Presentation is loading. Please wait.

Presentation is loading. Please wait.

Principles of Health Administration Dr. Rasha Salama PhD. Community Medicine Suez Canal University Egypt.

Similar presentations


Presentation on theme: "Principles of Health Administration Dr. Rasha Salama PhD. Community Medicine Suez Canal University Egypt."— Presentation transcript:

1 Principles of Health Administration Dr. Rasha Salama PhD. Community Medicine Suez Canal University Egypt

2 Health Administration Sound administration is essential for the success of any public health program whether on the national, intermediate or the local level. Sound administration is essential for the success of any public health program whether on the national, intermediate or the local level.

3 Definition of Sound Administration We can define sound administration as: We can define sound administration as: “ The process of achieving defined goals at a defined time through the guidance, leadership, and control of the efforts of a group of individuals and the efficient utilization of non- human resources bearing in mind adequacy, speed, and economy to the utmost possible level. ”

4 Another definition “ Administration is the art and science of guidance, leadership, and control of the efforts of a group of individuals towards some common goal. ” “ Administration is the art and science of guidance, leadership, and control of the efforts of a group of individuals towards some common goal. ”

5 Management Management is the operational part of administration. Management is the operational part of administration. It is defined as: It is defined as: “ It is a set of interactive processes through which the utilization of resources results in the accomplishment of organization objectives. ” It is a “ conversion mechanism ”. It is a “ conversion mechanism ”.

6 Process InputsOutputs A systems view of management: Human resources Non-human resources Conversion mechanism Objectives achievement

7 It is through “ management ” that the objectives of the health care organization are achieved by gathering and positioning of resources. It is through “ management ” that the objectives of the health care organization are achieved by gathering and positioning of resources. There are several elements for administration. In practice all these elements are interrelated to one another. There are several elements for administration. In practice all these elements are interrelated to one another. There are also 3 levels of administration. There are also 3 levels of administration.

8 Elements of Administration: Planning Planning Organization Organization Staffing Staffing Directing Directing Coordinating Coordinating Reporting Reporting Budgeting Budgeting Supervising Supervising Evaluation Evaluation

9 Levels of Administration Central level Intermediate level Local Level Ministry of health directorates of health e.g. health office, Hospital, health care unit

10 Every program must have an overall (general) goal which confirms with that of the nation ’ s policy, and various objectives to be achieved according to a definite plan. Every program must have an overall (general) goal which confirms with that of the nation ’ s policy, and various objectives to be achieved according to a definite plan.

11 Goals versus Objectives A GOAL: is a long range specified state of accomplishment towards the activity it is directed. Goals are not constrained by time or existing resources. A GOAL: is a long range specified state of accomplishment towards the activity it is directed. Goals are not constrained by time or existing resources. AN OBJECTIVE: is a measurable state of accomplishment aimed towards the goal. The objective should include a description of “ what ” outcome is desired, “ when ” it is expected, and “ where ” it will take place. AN OBJECTIVE: is a measurable state of accomplishment aimed towards the goal. The objective should include a description of “ what ” outcome is desired, “ when ” it is expected, and “ where ” it will take place.

12 Planning Planning is considered the most important element of the administrative process. The higher the level of administration, the more the involvement and time devoting to planning. A good plan is the basis of any successful program. Sufficient time should be given to the process of planning. More than one plan should be available to choose from to meet the existing plan. Planning is considered the most important element of the administrative process. The higher the level of administration, the more the involvement and time devoting to planning. A good plan is the basis of any successful program. Sufficient time should be given to the process of planning. More than one plan should be available to choose from to meet the existing plan.

13 Definition of Planning “ Planning is a projected or predetermined course of action designed to achieve a specific goal or objective. ” “ Planning is a projected or predetermined course of action designed to achieve a specific goal or objective. ” Planning determines What? When? Where? How? Why? And by whom? Things will be done. Planning determines What? When? Where? How? Why? And by whom? Things will be done. It involves “ decision making for future events ”. It involves “ decision making for future events ”.

14 Process of systemic planning 1. Establishing goals and objectives 2. Designing alternative courses of action 3. Analysing and predicting the consequences 4. Selecting the best course of action 5. Implementing the selected plan and performing periodic evaluation to assure success of plan

15 Principles of planning Being an intellectual activity it needs knowledge, experience, foresight, reasoning and the mastering of special skills and techniques. Examples of different techniques of planning are: Being an intellectual activity it needs knowledge, experience, foresight, reasoning and the mastering of special skills and techniques. Examples of different techniques of planning are: PPBS: Planning/Programming/Budgeting system PPBS: Planning/Programming/Budgeting system PERT: Performance/Evaluation/Review technique PERT: Performance/Evaluation/Review technique CPM: Critical Path Method CPM: Critical Path Method

16 Planning is a dynamic (non-static) process Planning is a dynamic (non-static) process It is a continuous circular process It is a continuous circular process Planning Execution (implementation) Evaluation Futuristic Decision making process Dynamic Flexible

17 Participative planning is sharing the program planning with other people, staff and agencies concerned with the program. Participative planning is sharing the program planning with other people, staff and agencies concerned with the program. Participative planning have advantages and disadvantages. Participative planning have advantages and disadvantages.

18 Planning of a program is based on: Planning of a program is based on: Needs and demands of the public Needs and demands of the public Available resources Available resources Attitude of the public Attitude of the public

19 Constraints (intervening factors) to a plan may be social, economical or political, and they may be related to either: Constraints (intervening factors) to a plan may be social, economical or political, and they may be related to either: External environment (community) External environment (community) Internal environment (the organization) Internal environment (the organization) Establishing priorities are essential in planning Establishing priorities are essential in planning (What are these priorities???)

20 Organization Definitions: Definitions: “ Organization is any collection of persons, materials, procedures, ideas or facts arranged and ordered that the combination of parts makes a meaningful whole that works towards achieving organizational objectives. ” “ Organization is any collection of persons, materials, procedures, ideas or facts arranged and ordered that the combination of parts makes a meaningful whole that works towards achieving organizational objectives. ” “ The process of organization implies to the arrangement of human and non-human resources in an orderly fashion to make a meaningful whole that accomplishes organizational objectives. ” “ The process of organization implies to the arrangement of human and non-human resources in an orderly fashion to make a meaningful whole that accomplishes organizational objectives. ”

21 The organizational process is classified into: The organizational process is classified into: Structural organization Structural organization Functional organization Functional organization

22 Principles of organization: Principles of organization: Departmentation Departmentation Acquisition of human and non-human resources Acquisition of human and non-human resources Specialization and division of labor Specialization and division of labor Coordination Coordination Authority and responsibility Authority and responsibility Centralization and de-centralization Centralization and de-centralization Unity of command Unity of command Line and staff Line and staff

23 Staffing It is the process of “ personnelizing ” the organization, by hiring the right type and adequate number of workers to each unit for the time required for the program, through the following steps: It is the process of “ personnelizing ” the organization, by hiring the right type and adequate number of workers to each unit for the time required for the program, through the following steps: Identifying the type and number of personnel Identifying the type and number of personnel Recruitment Recruitment Selection and appointment Selection and appointment Orientation Orientation Job analysis Job analysis Job description Job description Job specification Job specification

24 Budgeting Financial administration consists of a series activities were funds are made available for certain people in the organization under procedures that will ensure their efficient use. Financial administration consists of a series activities were funds are made available for certain people in the organization under procedures that will ensure their efficient use. The main activities are: The main activities are: Budgeting Budgeting Accounting Accounting Auditing Auditing Purchasing Purchasing

25 Definitions Budgeting: Budgeting: It is the allocation of financial resources in support for programs or projects for a special period of time. A budget is defined as “ a balanced estimate of expenditures and receipts for a given period of time ”.

26 Accounting: Accounting: “ It is recording assembly and summarization of financial effects of executive action. a harmonious relationship between budget and account is important to current comparisons, between goals set in and accomplished. ” “ It is recording assembly and summarization of financial effects of executive action. a harmonious relationship between budget and account is important to current comparisons, between goals set in and accomplished. ”

27 Auditing: Auditing: “ It is the investigation and report on the fidelity and legality of all financial transactions ”. “ It is the investigation and report on the fidelity and legality of all financial transactions ”.

28 Purchasing: Purchasing: “ It is the acquisition of the property and materials needed in administration ”. “ It is the acquisition of the property and materials needed in administration ”.

29 Supervision Supervision refers to the day-to-day relationship between an executive and his immediate subordinates. Supervision refers to the day-to-day relationship between an executive and his immediate subordinates. Supervision aims at satisfying both: Supervision aims at satisfying both: Work Work Workers Workers

30 Supervision Motivation is defined as: “ an externally induced behaviour which occurs in order to bring about or maintain need fulfillment ”. Motivation is defined as: “ an externally induced behaviour which occurs in order to bring about or maintain need fulfillment ”. The following conditions if present build high levels of motivation: The following conditions if present build high levels of motivation: Achievement Recognition Advancement Working conditions Responsibility Organizational policy Technical supervision Interpersonal relations Salary and compansations Job security

31 Supervision Styles of leader authority: Styles of leader authority: Autocratic Autocratic Consultative Consultative Participative Participative Democratic Democratic Free rein Free rein

32 Supervision Factors affecting style of supervision: Factors affecting style of supervision: Condition present Condition present Type of work Type of work Subordinates characteristics Subordinates characteristics Personal characteristic of manager Personal characteristic of manager

33 Evaluation Definition: Definition: “ systemic collection of information about the activities, characteristics and outcomes of programs, personnel, and products fpr use by specific people to reduce uncertainties, improve effectiveness and make decision with regard to what those programs, personnel or products are doing and affecting. ” “ systemic collection of information about the activities, characteristics and outcomes of programs, personnel, and products fpr use by specific people to reduce uncertainties, improve effectiveness and make decision with regard to what those programs, personnel or products are doing and affecting. ”

34 Types of Evaluation ProcessOutcom e /impact Structure

35 Types of Evaluation Program Implementation Program planning Program impact Structure evaluation Process or Formative evaluation Impact or summative Evaluation Facilities/ Equipment/ Manpower/ organization Performance of staff/ way procedures are done Measurable Indicators + Health related impacts

36 Elements of Evaluation Relevance Relevance Adequacy Adequacy Accessibility Accessibility Acceptability Acceptability Effectiveness Effectiveness Efficiency Efficiency Impact Impact

37 Steps of Evaluation (1) Describe the program in terms of objectives expected. Objectives can be either outcome or process objectives. Outcome objectives: “ a statement of the amount of change expected for a given health problem for a specified population within a given time frame ” Outcome objectives: “ a statement of the amount of change expected for a given health problem for a specified population within a given time frame ” Process objectives: “ a statement of the amount of change expected in the performance and utilization of interventions that impact on the outcome. ” Process objectives: “ a statement of the amount of change expected in the performance and utilization of interventions that impact on the outcome. ”

38 (2) specify the evaluation design. (2) specify the evaluation design. Define the purpose of evaluation Define the purpose of evaluation Define the methodology of evaluation (census/ client records/ interviews/ surveys/ expenditures reports). Define the methodology of evaluation (census/ client records/ interviews/ surveys/ expenditures reports). Define who will be making use of the data Define who will be making use of the data (audience/ policy makers). (audience/ policy makers).

39 (3) gather credible evidence (information): Types of data include: Demographic description Demographic description Indicators of health status (morbidity, mortality, disability) Indicators of health status (morbidity, mortality, disability) Qualitative indicators ( community values, public and private policies) Qualitative indicators ( community values, public and private policies) Utilization indicators Utilization indicators Expenditures Expenditures

40 (4) Analysis and justification of results What does the findings mean? What does the findings mean? How do they compare to the objectives? How do they compare to the objectives? What is the degree of success of the program? What is the degree of success of the program? What recommendations are indicated for program improvement? What recommendations are indicated for program improvement?

41 (5) Taking action Evaluation findings has to be used and shred for the purpose of improvement of the effectiveness of the program. “ evaluations that are not or inadequately used are simply not worth of doing ”. (6) Re-evaluation Evaluation is an ongoing process.

42 Thank you


Download ppt "Principles of Health Administration Dr. Rasha Salama PhD. Community Medicine Suez Canal University Egypt."

Similar presentations


Ads by Google