NHIS on overall equity in financing in Uganda. The introduction of NHIS is being proposed against the backdrop of inequalities in the distribution of health system inputs between rural and urban areas, different levels of care and geographic areas. In this assessment, we find that gradual implementation of NHIS will result in low coverage initially, which might pose a challenge for effective management of the scheme. The process for accreditation of service providers during the first phase is not explicit on how it will ensure that a two-tier service provision arrangement does not emerge to cater for different types of patients. If the proposed fee-for-service mechanism of reimbursing providers is pursued, utilisation patterns will determine how resources are allocated. This implies that equity in resource allocation will be determined by the distribution of accredited providers, and checks put in place to prohibit frivolous use. The current design does not explicitly mention how these two issues will be tackled. Lastly, there is no clarity on how the NHIS will fit into, and integrate within existing financing mechanisms. Under the current NHIS design, the initial low coverage in the first years will inhibit optimal achievement of the important equity characteristics of pooling, cross-subsidisation and financial protection. Depending on the distribution of accredited providers and utilisation patterns, the NHIS could worsen existing disparities in access to services, given the fee-for-service reimbursement mechanisms currently proposed. Lastly, if equity in financing and resource allocation are not explicit objectives of the NHIS, it might inadvertently worsen the existing disparities in service provision.

  19. Financing and current capacity for REDD+ readiness and monitoring, measurement, reporting and verification in the Congo Basin

    PubMed Central

    Maniatis, Danae; Gaugris, Jérôme; Mollicone, Danilo; Scriven, Joel; Corblin, Alexis; Ndikumagenge, Cleto; Aquino, André; Crete, Philippe; Sanz-Sanchez, Maria-José

    2013-01-01

    This paper provides the first critical analysis of the financing and current capacity for REDD+ readiness in the Congo Basin, with a particular focus on the REDD+ component of national forest monitoring and measurement, reporting and verification (M&MRV). We focus on three areas of analysis: (i) general financing for REDD+ readiness especially M&MRV; (ii) capacity and information for REDD+ implementation and M&MRV; (iii) prospects and challenges for REDD+ and M&MRV readiness in terms of financing and capacity. For the first area of analysis, a REDD+ and M&MRV readiness financing database was created based on the information from the REDD+ voluntary database and Internet searches. For the second area of analysis, a qualitative approach to data collection was adopted (semi-structured interviews with key stakeholders, surveys and observations). All 10 countries were visited between 2010 and 2012. We find that: (i) a significant amount of REDD+ financing flows into the Congo Basin (±US$550 million or almost half of the REDD+ financing for the African continent); (ii) across countries, there is an important disequilibrium in terms of REDD+ and M&MRV readiness financing, political engagement, comprehension and capacity, which also appears to be a key barrier to countries receiving equal resources; (iii) most financing appears to go to smaller scale (subnational) REDD+ projects; (iv) four distinct country groups in terms of REDD+ readiness and M&MRV status are identified; and (v) the Congo Basin has a distinct opportunity to have a specific REDD+ financing window for large-scale and more targeted national REDD+ programmes through a specific fund for the region. PMID:23878337

  20. Financing and current capacity for REDD+ readiness and monitoring, measurement, reporting and verification in the Congo Basin.

    PubMed

    Maniatis, Danae; Gaugris, Jérôme; Mollicone, Danilo; Scriven, Joel; Corblin, Alexis; Ndikumagenge, Cleto; Aquino, André; Crete, Philippe; Sanz-Sanchez, Maria-José

    2013-01-01

    This paper provides the first critical analysis of the financing and current capacity for REDD+ readiness in the Congo Basin, with a particular focus on the REDD+ component of national forest monitoring and measurement, reporting and verification (M&MRV). We focus on three areas of analysis: (i) general financing for REDD+ readiness especially M&MRV; (ii) capacity and information for REDD+ implementation and M&MRV; (iii) prospects and challenges for REDD+ and M&MRV readiness in terms of financing and capacity. For the first area of analysis, a REDD+ and M&MRV readiness financing database was created based on the information from the REDD+ voluntary database and Internet searches. For the second area of analysis, a qualitative approach to data collection was adopted (semi-structured interviews with key stakeholders, surveys and observations). All 10 countries were visited between 2010 and 2012. We find that: (i) a significant amount of REDD+ financing flows into the Congo Basin (±US$550 million or almost half of the REDD+ financing for the African continent); (ii) across countries, there is an important disequilibrium in terms of REDD+ and M&MRV readiness financing, political engagement, comprehension and capacity, which also appears to be a key barrier to countries receiving equal resources; (iii) most financing appears to go to smaller scale (subnational) REDD+ projects; (iv) four distinct country groups in terms of REDD+ readiness and M&MRV status are identified; and (v) the Congo Basin has a distinct opportunity to have a specific REDD+ financing window for large-scale and more targeted national REDD+ programmes through a specific fund for the region.

  1. Pay for Play. Countering Threat Financing

    DTIC Science & Technology

    2010-01-01

    ndupress .ndu.edu issue 56, 1 st quarter 2010 / JFQ 123 Pay for Play Countering Threat Financing By m i c h a e l t . F l y n n and s i m o n...dis- covered that illicit financing networks repre- sent both a significant strength and a critical enemy vulnerability to exploit. Guns, drugs...weapons of mass destruction, and humans are all commodities interactively traded by terror- ists in corporate -like networks. As we have discovered

  2. Smart Money: Using Educational Resources to Accomplish Ambitious Learning Goals

    ERIC Educational Resources Information Center

    Adams, Jacob E., Jr., Ed.

    2010-01-01

    Education finance has emerged as one of the most pressing public policy issues of the new century. Americans spend more than $500 billion a year on elementary and secondary education, yet neither policy-makers nor practitioners seems to know how to align these resources with student learning goals. In fact, spending increases have outstripped…

  3. Building Villages To Raise Our Children: Funding and Resources. Guides to Comprehensive Family Support Services.

    ERIC Educational Resources Information Center

    Fay, Juliette; And Others

    This guide, Part 2 of a 6-volume guide, is designed to assist program managers in maintaining comprehensive family-support programs through creative funding. It stresses building a portfolio of resources to serve the families within the communities. It also examines the general principles of financing strategy, potential funding sources, tips on…

  4. Minimizing the Spread in Per-Pupil Expenditures in School Finance Programs.

    ERIC Educational Resources Information Center

    Bruno, James E.

    This paper summarizes a recent study of a mathematical approach to the allocation of State resources to local school districts. The purpose of this approach is to (1) assure the maximum utilization of resources available, (2) distribute State funds in accordance with the criteria of effectiveness imposed on the system, and (3) satisfy the…

  5. Business Schools and Resources Constraints: A Task for Deans or Magicians?

    ERIC Educational Resources Information Center

    D'Alessio, Fernando A.; Avolio, Beatrice

    2011-01-01

    One of the major challenges that face the deans of many business schools is obtaining funding for their academic operations and research to sustain world-class educational quality. Business schools raise resources in their own way, but ways of financing strongly vary when comparing educational institutions among world regions. The purpose of this…

  6. CENTRALIZED TREATMENT OF METAL FINISHING WASTES AT A CLEVELAND RESOURCE RECOVERY PARK: PART 1. DESIGN AND COSTS. PART 2. FINANCING. PART 3. SITE INVESTIGATION

    EPA Science Inventory

    The report, in three parts, describes the characteristics of the Cleveland (OH) area electroplating industry and an approach and design for a centralized facility to treat cyanide and heavy metal wastes generated by this industry. The facility is termed the Resource Recovery Park...

  7. Managing Resource Dependence Difficulties in African Higher Education: The Case of Multiple Exchange Relationships

    ERIC Educational Resources Information Center

    Wangenge-Ouma, Gerald

    2011-01-01

    The paper has a twofold structure and focus. The first part is an examination of the funding challenges facing African universities resulting mainly from public finance difficulties, and the second part is a case study of how some Kenyan and South African public universities have attempted to mitigate resource dependence difficulties through…

  8. Implementing Health Financing Reforms in Africa: Perspectives of Health System Stewards.

    PubMed

    Achoki, Tom; Lesego, Abaleng

    A majority of health systems in the sub-Saharan Africa region are faced with multiple competing priorities amid pressing resource constraints. Health financing reforms, characterized by expansion of health insurance coverage, have been proposed as promising in the quest to improve health sustainably. However, in many countries where these measures are being attempted, their broader implications have not been fully appreciated. This study was based on perspectives of 37 health system stewards from Botswana who were interviewed in order to understand opportunities and challenges that would result in the quest to expand health insurance coverage in the country. Thematic synthesis of their perspectives, focusing on the key aspects of the health systems, was done in order to draw informative lessons that could be applicable to a broader set of low- and middle-income countries. Health systems attempting to expand health insurance coverage would be faced with various opportunities and challenges that have implications on performance. By increasing the pool of resources available to spend on health, health insurance would afford health systems the opportunity to increase population access to and use of health services. However, if unchecked, this could also translate to uncontrolled demand for expensive medicines and other health technologies, leading to cost escalation and inefficiencies within the system. Therefore, the success of any health financing reform is dependent on embracing sound policies, regulations, and accountability measures. Health financing reforms have broader implications to health system performance that should be fully appreciated and anticipated before implementation. Therefore, health system leaders who are keen to improve health must view any health financing reforms through the broader framework of the health system framework in order to make progress. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  9. Essentials of finance for occupational physicians.

    PubMed

    Miller, K; Fallon, L F

    2001-01-01

    Comprehending the principles of finance is paramount to understanding the way an organization chooses to generate and use its financial resources. Financial principles may be employed in the same way a physician reviews fundamental systems to gauge a person s health. Just as basic anatomical and physiological components are used to assess the health of an individual, basic financial elements exist to ascertain the health of an organization. This chapter explains risk assessment, accounts receivable management, inventory, depreciation, capital formation, ratio analysis, and more.

  10. Coûts Et Financement De L'Alphabétisation

    NASA Astrophysics Data System (ADS)

    Diagne, Amadou Wade

    2008-11-01

    While the costs of literacy programmes continue to outstrip the resources available, this article argues that much can be done by bringing more efficiency and clarity into accounting and financing procedures. Drawing on the example of Senegal, the author argues for more effective methods of calculating the costs of programmes, analysing the various cost components, managing budgets and evaluating cost- effectiveness. He also points out the need for partnership between different sectors and emphasizes that political stability is very important for positive results.

  11. Renewable Energy Certificate Monetization

    EPA Pesticide Factsheets

    The Toolbox for Renewable Energy Project Development's Renewable Energy Certificate (REC) Monetization page provides an overview of REC monetization strategies and resources and how RECs impact the financing and economics of solar projects.

  12. Understanding Leukemia

    MedlinePlus

    ... has information that can help you understand your finances, prepare questions, find answers and resources, and communicate ... relies on the generosity of individual, foundation and corporate contributions to advance its mission. FSC LOGO PS70 ...

  13. 38 CFR 21.126 - Farm cooperative course.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... rehabilitation services. The areas in which proficiency is to be established include: (1) Planning; (2) Producing; (3) Marketing; (4) Maintaining farm equipment; (5) Conserving farm resources; (6) Financing the farm...

  14. Treatment for HIV

    MedlinePlus

    ... About Combination Therapy About Joining a Clinical Trial Web Resources Clinical Trials Financing Treatment Hotlines return to ... to email VA HOME Notices Privacy FOIA Regulations Web Policies No FEAR Act Whistleblower Rights & Protections Site ...

  15. Decentralisation of Health Services in Fiji: A Decision Space Analysis.

    PubMed

    Mohammed, Jalal; North, Nicola; Ashton, Toni

    2015-11-15

    Decentralisation aims to bring services closer to the community and has been advocated in the health sector to improve quality, access and equity, and to empower local agencies, increase innovation and efficiency and bring healthcare and decision-making as close as possible to where people live and work. Fiji has attempted two approaches to decentralisation. The current approach reflects a model of deconcentration of outpatient services from the tertiary level hospital to the peripheral health centres in the Suva subdivision. Using a modified decision space approach developed by Bossert, this study measures decision space created in five broad categories (finance, service organisation, human resources, access rules, and governance rules) within the decentralised services. Fiji's centrally managed historical-based allocation of financial resources and management of human resources resulted in no decision space for decentralised agents. Narrow decision space was created in the service organisation category where, with limited decision space created over access rules, Fiji has seen greater usage of its decentralised health centres. There remains limited decision space in governance. The current wave of decentralisation reveals that, whilst the workload has shifted from the tertiary hospital to the peripheral health centres, it has been accompanied by limited transfer of administrative authority, suggesting that Fiji's deconcentration reflects the transfer of workload only with decision-making in the five functional areas remaining largely centralised. As such, the benefits of decentralisation for users and providers are likely to be limited. © 2016 by Kerman University of Medical Sciences.

  16. Equity and financing for sexual and reproductive health service delivery: current innovations.

    PubMed

    Montagu, Dominic; Graff, Maura

    2009-07-01

    National and international decisions on financing for sexual and reproductive health (SRH) services have profound effects on the type, unit costs and distribution of SRH commodities and services produced, and on their availability and consumption. Much international and national funding is politically driven and is doing little for equity and quality improvement. Financing remains a significant challenge in most developing countries and demands creative responses. While no "one-size-fits-all" solution exists, there are numerous ongoing examples of successful innovations, many of which are focusing on resource pooling and on purchasing or subsidising SRH services. In this article we have used interviews, grey literature and presentations made at a range of recent public fora to identify new and innovative ways of financing SRH services so as to increase equity in developing countries. Because SRH services are often of low value as a personal good but high value as a public good, we summarise the issues from a societal perspective, highlighting the importance of financing and policy decisions for SRH services. We provide a structured overview of what novel approaches to financing appear to have positive effects in a range of developing countries. Targeting, government payment mechanisms, subsidy delivery and co-financing for sustainability are highlighted as showing particular promise. Examples are used throughout the article to illustrate innovative strategies.

  17. Gender differentiation in community responses to AIDS in rural Uganda.

    PubMed

    Kanyamurwa, J M; Ampek, G T

    2007-01-01

    AIDS has been reported in Africa to push households into poverty and chronic food insecurity. At the same time there are reports of significant household resilience to AIDS. This study explored how a mature epidemic in rural Uganda has affected rural farming households. It focused on gender differences in the experience of AIDS and, in particular, household capabilities to sustain livelihoods. The study compared the vulnerability of male- and female-headed households in relation to their ability to mitigate human resource losses, as well as their access to natural and physical resources, to social networks and to finance capital for production. The findings suggest that when rural households are affected by AIDS, depleting productive resources and directing resources towards immediate needs, there are gender differences in responses to, and in impacts of, the epidemic due to the different resources available to male- and female- headed households. Female-headed households were found to be more vulnerable to AIDS than male-headed counterparts. Women's remarriage opportunities were lower than men's, they faced greater risk of losing control over land and livestock and they accessed less state and private sector support. Women-headed households were more dependent on livelihood support from non-governmental organizations, which were found to provide both welfare and credit support to female-headed households affected by AIDS. Women were found to play an important role in social networks and resources at community level but themselves received little support from many formal community networks and services.

  18. Tele-transmission of EEG recordings.

    PubMed

    Lemesle, M; Kubis, N; Sauleau, P; N'Guyen The Tich, S; Touzery-de Villepin, A

    2015-03-01

    EEG recordings can be sent for remote interpretation. This article aims to define the tele-EEG procedures and technical guidelines. Tele-EEG is a complete medical act that needs to be carried out with the same quality requirements as a local one in terms of indications, formulation of the medical request and medical interpretation. It adheres to the same quality requirements for its human resources and materials. It must be part of a medical organization (technical and medical network) and follow all rules and guidelines of good medical practices. The financial model of this organization must include costs related to performing the EEG recording, operating and maintenance of the tele-EEG network and medical fees of the physician interpreting the EEG recording. Implementing this organization must be detailed in a convention between all parties involved: physicians, management of the healthcare structure, and the company providing the tele-EEG service. This convention will set rules for network operation and finance, and also the continuous training of all staff members. The tele-EEG system must respect all rules for safety and confidentiality, and ensure the traceability and storing of all requests and reports. Under these conditions, tele-EEG can optimize the use of human resources and competencies in its zone of utilization and enhance the organization of care management. Copyright © 2015. Published by Elsevier SAS.

  19. Health promotion in Brazil.

    PubMed

    Buss, Paulo Marchiori; de Carvalho, Antonio Ivo

    2007-01-01

    The evolution of health promotion within the Brazilian health system is examined, including an assessment of the intersectoral and development policies that have influenced the process. Particular attention is paid to the legal characteristics of the Unified Health System. Human resources formation and research initiatives in health promotion are outlined, with a summary of the obstacles that need to be overcome in order to ensure the effective implementation of health promotion in the future. Up to the end of the 20th Century health promotion was not used as a term in the Brazilian public heath context. Health promoting activities were concentrated in the area of health education, although targeting the social determinants of health and the principle of intersectoral action were part of the rhetoric. The situation has changed during the last decade, with the publication of a national policy of health promotion, issued by the Ministry of Health and jointly implemented with the States and Municipals Health Secretaries. More recently there has been a re-emergence of the discourse on the social determinants of health and the formation of intersectoral public policies as the basis of a comprehensive health promotion. Health promotion infrastructure, particularly around human resources and financing, requires strengthening in order to ensure capacity and sustainability in health promotion practice.

  20. Human resources for health at the district level in Indonesia: the smoke and mirrors of decentralization.

    PubMed

    Heywood, Peter F; Harahap, Nida P

    2009-02-03

    In 2001 Indonesia embarked on a rapid decentralization of government finances and functions to district governments. One of the results is that government has less information about its most valuable resource, the people who provide the services. The objective of the work reported here is to determine the stock of human resources for health in 15 districts, their service status and primary place of work. It also assesses the effect of decentralization on management of human resources and the implications for the future. We enumerated all health care providers (doctors, nurses and midwives), including information on their employment status and primary place of work, in each of 15 districts in Java. Data were collected by three teams, one for each province. Provider density (number of doctors, nurses and midwives/1000 population) was low by international standards--11 out of 15 districts had provider densities less than 1.0. Approximately half of all three professional groups were permanent public servants. Contractual employment was also important for both nurses and midwives. The private sector as the primary source of employment is most important for doctors (37% overall) and increasingly so for midwives (10%). For those employed in the public sector, two-thirds of doctors and nurses work in health centres, while most midwives are located at village-level health facilities. In the health system established after Independence, the facilities established were staffed through a period of obligatory service for all new graduates in medicine, nursing and midwifery. The last elements of that staffing system ended in 2007 and the government has not been able to replace it. The private sector is expanding and, despite the fact that it will be of increasing importance in the coming decades, government information about providers in private practice is decreasing. Despite the promise of decentralization to increase sectoral "decision space" at the district level, the central government now has control over essentially all public sector health staff at the district level, marking a return to the situation of 20 years ago. At the same time, Indonesia has changed dramatically. The challenge now is to envision a new health system that takes account of these changes. Envisioning the new system is a crucial first step for development of a human resources policy which, in turn, will require more information about health care providers, public and private, and increased capacity for human resource planning.

  1. Special Education: Financing Health and Educational Services for Handicapped Children.

    DTIC Science & Technology

    1986-07-01

    ABBREVIATIONS GAO General Accounting Office HCFA Health Care Financing Administration HHS Department of Health and Human Services lN ICF/MR intermediate care facility for...individuals discharged from a skilled nursing facility or intermediate care facility to the extent that the services are available through a local education

  2. 76 FR 6509 - Notice of Certification; Foreign Military Financing, and International Military Education and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-04

    ... DEPARTMENT OF STATE [Public Notice: 7312] Notice of Certification; Foreign Military Financing, and International Military Education and Training; Guatemala AGENCY: Department of State. ACTION: Notice. The... internationally recognized human rights; (B) the Guatemalan Air Force, Navy, and Army Corps of Engineers are...

  3. Costing the scaling-up of human resources for health: lessons from Mozambique and Guinea Bissau

    PubMed Central

    2010-01-01

    Introduction In the context of the current human resources for health (HRH) crisis, the need for comprehensive Human Resources Development Plans (HRDP) is acute, especially in resource-scarce sub-Saharan African countries. However, the financial implications of such plans rarely receive due consideration, despite the availability of much advice and examples in the literature on how to conduct HRDP costing. Global initiatives have also been launched recently to standardise costing methodologies and respective tools. Methods This paper reports on two separate experiences of HRDP costing in Mozambique and Guinea Bissau, with the objective to provide an insight into the practice of costing exercises in information-poor settings, as well as to contribute to the existing debate on HRH costing methodologies. The study adopts a case-study approach to analyse the methodologies developed in the two countries, their contexts, policy processes and actors involved. Results From the analysis of the two cases, it emerged that the costing exercises represented an important driver of the HRDP elaboration, which lent credibility to the process, and provided a financial framework within which HRH policies could be discussed. In both cases, bottom-up and country-specific methods were designed to overcome the countries' lack of cost and financing data, as well as to interpret their financial systems. Such an approach also allowed the costing exercises to feed directly into the national planning and budgeting process. Conclusions The authors conclude that bottom-up and country-specific costing methodologies have the potential to serve adequately the multi-faceted purpose of the exercise. It is recognised that standardised tools and methodologies may help reduce local governments' dependency on foreign expertise to conduct the HRDP costing and facilitate regional and international comparisons. However, adopting pre-defined and insufficiently flexible tools may undermine the credibility of the costing exercise, and reduce the space for policy negotiation opportunities within the HRDP elaboration process. PMID:20579341

  4. Costing the scaling-up of human resources for health: lessons from Mozambique and Guinea Bissau.

    PubMed

    Tyrrell, Amanda K; Russo, Giuliano; Dussault, Gilles; Ferrinho, Paulo

    2010-06-25

    In the context of the current human resources for health (HRH) crisis, the need for comprehensive Human Resources Development Plans (HRDP) is acute, especially in resource-scarce sub-Saharan African countries. However, the financial implications of such plans rarely receive due consideration, despite the availability of much advice and examples in the literature on how to conduct HRDP costing. Global initiatives have also been launched recently to standardise costing methodologies and respective tools. This paper reports on two separate experiences of HRDP costing in Mozambique and Guinea Bissau, with the objective to provide an insight into the practice of costing exercises in information-poor settings, as well as to contribute to the existing debate on HRH costing methodologies. The study adopts a case-study approach to analyse the methodologies developed in the two countries, their contexts, policy processes and actors involved. From the analysis of the two cases, it emerged that the costing exercises represented an important driver of the HRDP elaboration, which lent credibility to the process, and provided a financial framework within which HRH policies could be discussed. In both cases, bottom-up and country-specific methods were designed to overcome the countries' lack of cost and financing data, as well as to interpret their financial systems. Such an approach also allowed the costing exercises to feed directly into the national planning and budgeting process. The authors conclude that bottom-up and country-specific costing methodologies have the potential to serve adequately the multi-faceted purpose of the exercise. It is recognised that standardised tools and methodologies may help reduce local governments' dependency on foreign expertise to conduct the HRDP costing and facilitate regional and international comparisons. However, adopting pre-defined and insufficiently flexible tools may undermine the credibility of the costing exercise, and reduce the space for policy negotiation opportunities within the HRDP elaboration process.

  5. [Costly drugs: analysis and proposals for the Mercosur countries].

    PubMed

    Marín, Gustavo H; Polach, María Andrea

    2011-08-01

    Determine how the Mercosur countries access, regulate, and finance costly drugs and propose joint selection and financing strategies at the subregional level. Qualitative design, using content analyses of primary and secondary sources, document reviews, interviews, focus groups, and case studies. The variables selected included: selection criteria, access, financing, and regulations in the various countries. Costly drugs were divided into those that do not alter the natural course of the disease and those with demonstrated efficacy, using the defined daily dose to compare the costs of classical treatments and those involving costly drugs. The Mercosur countries generally lack formal strategies for dealing with the demand for costly drugs, and governments and insurers wind up financing them by court order. The case studies show that there are costly drugs whose efficacy has not been established but that nonetheless generate demand. The fragmentation of procurement, international commitments with regard to intellectual property, and low negotiating power exponentially increase the price of costly drugs, putting health system finances in jeopardy. Costly drugs must be regulated and rationally selected so that only those that substantively benefit people are accepted. To finance the drugs so selected, common country strategies are needed that include such options as flexible in trade agreements, the creation of national resource funds, or joint procurement by countries to enhance their negotiating power.

  6. Viral Metagenomics on Blood-Feeding Arthropods as a Tool for Human Disease Surveillance

    PubMed Central

    Brinkmann, Annika; Nitsche, Andreas; Kohl, Claudia

    2016-01-01

    Surveillance and monitoring of viral pathogens circulating in humans and wildlife, together with the identification of emerging infectious diseases (EIDs), are critical for the prediction of future disease outbreaks and epidemics at an early stage. It is advisable to sample a broad range of vertebrates and invertebrates at different temporospatial levels on a regular basis to detect possible candidate viruses at their natural source. However, virus surveillance systems can be expensive, costly in terms of finances and resources and inadequate for sampling sufficient numbers of different host species over space and time. Recent publications have presented the concept of a new virus surveillance system, coining the terms “flying biological syringes”, “xenosurveillance” and “vector-enabled metagenomics”. According to these novel and promising surveillance approaches, viral metagenomics on engorged mosquitoes might reflect the viral diversity of numerous mammals, birds and humans, combined in the mosquitoes’ blood meal during feeding on the host. In this review article, we summarize the literature on vector-enabled metagenomics (VEM) techniques and its application in disease surveillance in humans. Furthermore, we highlight the combination of VEM and “invertebrate-derived DNA” (iDNA) analysis to identify the host DNA within the mosquito midgut. PMID:27775568

  7. Taxpayer Impacts of State-Wide Taxation for School Districts in California. The Rand Paper Series.

    ERIC Educational Resources Information Center

    Cox, Millicent

    California is under court order (Serrano v. Priest) to revise the system of financing public elementary and secondary education. Initial analysis had predicted that a shift to statewide taxation would result in greater educational resources at a lower tax cost for lower income families and fewer resources at a higher tax cost for wealthier…

  8. Social Welfare and Minding the Achievement Gap: A View from Denmark

    ERIC Educational Resources Information Center

    Ringsmose, Charlotte

    2012-01-01

    In Denmark, the welfare system has evened out the gaps between rich and poor. Schools and child care settings all over the country have an equal level of resources provided by the state, and are financed through taxes. Schools and child care settings in areas with families of lower socioeconomic status (SES) get extra money and resources. All…

  9. An Integrated Assessment of the Effects of Title I on School Behavior, Resources, and Student Achievement

    ERIC Educational Resources Information Center

    Matsudaira, Jordan D.; Hosek, Adrienne; Walsh, Elias

    2012-01-01

    We examine the effects of Title I on school behavior, resources, and academic performance using a rich set of school finance and student-level achievement data from one large urban school district using a regression discontinuity design. We find that Title I eligibility raises Federal revenues of schools by about $460 per student. This is…

  10. Celiac Family Health Education Video Series

    MedlinePlus Videos and Cool Tools

    ... Opinion Finance & Billing Pay Your Bill Update Your Information Frequently Asked Questions Family Resources Hale Center for ... for referring providers that gives you access to information about your patient’s care. Learn more Centers & Services ...

  11. About OBF

    Cancer.gov

    The Office of Budget and Finance (OBF) advises the NCI Office of the Director and senior NCI staff on the effective management of financial and other resources to ensure that NCI operates in an efficient and fiscally responsible manner.

  12. Green Streets, Green Jobs, Green Towns (G3) Guides and Publications

    EPA Pesticide Factsheets

    This page provides links to guides and resources for: policy, regulations, and incentives; planning and design; construction, operation, and maintenance; financing and economic benefits; and, green jobs and training.

  13. Phaseout of the Army Retail Stock Fund (CONUS)

    DTIC Science & Technology

    1976-04-01

    financing in lieu of the Retail Stock Fund. Within CONUS, the study addresses the financial management and supply management personnel resources associated with current operations of one TRADOC and one FORSCOM installation.

  14. 5 CFR 960.107 - Authorized activities.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 960.107 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS... resources in finance, internal auditing, personnel management, automated data processing applications... educational development of Government employees, improvement of labor-management relations, equal employment...

  15. 5 CFR 960.107 - Authorized activities.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 960.107 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS... resources in finance, internal auditing, personnel management, automated data processing applications... educational development of Government employees, improvement of labor-management relations, equal employment...

  16. 5 CFR 960.107 - Authorized activities.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 960.107 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS... resources in finance, internal auditing, personnel management, automated data processing applications... educational development of Government employees, improvement of labor-management relations, equal employment...

  17. Fragile X-Associated Primary Ovarian Insufficiency (FXPOI)

    MedlinePlus

    Donate Contact PS3G Home About About Us Finances 2016 Annual Impact Report Learn Fragile X Syndrome FXS Resources by Age Group Clinical Practice Consensus Documents FXPOI FXTAS Newly Diagnosed Premutation Carriers ...

  18. What It Means to be a Carrier

    MedlinePlus

    Donate Contact PS3G Home About About Us Finances 2016 Annual Impact Report Learn Fragile X Syndrome FXS Resources by Age Group Clinical Practice Consensus Documents FXPOI FXTAS Newly Diagnosed Premutation Carriers ...

  19. Safety Education Resources: Childproofing Your Home

    MedlinePlus

    ... mail Inside CPSC Accessibility Privacy Policy Budget, Performances & Finance Open Government Freedom of Information (FOIA) Inspector General ... leave the U.S. Consumer Product Safety Commission (CPSC) public website. The link you selected is for a ...

  20. Examining land use change and cooking fuel-use in Uganda: implications and potential win-win scenarios for policy and carbon financing

    NASA Astrophysics Data System (ADS)

    Brunner, Nicole; Semmens, Darius; Hawbaker, Todd

    2016-04-01

    Uganda is one of the world's most biodiverse countries, yet also one of the poorest. Human dependence on natural resources, especially from forests, is most pronounced in developing countries such as Uganda, where many people live in poverty and rely on fuel wood for cooking. These demands often compete with conservation efforts aimed at protecting forests and biodiversity. An understanding of trends in forest condition and local community use of forests is necessary to explore the implications of changing environmental conditions on the sustainability of Uganda's forests and forest-related socioeconomic activities. A human-environment framework is applied to this research by comparing environmental layers derived from remotely sensed imagery with socioeconomic data acquired from household surveys. Statistical modeling was used to explain the relationship between household characteristics (e.g., fuel use) and environmental characteristics (e.g., land cover change) and to quantify the role of spatial arrangement or pattern in understanding human-environment relationships (e.g., access and distance). The findings show that distance from protected forests is related to changes in household fuel type. For example, increases in charcoal as the primary cooking fuel is observed in households a closer distance to protected forests. This change is likely due to access to forest resources. The results of this study could inform policies aimed at protecting forests as well as protecting the interests of people in proximity to protected forests.

  1. Wind Energy Finance in the United States: Current Practice and Opportunities

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Schwabe, Paul D.; Feldman, David J.; Settle, Donald E.

    In the United States, investment in wind energy has averaged nearly $13.6 billion annually since 2006 with more than $140 billion invested cumulatively over that period (BNEF 2017). This sizable investment activity demonstrates the persistent appeal of wind energy and its increasing role in the U.S electricity generation portfolio. Despite its steady investment levels over the last decade, some investors still consider wind energy as a specialized asset class. Limited familiarity with the asset class both limit the pool of potential investors and drive up costs for investors. This publication provides an overview of the wind project development process, capitalmore » sources and financing structures commonly used, and traditional and emerging procurement methods. It also provides a high-level demonstration of how financing rates impact a project's all-in cost of energy. The goal of the publication is to provide a representative and wide-ranging resource for the wind development and financing processes.« less

  2. The Human Resources for Health Effort Index: a tool to assess and inform Strategic Health Workforce Investments.

    PubMed

    Fort, Alfredo L; Deussom, Rachel; Burlew, Randi; Gilroy, Kate; Nelson, David

    2017-07-19

    Despite its importance, the field of human resources for health (HRH) has lagged in developing methods to measure its status and progress in low- and middle-income countries suffering a workforce crisis. Measures of professional health worker densities and distribution are purely numerical, unreliable, and do not represent the full spectrum of workers providing health services. To provide more information on the multi-dimensional characteristics of human resources for health, in 2013-2014, the global USAID-funded CapacityPlus project, led by IntraHealth International, developed and tested a 79-item HRH Effort Index modeled after the widely used Family Planning Effort Index. The index includes seven recognized HRH dimensions: Leadership and Advocacy; Policy and Governance; Finance; Education and Training; Recruitment, Distribution, and Retention; Human Resources Management; and Monitoring, Evaluation, and Information Systems. Each item is scored from 1 to 10 and scores are averaged with equal weights for each dimension and overall. The questionnaire is applied to knowledgeable informants from public, nongovernmental organization, and private sectors in each country. A pilot test among 49 respondents in Kenya and Nigeria provided useful information to improve, combine, and streamline questions. CapacityPlus applied the revised 50-item questionnaire in 2015 in Burkina Faso, Dominican Republic, Ghana, and Mali, among 92 respondents. Additionally, the index was applied subnationally in the Dominican Republic (16 respondents) and in a consensus-building meeting in Mali (43 respondents) after the national application. The results revealed a range of scores between 3.7 and 6.2 across dimensions, for overall scores between 4.8 and 5.5. Dimensions with lower scores included Recruitment, Distribution, and Retention, while Leadership and Advocacy had higher scores. The tool proved to be well understood and provided key qualitative information on the health workforce to assist in health systems strengthening. It is expected that subsequent applications should provide more information for comparison purposes, to refine aspects of the questionnaire and to correlate scores with measures of service outputs and outcomes.

  3. Human resource management in post-conflict health systems: review of research and knowledge gaps.

    PubMed

    Roome, Edward; Raven, Joanna; Martineau, Tim

    2014-01-01

    In post-conflict settings, severe disruption to health systems invariably leaves populations at high risk of disease and in greater need of health provision than more stable resource-poor countries. The health workforce is often a direct victim of conflict. Effective human resource management (HRM) strategies and policies are critical to addressing the systemic effects of conflict on the health workforce such as flight of human capital, mismatches between skills and service needs, breakdown of pre-service training, and lack of human resource data. This paper reviews published literatures across three functional areas of HRM in post-conflict settings: workforce supply, workforce distribution, and workforce performance. We searched published literatures for articles published in English between 2003 and 2013. The search used context-specific keywords (e.g. post-conflict, reconstruction) in combination with topic-related keywords based on an analytical framework containing the three functional areas of HRM (supply, distribution, and performance) and several corresponding HRM topic areas under these. In addition, the framework includes a number of cross-cutting topics such as leadership and governance, finance, and gender. The literature is growing but still limited. Many publications have focused on health workforce supply issues, including pre-service education and training, pay, and recruitment. Less is known about workforce distribution, especially governance and administrative systems for deployment and incentive policies to redress geographical workforce imbalances. Apart from in-service training, workforce performance is particularly under-researched in the areas of performance-based incentives, management and supervision, work organisation and job design, and performance appraisal. Research is largely on HRM in the early post-conflict period and has relied on secondary data. More primary research is needed across the areas of workforce supply, workforce distribution, and workforce performance. However, this should apply a longer-term focus throughout the different post-conflict phases, while paying attention to key cross-cutting themes such as leadership and governance, gender equity, and task shifting. The research gaps identified should enable future studies to examine how HRM could be used to meet both short and long term objectives for rebuilding health workforces and thereby contribute to achieving more equitable and sustainable health systems outcomes after conflict.

  4. [What is purchased, how and from whom by Seguro Popular in Mexico? Experience with strategic purchasing at national level and in a pioneer institution].

    PubMed

    González-Block, Miguel Ángel

    2017-01-01

    To analyze the scope of demand subsidies through strategic purchasing of health services. Interviews and document analyses at national level and a case study of the state of Hidalgo. SPSS explicitly prioritizes interventions to be financed and regulates prices and expenditure ceilings. Public providers are predominantly funded through the purchasing of inputs and the contracting of human resources, in the absence of competition and with a low degree of managerial autonomy. Seguro Popular in Hidalgo has diversified service providers and payment mechanisms. SPSS has ample opportunity to extend and deepen strategic purchasing. Greater decision-making autonomy of payers and providers is required, as well as regulations to promote provider networks in competitive environments.

  5. The balanced scorecard: an integrative approach to performance evaluation.

    PubMed

    Oliveira, J

    2001-05-01

    In addition to strict financial outcomes, healthcare financial managers should assess intangible assets that affect the organization's bottom line, such as clinical processes, staff skills, and patient satisfaction and loyalty. The balanced scorecard, coupled with data-warehousing capabilities, offers a way to measure an organization's performance against its strategic objectives while focusing on building capabilities to achieve these objectives. The balanced scorecard examines performance related to finance, human resources, internal processes, and customers. Because the balanced scorecard requires substantial amounts of data, it is a necessity to establish an organizational data warehouse of clinical, operational, and financial data that can be used in decision support. Because it presents indicators that managers and staff can influence directly by their actions, the balanced-scorecard approach to performance measurement encourages behavioral changes aimed at achieving corporate strategies.

  6. EADS Roadmap for Launch Vehicles

    NASA Astrophysics Data System (ADS)

    Eymar, Patrick; Grimard, Max

    2002-01-01

    still think about the future, especially at industry level in order to make the most judicious choices in technologies, vehicle types as well as human resources and facilities specialization (especially after recent merger moves). and production as prime contractor, industrial architect or stage provider have taken benefit of this expertise and especially of all the studies ran under national funding and own financing on reusable vehicles and ground/flight demonstrators have analyzed several scenarios. VEHICLES/ASTRIUM SI strategy w.r.t. launch vehicles for the two next decades. Among the main inputs taken into account of course visions of the market evolutions have been considered, but also enlargement of international cooperations and governments requests and supports (e.g. with the influence of large international ventures). 1 patrick.eymar@lanceurs.aeromatra.com 2

  7. The Potential Role of Social Innovation Financing in Career and Technical Education

    ERIC Educational Resources Information Center

    Overholster, George; Klein, Steven

    2015-01-01

    A new class of financial tools is being developed to promote human capital investments that benefit society. Social innovation financing (SIF) entails raising private capital to support promising social interventions, with the expectation that those providing the funding will eventually be repaid. Funds are allocated based on service providers'…

  8. The missing link in Aboriginal care: resource accounting.

    PubMed

    Ashton, C W; Duffie-Ashton, Denise

    2008-01-01

    Resource accounting principles provide more effective planning for Aboriginal healthcare delivery through driving best management practices, efficacious techniques for long-term resource allocation, transparency of information and performance measurement. Major improvements to Aboriginal health in New Zealand and Australia were facilitated in the context of this public finance paradigm, rather than cash accounting systems that remain the current method for public departments in Canada. Multiple funding sources and fragmented delivery of Aboriginal healthcare can be remedied through similar adoption of such principles.

  9. Development of Optimization method about Capital Structure and Senior-Sub Structure by considering Project-Risk

    NASA Astrophysics Data System (ADS)

    Kawamoto, Shigeru; Ikeda, Yuichi; Fukui, Chihiro; Tateshita, Fumihiko

    Private finance initiative is a business scheme that materializes social infrastructure and public services by utilizing private-sector resources. In this paper we propose a new method to optimize capital structure, which is the ratio of capital to debt, and senior-sub structure, which is the ratio of senior loan to subordinated loan, for private finance initiative. We make the quantitative analysis of a private finance initiative's project using the proposed method. We analyze trade-off structure between risk and return in the project, and optimize capital structure and senior-sub structure. The method we propose helps to improve financial stability of the project, and to make a fund raising plan that is expected to be reasonable for project sponsor and moneylender.

  10. Report on a seminar on financing and service delivery issues in caring for the medically underserved.

    PubMed Central

    Tavani, C

    1991-01-01

    Current national activities directed toward improving access to health care and assessing the potential effectiveness of various financing and service delivery strategies were reviewed by an invited group of 39 public and private sector health policy experts. Health care access problems of the medically underserved population were defined and a range of strategies for addressing them were presented. The seminar was held at Columbia, MD, July 6-7, 1988, sponsored jointly by the Robert Wood Johnson Foundation and the Health Resources and Services Administration, PHS. PMID:1899935

  11. A proposal for risk sharing in the development of a lunar oxygen plant

    NASA Technical Reports Server (NTRS)

    Duke, Michael B.; Treadwell, Mead

    1990-01-01

    The production of lunar oxygen for use in a NASA lunar outpost program could provide a profitable investment for nongovernment development, savings for government, and an initiation of a new resource of capital financing for space industrialization. A joint endeavor to share development risks between government and nongovernment investment is proposed, based on some early assessments of technical and financial feasibility for the project. Successful initial negotiations between government and nongovernment investors can establish the requirements for financing the project with private funds.

  12. Health spending and ability to pay: Business, individuals, and government

    PubMed Central

    Levit, Katharine R.; Freeland, Mark S.; Waldo, Daniel R.

    1989-01-01

    Health care spending has grown almost twice as fast as has the gross national product since 1965. Various parties in the health care financing arena have been affected to different degrees by this rising health care spending. As discussed in this article, households, businesses, and government all have had to devote increasing shares of their resources to financing health care. Although businesses have been increasingly burdened, either directly or through higher insurance premiums and Medicare taxes, that burden is less than is popularly believed. PMID:10313090

  13. 77 FR 20497 - National Financial Capability Month, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-05

    ... their financial future. I encourage all Americans to take advantage of the free, reliable financial resources at www.MyMoney.gov , www.ConsumerFinance.gov , and 1-888-MyMoney. NOW, THEREFORE, I, BARACK OBAMA...

  14. Impact analysis of government investment on water projects in the arid Gansu Province of China

    NASA Astrophysics Data System (ADS)

    Wang, Zhan; Deng, Xiangzheng; Li, Xiubin; Zhou, Qing; Yan, Haiming

    In this paper, we introduced three-nested Constant Elasticity of Substitution (CES) production function into a static Computable General Equilibrium (CGE) Model. Through four levels of factor productivity, we constructed three nested production function of land use productivity in the conceptual modeling frameworks. The first level of factor productivity is generated by the basic value-added land. On the second level, factor productivity in each sector is generated by human activities that presents human intervention to the first level of factor productivity. On the third level of factor productivity, water allocation reshapes the non-linear structure of transaction among first and second levels. From the perspective of resource utilization, we examined the economic efficiency of water allocation. The scenario-based empirical analysis results show that the three-nested CES production function within CGE model is well-behaved to present the economy system of the case study area. Firstly, water scarcity harmed economic production. Government investment on water projects in Gansu thereby had impacts on economic outcomes. Secondly, huge governmental financing on water projects bring depreciation of present value of social welfare. Moreover, water use for environment adaptation pressures on water supply. The theoretical water price can be sharply increased due to the increasing costs of factor inputs. Thirdly, water use efficiency can be improved by water projects, typically can be benefited from the expansion of water-saving irrigation areas even in those expanding dry area in Gansu. Therefore, increasing governmental financing on water projects can depreciate present value of social welfare but benefit economic efficiency for future generation.

  15. Policy and finance for preconception care opportunities for today and the future.

    PubMed

    Johnson, Kay; Atrash, Hani; Johnson, Alison

    2008-01-01

    This special supplement of Women's Health Issues offers 2 types of articles related to the policy and finance context for improving preconception health and health care. These articles discuss the impact of finance and policy on preconception health and health care, as well as the strategies that are being used to overcome the challenge of implementing preconception care with limited resources and inadequate health coverage for women. Invited papers from authors with expertise in health policy and finance issues describe how women's health and preconception care fit into the larger debates on health reform and how the paradigm for women's health must change. Other invited papers discuss opportunities and challenges for using programs such as Medicaid, Title X Family Planning, Title V Maternal and Child Health Services Block Grant, Healthy Start, and Community Health Centers in improving preconception health and health care. Contributed articles on health services research in this supplement characterize the types of change occurring across the country. This paper also presents a framework for understanding the role of policy and finance in the larger Centers for Disease Control and Prevention Preconception Health and Health Care Initiative.

  16. Engendering the bureaucracy? Challenges and opportunities for mainstreaming gender in Ministries of Health under sector-wide approaches.

    PubMed

    Theobald, Sally; Tolhurst, Rachel; Elsey, Helen; Standing, Hilary; Standing, Helen

    2005-05-01

    The increasing ascendancy of 'gender mainstreaming' as the central approach to improving gender equity has largely determined strategies to integrate a gender focus in sector-wide approaches (SWAps). This paper explores the impetus for and process of gender mainstreaming in SWAps in the Ministries of Health in Uganda, Ghana, Malawi and Mozambique, and outlines some achievements and challenges. The shifting and contested relationships between the Ministry of Health, donors and other government ministries (such as Ministries of Finance and Ministries of Women's Affairs/Gender) are important in shaping the opportunities and constraints faced in gender mainstreaming. The refocusing of resource allocation to different sectors has led to changes in the balance of power between the various actors at the national level, with diverse implications for promoting gender equity in health. Some of the achievements to date and ongoing challenges are explored through concrete examples from different countries. These include: the development of structures for mainstreaming, including the dilemmas of the 'focal points' approach and the role of national gender mainstreaming machinery; the need for training and building capacity to identify and address gender issues, which involves engaging with new languages and concepts, and developing new skills; building alliances, consensus and momentum; integrating gender concerns into policy and planning documents; and promoting gender equity in human resources in the health sector. Cross-cutting themes underlying these challenges are the need for gender-specific information and ways to finance mainstreaming strategies. Implications are drawn for ways forward, without losing sight of the challenge of translating discourses of gender mainstreaming, and its central ideal of social transformation, into pragmatic strategies in the bureaucratic environment.

  17. Winnebago Resource Study. Cooperative Research and Development Final Report, CRADA Number CRD-09-329

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Jimenez, A.; Robichaud, R.

    2015-03-01

    Since 2005 the NREL Native American Tall Tower Loan program has assisted Native American tribes to assess their wind resource by lending tall (30m - 50m) anemometer. This program has allowed tribes a lower risk way to gather financeable wind data for potential utility scale wind energy projects. These projects offer Tribes a significant economic development opportunity.

  18. Applying Resource Utilization Groups (RUG-III) in Hong Kong Nursing Homes

    ERIC Educational Resources Information Center

    Chou, Kee-Lee; Chi, Iris; Leung, Joe C. B.

    2008-01-01

    Resource Utilization Groups III (RUG-III) is a case-mix system developed in the United States for categorization of nursing home residents and the financing of residential care services. In Hong Kong, RUG-III is based on several board groups of residents. The aim of this study was to examine the reliability and validity of the RUG-III in Hong Kong…

  19. Restructuring brain drain: strengthening governance and financing for health worker migration.

    PubMed

    Mackey, Tim K; Liang, Bryan A

    2013-01-15

    Health worker migration from resource-poor countries to developed countries, also known as ''brain drain'', represents a serious global health crisis and a significant barrier to achieving global health equity. Resource-poor countries are unable to recruit and retain health workers for domestic health systems, resulting in inadequate health infrastructure and millions of dollars in healthcare investment losses. Using acceptable methods of policy analysis, we first assess current strategies aimed at alleviating brain drain and then propose our own global health policy based solution to address current policy limitations. Although governments and private organizations have tried to address this policy challenge, brain drain continues to destabilise public health systems and their populations globally. Most importantly, lack of adequate financing and binding governance solutions continue to fail to prevent health worker brain drain. In response to these challenges, the establishment of a Global Health Resource Fund in conjunction with an international framework for health worker migration could create global governance for stable funding mechanisms encourage equitable migration pathways, and provide data collection that is desperately needed.

  20. Restructuring brain drain: strengthening governance and financing for health worker migration

    PubMed Central

    Mackey, Tim K.; Liang, Bryan A.

    2013-01-01

    Background Health worker migration from resource-poor countries to developed countries, also known as ‘‘brain drain’’, represents a serious global health crisis and a significant barrier to achieving global health equity. Resource-poor countries are unable to recruit and retain health workers for domestic health systems, resulting in inadequate health infrastructure and millions of dollars in healthcare investment losses. Methods Using acceptable methods of policy analysis, we first assess current strategies aimed at alleviating brain drain and then propose our own global health policy based solution to address current policy limitations. Results Although governments and private organizations have tried to address this policy challenge, brain drain continues to destabilise public health systems and their populations globally. Most importantly, lack of adequate financing and binding governance solutions continue to fail to prevent health worker brain drain. Conclusions In response to these challenges, the establishment of a Global Health Resource Fund in conjunction with an international framework for health worker migration could create global governance for stable funding mechanisms encourage equitable migration pathways, and provide data collection that is desperately needed. PMID:23336617

  1. Health financing at district level in Malawi: an analysis of the distribution of funds at two points in time.

    PubMed

    Borghi, Josephine; Munthali, Spy; Million, Lameck B; Martinez-Alvarez, Melisa

    2018-01-01

    There is growing attention to tracking country level resource flows to health, but limited evidence on the sub-national allocation of funds. We examined district health financing in Malawi in 2006 and 2011, and equity in the allocation of funding, together with the association between financing and under five and neonatal mortality. We explored the process for receiving and allocating different funding sources at district level. We obtained domestic and external financing data from the Integrated Financial Management Information System (2006-11) and AidData (2000-12) databases. Out-of-pocket payment data came from two rounds of integrated household budget surveys (2005; 2010). Mortality data came from the Multiple Indicator Cluster Survey (2006) and Demographic and Health Survey (2010). We described district level health funding by source, ran correlations between funding and outcomes and generated concentration curves and indices. 41 semi-structured interviews were conducted at the national level and in 10 districts with finance and health managers. Per capita spending from all sources varied substantially across districts and doubled between 2006 and 2011 from 7181 Kwacha to 15 312 Kwacha. In 2011, external funding accounted for 74% of funds, with domestic funding accounting for 19% of expenditure, and out of pocket (OOP) funding accounting for 7%. All funding sources were concentrated among wealthier districts, with OOP being the most pro-rich, followed by domestic expenditure and external funding. Districts with higher levels of domestic and external funding had lower levels of post-neonatal mortality, and those with higher levels of out-of-pocket payments had higher levels of 1-59 month mortality in 2006. There was no association between changes in financing and outcomes. Districts reported delayed receipt of lower-than-budgeted funds, forcing them to scale-down activities and rely on external funding. Governments need to track how resources are allocated sub-nationally to maximize equity and ensure allocations are commensurate to health need. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

  2. The Gateway Paper--financing health in Pakistan and its linkage with health reforms.

    PubMed

    Nishtar, Sania

    2006-12-01

    Pakistan currently principally uses three modes of financing health--taxation, out of pocket payments and donor contributions of which the latter is the least significant in terms of size. Less than 3.6% of the employees are covered under the social security scheme and there is a limited social protection mechanism, which collectively serves the health needs of 3.4% of the population. The main issues in health financing include low spending, lack of attention to alternate sources of financing and issues with fund mobilization and utilization. With respect to the first, health reforms proposed as part of the Gateway Paper make a strong case for promoting the reallocation of tax-based revenues and developing sustainable alternatives to low levels of public spending on health. With respect to alternative sources of health financing, the Gateway Paper lays stress on exploring policy options for private health insurance, broadening the base of Employees Social Security, creating a Federal Employees Social Security Programme, developing social health insurance within the framework of a broad-based social protection strategy, which scopes beyond the formally employed sector, establishing a widely inclusive safety net for the poor; mainstreaming philanthropic grants as a major source of health financing; developing a conducive tax configuration; generating greater corporate support for social sector causes within the framework of the concept of Corporate Social Responsibility and developing cost-sharing programmes, albeit with safeguards. The Gateway Paper regards efficient fund utilization a priority and lays stress on striking a balance between minimizing costs, controlling costs and using resources more efficiently and equitably--in other words, getting the best value for the money, on the one hand, and increasing the pool of available resources, on the other. Specific interventions such as the promotion of transparent financial administration, budgeting and cost controls and enhancing the capacity to overcome onerous financial management procedures and decentralizing decision-making are underscored as a priority as is the need for ensuring greater financial procedural clarity at the federal-provincial-district interface.

  3. Health financing at district level in Malawi: an analysis of the distribution of funds at two points in time

    PubMed Central

    Borghi, Josephine; Munthali, Spy; Million, Lameck B; Martinez-Alvarez, Melisa

    2018-01-01

    Abstract There is growing attention to tracking country level resource flows to health, but limited evidence on the sub-national allocation of funds. We examined district health financing in Malawi in 2006 and 2011, and equity in the allocation of funding, together with the association between financing and under five and neonatal mortality. We explored the process for receiving and allocating different funding sources at district level. We obtained domestic and external financing data from the Integrated Financial Management Information System (2006–11) and AidData (2000–12) databases. Out-of-pocket payment data came from two rounds of integrated household budget surveys (2005; 2010). Mortality data came from the Multiple Indicator Cluster Survey (2006) and Demographic and Health Survey (2010). We described district level health funding by source, ran correlations between funding and outcomes and generated concentration curves and indices. 41 semi-structured interviews were conducted at the national level and in 10 districts with finance and health managers. Per capita spending from all sources varied substantially across districts and doubled between 2006 and 2011 from 7181 Kwacha to 15 312 Kwacha. In 2011, external funding accounted for 74% of funds, with domestic funding accounting for 19% of expenditure, and out of pocket (OOP) funding accounting for 7%. All funding sources were concentrated among wealthier districts, with OOP being the most pro-rich, followed by domestic expenditure and external funding. Districts with higher levels of domestic and external funding had lower levels of post-neonatal mortality, and those with higher levels of out-of-pocket payments had higher levels of 1–59 month mortality in 2006. There was no association between changes in financing and outcomes. Districts reported delayed receipt of lower-than-budgeted funds, forcing them to scale-down activities and rely on external funding. Governments need to track how resources are allocated sub-nationally to maximize equity and ensure allocations are commensurate to health need. PMID:29088357

  4. An overview of health financing patterns and the way forward in the WHO African Region.

    PubMed

    Kirigia, J M; Preker, A; Carrin, G; Mwikisa, C; Diarra-Nama, A J

    2006-09-01

    The way a health system is financed affects the performance of its other functions of stewardship, input (or resource) creation and services provision, and ultimately, the achievement of health system goals of health improvement (or maintenance), responsiveness to people's non-medical expectations and fair financial contributions. To analyse the changes between 1998 and 2002,in health financing from various sources; and to propose ways of improving the performance of health financing function in the WHO African Region. A retrospective analysis of data obtained from the World Health Report, 2005. The analysis reported in this paper is based on the National Health Accounts (NHA) data for the 46 WHO Member States in the African Region. The data were obtained from the World Health Report 2005. It consisted of information on: levels of per capita expenditure on health; total expenditure on health as a percentage of gross domestic product (GDP); general government expenditure on health as a percentage of total expenditure on health; private expenditure on health as a percentage of total expenditure on health; general government expenditure on health as a percentage of total government expenditure; external expenditure as a percentage of total expenditure on health; social security expenditure on health as a percentage of general government expenditure on health; out-of-pocket expenditure as a percentage of private expenditure on health; and private prepaid plans as a percentage of private expenditure on health. The analysis was done using Lotus SmartSuite software. The analysis revealed that: fifteen countries spent less than 4.5% of their GDP on health; forty four countries spent less than 15% of their national annual budget on health; sixty three percent of the governments in the Region spent less than US$10 per person per year; fifty per cent of the total expenditure on health in 24 countries came from government sources; prepaid health financing mechanisms cover only a small proportion of populations in the Region; private spending constituted over 40% of the total expenditure on health in 31; direct out-of-pocket expenditures constituted over 50% of the private health expenditure in 38 countries. Every country needs to develop clear pro-poor health financing policy and a comprehensive health financing strategic plan with a clear roadmap of how it plans to transit from the current health financing state dominated by inequitable, catastrophic and impoverishing direct out-of-pocket payments to a visionary scenario of universal coverage. The strategic plan should strengthening of health sector advocacy and health financing capacities, health economics evidence generation and utilisation in decision-making, making better use of available and expected resources, monitoring of equity in financing, strengthening of the exemption mechanisms, managed removal of direct out-of-pocket payments (for countries that choose to), and improving country-led sectoral coordination mechanisms (e.g. Sector Wide Approaches).

  5. EFAB Report: Municipal Energy Efficiency and Greenhouse Gas Emissions Reduction

    EPA Pesticide Factsheets

    Discusses the challenges and steps leading up to EE retrofits; describes financing mechanisms; references several reports that provide more in-depth analysis; and lists financial resources available to support municipalities’ efforts in energy efficiency

  6. Maritime and inland waters Internet resources bibliography

    DOT National Transportation Integrated Search

    2003-07-01

    Prepared for 28th Annual Summer Ports, Waterways, Freight and : International Trade Conference (July 13-15, 2003, Portland, OR) : and Joint Summer Meeting of the Planning, Economics, Finance, : Freight and Management Committees (July 15-18, 2003, Por...

  7. Aspects of Decision-making in Secondary Schools.

    ERIC Educational Resources Information Center

    Chater, Robin

    1985-01-01

    Interviews in seven English secondary schools revealed levels of teacher involvement in decisionmaking in the areas of finance and resources that ranged from schools where heads kept information confidential to one where a committee used a formula. (MLF)

  8. Public and private health-care financing with alternate public rationing rules.

    PubMed

    Cuff, Katherine; Hurley, Jeremiah; Mestelman, Stuart; Muller, Andrew; Nuscheler, Robert

    2012-02-01

    We develop a model to analyze parallel public and private health-care financing under two alternative public sector rationing rules: needs-based rationing and random rationing. Individuals vary in income and severity of illness. There is a limited supply of health-care resources used to treat individuals, causing some individuals to go untreated. Insurers (both public and private) must bid to obtain the necessary health-care resources to treat their beneficiaries. Given individuals' willingnesses-to-pay for private insurance are increasing in income, the introduction of private insurance diverts treatment from relatively poor to relatively rich individuals. Further, the impact of introducing parallel private insurance depends on the rationing mechanism in the public sector. We show that the private health insurance market is smaller when the public sector rations according to need than when allocation is random. Copyright © 2010 John Wiley & Sons, Ltd.

  9. Examining health care spending trends over a decade: the Palestinian case.

    PubMed

    Hamidi, S; Narcı, H Ö; Akinci, F; Nacakgedigi, O

    2016-03-15

    An analysis was made of recent health care spending patterns in the occupied Palestinian territory, in order to inform future health policy-making and planning. Data were obtained from the national health accounts for the period 2000-2011. The current level of resource allocation to the health care sector is higher than in many developed countries and is not sustainable. The private sector represents the largest source of health financing (61%) and the burden falls disproportionally on individual households, who account for 63% of private health care expenditure. Key recommendations include: building capacity in the government sector to reduce the outsourcing of health services; modifying inequitable financing mechanisms to reduce the burden on households; and allocating more resources for health promotion and disease prevention programmes. Reorientation of the health system is also needed in terms of reducing the share of spending on inpatient services in favour of more day surgery, outpatient and home-based services.

  10. Building capacity in health research in the developing world.

    PubMed Central

    Lansang, Mary Ann; Dennis, Rodolfo

    2004-01-01

    Strong national health research systems are needed to improve health systems and attain better health. For developing countries to indigenize health research systems, it is essential to build research capacity. We review the positive features and weaknesses of various approaches to capacity building, emphasizing that complementary approaches to human resource development work best in the context of a systems and long-term perspective. As a key element of capacity building, countries must also address issues related to the enabling environment, in particular: leadership, career structure, critical mass, infrastructure, information access and interfaces between research producers and users. The success of efforts to build capacity in developing countries will ultimately depend on political will and credibility, adequate financing, and a responsive capacity-building plan that is based on a thorough situational analysis of the resources needed for health research and the inequities and gaps in health care. Greater national and international investment in capacity building in developing countries has the greatest potential for securing dynamic and agile knowledge systems that can deliver better health and equity, now and in the future. PMID:15643798

  11. Building capacity in health research in the developing world.

    PubMed

    Lansang, Mary Ann; Dennis, Rodolfo

    2004-10-01

    Strong national health research systems are needed to improve health systems and attain better health. For developing countries to indigenize health research systems, it is essential to build research capacity. We review the positive features and weaknesses of various approaches to capacity building, emphasizing that complementary approaches to human resource development work best in the context of a systems and long-term perspective. As a key element of capacity building, countries must also address issues related to the enabling environment, in particular: leadership, career structure, critical mass, infrastructure, information access and interfaces between research producers and users. The success of efforts to build capacity in developing countries will ultimately depend on political will and credibility, adequate financing, and a responsive capacity-building plan that is based on a thorough situational analysis of the resources needed for health research and the inequities and gaps in health care. Greater national and international investment in capacity building in developing countries has the greatest potential for securing dynamic and agile knowledge systems that can deliver better health and equity, now and in the future.

  12. Mental Health Services for Children and Youth: Strengthening the Promise of the Future. Human Services Series.

    ERIC Educational Resources Information Center

    Craig, Rebecca T.

    1988-01-01

    Many mentally ill children, especially those who are seriously disturbed, are not receiving the mental health care they need. Although the federal government offers financing to the states for child and adolescent mental health programming, the primary responsibility for financing mental health services has been assumed by state governments. At…

  13. Financing Vocational Training in Sub-Saharan Africa. Africa Region Human Development Series.

    ERIC Educational Resources Information Center

    Ziderman, Adrian

    This document is part of the World Bank's comprehensive study of post-basic education and training in Sub-Sahara Africa and includes findings from three short field studies conducted in South Africa, Tanzania, and Zimbawe in early 2001. Chapter titles are as follows: Executive Summary; Introduction; Conventional Patterns of Financing Training;…

  14. PEPFAR, health system strengthening, and promoting sustainability and country ownership.

    PubMed

    Palen, John; El-Sadr, Wafaa; Phoya, Ann; Imtiaz, Rubina; Einterz, Robert; Quain, Estelle; Blandford, John; Bouey, Paul; Lion, Ann

    2012-08-15

    Evidence demonstrates that scale-up of HIV services has produced stronger health systems and, conversely, that stronger health systems were critical to the success of the HIV scale-up. Increased access to and effectiveness of HIV treatment and care programs, attention to long-term sustainability, and recognition of the importance of national governance, and country ownership of HIV programs have resulted in an increased focus on structures that compromise the broader health system. Based on a review published literature and expert opinion, the article proposes 4 key health systems strengthening issues as a means to promote sustainability and country ownership of President's Emergency Plan for AIDS Relief and other global health initiatives. First, development partners need provide capacity building support and to recognize and align resources with national government health strategies and operational plans. Second, investments in human capital, particularly human resources for health, need to be guided by national institutions and supported to ensure the training and retention of skilled, qualified, and relevant health care providers. Third, a range of financing strategies, both new resources and improved efficiencies, need to be pursued as a means to create more fiscal space to ensure sustainable and self-reliant systems. Finally, service delivery models must adjust to recent advancements in areas of HIV prevention and treatment and aim to establish evidence-based delivery models to reduce HIV transmission rates and the overall burden of disease. The article concludes that there needs to be ongoing efforts to identify and implement strategic health systems strengthening interventions and address the inherent tension and debate over investments in health systems.

  15. Systematic reviews addressing identified health policy priorities in Eastern Mediterranean countries: a situational analysis.

    PubMed

    El-Jardali, Fadi; Akl, Elie A; Karroum, Lama Bou; Kdouh, Ola; Akik, Chaza; Fadlallah, Racha; Hammoud, Rawan

    2014-08-20

    Systematic reviews can offer policymakers and stakeholders concise, transparent, and relevant evidence pertaining to pressing policy priorities to help inform the decision-making process. The production and the use of systematic reviews are specifically limited in the Eastern Mediterranean region. The extent to which published systematic reviews address policy priorities in the region is still unknown. This situational analysis exercise aims at assessing the extent to which published systematic reviews address policy priorities identified by policymakers and stakeholders in Eastern Mediterranean region countries. It also provides an overview about the state of systematic review production in the region and identifies knowledge gaps. We conducted a systematic search of the Health System Evidence database to identify published systematic reviews on policy-relevant priorities pertaining to the following themes: human resources for health, health financing, the role of the non-state sector, and access to medicine. Priorities were identified from two priority-setting exercises conducted in the region. We described the distribution of these systematic reviews across themes, sub-themes, authors' affiliations, and countries where included primary studies were conducted. Out of the 1,045 systematic reviews identified in Health System Evidence on selected themes, a total of 200 systematic reviews (19.1%) addressed the priorities from the Eastern Mediterranean region. The theme with the largest number of systematic reviews included was human resources for health (115) followed by health financing (33), access to medicine (27), and role of the non-state sector (25). Authors based in the region produced only three systematic reviews addressing regional priorities (1.5%). Furthermore, no systematic review focused on the Eastern Mediterranean region. Primary studies from the region had limited contribution to systematic reviews; 17 systematic reviews (8.5%) included primary studies conducted in the region. There are still gaps in the production of systematic reviews addressing policymakers' and stakeholders' priorities in the Eastern Mediterranean region. Efforts should be directed towards better aligning systematic review production with policy needs and priorities. Study findings can inform the agendas of researchers, research institutions, and international funding agencies of priority areas where systematic reviews are required.

  16. Health systems research in the time of health system reform in India: a review.

    PubMed

    Rao, Krishna D; Arora, Radhika; Ghaffar, Abdul

    2014-08-09

    Research on health systems is an important contributor to improving health system performance. Importantly, research on program and policy implementation can also create a culture of public accountability. In the last decade, significant health system reforms have been implemented in India. These include strengthening the public sector health system through the National Rural Health Mission (NRHM), and expansion of government-sponsored insurance schemes for the poor. This paper provides a situation analysis of health systems research during the reform period. We reviewed 9,477 publications between 2005 and 2013 in two online databases, PubMed and IndMED. Articles were classified according to the WHO classification of health systems building blocks. Our findings indicate the number of publications on health systems progressively increased every year from 92 in 2006 to 314 in 2012. The majority of papers were on service delivery (40%), with fewer on information (16%), medical technology and vaccines (15%), human resources (11%), governance (5%), and financing (8%). Around 70% of articles were lead by an author based in India, the majority by authors located in only four states. Several states, particularly in eastern and northeastern India, did not have a single paper published by a lead author located in a local institution. Moreover, many of these states were not the subject of a single published paper. Further, a few select institutions produced the bulk of research. Of the foreign author lead papers, 77% came from five countries (USA, UK, Canada, Australia, and Switzerland). The growth of published research during the reform period in India is a positive development. However, bulk of this research is produced in a few states and by a few select institutions Further strengthening health systems research requires attention to neglected health systems domains like human resources, financing, and governance. Importantly, research capacity needs to be strengthened in states and institutions that have a scarcity of researchers, as well as states that have been the focus of little research. While more funding for health systems research is required, this funding needs to be targeted at deficient health systems domains, geographical areas, and institutions.

  17. Scaling up antiretroviral therapy in Uganda: using supply chain management to appraise health systems strengthening

    PubMed Central

    2011-01-01

    Background Strengthened national health systems are necessary for effective and sustained expansion of antiretroviral therapy (ART). ART and its supply chain management in Uganda are largely based on parallel and externally supported efforts. The question arises whether systems are being strengthened to sustain access to ART. This study applies systems thinking to assess supply chain management, the role of external support and whether investments create the needed synergies to strengthen health systems. Methods This study uses the WHO health systems framework and examines the issues of governance, financing, information, human resources and service delivery in relation to supply chain management of medicines and the technologies. It looks at links and causal chains between supply chain management for ART and the national supply system for essential drugs. It combines data from the literature and key informant interviews with observations at health service delivery level in a study district. Results Current drug supply chain management in Uganda is characterized by parallel processes and information systems that result in poor quality and inefficiencies. Less than expected health system performance, stock outs and other shortages affect ART and primary care in general. Poor performance of supply chain management is amplified by weak conditions at all levels of the health system, including the areas of financing, governance, human resources and information. Governance issues include the lack to follow up initial policy intentions and a focus on narrow, short-term approaches. Conclusion The opportunity and need to use ART investments for an essential supply chain management and strengthened health system has not been exploited. By applying a systems perspective this work indicates the seriousness of missing system prerequisites. The findings suggest that root causes and capacities across the system have to be addressed synergistically to enable systems that can match and accommodate investments in disease-specific interventions. The multiplicity and complexity of existing challenges require a long-term and systems perspective essentially in contrast to the current short term and program-specific nature of external assistance. PMID:21806826

  18. Systematic reviews addressing identified health policy priorities in Eastern Mediterranean countries: a situational analysis

    PubMed Central

    2014-01-01

    Background Systematic reviews can offer policymakers and stakeholders concise, transparent, and relevant evidence pertaining to pressing policy priorities to help inform the decision-making process. The production and the use of systematic reviews are specifically limited in the Eastern Mediterranean region. The extent to which published systematic reviews address policy priorities in the region is still unknown. This situational analysis exercise aims at assessing the extent to which published systematic reviews address policy priorities identified by policymakers and stakeholders in Eastern Mediterranean region countries. It also provides an overview about the state of systematic review production in the region and identifies knowledge gaps. Methods We conducted a systematic search of the Health System Evidence database to identify published systematic reviews on policy-relevant priorities pertaining to the following themes: human resources for health, health financing, the role of the non-state sector, and access to medicine. Priorities were identified from two priority-setting exercises conducted in the region. We described the distribution of these systematic reviews across themes, sub-themes, authors’ affiliations, and countries where included primary studies were conducted. Results Out of the 1,045 systematic reviews identified in Health System Evidence on selected themes, a total of 200 systematic reviews (19.1%) addressed the priorities from the Eastern Mediterranean region. The theme with the largest number of systematic reviews included was human resources for health (115) followed by health financing (33), access to medicine (27), and role of the non-state sector (25). Authors based in the region produced only three systematic reviews addressing regional priorities (1.5%). Furthermore, no systematic review focused on the Eastern Mediterranean region. Primary studies from the region had limited contribution to systematic reviews; 17 systematic reviews (8.5%) included primary studies conducted in the region. Conclusions There are still gaps in the production of systematic reviews addressing policymakers’ and stakeholders’ priorities in the Eastern Mediterranean region. Efforts should be directed towards better aligning systematic review production with policy needs and priorities. Study findings can inform the agendas of researchers, research institutions, and international funding agencies of priority areas where systematic reviews are required. PMID:25139256

  19. Airport Financing and User Charge Systems in the USA

    NASA Technical Reports Server (NTRS)

    Bartle, John R.

    1998-01-01

    This paper examines the financing of U.S. public airports in a turbulent era of change, and projects toward the future. It begins by briefly outlining historical patterns that have changed the industry, and airport facilities in particular. It then develops basic principles of public finance as applied to public infrastructure, followed by the applicable principles of management. Following that, the current airport financing system is analyzed and contrasted with a socially optimal financing system. A concluding section suggests policy reforms and their likely benefits. The principles of finance and management discussed here are elementary. However, their implications are radical for U.S. airport policy. There is a great deal of room to improve the allocation of aviation infrastructure resources. The application of these basic principles makes it evident that in many cases, current practice is wasteful, environmentally unsound, overly costly, and inequitable. Future investments in public aviation capital will continue to be wasteful until more efficient pricing systems are instituted. Thus, problem in the U.S. is not one of insufficient investment in airport infrastructure, but investment in the wrong types of infrastructure. In the U.S., the vast majority of publically-owned airports are owned by local governments. Thus, while the federal government bad a great deal of influence in financing airports, ultimately these are local decisions. The same is true with many other public infrastructure issues. Katz and Herman (1997) report that in 1995, U.S. net public capital stock equaled almost $4.6 trillion, 72% of which ($3.9 trillion) was owned by state and local governments, most of it in buildings, highways, Streets, sewer systems, and water supply facilities. Thus, public infrastructure finance is fundamentally a local government issue, with implications for federal and state governments in the design of their aid programs.

  20. Hospital financing: calculating inpatient capital costs in Germany with a comparative view on operating costs and the English costing scheme.

    PubMed

    Vogl, Matthias

    2014-04-01

    The paper analyzes the German inpatient capital costing scheme by assessing its cost module calculation. The costing scheme represents the first separated national calculation of performance-oriented capital cost lump sums per DRG. The three steps in the costing scheme are reviewed and assessed: (1) accrual of capital costs; (2) cost-center and cost category accounting; (3) data processing for capital cost modules. The assessment of each step is based on its level of transparency and efficiency. A comparative view on operating costing and the English costing scheme is given. Advantages of the scheme are low participation hurdles, low calculation effort for G-DRG calculation participants, highly differentiated cost-center/cost category separation, and advanced patient-based resource allocation. The exclusion of relevant capital costs, nontransparent resource allocation, and unclear capital cost modules, limit the managerial relevance and transparency of the capital costing scheme. The scheme generates the technical premises for a change from dual financing by insurances (operating costs) and state (capital costs) to a single financing source. The new capital costing scheme will intensify the discussion on how to solve the current investment backlog in Germany and can assist regulators in other countries with the introduction of accurate capital costing. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  1. [The activities of the Pensa Federal Center of Cardiovascular Surgery of Roszdrav and the issues of its resource support].

    PubMed

    Belostotskiĭ, A V

    2010-01-01

    The article develops the main aspects of the activities and issues of resource support of the Pensa Federal Center of cardiovascular surgery of Roszdrav. The emphasis is made on the inadequate budget financing and the necessity to increase the regulating scopes of planning of government quota for the high-tech medical care from 881 to 3500 quotas.

  2. Doctors as managers of healthcare resources in Nigeria: Evolving roles and current challenges

    PubMed Central

    Ojo, Temitope Olumuyiwa; Akinwumi, Adebowale Femi

    2015-01-01

    Over the years, medical practice in Nigeria has evolved in scope and practice, in terms of changing disease patterns, patients' needs, and social expectations. In addition, there is a growing sentiment especially among the general public and some health workers that most doctors are bad managers. Besides drawing examples from some doctors in top management positions that have performed less creditably, critics also harp on the fact that more needs to be done to improve the training of doctors in health management. This article describes the role of doctors in this changing scene of practice and highlights the core areas where doctors' managerial competencies are required to improve the quality of healthcare delivery. Areas such as health care financing, essential drugs and supplies management, and human resource management are emphasized. Resources to be managed and various skills needed to function effectively at the different levels of management are also discussed. To ensure that doctors are well-skilled in managerial competencies, the article concludes by suggesting a curriculum review at undergraduate and postgraduate levels of medical training to include newer but relevant courses on health management in addition to the existing ones, whereas also advocating that doctors be incentivized to go for professional training in health management and not only in the core clinical specialties. PMID:26903692

  3. Financing universal coverage in Malaysia: a case study.

    PubMed

    Chua, Hong Teck; Cheah, Julius Chee Ho

    2012-01-01

    One of the challenges to maintain an agenda for universal coverage and equitable health system is to develop effective structuring and management of health financing. Global experiences with different systems of health financing suggests that a strong public role in health financing is essential for health systems to protect the poor and health systems with the strongest state role are likely the more equitable and achieve better aggregate health outcomes. Using Malaysia as a case study, this paper seeks to evaluate the progress and capacity of a middle income country in terms of health financing for universal coverage, and also to highlight some of the key underlying health systems challenges.The WHO Health Financing Strategy for the Asia Pacific Region (2010-2015) was used as the framework to evaluate the Malaysian healthcare financing system in terms of the provision of universal coverage for the population, and the Malaysian National Health Accounts (2008) provided the latest Malaysian data on health spending. Measuring against the four target indicators outlined, Malaysia fared credibly with total health expenditure close to 5% of its GDP (4.75%), out-of-pocket payment below 40% of total health expenditure (30.7%), comprehensive social safety nets for vulnerable populations, and a tax-based financing system that fundamentally poses as a national risk-pooled scheme for the population.Nonetheless, within a holistic systems framework, the financing component interacts synergistically with other health system spheres. In Malaysia, outmigration of public health workers particularly specialist doctors remains an issue and financing strategies critically needs to incorporate a comprehensive workforce compensation strategy to improve the health workforce skill mix. Health expenditure information is systematically collated, but feedback from the private sector remains a challenge. Service delivery-wise, there is a need to enhance financing capacity to expand preventive care, in better managing escalating healthcare costs associated with the increasing trend of non-communicable diseases. In tandem, health financing policies need to infuse the element of cost-effectiveness to better manage the purchasing of new medical supplies and equipment. Ultimately, good governance and leadership are needed to ensure adequate public spending on health and maintain the focus on the attainment of universal coverage, as well as making healthcare financing more accountable to the public, particularly in regards to inefficiencies and better utilisation of public funds and resources.

  4. Financing Universal Coverage in Malaysia: a case study

    PubMed Central

    2012-01-01

    One of the challenges to maintain an agenda for universal coverage and equitable health system is to develop effective structuring and management of health financing. Global experiences with different systems of health financing suggests that a strong public role in health financing is essential for health systems to protect the poor and health systems with the strongest state role are likely the more equitable and achieve better aggregate health outcomes. Using Malaysia as a case study, this paper seeks to evaluate the progress and capacity of a middle income country in terms of health financing for universal coverage, and also to highlight some of the key underlying health systems challenges. The WHO Health Financing Strategy for the Asia Pacific Region (2010-2015) was used as the framework to evaluate the Malaysian healthcare financing system in terms of the provision of universal coverage for the population, and the Malaysian National Health Accounts (2008) provided the latest Malaysian data on health spending. Measuring against the four target indicators outlined, Malaysia fared credibly with total health expenditure close to 5% of its GDP (4.75%), out-of-pocket payment below 40% of total health expenditure (30.7%), comprehensive social safety nets for vulnerable populations, and a tax-based financing system that fundamentally poses as a national risk-pooled scheme for the population. Nonetheless, within a holistic systems framework, the financing component interacts synergistically with other health system spheres. In Malaysia, outmigration of public health workers particularly specialist doctors remains an issue and financing strategies critically needs to incorporate a comprehensive workforce compensation strategy to improve the health workforce skill mix. Health expenditure information is systematically collated, but feedback from the private sector remains a challenge. Service delivery-wise, there is a need to enhance financing capacity to expand preventive care, in better managing escalating healthcare costs associated with the increasing trend of non-communicable diseases. In tandem, health financing policies need to infuse the element of cost-effectiveness to better manage the purchasing of new medical supplies and equipment. Ultimately, good governance and leadership are needed to ensure adequate public spending on health and maintain the focus on the attainment of universal coverage, as well as making healthcare financing more accountable to the public, particularly in regards to inefficiencies and better utilisation of public funds and resources. PMID:22992444

  5. Conflicting Pressures in Postsecondary Education.

    ERIC Educational Resources Information Center

    Fenske, Robert H.

    Papers were presented on these subcategories of the theme of conflicting pressures in postsecondary education: privacy and confidentiality; program analysis, goals, and outcomes; planning, research, and modeling; financing and resource allocation; faculty; and students. Individual topics addressed include: student-faculty interaction; student…

  6. Substance Abuse and Mental Health Services Administration

    MedlinePlus

    ... Health Systems Integration Health Disparities Health Financing Health Information Technology HIV, AIDS, and Viral Hepatitis Homelessness and Housing ... Resource Centers Center for the Application of Prevention Technologies (CAPT) Homelessness ... More Grants Information 2017 Grant Awards Grant Awards by State SAMHSA ...

  7. Health financing for universal coverage and health system performance: concepts and implications for policy

    PubMed Central

    2013-01-01

    Abstract Unless the concept is clearly understood, “universal coverage” (or universal health coverage, UHC) can be used to justify practically any health financing reform or scheme. This paper unpacks the definition of health financing for universal coverage as used in the World Health Organization’s World health report 2010 to show how UHC embodies specific health system goals and intermediate objectives and, broadly, how health financing reforms can influence these. All countries seek to improve equity in the use of health services, service quality and financial protection for their populations. Hence, the pursuit of UHC is relevant to every country. Health financing policy is an integral part of efforts to move towards UHC, but for health financing policy to be aligned with the pursuit of UHC, health system reforms need to be aimed explicitly at improving coverage and the intermediate objectives linked to it, namely, efficiency, equity in health resource distribution and transparency and accountability. The unit of analysis for goals and objectives must be the population and health system as a whole. What matters is not how a particular financing scheme affects its individual members, but rather, how it influences progress towards UHC at the population level. Concern only with specific schemes is incompatible with a universal coverage approach and may even undermine UHC, particularly in terms of equity. Conversely, if a scheme is fully oriented towards system-level goals and objectives, it can further progress towards UHC. Policy and policy analysis need to shift from the scheme to the system level. PMID:23940408

  8. Health financing for universal coverage and health system performance: concepts and implications for policy.

    PubMed

    Kutzin, Joseph

    2013-08-01

    Unless the concept is clearly understood, "universal coverage" (or universal health coverage, UHC) can be used to justify practically any health financing reform or scheme. This paper unpacks the definition of health financing for universal coverage as used in the World Health Organization's World health report 2010 to show how UHC embodies specific health system goals and intermediate objectives and, broadly, how health financing reforms can influence these. All countries seek to improve equity in the use of health services, service quality and financial protection for their populations. Hence, the pursuit of UHC is relevant to every country. Health financing policy is an integral part of efforts to move towards UHC, but for health financing policy to be aligned with the pursuit of UHC, health system reforms need to be aimed explicitly at improving coverage and the intermediate objectives linked to it, namely, efficiency, equity in health resource distribution and transparency and accountability. The unit of analysis for goals and objectives must be the population and health system as a whole. What matters is not how a particular financing scheme affects its individual members, but rather, how it influences progress towards UHC at the population level. Concern only with specific schemes is incompatible with a universal coverage approach and may even undermine UHC, particularly in terms of equity. Conversely, if a scheme is fully oriented towards system-level goals and objectives, it can further progress towards UHC. Policy and policy analysis need to shift from the scheme to the system level.

  9. Exploring the Functioning of Decision Space: A Review of the Available Health Systems Literature

    PubMed Central

    Roman, Tamlyn Eslie; Cleary, Susan; McIntyre, Diane

    2017-01-01

    Background: The concept of decision space holds appeal as an approach to disaggregating the elements that may influence decision-making in decentralized systems. This narrative review aims to explore the functioning of decision space and the factors that influence decision space. Methods: A narrative review of the literature was conducted with searches of online databases and academic journals including PubMed Central, Emerald, Wiley, Science Direct, JSTOR, and Sage. The articles were included in the review based on the criteria that they provided insight into the functioning of decision space either through the explicit application of or reference to decision space, or implicitly through discussion of decision-making related to organizational capacity or accountability mechanisms. Results: The articles included in the review encompass literature related to decentralisation, management and decision space. The majority of the studies utilise qualitative methodologies to assess accountability mechanisms, organisational capacities such as finance, human resources and management, and the extent of decision space. Of the 138 articles retrieved, 76 articles were included in the final review. Conclusion: The literature supports Bossert’s conceptualization of decision space as being related to organizational capacities and accountability mechanisms. These functions influence the decision space available within decentralized systems. The exact relationship between decision space and financial and human resource capacities needs to be explored in greater detail to determine the potential influence on system functioning. PMID:28812832

  10. Academic Institutionalization of Community Health Services: Way Ahead in Medical Education Reforms

    PubMed Central

    Kumar, Raman

    2012-01-01

    Policy on medical education has a major bearing on the outcome of health care delivery system. Countries plan and execute development of human resource in health, based on the realistic assessments of health system needs. A closer observation of medical education and its impact on the delivery system in India reveals disturbing trends. Primary care forms backbone of any system for health care delivery. One of the major challenges in India has been chronic deficiency of trained human resource eager to work in primary care setting. Attracting talent and employing skilled workforce seems a distant dream. Talking specifically of the medical education, there are large regional variations, urban - rural divide and issues with financing of the infrastructure. The existing design of medical education is not compatible with the health care delivery system of India. Impact is visible at both qualitative as well as quantitative levels. Medical education and the delivery system are working independent of each other, leading outcomes which are inequitable and unjust. Decades of negligence of medical education regulatory mechanism has allowed cropping of multiple monopolies governed by complex set of conflict of interest. Primary care physicians, supposed to be the community based team leaders stand disfranchised academically and professionally. To undo the distorted trajectory, a paradigm shift is required. In this paper, we propose expansion of ownership in medical education with academic institutionalization of community health services. PMID:24478994

  11. Beyond the biomedical: community resources for mental health care in rural Ethiopia.

    PubMed

    Selamu, Medhin; Asher, Laura; Hanlon, Charlotte; Medhin, Girmay; Hailemariam, Maji; Patel, Vikram; Thornicroft, Graham; Fekadu, Abebaw

    2015-01-01

    The focus of discussion in addressing the treatment gap is often on biomedical services. However, community resources can benefit health service scale-up in resource-constrained settings. These assets can be captured systematically through resource mapping, a method used in social action research. Resource mapping can be informative in developing complex mental health interventions, particularly in settings with limited formal mental health resources. We employed resource mapping within the Programme for Improving Mental Health Care (PRIME), to systematically gather information on community assets that can support integration of mental healthcare into primary care in rural Ethiopia. A semi-structured instrument was administered to key informants. Community resources were identified for all 58 sub-districts of the study district. The potential utility of these resources for the provision of mental healthcare in the district was considered. The district is rich in community resources: There are over 150 traditional healers, 164 churches and mosques, and 401 religious groups. There were on average 5 eddir groups (traditional funeral associations) per sub-district. Social associations and 51 micro-finance institutions were also identified. On average, two traditional bars were found in each sub-district. The eight health centres and 58 satellite clinics staffed by Health Extension Workers (HEWs) represented all the biomedical health services in the district. In addition the Health Development Army (HDA) are community volunteers who support health promotion and prevention activities. The plan for mental healthcare integration in this district was informed by the resource mapping. Community and religious leaders, HEWs, and HDA may have roles in awareness-raising, detection and referral of people with mental illness, improving access to medical care, supporting treatment adherence, and protecting human rights. The diversity of community structures will be used to support rehabilitation and social reintegration. Alcohol use was identified as a target disorder for community-level intervention.

  12. Beyond the Biomedical: Community Resources for Mental Health Care in Rural Ethiopia

    PubMed Central

    Selamu, Medhin; Asher, Laura; Hanlon, Charlotte; Medhin, Girmay; Hailemariam, Maji; Patel, Vikram; Thornicroft, Graham; Fekadu, Abebaw

    2015-01-01

    Background The focus of discussion in addressing the treatment gap is often on biomedical services. However, community resources can benefit health service scale-up in resource-constrained settings. These assets can be captured systematically through resource mapping, a method used in social action research. Resource mapping can be informative in developing complex mental health interventions, particularly in settings with limited formal mental health resources. Method We employed resource mapping within the Programme for Improving Mental Health Care (PRIME), to systematically gather information on community assets that can support integration of mental healthcare into primary care in rural Ethiopia. A semi-structured instrument was administered to key informants. Community resources were identified for all 58 sub-districts of the study district. The potential utility of these resources for the provision of mental healthcare in the district was considered. Results The district is rich in community resources: There are over 150 traditional healers, 164 churches and mosques, and 401 religious groups. There were on average 5 eddir groups (traditional funeral associations) per sub-district. Social associations and 51 micro-finance institutions were also identified. On average, two traditional bars were found in each sub-district. The eight health centres and 58 satellite clinics staffed by Health Extension Workers (HEWs) represented all the biomedical health services in the district. In addition the Health Development Army (HDA) are community volunteers who support health promotion and prevention activities. Discussion The plan for mental healthcare integration in this district was informed by the resource mapping. Community and religious leaders, HEWs, and HDA may have roles in awareness-raising, detection and referral of people with mental illness, improving access to medical care, supporting treatment adherence, and protecting human rights. The diversity of community structures will be used to support rehabilitation and social reintegration. Alcohol use was identified as a target disorder for community-level intervention. PMID:25962075

  13. Protecting Profits Derived from Tribal Resources: Why the State of Utah Should Not Have the Power To Tax Non-Indian Oil and Gas Lessees on the Navajo Nation's Aneth Extension. Texaco, Exxon, and Union Oil v. San Juan County School District: A Case Study.

    ERIC Educational Resources Information Center

    Ansson, Richard J., Jr.

    1997-01-01

    After the Aneth Extension (Utah) was added to the Navajo Reservation in 1933, Congress provided that part of natural resource royalties go to the state to finance education and other services for Navajo residents. These funds were squandered. A Utah Supreme Court case over dual taxation by state and tribe of non-Indian resource lessees is…

  14. The Quality of Hong Kong's Self-Financing Sub-Degree Education from an Economic Perspective

    ERIC Educational Resources Information Center

    Chan, Chi Wai

    2012-01-01

    This paper examines the quality of Hong Kong's sub-degree level education provided by the self-financing institutes in terms of its impact on the earnings of workers, based on Hong Kong's 2006 by-census data. Education is an investment in human capital that enhances the productivity of workers and increases their lifetime incomes; and a more…

  15. Financing Education in a Climate of Change. Third Edition.

    ERIC Educational Resources Information Center

    Burrup, Percy E.; Brimley, Vern, Jr.

    Education is declared to be an investment in human capital. Reform in school finance systems is long overdue in many states, but much progress has been made, and will yet be made, due to far-reaching decisions in a number of relevant court cases in the 1970s. To provide practical guidelines and cost-effective decision-making techniques for…

  16. Making finance work for you.

    PubMed

    Marchwinski, Jay

    2002-01-01

    Every organization has a process for reviewing requests against their own guidelines, which are not always well defined. Normally, all requests must be able to demonstrate an adequate financial return on any investment of dollars and/or resources. Quality and service improvement benefits sometimes are accepted, but often must be translated into documentable dollars and cents. In this article, the author shows how understanding the basic concepts of revenue and expense is a good first step toward improving your chances of gaining approval. Forming an effective two-way partnership with the staff in your finance department will improve your chances even more.

  17. Compilation of FY 1997 Air Force General Funds Consolidated Financial Statements at the Defense Finance and Accounting Service Denver Center.

    DTIC Science & Technology

    1998-10-05

    Consolidated Financial Statements to the Air Force Audit Agency. The Defense Finance and Accounting Service Denver Center maintained accounting records and prepared the FY 1997 financial statements for the Air Force. More than $343 billion in total assets was reported at year’s end in these statements, and total revenues for the year exceeded $64 billion. The Air Force Audit Agency disclaimed an opinion on these statements. Additionally, although the Office of Management and Budget does not require budgetary resource reporting until FY 1998, the Air Force

  18. Healthcare financing, decentralization and regional health planning: federal transfers and the healthcare networks in Minas Gerais, Brazil.

    PubMed

    Moreira, Laura Monteiro de Castro; Ferré, Felipe; Andrade, Eli Iola Gurgel

    2017-04-01

    The Decrees 4279/10 and 7508/11 established norms to guide health politics, with impacts on funding of the Middle and High Complexity Hospital and Outpatient. To verify the effects on the consolidation of care networks in Minas Gerais, we performed an analytical-descriptive study of the National Health Fund from 2006 to 2014. We observed decentralization of responsibilities, accompanied of resources and innovative financing mechanisms, resulting expansion of the network care model. The federal government definitions suggest reduction of the autonomy and limitation of regional solutions.

  19. Selected hydrologic data, San Pitch River drainage basin, Utah

    USGS Publications Warehouse

    Robinson, G.B. Jr.

    1968-01-01

    The u.s. Geological Survey investigated the ground-water resources of the San Pitch River drainage basin during the period 1964- 67. The investigation was a cooperative project, financed equally by the Utah Department of Natural Resources, Division of Water Rights, and the Federal Government, and was a part of an investigation of the groundwater resources of the entire Sevier River drainage system.This report is intended to serve two purposes: (1) To make available to the public basic water-resources data useful in planning and studying development of water resources and (2) to supplement an interpretive report that will be published later. Included in the release are data collected by the Geological Survey since 1930.

  20. Partnership insurance: an innovation to meet long-term care financing needs in an era of federal minimalism.

    PubMed

    Meiners, Mark R; McKay, Hunter L; Mahoney, Kevin J

    2002-01-01

    In the case of long-term care financing, federal minimalism is not new news. Long-term care has long played a weak "third fiddle" to national health reform concerns about the uninsured and catastrophic expenditures on prescription drugs. The states have been left to struggle with the issue of long-term financing as part of their responsibilities in funding and administering the means-tested Medicaid program. Recently, the environment has become even more challenging. Much of what is on the national agenda for health and welfare reform has been delegated to the states. This "devolution" of responsibilities has created many competing priorities for both the attention and resources of states. This context of evolving federal minimalism calls for creative solutions that balance competing points of view. In this article, we provide some background and insights from one such effort: a collaboration between state governments and private insurers to put into operation an insurance-based approach to long-term care financing that uses Medicaid as an incentive to encourage potential purchasers.

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