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1

Nhapi, Tatenda Goodman. "Socioeconomic Barriers to Universal Health Coverage in Zimbabwe: Present Issues and Pathways Toward Progress." Journal of Developing Societies 35, no. 1 (March 2019): 153–74. http://dx.doi.org/10.1177/0169796x19826762.

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This article assesses Zimbabwean health services, using a social workers’ social development paradigm to analyze the dynamics of Zimbabwe’s Social Security program, focusing on universal health access for older persons, orphans, and vulnerable children. This article identifies the key factors that have done the most to shape health policy administration in the broader context of social policies and social security in Zimbabwe. The discussion is framed around the need for pro-poor social policies, social inclusivity, and the efforts to ensure universal health access. Despite numerous reports, newspaper op-eds and consultancy documents offering opinions on the state of social service delivery in the country, most critics lack empirical data and end up being very anecdotal as they critique the present system. The socioeconomic context of Zimbabwe is therefore analyzed here, with the best available statistical evidence provided, followed by assessment of social policy interventions. Current challenges to access health services are evaluated using a human rights-based social policy approach. The recent Zimbabwe Ministry of Finance-led consultative process crafted a 2016 document, the Poverty Reduction Strategies Papers (PRSPs), as an overall strategy for transforming the Zimbabwean health sector. The article concludes by recommending community-based health insurance approach as most appropriate intervention for ensuring health inclusivity and enhancing health for all in Zimbabwe.
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Moyo, Arnold, and Sothini Natalia Ngwenya. "Service quality determinants at Zimbabwean state universities." Quality Assurance in Education 26, no. 3 (July 2, 2018): 374–90. http://dx.doi.org/10.1108/qae-07-2016-0036.

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Purpose This research sought to empirically identify context specific dimensions of service quality at Zimbabwean State Universities. The study also sought to measure the ‘university-wide’ overall service quality at National University of Science and Technology (NUST) and to explore differences in service quality perception based on selected students’ demographic characteristics. Design/methodology/approach A case study strategy was used. Focus group discussions were used to qualitatively identify service quality variables; which were then subjected to quantitative evaluation through the administration of questionnaires on a sample of 294 students. Exploratory Factor Analysis was used to reduce the service quality variables into service quality dimensions. Findings Five dimensions of service quality were identified, namely: General Attitude, Facilitating Elements, Access, Lecture Rooms and Health Services. Results also showed that most students (48.3 per cent) perceived overall service quality at NUST to be average while 28.6 per cent and 23.1 per cent had a negative and positive perception of overall service quality respectively. Perceived overall service quality at NUST was found to differ significantly based on ‘students’ year of study’ and ‘faculty group’. Differences based on gender were found to be insignificant. Originality/value Identification of the five dimensions was a progressive step in developing a relevant service quality measurement instrument for a Zimbabwean State University context; and in so doing, contributing to literature on relevant service quality dimensions and measurement instruments in Zimbabwe and Africa in general. This was the first such study in Zimbabwe to address the context specific literature-gap on relevant service quality dimensions.
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Larbi, George A. "CAPAM Symposium on Networked Government: ‘Freedom to manage’, task networks and institutional environment of decentralized service organizations in developing countries." International Review of Administrative Sciences 71, no. 3 (September 2005): 447–62. http://dx.doi.org/10.1177/0020852305056821.

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This article examines the introduction of decentralized management structures in public health and water services in two developing countries — Ghana and Zimbabwe. It explores how task networks, organizational interdependence and institutional environment factors may enable or disable organizational autonomy and influence performance. It argues that decentralized organizations work within a task network of other public sector organizations and in institutional and governance environments that are highly political. The degree of operational autonomy that decentralized organizations have in practice will depend on the task network and power relationships, particularly the behaviour of central principals and other actors within the network. It suggests that decentralized management has been introduced in varying degrees in the health and water sectors of both Ghana and Zimbabwe but is constrained by task network difficulties.
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Muhumuza, Richard, Andrew Sentoogo Ssemata, Ayoub Kakande, Nadia Ahmed, Millicent Atujuna, Mangxilana Nomvuyo, Linda-Gail Bekker, et al. "Exploring Perceived Barriers and Facilitators of PrEP Uptake among Young People in Uganda, Zimbabwe, and South Africa." Archives of Sexual Behavior 50, no. 4 (May 2021): 1729–42. http://dx.doi.org/10.1007/s10508-020-01880-y.

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Abstract Pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy. Few studies have explored adolescents and young people’s perspectives toward PrEP. We conducted 24 group discussions and 60 in-depth interviews with males and females aged 13–24 years in Uganda, Zimbabwe, and South Africa between September 2018 and February 2019. We used the framework approach to generate themes and key concepts for analysis following the social ecological model. Young people expressed a willingness to use PrEP and identified potential barriers and facilitators of PrEP uptake. Barriers included factors at individual (fear of HIV, fear of side effects, and PrEP characteristics), interpersonal (parental influence, absence of a sexual partner), community (peer influence, social stigma), institutional (long waiting times at clinics, attitudes of health workers), and structural (cost of PrEP and mode of administration, accessibility concerns) levels. Facilitators included factors at individual (high HIV risk perception and preventing HIV/desire to remain HIV negative), interpersonal (peer influence, social support and care for PrEP uptake), community (adequate PrEP information and sensitization, evidence of PrEP efficacy and safety), institutional (convenient and responsive services, provision of appropriate and sufficiently resourced services), and structural (access and availability of PrEP, cost of PrEP) levels. The findings indicated that PrEP is an acceptable HIV prevention method. PrEP uptake is linked to personal and environmental factors that need to be considered for successful PrEP roll-out. Multi-level interventions needed to promote PrEP uptake should consider the social and structural drivers and focus on ways that can inspire PrEP uptake and limit the barriers.
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5

Chimonero, Prince. "Sports Injury Risks and Opportunity Costs: The Conspicuous Landscape of Handball among Tertiary Teachers’ Colleges in Zimbabwe." EAST AFRICAN JOURNAL OF EDUCATION AND SOCIAL SCIENCES 2, Issue 3 (July 15, 2021): 17–28. http://dx.doi.org/10.46606/eajess2021v02i03.0099.

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This study explored injury risks associated with sport participation among handball players in Zimbabwean Tertiary Institutions between 2016 and 2019. The study employed a descriptive, prospective cohort design anchored on quantitative methodology and informed by Positivism Philosophy. The population comprised technocrats (coaches, fitness trainers, physiotherapists, psychologists and players) from selected Zimbabwe Teachers’ Colleges Sports Association handball teams. Stratified random sampling was used to select the respondents. Questionnaire was used as data collection tool and IBM SPSS Statistic Version 23 was used for data analysis. Findings revealed critical knowledge-service gaps on sports medicine professionals regarding lack of players’ informational sources on pre-participation medical health-checks as evidence-based practices for addressing activity limitations and risks upon return-to-sport. Ego-oriented administration characteristic of pain-injury paradox environment prevailed with pre-mature ending of players’ rehabilitation routes. Well formulated guideline-inclined preventive injury risk management protocols resonating player-centered medicine approaches that could effectively abate epidemiologic opportunity injury risks and costs were non-existent. Furthermore, regularized in-service professional development clinics lacked. Players’ objective injury records, profiles and pre-participation medical examination health-checks should be considered as critical informational sources for fully resolving physiological defects prior to return-to competitive contexts. Formulation of guideline-inclined preventive injury risk management protocols entrenching player-centered medicine practices could effectively trim down epidemiologic opportunity injury risks and costs and improve the critical base for players’ odds of participation. Regularized in-service professional development trainings for sports medicine professionals through symposiums should inexorably be an esteemed epitomic pedestal delved towards improving their expert base levels in view of contemporary preventive and injury risk management dynamics in sports.
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6

Mashamba, Alethea, and Elsbeth Robson. "Youth reproductive health services in Bulawayo, Zimbabwe." Health & Place 8, no. 4 (December 2002): 273–83. http://dx.doi.org/10.1016/s1353-8292(02)00007-2.

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7

Mlambo, Tecla, Nyaradzai Munambah, Clement Nhunzvi, and Ignicious Murambidzi. "Mental Health Services in Zimbabwe – a case of Zimbabwe National Association of Mental Health." World Federation of Occupational Therapists Bulletin 70, no. 1 (November 1, 2014): 18–21. http://dx.doi.org/10.1179/otb.2014.70.1.006.

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8

Abas, Melanie, O. Lovemore Mbengeranwa, Iris V. Simmons Chagwedera, Patricia Maramba, and Jeremy Broadhead. "Primary Care Services for Depression in Harare, Zimbabwe." Harvard Review of Psychiatry 11, no. 3 (January 2003): 157–65. http://dx.doi.org/10.1080/10673220303952.

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9

Duncan, R. Paul. "Education for Rural Health Services Administration." Journal of Rural Health 6, no. 4 (October 1990): 533–37. http://dx.doi.org/10.1111/j.1748-0361.1990.tb00688.x.

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10

Langland-Orban, Barbara, Barry R. Greene, and W. Bruce Vogel. "Graduate Education in Health Services Administration." Evaluation & the Health Professions 18, no. 2 (June 1995): 217–28. http://dx.doi.org/10.1177/016327879501800208.

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11

Kurebwa, Jeffrey. "Adolescent Sexual Reproductive Health Services in Bindura Urban of Zimbabwe." International Journal of Patient-Centered Healthcare 9, no. 2 (July 2019): 1–20. http://dx.doi.org/10.4018/ijpch.2019070101.

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This study seeks to understand the capacity of adolescent-friendly reproductive health services (AFRHS) in promoting sexual reproductive health (SRP) among adolescents in Bindura Urban of Zimbabwe. The data collection methods used allowed the researcher to get insight on adolescents' experience and the factors associated with their accessing SRH services from AFRHS, the meaning of AFRHS for adolescents, healthcare providers' attitudes towards adolescents seeking SRH services, and community perceptions and readiness to accept AFRHS. The findings showed that both socio-cultural and health facility factors influence utilisation of SRH services. Many of these factors stem from the moral framework encapsulated in socio-cultural norms and values related to the sexual health of adolescents and healthcare providers' poor value clarification. This study provides an empirical understanding of the reasons and factors associated with SRH service utilisation, which goes much deeper than program provision of AFRHS in Zimbabwe.
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12

Bloom, Gerald. "Two Models for Change in the Health Services in Zimbabwe." International Journal of Health Services 15, no. 3 (July 1985): 451–68. http://dx.doi.org/10.2190/kv70-akeg-y1je-klne.

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The health situation in pre-Independence Zimbabwe was much as elsewhere in the Third World. While the majority suffered excess mortality and morbidity, the affluent enjoyed a health status similar to that of the populations of developed countries. The health services also showed the familiar pattern, with expenditure concentrated on sophisticated facilities in the towns, leaving the rural majority with practically no services at all. With the coming of Majority Rule, the previous pattern of controlling access to facilities on the basis of race could not continue. Two broad routes forward were defined. On the one hand, the private doctors, the private insurance companies, and the settler state proposed a model based on improving urban facilities, depending on a trickle-down to eventually answer the needs of the rural people. On the other hand, the post-Independence Ministry of Health advocated a policy of concentrating on developing services in the rural areas. The pattern of the future health service will depend on the capacity of the senior health planners and on the enthusiasm of front-line health workers but, of overriding importance will be the political commitment to answer the needs of the majority and the outcome of the inevitable struggle for access to scarce health sector resources.
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13

Dehne, Karl L., and J. Hubley. "Health education services in developing countries: the case of Zimbabwe." Health Education Research 8, no. 4 (1993): 525–36. http://dx.doi.org/10.1093/her/8.4.525.

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14

WINSTON, C. M., and V. PATEL. "Use of Traditional and Orthodox Health Services in Urban Zimbabwe." International Journal of Epidemiology 24, no. 5 (1995): 1006–12. http://dx.doi.org/10.1093/ije/24.5.1006.

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15

Rogelj, Aljaž, and Boštjan Brezovnik. "Universal Health Services." Lex localis - Journal of Local Self-Government 11, no. 3 (August 10, 2013): 687–708. http://dx.doi.org/10.4335/11.3.687-708(2013).

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All EU nationals have the right to health services that are affordable for everyone under the same conditions. Sector-specific regulations provide that health services are services of general interest that must be implemented through a national legal framework. The state must design the universal health services in a way that respects the principle of public health service affordability for all citizens. In the study, we focused on understanding the legal framework which serves as foundation the regulating universal health services in Slovenia, sector-specific regulations and other acts, and tried to assess the strengths and weaknesses of the Slovenian legal framework. Our efforts have been directed towards studying the legislative framework of the European Union and defining the legal guidelines that establish the legal framework for universal health service creation.
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16

Figg, Bethany. "Substance Abuse and Mental Health Services Administration." Journal of Consumer Health on the Internet 22, no. 3 (July 3, 2018): 253–62. http://dx.doi.org/10.1080/15398285.2018.1513760.

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17

Harmon, Robert G. "From the Health Resources and Services Administration." JAMA: The Journal of the American Medical Association 264, no. 8 (August 22, 1990): 945. http://dx.doi.org/10.1001/jama.1990.03450080029006.

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18

Harmon, Robert G. "From the Health Resources and Services Administration." JAMA 265, no. 19 (May 15, 1991): 2464. http://dx.doi.org/10.1001/jama.1991.03460190034007.

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19

Sumaya, C. V. "From the Health Resources and Services Administration." JAMA: The Journal of the American Medical Association 272, no. 16 (October 26, 1994): 1242. http://dx.doi.org/10.1001/jama.272.16.1242.

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20

Sundwall, David N. "From the Health Resources and Services Administration." JAMA: The Journal of the American Medical Association 260, no. 14 (October 14, 1988): 2016. http://dx.doi.org/10.1001/jama.1988.03410140024007.

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21

Harmon, R. G. "From the Health Resources and Services Administration." JAMA: The Journal of the American Medical Association 264, no. 4 (July 25, 1990): 436. http://dx.doi.org/10.1001/jama.264.4.436.

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22

Harmon, R. G. "From the Health Resources and Services Administration." JAMA: The Journal of the American Medical Association 264, no. 8 (August 22, 1990): 945. http://dx.doi.org/10.1001/jama.264.8.945.

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23

Harmon, R. G. "From the Health Resources and Services Administration." JAMA: The Journal of the American Medical Association 265, no. 19 (May 15, 1991): 2464. http://dx.doi.org/10.1001/jama.265.19.2464.

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24

Sundwall, D. N. "From the Health Resources and Services Administration." JAMA: The Journal of the American Medical Association 260, no. 14 (October 14, 1988): 2016. http://dx.doi.org/10.1001/jama.260.14.2016.

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25

Harmon, Robert G. "From the Health Resources and Services Administration." JAMA: The Journal of the American Medical Association 264, no. 4 (July 25, 1990): 436. http://dx.doi.org/10.1001/jama.1990.03450040024007.

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26

Holt, Molly. "Health Resources and Services Administration Organ Donor." Journal of Consumer Health on the Internet 25, no. 3 (July 3, 2021): 292–302. http://dx.doi.org/10.1080/15398285.2021.1949936.

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27

MONTALVO NÚÑEZ, KATHERINE ALESSANDRA, MARISEL ROXANA VALENZUELA RAMOS, ALBERTO VALENZUELA MUÑOZ, RAFAEL DOUGLAS SCIPIÓN CASTRO, and PAUL ORESTES MENDOZA MURILLO. "Management and administration of dental health services." Llamkasun 2, no. 1 (March 15, 2021): 97–104. http://dx.doi.org/10.47797/llamkasun.v2i1.34.

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Within medical informatics there’s dental informatics, which deals with the management of information, communication, and the application of new technologies in clinical practice and research. These computer systems involve the storage of information and will be in charge of organizing the work in the dental clinic.(Specified, 2009) Objective: The primary objective of this research work is to know the need to manage and administer dental health services through computer systems in the city of Chiclayo. Method: It is a cross-sectional, descriptive, observational, and prospective study. Which comprised conducting questionnaires to the owners of dental clinics, administrative personnel, dentists, and patients who attend the different dental clinics that are in the City of Chiclayo. Results: We verified that there were contrasting hypotheses. Conclusions: We conclude that there is a need to implement dental clinics with computer systems.
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28

Dube-Mawerewere, Virgininia, and Sinqobile Patience Ncube-Sibanda. "Service Provider Perspectives on Female Forensic Mental Health Services in Zimbabwe." Journal of Forensic Nursing 16, no. 1 (2020): 47–54. http://dx.doi.org/10.1097/jfn.0000000000000258.

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29

Nyazema, Norman Z. "The Zimbabwe Crisis and the Provision of Social Services." Journal of Developing Societies 26, no. 2 (June 2010): 233–61. http://dx.doi.org/10.1177/0169796x1002600204.

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Historically, health care in Zimbabwe was provided primarily to cater to colonial administrators and the expatriate, with separate care or second-provision made for Africans. There was no need for legislation to guarantee its provision to the settler community. To address the inequities in health that had existed prior to 1980, at independence, Zimbabwe adopted the concept of Equity in Health and Primary Health Care. Initially, this resulted in the narrowing of the gap between health provision in rural areas and urban areas. Over the years, however, there have been clear indications of growing inequities in health provision and health care as a result of mainly Economic Structural Adjustment Policies (ESAP), 1991–1995, and health policy changes. Infant and child mortality have been worsened by the impact of HIV/AIDS and reduced access to affordable essential health care. For example, life expectancy at birth was 56 in the 1980s, increased to 60 in 1990 and is now about 43. Morbidity (diseases) and mortality (death rates) trends in Zimbabwe show that the population is still affected by the traditional preventable diseases and conditions that include nutritional deficiencies, communicable diseases, pregnancy and childbirth conditions and the conditions of the new born. The deterioration of the Zimbabwean health services sector has also partially been due to increasing shortages of qualified personnel. The public sector has been operating with only 19 per cent staff since 2000. Many qualified and competent health workers left the country because of the unfavourable political environment. The health system in Zimbabwe has been operating under a legal and policy framework that in essence does not recognize the right to health. Neither the pre-independence constitution nor the Lancaster House constitution, which is the current Constitution of Zimbabwe, made specific provisions for the right to health. Progress made in the 1980s characterized by adequate financing of the health system and decentralized health management and equity of health services between urban and rural areas, which saw dramatic increases in child survival rates and life expectancy, was, unfortunately, not consolidated. As of 2000 per capita health financing stood at USD 8.55 as compared to USD 23.6, which had been recommended by the Commission of Review into the Health Sector in 1997. At the beginning of 2008 it had been dramatically further eroded and stood at only USD 0.19 leading to the collapse of the health system. Similarly, education in Zimbabwe, in addition to the changes it has undergone during the different periods since attainment of independence, also went through many phases during the colonial period. From 1962 up until 1980, the Rhodesia Front government catered more for the European child. Luckily, some mission schools that had been established earlier kept on expanding taking in African children who could proceed with secondary education (high school education). Inequity in education existed when the ZANU-PF government came into power in 1980. It took aggressive and positive steps to redress the inequalities that existed in the past. Unfortunately, the government did not come up with an education policy or philosophy in spite of massive expansion and investment. The government had cut its expenditure on education because of economic and political instability. This has happened particularly in rural areas, where teachers have left the teaching profession.
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Gotora, Elsie. "Health System in Zimbabwe and Delay in Seeking Health Care of Breast Cancer Among Women." Athens Journal of Health and Medical Sciences 8, no. 4 (September 21, 2022): 343–64. http://dx.doi.org/10.30958/ajhms.8-4-3.

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Breast cancer, the most prevailing and only cancer considered universal among women worldwide. The rate of breast cancer per 100,000 women is higher in high income countries than in low income countries. However, mortality rates are high in low income countries due to the delay in seeking health care. A systematic literature review was carried out to document the health system implemented in Zimbabwe and its challenges that could be contributing to the delay in seeking health care of breast cancer among women in Zimbabwe. A content analysis was used to analyze articles, searching was done using the Boolean search strategy, articles from 2005 to 2021, which met the inclusion criteria were considered. Factors such as centralized services due to shortage of cancer specialists, lack of financial allocations on breast cancer health programs, shortage of screening and surgical equipment, lack of accurate data due to weak registration system and health management information system as well as poor governance and leadership have also been found to be challenges in the health system of Zimbabwe that may contribute to delay in seeking health care of breast cancer among women in Zimbabwe. Keywords: breast cancer, health system, health care, Zimbabwe
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31

Muñiz, José, Elsa Peña-Suárez, Yolanda de la Roca, Eduardo Fonseca-Pedrero, Ángel L. Cabal, and Eduardo García-Cueto. "Organizational climate in Spanish Public Health Services: Administration and Services Staff." International Journal of Clinical and Health Psychology 14, no. 2 (May 2014): 102–10. http://dx.doi.org/10.1016/s1697-2600(14)70043-2.

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32

Napierala, Sue, Nicola Ann Desmond, Moses K. Kumwenda, Mary Tumushime, Euphemia L. Sibanda, Pitchaya Indravudh, Karin Hatzold, et al. "HIV self-testing services for female sex workers, Malawi and Zimbabwe." Bulletin of the World Health Organization 97, no. 11 (September 3, 2019): 764–76. http://dx.doi.org/10.2471/blt.18.223560.

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Woolston, Joseph L. "The administration of hospital-based services." Child and Adolescent Psychiatric Clinics of North America 11, no. 1 (January 2002): 43–65. http://dx.doi.org/10.1016/s1056-4993(03)00060-9.

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Dayananda, M., and SKM Rao. "Hospital and Health Services Administration: Principles and Practices." Medical Journal Armed Forces India 60, no. 1 (January 2004): 92. http://dx.doi.org/10.1016/s0377-1237(04)80178-3.

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Crane, Anabel Burgh, and Susanna Ginsburg. "Evaluation in the Health Resources and Services Administration." Evaluation & the Health Professions 19, no. 3 (September 1996): 325–41. http://dx.doi.org/10.1177/016327879601900306.

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Martins, Dwayne. "Book Review: Information Systems for Health Services Administration." Healthcare Management Forum 12, no. 1 (April 1999): 44–45. http://dx.doi.org/10.1016/s0840-4704(10)60691-6.

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Almenoff, Peter, Anne Sales, Sharon Rounds, Michael Miller, Kelly Schroeder, Karen Lentz, and Jonathan Perlin. "Intensive Care Services in the Veterans Health Administration." Chest 132, no. 5 (November 2007): 1455–62. http://dx.doi.org/10.1378/chest.06-3083.

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Kutch, John M. "Aerospace Health Services Administration: Strategic Concepts and Requirements." Military Medicine 150, no. 12 (December 1, 1985): 670–72. http://dx.doi.org/10.1093/milmed/150.12.670.

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39

Binner, Paul R. "DRGs and the administration of mental health services." American Psychologist 41, no. 1 (January 1986): 64–69. http://dx.doi.org/10.1037/0003-066x.41.1.64.

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Armbruster, Paula. "The administration of school-based mental health services." Child and Adolescent Psychiatric Clinics of North America 11, no. 1 (January 2002): 23–41. http://dx.doi.org/10.1016/s1056-4993(03)00059-2.

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41

Juzwishin, Donald W. M. "Ethical Management in Health Services Administration: A Sequel." Healthcare Management Forum 24, no. 1 (March 2011): 31–34. http://dx.doi.org/10.1016/j.hcmf.2010.12.003.

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Graham, Laura A. "Databases for surgical health services research: Veterans Health Administration data." Surgery 165, no. 5 (May 2019): 876–78. http://dx.doi.org/10.1016/j.surg.2018.07.029.

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43

Buchan, Terry. "Two decades of psychiatry in Zimbabwe: 1964–1984." Psychiatric Bulletin 13, no. 12 (December 1989): 682–84. http://dx.doi.org/10.1192/pb.13.12.682.

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The first Pan African Conference in 1961 made a number of recommendations to guide the development of psychiatric services in emergent African countries. The purpose of this paper is to show that the application of these recommendations, admittedly serendipitously at times, led to a considerable measure of success in Zimbabwe.
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Nyakutombwa, Content P., Wilfred N. Nunu, Nicholas Mudonhi, and Nomathemba Sibanda. "Factors Influencing Patient Satisfaction with Healthcare Services Offered in Selected Public Hospitals in Bulawayo, Zimbabwe." Open Public Health Journal 14, no. 1 (April 20, 2021): 181–88. http://dx.doi.org/10.2174/1874944502114010181.

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Introduction: Patient satisfaction with health care services is vital in establishing gaps to be improved, notably in public health facilities utilised by the majority in Low and Middle-Income Countries. This study assessed factors that influenced patient satisfaction with United Bulawayo Hospitals and Mpilo Hospital services in Bulawayo in Zimbabwe. Methods: A cross-sectional survey was conducted on 99 randomly selected respondents in two tertiary hospitals in Bulawayo. Chi-squared tests were employed to determine associations between different demographic characteristics and patient satisfaction with various services they received. Multiple Stepwise Linear regression was conducted to assess the strength of the association between different variables. Results: Most of the participants who took part in the study were males in both selected hospitals. It was generally observed that patients were satisfied with these facilities' services, symbolised by over 50% satisfaction. However, patients at Mpilo were overall more satisfied than those at United Bulawayo Hospitals. Variables “received speciality services,” “average waiting times,” and “drugs being issued on time” were significant contributors to different levels of satisfaction observed between Mpilo and United Bulawayo Hospitals. Conclusion: Generally, patients are satisfied with the services and interactions with the health service providers at United Bulawayo Hospitals and Mpilo Hospitals. However, patients at Mpilo were more satisfied than those at United Bulawayo Hospitals. There is generally a need to improve pharmaceutical services, outpatient services, and interaction with health service provider services to attain the highest levels of patient satisfaction.
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Little, John T., Marsden H. McGuire, Theresa Gleason, and Richard M. Allman. "Geriatric Mental Health Services and Research in the Veterans Health Administration." American Journal of Geriatric Psychiatry 24, no. 3 (March 2016): S34—S35. http://dx.doi.org/10.1016/j.jagp.2016.01.050.

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46

White, Kathleen M., George Zangaro, Hayden O. Kepley, and Alex Camacho. "The Health Resources and Services Administration Diversity Data Collection." Public Health Reports 129, no. 1_suppl2 (January 2014): 51–56. http://dx.doi.org/10.1177/00333549141291s210.

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Cammarata, Frank A., and Michael William R. Stott. "Judicial Administration of Mental Health Services for Juvenile Offenders." Juvenile and Family Court Journal 28, no. 4 (July 30, 2009): 3–7. http://dx.doi.org/10.1111/j.1755-6988.1977.tb01336.x.

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Guinn, Greg, Mohammad Ahmadi, and Marilyn Helms. "The demand for graduate education in health services administration." Health Care Manager 14, no. 1 (September 1995): 51–68. http://dx.doi.org/10.1097/00126450-199509000-00009.

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49

Cotton, Ronald T. "Solid-Organ Transplantation Services in the Veterans Health Administration." Texas Heart Institute Journal 46, no. 1 (February 1, 2019): 82. http://dx.doi.org/10.14503/thij-18-6765.

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50

Chingombe, Innocent, Munyaradzi P. Mapingure, Shirish Balachandra, Tendayi N. Chipango, Fiona Gambanga, Angela Mushavi, Tsitsi Apollo, et al. "Patient costs for prevention of mother-to-child HIV transmission and antiretroviral therapy services in public health facilities in Zimbabwe." PLOS ONE 16, no. 8 (August 18, 2021): e0256291. http://dx.doi.org/10.1371/journal.pone.0256291.

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Abstract:
Zimbabwe has made large strides in addressing HIV. To ensure a continued robust response, a clear understanding of costs associated with its HIV program is critical. We conducted a cross-sectional evaluation in 2017 to estimate the annual average patient cost for accessing Prevention of Mother-To-Child Transmission (PMTCT) services (through antenatal care) and Antiretroviral Treatment (ART) services in Zimbabwe. Twenty sites representing different types of public health facilities in Zimbabwe were included. Data on patient costs were collected through in-person interviews with 414 ART and 424 PMTCT adult patients and through telephone interviews with 38 ART and 47 PMTCT adult patients who had missed their last appointment. The mean and median annual patient costs were examined overall and by service type for all participants and for those who paid any cost. Potential patient costs related to time lost were calculated by multiplying the total time to access services (travel time, waiting time, and clinic visit duration) by potential earnings (US$75 per month assuming 8 hours per day and 5 days per week). Mean annual patient costs for accessing services for the participants was US$20.00 [standard deviation (SD) = US$80.42, median = US$6.00, range = US$0.00–US$12,18.00] for PMTCT and US$18.73 (SD = US$58.54, median = US$8.00, range = US$0.00–US$ 908.00) for ART patients. The mean annual direct medical costs for PMTCT and ART were US$9.78 (SD = US$78.58, median = US$0.00, range = US$0.00–US$ 90) and US$7.49 (SD = US$60.00, median = US$0.00) while mean annual direct non-medical cost for US$10.23 (SD = US$17.35, median = US$4.00) and US$11.23 (SD = US$25.22, median = US$6.00, range = US$0.00–US$ 360.00). The PMTCT and ART costs per visit based on time lost were US$3.53 (US$1.13 to US$8.69) and US$3.43 (US$1.14 to US$8.53), respectively. The mean annual patient costs per person for PMTCT and ART in this evaluation will impact household income since PMTCT and ART services in Zimbabwe are supposed to be free.
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