No abstract available.
Health Policy*

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Health Policy*

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Health Policy*

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Health Policy*

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Health Policy*

BACKGROUND AND OBJECTIVES: This study was conducted as the first attempt of reviewing Prime Minister Narendra Modi's almost four year-old ministry as an innovative health policy. Modi's administration has employed innovative strategies such as the embracement of indigenous transformation of health system side by side with the strengthening of modern medical technology and practices. This facilitated the birth of the Ministry of AYUSH. This paper analyzed the processes involving the development and implementation of Modi's innovations in India's health sector.

METHODOLOGY: Through contextual analysis, data were generated from various online sources including reports and modules available in the Ministry of Ayush and other government offices' websites.

RESULTS: It showed that the set of trends identified by Cavalcante and Camoes was present in the ministry as a public management innovation in health care in India. These are the improvement of transparency mechanisms, open government and accountability; promotion of e-government; ease access and citizen participation in public administration; new public policies that encourage more active role of citizens in the creation of political capital; networks and partnerships of state actors, social and private enterprises; and expansion of information technology to increase the quality and efficiency in the delivery of public services.

CONCLUSION: The establishment of the Ministry of Ayush and the policy on Indian System of Medicine and Homoeopathy is another example of indigenous transformation in public management in Asia which brings synergy between the traditional wisdom of AYUSH and modern diagnostic tools and technology.

Background. The Republic Act 7305 or the Magna Carta of Public Health Workers was enacted in 1992 to address health workers' welfare. However, the implementation of this act was reportedly inconsistent among local government units (LGUs). Objectives. This study was conducted to determine the implementation status of provisions under the law among LGUs. Methods. This is a descriptive case study employing mixed methods. The quantitative data were derived from LGU scorecards, and the qualitative data were obtained from focus group discussions and key informant interviews of mayors, municipal health officers, and budget officers. Results. A total of 1,557 LGU scorecards with 2017 data showed that more than half (52.0%) of LGUs do not provide the full benefits of hazard pay, subsistence allowance, and laundry allowance. Disaggregation by income class showed that the provision of benefits is higher among LGUs with higher income classes (56.10%) compared to LGUs of lower-income classes (38.73%), and this translates to a correlation of income class with the provision of benefits (χ2=59.0, p<0.001). Factors influencing the provision of benefits include the political will of the mayor, the active role of municipal health staff to lobby for their rights, the limited resources of the LGU, the personnel services budget ceiling, the lack of enforcement of the law, and the limiting specifications of the law. Conclusion. This study demonstrated that the Magna Carta benefits for public health workers in municipalities and cities are inadequately implemented. Local governments must enforce public health workers' rights and benefits, but the national government should aid and ensure its unvarying implementation.
Humans ; Public Health ; Public Policy ; Health Policy

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Health Policy* ; Hope*

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Health Policy* ; Research*

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Health Policy* ; Research*