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Health Negotiated Service Delivery Agreement

Chassin, M.R. – Loeb, J.M., 2013, `High-reliability health care: Getting there from here`, The Milbank Quarterly 91, 459-490. doi.org/10.1111/1468-0009.12023 The South African Medical Association (2015:42) agrees that the current state of public institutions is shameful and not conducive to the provision of quality health services. Decentralization must therefore be conducted with caution after confirming the presence of sufficient management capacity at the district level and senior officials must be held accountable if they do not provide quality, as required by their job description. Kama (2017:80) reports that bad records cause unnecessary delays for patients. Sometimes patient records are lost or lost, and instead of explaining the medical staff to the patient, they simply keep the patient waiting (Kama 2017:80). In worst-case scenarios, the patient`s medical history is lost, which can lead to other complications that can lead to misdiagnosis and, in some cases, patient death (Kama 2017:80). As reported by Mercury (April 09, 2015), the Pietermaritzburg Supreme Court ordered that a district hospital in KwaZulu-Natal be handed over to the patient`s lawyer Medical Procedures in a case in which the patient gave birth to twins in hospital in July 2006 and lost one of the twins, while the surviving twin was lightened by a cerebral legislature due to hospital neglect (Regandch 2015:2). Another major cause of morbidity and mortality in the public sector in South Africa is health infection (HAI) (Dramowski – Whitelaw 2017:192). Nearly one in seven patients entering South African hospitals are at risk of acquiring a REQUIN due to poor infection prevention and control measures, such as poor waste management and poor hand-washing techniques (Dramowski and Whitelaw 2017:193). Other causes of HAI include overcrowding in hospitals, high patient staff, lack of isolation, aging infrastructure, inadequate environmental clean-up, interhospital transmission of patients with drug-resistant infections, and inadequate disinfection of medical devices (Dramowski – Whitelaw 2017:194). Among the effects of prolonged hospitalization, increased health costs for already limited financial resources and, in some cases, patient deaths (Dramowski – Whitelaw 2017:193). Regmi, K., Naidoo, J., Pilkington, P.A.

– Greer, A., 2010, “Decentralization and district health services in Nepal: Understanding the views of service users and service providers,” Journal of Public Health 32, 406-417. doi.org/10.1093/pubmed/fdp116 The new model focuses more on the family than on the individual; Priorities for promotion and prevention, rehabilitation and transfer services, not exclusively health services; Avoids the fragmentation that leads many health care providers to visit families and ensures that a single integrated team develops relationships with families in the watershed; and underlines the Community`s strong participation and cross-sector cooperation. Oladipo, J.A., 2014, “The Use of Health Services in Rural and Urban Areas: A Determining Factor in the Planning and Management of Health Care Systems,” African Health Sciences 14, 322-333. doi.org/10.4314/ahs.v14i2.6 South Africa, like any developing country, faces a high disease burden and does not seem to be fighting it (Kahn 2011:30). The effects of HIV and AIDS in Africa, and particularly in sub-Saharan Africa, have devastated health systems to the extent that they are unable to meet quality requirements (Naidoo 2012:149).