Health System Decentralization in a Resource Poor Setting: Health System Decentralization,Used

Health System Decentralization in a Resource Poor Setting: Health System Decentralization,Used

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Decentralization ultimately involves the execution of most health care activities at lower levels of the health system. However, when poorly implemented, decentralization can create confusion about roles and responsibilities. This study attempted to assess the perception and practice of decentralized decisionmaking authority of health managers at different levels of the health system of Jimma Zone, Oromia Regional State of Southwest Ethiopia. According to the regional guideline, ensuring achievement of regional health service targets is the responsibility of the RHB. This was clear to 98% (n=99) of the health managers included in this study. However, almost equivalent proportion of the respondents (96%) agreed that the FMOH should be responsible for this. Such confusions were observed in almost every functional area. The indepth interviews demonstrated that legislative guidelines were not available in most district health offices and facilities. Moreover, because of the prevailing scarcity of human, financial and other resources at zonal and district levels, it is difficult to expedite health sector decentralization in Jimma Zone.

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We ship your order within 2–3 business days for USA deliveries and 5–8 business days for international shipments. Once your package has been dispatched from our warehouse, you'll receive an email confirmation with a tracking number, allowing you to track the status of your delivery.

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To facilitate a smooth return process, a Return Authorization (RA) Number is required for all returns. Returns without a valid RA number will be declined and may incur additional fees. You can request an RA number within 15 days of the original delivery date. For more details, please refer to our Return & Refund Policy page.

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Warranty

We provide a 2-year limited warranty, from the date of purchase for all our products.

If you believe you have received a defective product, or are experiencing any problems with your product, please contact us.

This warranty strictly does not cover damages that arose from negligence, misuse, wear and tear, or not in accordance with product instructions (dropping the product, etc.).

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