Health Management, Ethics and Research
Topic outline
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Management and Leadership in Community Healthcare
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Principles of management
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What is management?
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Concepts of management
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Effectiveness
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Efficiency
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Equity
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Team spirit
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Division of labour
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Focus on results not activities
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Management functions
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Planning
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Organising
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Leading
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Coordination
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Monitoring and control
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Management roles and levels
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Management levels
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What do managers do?
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What is leadership?
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Leadership functions
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Planning Health Programmes
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Implementing your Health Plans
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Getting organised
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Building a team
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Types of health team
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Stages of team building
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Leading a team
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Different styles of leading a team
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Motivating a team
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Training your team
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Conducting meetings
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Purpose
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Have an agenda
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Start on time and end on time
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Maintain focus
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Capture action points
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Get feedback
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Monitoring in healthcare management
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Methods of gathering information for monitoring
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Using a checklist
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Supervision
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Steps of managerial control
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Establishing standards of performance
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Measuring performance
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Comparing performance with standards
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Taking corrective action
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Constructive and effective feedback
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Giving effective feedback
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Giving constructive criticism
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Management of Supplies
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What are the supplies at your health facility?
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Management of equipment
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The importance of good maintenance
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Using an inspection checklist and inspection schedule
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Ordering and controlling supplies
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Ordering, recording and controlling supplies
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Detecting discrepancies and explaining them
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Ordering supplies to avoid wastage
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Management of pharmaceutical supplies
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Why pharmaceutical supplies must be managed carefully
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Storing pharmaceutical supplies safely
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Monitoring the use of pharmaceutical supplies
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Education for the health facility team
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Special education for patients and parents
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Principles of Healthcare Ethics
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Ethical issues in healthcare work
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Two important ethical theories
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Ethics in practice
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Truthfulness and confidentiality
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Autonomy
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Informed consent
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Beneficence and nonmaleficence
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Ethical Dilemmas in Health Service Delivery
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Ethical dilemmas and conflicts
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Practitioner - client relationship
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Privacy and confidentiality
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Shared decision making
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Allocation of scarce resources
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Stigma and illness
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Reproductive healthcare
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Rights and Obligations of Health Professionals
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Rights and obligations
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Duties and obligations of health professional
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Providing a safe, competent and ethical service
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Health and wellbeing
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Choice
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Confidentiality
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Accountability
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General Principles of Health Research and Introduction to Community Surveys
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What is health research?
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Guidelines for health research
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Stakeholder participation in health research
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Types of health research
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Basic and applied research
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Quantitative and qualitative research
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An introduction to surveys
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Censuses, large-scale surveys and community surveys
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Cross-sectional and longitudinal surveys
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Questionnaires, interviews and focus groups
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Basic questions to ask in a community survey
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Developing Your Community Profile
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What is a community profile?
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What is the purpose of the community profile?
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What types of data will you collect for a new community profile?
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Demographic data
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Epidemiological data
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Health service data
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Data on knowledge, attitudes and practice (KAP)
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Data Collection and Analysis for Your Baseline Community Survey
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Collecting data
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Observation
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Interviewing
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Written questionnaires
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Focus group discussions
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Ideal characteristics of a focus group discussion
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The value of focus groups
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Bias in data collection
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Data processing and checking for errors
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Data analysis
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Summarising quantitative data
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Frequencies
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Mean, median and mode
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Proportion and percentage
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Cumulative percentage
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Ethical considerations
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Writing Your Community Profile Report and Moving on to Small-Scale Research
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Writing a report on your community survey
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Components of a community profile report
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Identifying problems for further investigation
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Clarifying the problem of malaria infection in your community
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Criteria for choosing health problems to research
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Poor sanitary conditions: creating a research question
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Community participation in prioritising health issues
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Choosing which topic to research
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Clarifying your research question
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What other sources should you consult?
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Research objectives
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Research Strategies and Study Designs for Small-Scale Research
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What is the study population?
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Variables in health research
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Types of study design
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Observational and experimental studies
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Types of observational studies
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Cross-sectional studies
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Case-control studies
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Cohort studies
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Selecting the appropriate study type to investigate a particular problem
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Sampling Methods and Sample Size in Small-Scale Research
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What is meant by sampling?
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Why do you need a representative sample?
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Probability sampling methods
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Simple random sampling
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Systematic sampling
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Stratified random sampling
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Purposeful sampling
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Quota sampling
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Snowball sampling
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Census sampling
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Sample size
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Extended Case Study on Health Management, Ethics and Research
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Setting the scene for Alemitu’s case study
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Collecting data for the community profile
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Collecting epidemiological data and taking appropriate actions
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Using community survey data to improve immunization coverage
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Dealing with a measles outbreak