Health Planning Management Dr Abhay Nirgude Professor Ho

Health Planning & Management Dr Abhay Nirgude Professor & Ho. D Department of community medicine

Specific learning objectives 1. Write the steps in planning cycle. 2. Define management 3. Discuss the various management techniques

Need of planning in health sector 1. To match limited resources 2. To avoid wasteful expenditure 3. To develop best course of action

Planning 1. Plan formulation 2. Execution 3. Evaluation

National health planning • Definition : “the orderly process of defining community health problems, identifying unmet needs, establishing priority goals that are realistic & feasible & projecting administrative action to accomplish the purpose of the proposed programme”

Health Needs & demands Ø Felt needs Ø Perceived needs Ø Make unfelt need Resources: - felt demand

Important words in planning • • • Objective Goal Target Plan Programme: Schedule: -

Pre-planning 1. Government Interest 2. Legislation 3. Organization 4. Administration

Planning Cycle • Definition : “A process of analyzing a system, or defining a problem, assessing the extent to which problem exists as a need, formulating goals & objectives to alleviate or ameliorate those identified needs, examining & choosing from among alternative intervention strategies, initiating the necessary action for its implementation of the plan & evaluating the results of intervention in the light of the stated objectives.

Steps in health planning 1. Analysis of the health situation 2. Establishment of objectives & goals 3. Assessment of resources 4. Fixing priorities 5. Write-up of formulated plan 6. Programming & implementation 7. Monitoring 8. Evaluation

Management • Manage/men/t…… • Management : - “ The purposeful and effective use of resources (Manpower, material & finances) for fulfilling a pre-determined objective”

Administration & Management Administration Management 1. 2. 3. 4. 5. 6. 1. Purposeful & effective use of resources-for fulfilling pre-determined objectives. 2. Running a business. 3. Efficient & effective use of time 4. Implementation of policy 5. Materials are managed 6. Executive in nature “Getting things done. ” Running a government. Time consuming delays Matter of broad policy. PPL prog are administered Determinative in nature

Basic activities of management 1. Planning 2. Organizing 3. Communicating 4. Monitoring (Controlling)

Functions of a Manager üP-Planning üO-Organizing üS-Staffing üC-Coordinating üR-Reviewing üD-Directing üB-Budgeting

Decision-making • To select one of the alternative course of action. • Personal decisions • Organization decisions • Basis of decision making: • Objective & subjective judgement, Situational thinking, • Past experience, expertadvice, scientific, rational.

Management methods & Techniques Behavioural Sciences • Organizational Design • Personnel Management • Communication • Information Systems • Management by objectives

Quantitative Methods • Cost-Benefit analysis • Cost-effective analysis • Cost-accounting • Input output analysis • Model

Systems analysis • • • Decision making Investigation of problem Searching out objectives Finding out alternative solutions Find out most cost effective alternative Ex : - Hospital supply system, community health service.

Network Analysis • It is a graphic plan of all events and activities to be completed in order to reach an end objective. 1. PERT: -Programme Evaluation & Review Technique Arrow diagram: -Activity Logical sequence(direction Left to right) Circle: - Events: Types of events : 1. “i node”: - event from which activity starts 2. “j node”: - event in which activity ends Roles & responsibilities are clear Minimize delay 2. CPM: - Critical Path Method