HEALTH SERVICES MANAGEMENT DR GLORY WORGU (KSC)

OUTLINE
1. Definitions of management
2. Definition of health services management
3. Specific roles of health services management
4. Sources of management knowledge
5. Objectives of health services management
6. History of the Nigerian health services
7. Elements of health services management
8. Challenges of health services management
DEFINITION OF MANAGEMENT
Some of the definitions are:
The process of taking responsibility for getting things done through people.
Getting things done economically and effectively through people in order to achieve
the objectives and policies of the organisation.
Taking responsibility for the efficient use of resources to achieve objectives
effectively; i.e. to achieve the intended results at the least cost without wasting scarce
resources.
DEFINITION OF HEALTH SERVICES MANAGEMENT
Health Services Management from the foregoing is the organisation of healthcare
facilities to the people in the most effective manner.
It is the process of mobilising and deploying resources for the efficient provision of
effective health services.
It is the field relating to leadership, management and administration of public health
systems, health care systems, hospitals and hospital networks in both urban and rural
areas.
SPECIFIC ROLES OF HEALTH SERVICES MGT
1. Human resources management
2. Operations management
3. Financial management
4. Project management
SOURCES OF MANAGEMENT KNOWLEDGE
Learning by doing
Hearing or reading local accounts
Studying approaches or theories
Attending management development workshops
Attending seminars and conferences (networking)
Judgement
Experience (first and second hand)
Knowledge of self
Basic and expertise skills
OBJECTIVES OF HEALTH SERVICES MANAGEMENT
The broad objectives of health services management are:
1. Continuous effectiveness and optimization of the health care facilities, healthcare
organisations, and educating and assisting people towards self-reliance.
2. Developing an organization of health services which should be comprehensive in
nature and available to all.
3. Making healthcare effective through teamwork, decentralization and optimum
development of human resources.
HISTORY OF THE NIGERIAN HSM
Prior to European interaction, Nigerian people have always had access to some form
of health services delivery by traditional healers and herbal practitioners in the
different parts of the country.
It would appear that the earliest medicine men all over the world were sorcerers,
magicians , herbalists and spiritualists
What is now known as the orthodox/formal Nigerian health delivery system was first
introduced as a service for the British Army detachment located in the country.
One such health station which eventually became what is now known as the General
Hospital, Lagos was established in 1893
The first true hospital in Nigeria was established about 1859 by the Reverend Father
Coquard of the Catholic Church in Abeokuta and is known today as the Sacred
Hearts Hospital
ELEMENTS OF HEALTH SERVICES MANAGEMENT
The elements encompasses the:
Population the system serves
The supply or delivery of services
Interventions and
Activities intended to promote health and wider value
These elements can be summarised using the WHO framework that describes health
systems in terms of six core components or building blocks
ELEMENTS OF HEALTH SERVICES MANAGEMENT II
These elements in the WHO framework describes the health systems in terms of six core
components or building blocks, viz:
1. Service delivery
2. Health workforce
3. Health information systems
4. Access to essential medicines and technology
5. Financing
6. Leadership and governance
These elements of health system interact together to form a complex system, and the system
interacts with the wider context within which it is situated. These interactions affect the
achievement of goals for the health services
CHALLENGES OF HSM
1. Managing change
2. Managing information
3. Dealing with financial and resource constraints
4. Evaluation
5. Corporate planning
6. Human resources management
7. Conflict resolution
8. Staff development
9. Technical advances