Regulatory Reforms for Health Facilities: Can These Suffice?; Comment on “What Lies Behind Successful Regulation? A Qualitative Evaluation of Pilot Implementation of Kenya’s Health Facility Inspection Reforms”

Document Type : Commentary

Authors

1 Department of Community Health and Behavioral Sciences, School of Public Health, Makerere University, Kampala, Uganda

2 Department of Disease Control and Environmental Health, School of Public Health, Makerere University, Kampala, Uganda

Abstract

In their study on how Joint Health Inspections (JHI) were implemented in practice with a need to identify key facilitators or barriers for regulatory policy and practice, Tama et al found that innovative regulatory reforms markedly improved inspection scores among intervention health facilities albeit with challenges. Their article makes an important contribution to the body of knowledge in as far as regulation of health facilities is concerned. In low- and middle-income countries (LMICs), private health facilities are poorly regulated and yet, they purge gaps where public health facilities are inadequate as was demonstrated during the COVID-19 pandemic. Therefore, while regulation of public health facilities is standardized, the research by Tama and colleagues provides a unique opportunity to continue dialogue on how private health facilities can be regulated through inspection and supervision. Regulation of public and private health facilities continues to be contentious since both experience unique contextual challenges.

Keywords

References

  1. Tama E, Khayoni I, Goodman C, et al. What lies behind successful regulation? A qualitative evaluation of pilot implementation of Kenya's health facility inspection reforms. Int J Health Policy Manag. 2021;11(9):1852-1862. doi:34172/ijhpm.2021.90
  2. Uneke CJ, Sombie I, Johnson E, Uneke BI, Okolo S. Promoting the use of evidence in health policymaking in the ECOWAS region: the development and contextualization of an evidence-based policymaking guidance. Global Health. 2020;16(1):73. doi:1186/s12992-020-00605-z
  3. Schaefer C, Wiig S. Strategy and practise of external inspection in healthcare services–a Norwegian comparative case study. Saf Health. 2017;3(1):3. doi:1186/s40886-017-0054-9
  4. Kang CW, Ramzan MB, Sarkar B, Imran M. Effect of inspection performance in smart manufacturing system based on human quality control system. Int J Adv Manuf Technol. 2018;94(9):4351-4364. doi:1007/s00170-017-1069-4
  5. May KW, Chandani KC, Ochoa JJ, Gu N, Walsh J, Smith RT, et al. The identification, development, and evaluation of BIM-ARDM: a BIM-based AR defect management system for construction inspections. Buildings. 2022 Jan 28;12(2):140. doi:3390/buildings12020140
  6. Mukuru M, Kiwanuka SN, Gilson L, Shung-King M, Ssengooba F. "The actor is policy": application of elite theory to explore actors' interests and power underlying maternal health policies in Uganda, 2000-2015. Int J Health Policy Manag. 2021;10(7):388-401. doi:34172/ijhpm.2020.230
  7. World Bank. The Opportunities of Digitizing Payments. Washington, DC: The World Bank Group; 2014.
  8. Anomaly J. Public goods and government action. Polit Philos Econ. 2015;14(2):109-128. doi:1177/1470594x13505414
  9. Kano H, Hayashi TI. A framework for implementing evidence in policymaking: perspectives and phases of evidence evaluation in the science-policy interaction. Environ Sci Policy. 2021;116:86-95. doi:1016/j.envsci.2020.09.001
  10. Deller B, Tripathi V, Stender S, Otolorin E, Johnson P, Carr C. Task shifting in maternal and newborn health care: key components from policy to implementation. Int J Gynaecol Obstet. 2015;130 Suppl 2:S25-31. doi:1016/j.ijgo.2015.03.005
  11. Croonen EPM, Broekhuizen TLJ. How do franchisees assess franchisor trustworthiness? J Small Bus Manag. 2019;57(3):845-871. doi:1111/jsbm.12327
  12. Clarence C, Shiras T, Zhu J, et al. Setting global research priorities for private sector child health service delivery: results from a CHNRI exercise. J Glob Health. 2020;10(2):021201. doi:7189/jogh.10.021201
  13. de Haas B, van der Kwaak A. Exploring linkages between research, policy and practice in the Netherlands: perspectives on sexual and reproductive health and rights knowledge flows. Health Res Policy Syst. 2017;15(1):40. doi:1186/s12961-017-0201-0

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History

  • Receive Date: 20 March 2022
  • Revise Date: 28 January 2023
  • Accept Date: 30 January 2023
  • First Publish Date: 31 January 2023

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