Thursday, September 26, 2019
DATA ANALYSIS Case Study Example | Topics and Well Written Essays - 2500 words
DATA ANALYSIS - Case Study Example nal Median 4 Percentile 3; 6 28 Gender 20 Nominal Mode 1 - Table 2 shows the variables whose measures were changed as there were coding errors in them. The variable name is shown together with the question number, the correct measure and the change that was made. The reason for the change is also provided. Name Question # Measure Changes Reason for change Tvprogram 4 Nominal Changed from ââ¬Ëscaleââ¬â¢ to ââ¬Ënominalââ¬â¢ Coding error Surfnet 7 Nominal Changed from ââ¬Ëscaleââ¬â¢ to ââ¬Ënominalââ¬â¢ Coding error Location 10 Ordinal Changed from ââ¬Ëscaleââ¬â¢ to ââ¬Ëordinalââ¬â¢ Coding error Distance 10 Ordinal Changed from ââ¬Ëscaleââ¬â¢ to ââ¬Ëordinalââ¬â¢ Coding error Wine 10 Ordinal Changed from ââ¬Ënominalââ¬â¢ to ââ¬Ëordinalââ¬â¢ Coding error Chef 10 Ordinal Changed from ââ¬Ëscaleââ¬â¢ to ââ¬Ëordinalââ¬â¢ Coding error Waitstaff 10 Ordinal Changed from ââ¬Ëscaleââ¬â¢ to ââ¬Ëordinalââ¬â¢ Coding er ror Unique 10 Ordinal Changed from ââ¬Ënominalââ¬â¢ to ââ¬Ëordinalââ¬â¢ Coding error Local 10 Ordinal Changed from ââ¬Ënominalââ¬â¢ to ââ¬Ëordinalââ¬â¢ Coding error Attractive 10 Ordinal Changed from ââ¬Ëscaleââ¬â¢ to ââ¬Ëordinalââ¬â¢ Coding error Music 10 Ordinal Changed from ââ¬Ëscaleââ¬â¢ to ââ¬Ëordinalââ¬â¢ Coding error Parking 10 Ordinal Changed from ââ¬Ënominalââ¬â¢ to ââ¬Ëordinalââ¬â¢ Coding error Birthyear 13 Scale (Ratio) Changed from ââ¬Ënominalââ¬â¢ to ââ¬Ëscaleââ¬â¢ Coding error Income 19 Ordinal Changed from ââ¬Ënominalââ¬â¢ to ââ¬Ëordinalââ¬â¢ Coding error Question 2 Gender Differences in Monthly Lunch or Dinner Spending This study examines whether male and female differ in their monthly spending on lunch or dinner at restaurants. In order to achieve this, the following hypothesis was tested using Independent-Samples T-Test: H0: There are no significant differences by gender in monthly expenditures on lunch or dinner at restaurants. H1: There are significant differences by gender in monthly expenditures on lunch or dinner at restaurants The results show that female (M = $ 169.99, SD = $ 86.79) spent more than male (M = $ 148.34, SD = $ 93.27) on lunch or dinner at restaurants monthly. The Leveneââ¬â¢s Test for Equality of Variances was statistically significant for average monthly expenditure (p < .05). Therefore, the null hypothesis is rejected in favour of alternative hypothesis. These results support the claim by Chef Gatson that men and women are different in terms of the amount they spend, on a monthly basis, on lunch or dinner at restaurant. Therefore, female spend more than male on lunch and dinner in restaurants on a monthly basis. The study recommends that Chef Gaston should focus on having lunch and dinner packages that will attract more female clients to the restaurant. Since they spend more
Wednesday, September 25, 2019
Qualitative Methods Assignment Example | Topics and Well Written Essays - 250 words
Qualitative Methods - Assignment Example In this method of qualitative research, the theory developed should be flexible enough to be able to cover a broad variety of varying instances more understandable, in such a way that it makes sense of the whole picture, and not just an aspect of it (Charmaz, 2007). This specific method may have a great impact on the mini-project. One of the capacities of the grounded theory method is that it can analyze and understand current social situations, such as spirituality in nursing, and then predict the changes in the said situations (Schreiber & Stern, 2001). Indeed, the basic steps of grounded theory shaped the steps utilized in the thematic analysis of the mini-project. For example, after the interview, although the questions were not really improved or refined, the coded transcriptions were compared with the results of others, in order to allow the relevant themes to emerge. After the said themes materialized, they were again re-evaluated through their comparison to other literature. By doing so, the mini-project was able to achieve an aim of grounded theory, which involves extracting the common meanings of experiences from individuals undergoing common experiences (Jannetti, 2005). More importantly, at the end of the mini-project, it was also a ble to provide a meaningful course for action (in promoting spirituality in workplace), which is something Birks and Mills (2011) stated that is achieved by grounded theory. Jannetti, A. J. (2005, February 24). Case and Grounded Theory As Qualitative Research Methods. Retrieved from Red Orbit:
Tuesday, September 24, 2019
Sports Logistics & Event Planning Essay Example | Topics and Well Written Essays - 1500 words
Sports Logistics & Event Planning - Essay Example It is always important and also necessary to send guardians to take care of the students and the best way of the sending few people to accompany the students is to bring along the teachers and other officials related to the school. In this way, there could be a great interaction with players as teachers could help out the students while interacting with players. Another thing is that safety of the whole group is ensured when there is someone accompanying them. Now that we are considering the trip, we also need to look at a financial aspect of the whole thing. Since we have mentioned that this trip is intended for the students of the school, one way of generating a part of funds is the use of the school donation money or the school deposits reserve. This way school can be a part of the whole affair and the trip would seem as an official visit to the school to the club and in way garner more respect and hence the hospitality levels of the whole trip attain new levels. Funds generated i n such a manner would also illustrate the levels of interaction with the education and sports bodies of the country. Another part of the funds can be generated by using a small amount of fee which is to be collected by the school authorities from the students who are taking part in the whole trip. Thus the concept of social responsibility of the individual towards the society also comes into picture wherein it is the responsibility of the students who are visiting the club to donate to the club for the development of the club in any manner. In this way funds of the trip can be generated to for the successful trip of the club. Now that we have discussed the methods and areas from where we can generate the funds, we need to look at the cost issue of whole trip so as to get an in depth idea about it. The following rates of the tours give us an idea about the cost of the trip. It is decided by the authorities of the club that along with tour of the club and related academies, visitors a lso are allowed to visit
Monday, September 23, 2019
Microeconomics Essay Example | Topics and Well Written Essays - 1500 words
Microeconomics - Essay Example Now, there is only a single supplier of potato chip all across the region (Brigham, 1976). As all firms decided to merge together to create a single monopoly, now there will be barriers to entry in the industry as no further firms can enter the market easily and threaten the existence of existing firms. The firm is now protected against any other foreign threat as no other firm can enter the market to compete with it. This monopoly is owned by a single firm and so the business enjoys the benefit of having the entire market share to itself without any pressure or constraints. However, this monopoly is not a natural monopoly and so it can charge its customers with whatever price suits it and gain higher profits. A monopoly also produces goods and services by producing required quantity at a price where marginal cost equals marginal revenue just like any other market structure. But, it can also choose to set a price at which quantity is demanded where price might exceed the marginal cos t (Case, 1996). Monopoly is highly beneficial to society and consumers as well. Large firms usually attain the benefit of gaining from economies of scale. Economies of scale is increase in efficiency as the number of goods produced by a firm increases. Due to economies of scale, the Average cost curve goes downwards. If the fall in Average cost curve is very large so a monopolist can charge its consumers a lower price and generate a higher output than the monopolistic competition of the market. This way, monopolist maximizes the profits. Marginal cost becomes equal to marginal revenue at this point. This means that now the consumers can enjoy potato chips at a lower price than it was when the market was monopolistic due to huge producer surplus. The society gains as well (Allen, 2005). As this monopoly is privately owned, and not a government regulated natural monopoly, government does not have any say here. But it can produce revenues for the entire economy in form of more and more exports. This single firm can take advantage of economies of scale from its home economy and maintain a cost advantage through which it can exploit the international market and can sell at a relatively cheap rate abroad. Governments do gain when the economies prosper as now government receives more money in form of taxes which it can utilize in infrastructure and other welfare activities (Allen, 2005). However, the change from monopolistic market structure to monopoly does come with a lot of changes in profits and revenues. In a monopolistic competition, the industry comprise of a huge number of firms, each one of those have relatively small size as compared to total market. That is why; no firm can affect the overall market price because of its small size. But, in a monopolistic structure, firms can differentiate their output by having some control over price (Allen, 2005). The short-run equilibrium of monopolistic market is achieved by setting the price where marginal cost is equ al to marginal revenue. The profits of a firm arise by entrance of similar products by different firms in the market; where every firm competes for only a percentage of the total demand. Whenever a new firm enters the market, the demand curve shifts downwards due to which profits remain no more (Allen, 2005). Now due to large entrants of firms in the market, the individual demand curve shifts to the left. Here, the zero profit condition arises where
Sunday, September 22, 2019
Why ITT Tech students should not use this site Essay Example for Free
Why ITT Tech students should not use this site Essay If you are a student of ITT Tech and use this site I suggest that you read the plagiarism clause in your student handbooks. I am a adjunct professor at the school and use this site to catch my students teaching. By you using this site you are cheating yourself and risking failure / expulsion from the school. Any student who engages on or off the schoolââ¬â¢s premises in any of the following types of misconduct will be subject to discipline by the school, which may include, without limitation, the suspension and/or termination from one or more courses the student is taking or the studentââ¬â¢s entire program of study at the school and the referral to the proper authorities. Any student who, prior to his or her enrollment at the school, has engaged in any of the following types of misconduct may be subject to discipline by the school, which may include, without limitation, the studentââ¬â¢s suspension and/or termination from one or more courses the student is taking or the studentââ¬â¢s entire program of study at the school. Section D: honesty, including, without limitation, provision of false information, alte ration or misuse of documents, plagiarism and other academic cheating, impersonation, misrepresentation or fraud.
Saturday, September 21, 2019
Risk Management Essay Example for Free
Risk Management Essay The company generates its electricity at the Niagara Falls and distributes it to various Canadian provinces and the United States. Founded in 1906 as the Hydro-Electric Power Commission, the corporation was later renamed to Ontario Hydro in 1974. In 1998, the provincial government passed the ââ¬Å"Energy Competition Actâ⬠. Ontario Hydro was restructured into two separate organizations: a power generation utility and a combined transmission/delivery business to be called Hydro one. 2. Hydro Oneââ¬â¢s Strategy and risks Hydro Ones strategy has changed a lot during the last years. First of all, the company thought they knew what was best for their customers. Eventually their focus changed into a more customer-based strategy. With the change in their focus in addressing the needs of their customers, customer satisfaction has, in some areas, doubled. Although results have been positive, problems for the electricity supply in the future might decrease the satisfaction of the customers. In the corporate risk profile trends, the electricity supply has become one of the biggest risks with a rating of ââ¬Ëvirtually certainââ¬â¢. Only ââ¬Å"government policy uncertaintyâ⬠and ââ¬Å"getting the work doneâ⬠have the same level of risk. In the impact-probability risk map of the firm, it is clear that problems with the electricity supply are quite probable and that the magnitude is considerably large. Thereââ¬â¢s always a risk of new outages, which can affect over 100. 000 customers for more than seven days in the worst-case scenario. Worst case expectations about the service quality indices predict that only 25% of the overall expected performance will be achieved when the best case scenario predicts 95%: it is already quite certain that the 100% achievement will be impossible. Another big issue in Hydro Oneââ¬â¢s strategy is cost efficiency. Due to its aging assets, the company had to focus on cutting costs. This initiative resulted in Rating Agencies improving Hydros rating on its long term debt to A, A2 and A (high), respectively. On the other hand, employees protested heavily against these measures by a major 18 weeks strike. Unfortunately, reducing unit costs to its desired level might fail in the end. Only in the minor case scenario the unit costs are not reduced, other scenarios predict an increase of 5 to more than 25%. Cheap electricity encouraged Canadian consumers to increase their purchases of energy-intensive consumer devices. Hydro One had to cope with this increased demand on its aging assets, so it launched an active conservation and demand management program. In this way, Hydro One is undertaking conservation initiatives, despite their adverse impact on the companys revenues and earnings. Electricity supply is one of the biggest risks; the former Pikangihum chief even mentioned the problem to turn on Christmas lights. The vision that CEO Formusa endorsed in a strategic plan is to make Hydro One the best transmission and distribution business in North America. This vision would be achieved by having the best safety record in the world, top quartile transmission and distribution reliability, 90% customer satisfaction across all segments, top quartile employee productivity, operating efficiency and an A credit rating. The CEO also intended to reach out and negotiate a long-term deal with the unions. The risks concerning safety were big from 2002 till 2004 but are under more under control since 2005. 3. Major drivers to get started with ERM at Hydro One As part of the firmââ¬â¢s spinoff from the previous Ontario Hydro and in preparation of an IPO, the management and board of Hydro One set high goals for being a best-practices organization with superior corporate governance and business conduct. In preparation of the IPO, they responded to the requirement of the Toronto Stock Exchange for listed companies to implement strategic risk management. Despite this IPO was forced to a halt in the Ontario Superior Court, Hydro One continued to follow their value creation strategy including the implementation of ERM and a risk-based investment planning system. At the same time, the government of Ontario posed a new challenge that had to be addressed with a scheduled deregulation of the electricity markets involving conservation initiatives. Other new policies in the energy industry like carbon legislation, the adoption of renewable technologies and climate change posed new threats and opportunities. In brief, the increased scrutiny on corporate governance called for a comprehensive risk management program. 4. Different stages of Hydro Oneââ¬â¢s ERM process Hydro One introduced a three-phase risk management program: In phase one, a risk management team organizes a series of interactive risk workshops in order to make the employees of the firm familiar with the companiesââ¬â¢ key strategic objectives and the principal risks faced by the organization. Prior to these workshops, the risk team made a list of 60-70 potential risks or threats to the business. This list was e-mailed to the participating management. Based on their feedback, the risk team shortens the list to 8-10 risks. These shortlisted risks then are discussed during the workshops. In phase two, the risk team prepares a corporate risk profile report for the executive team twice a year, in January and July. In this report, the principal risks facing the organization are summarized. The chief risk officer conducts a series of one-to-one interviews with the top 30 to 40 top executives to review the corporate risk profile. This half-yearly monitoring and review of risk is very important within the ERM process, because risks do not remain static. In phase 3, during the annual planning process, the investment planning department and the risk management team jointly develop an approach for allocating resources to prioritized investment project proposals based on the risks identified. The chief financial officer argues that looking at investment proposals from a risk management point of view gives high visibility to capital expenditure planning in order to let the top management make the right investment decisions. 5. Up- and downsides of the ERM process Hydro One developed enterprise risk management in response to a new corporate governance requirement. A positive thing about Hydro Oneââ¬â¢s ERM process is that it includes all layers of the organization. Employees need to participate in a series of workshops to learn more about the companyââ¬â¢s objectives and their risks. The method that Hydro One applies is structured, systematic and on a timely basis which are all key principles of risk management. It provides a foundation for all risk data across the organization and delivers visibility to this data. This has improved accountability and control within the company. An enormous benefit of the ERM process for Hydro One was that the company achieved a lower cost of debt. However, if the company decides to change its client-based strategy, it might be wise to review the ERM process and make some necessary changes. The corporation also uses the Delphi-method, which is a valuable communication technique when properly used. One needs to keep in mind, when applying the Delphi method, that the role of the supervisor may not be underestimated. It is he who needs to rearrange the data. Subjectivity might play a role, so it might be wise for Hydro One to find somebody else than Fraser to handle the risk management activities. In the end, ERM is more a state of mind than a technique or process. When all layers of the company have a mutual understanding about the companyââ¬â¢s objectives and risks, one can say the ERM process has been successful. Hydro Oneââ¬â¢s ERM process will surely pass this test. 6. Framework There are a lot of different frameworks available these times. But the ISO 31000 Framework is the best practice framework because it is relatively easy to implement in an organizationââ¬â¢s structure and still gives some good outcomes for the company. The Frameworks are used to facilitate the implementation of the ERM process into an organization. The core of the ISO 31000 Framework is the Risk Management Process (RMP). RMP consists of five important tasks. Further, the ISO 31000 Framework adds Management Information System (MIS). Risk management activities should be recorded. In this way, it is easier to know which actions are taken to counter the risk threats. The company will be able to react in a faster way to important changes in factors that could affect the organisation. Another important feature of the Framework can be found in Commit and Mandate. It is important to fully intergrate the ERM process in the organization. Every agent or stakeholder should be involved in the ERM process. Communication and consultation are key elements in every organization. But to implement the ERM process, communication becomes even more important. Communicating with all your stakeholders is crucial. Everyone needs to be aware of the possible risk the company is facing and the actions that are taken to mitigate these risks. The next important process of the ISO 31000 Framework is Accountability. For every identified risks, the company will have to assign a manager as risk-owner. They need to make clear who is responsible for which risk. Obviously, every agent or stakeholder has to participate in the process of countering risks. It is clear that the ERM process should be monitored and reviewed continuously. Because of a fast changing economic world, the ERM process should be adapted to these conditions. 6. 1 Establishing the context Hydro One is trying to be able to meet the high demand in hot weather springs and summers. Due to the aging infrastructure, Hydro One is facing high maintenance and growing costs. While they were planning to introduce cost-cutting initiatives they have to take into account these costs. Their main goal is to be able to report optimal financial results. This can be done in two ways. On the one hand, they have to make sure there are sufficient revenues. On the other hand, costs and expenses have to be kept under control. The problem of the 18-week during strike has caused an environment in the company where not everyone is heading in the same direction. So Hydro One is challenged to make sure there is a common culture in the company. 6. 2 Risk assessment Risk identification Identifying the likelihood and consequences of the different risks is done by organizing workshops wherein employees can participate. They are asked to express their feelings about the risks that might threaten the organization. Risk analysis Employees need to identify which business activities are affected by those different types of risks and in which degree on a 5-point scale. By doing this, every risk is looked at from another point of view. Each person identifies a different impact based on his or her area of expertise. Risks that are rated higher than 3, are more investigated in detail. They identify the worst-case scenario for each of those risks if something goes wrong within the company. After this process the company will have a clear view in the magnitude of a given risk, the probability of occurrence of a certain risk in a 2-3 year time period and the strength of the key controls in the company. If some of these key controls fail, it could cause a lot of damage to the company. Risk evaluation One had to be aware of the fact that risk is not a static concept. The level of risk a company is facing can depend on the whole environment of the company and the actions taken to mitigate the risk. So twice a year Hydro One made up a Corporate Risk Profile report to understand the changes in risk threats. 6. 3 Risk treatment options To reduce the risk threats to a tolerable level, action had to be taken. Everyone had to participate in these actions plans, but each manager was assigned as a risk-owner and had the full responsibility for taking actions to mitigate the risks. . 4 Communication and consultation It is really important to have a good and stable communication when implementing the ERM framework. Everyone has to know what their responsibilities are and what is going on in the company and its environment. If everyone is getting involved in the ERM process, each person will be able to look for solutions and thinks about different alternatives to handle different situations. Even the employees on the work floor should be consulted in the ERM process. They could have another view on the risks that threaten the company. They can discover some needs of the company the management could never be aware of. In conclusion, all stakeholders should be involved in the ERM process of the organization. 6. 5 Monitoring and reviewing To make sure the ERM Framework is implemented in the right way and has a positive effect for the company, it is important to monitoring and control the implementation of the Framework. And if needed some adjustments should be done to make the ERM process optimal. As mentioned earlier, the environment of the company and the risks threatening the company are not stable concepts. As a consequence, the ERM process is not stable even. 7. Conclusion One may never underestimate the importance of a well-balanced ERM process. By weighing up the implications of key decisions, appropriate actions can be agreed and delivered to support the chosen strategy. We can conclude that Hydro Oneââ¬â¢s ERM process is a valid one. ERM adds value for the company and supported the corporationââ¬â¢s managers in making good decisions about risk-based issues. [ 1 ]. ISO 31000, clause 4
Friday, September 20, 2019
Various Global Health Issues
Various Global Health Issues 1.1. Identify the global health risks (due to either internal or external sources) that threaten the health of the UK population. Global health is focused on people across the whole planet rather than the concerns of particular nations. It recognises that health is determined by problems, issues and concerns that transcend national boundaries (HM Government (HMG), 2008). Health risk is a disease precursor associated with a higher than average morbidity or mortality rate. (Mosbys Medical Dictionary, 2009) Global health risk therefore is the identification of the global and regional mortality and disease burden (Stevens, 2009). According to statistics, the leading global risks for mortality in the world are high blood pressure, tobacco use, high blood gluà cose, physical inactivity, and overweight and obesity. They usually affect all income groups across the world (World Health Organization (WHO), 2009). On the other hand, the global burden of disease is classified into a first group which includes communicable disease, maternal, perinatal and nutritional disorders; a second group which includes non-communicable disease like cardiovascular disorders; and a third group which includes injury (Lindstrand, et al. 2009 p. 131). Patterns of disease vary across the world. In 2009, in low- and middle countries, as well as in all high-income countries of Central and Eastern Europe, the non-communicable diseases dominate as causes of mortality and DALYs lost (Lindstrand, et al., 2009 p. 131). In the UK, particularly in London, exacerbation of many infectious diseases which are unique to the country has been reported. The population of London is increased daily by millions of commuters and visitors, thus to communicable diseases is also increases. Rates of TB, STIs, blood borne infections, malaria and measles has greatly gone up. It is significant to note that London has much higher rates of communicable diseases compared to other capitals in the UK due to dense population (Maguire, 2005-2009). Donaldson (2007, p.7) states that, In todays globalised world, we can no longer consider the health of the UK in isolation. Chronic diseases such as obesity, diabetes, mental ill health, and alcohol- and tobacco-related illness once deemed the preserve of industrialised nations are now worldwide problems. The dramatic increase in the incidence of HIV/AIDS and tuberculosis in some countries, and the emergence of avian influenza in Asia, could pose major threats to the health of the UK population. It may be a clichà ©, but it is true that infectious diseases do not respect borders. 1.2. Assess the roles played by international organisations and agencies (both inter-governmental and non-governmental) in health promotion and disease prevention in developing countries. One of the major reasons why International organizations were formed is to prevent the spread of infectious diseases.It is organised as intergovernmental and non-governmental (Lindstrand, et al., 2009 p.292). Intergovernmental are those based on several governments. It could be international such as those belonging to the UN family. Non-governmental includes private, not-for-profit and non-governmental organisations (NGOs) (Lindstrand, et al., 2009). These international organisations play a great role in health promotion and disease prevention most especially in developing countries. The World Health Organisation (WHO) is a specialised UN agency that handles health and medical issues for the worlds nations. Its acts as the directing and coordinating authority on international health work. Its objectives are to promote solutions of international, economic, social health and related problems (Linstrand et al., 2009 p.293). According to Lindstand, et al (2009, p. 297) population is one of the major problems of developing countries. The United Nations Fund for Population Activities (UNPFA) deals with population division. It has four folded mandate: to build knowledge to respond to the needs in population, to promote awareness on population and family planning, to assist developing countries, and to play a leading role in the UN system coordinate projects in population. Development issues in the UN system are being dealt with the United Nations Development Programme (UNDP). Its top priority is poverty eradication. This organisation has a special role to coordinate with the UN effort to monitor progress towards Millenium Developmental Goals (MDG) and assit countries to develop their own goals. (Linstrand et al., 2009 p.297-298). The World Bank (WB) is important in international financing of health services in low and middle income countries. Its role is vital in health promotion and disease prevention. They provide loans and funding to sustain economic development and reduce poverty in low-income countries. The bank has become more active in health policy issues as evidenced by their theme, Investing in Health in their annual publication in 1993 (Linstrand et al., 2009 p.298). Non-governmental organisations (NGOs) are playing an increasingly important role in many countries. They are also active in heath activities and they are prominent at global level like the Red Cross and International Planned Parenthood Federation (Linstrand et al., 2009 p.301-302). Therefore, we could say that there are several international organisations and each one has their role to play in order to promote health and prevent diseases. 1.3 Evaluate the impact of global contribution in the prevention of HIV/AIDS and Malaria. HIV infection and malaria are among the top ten causes of healthy life lost and deaths in the world. Thus, international organisations have exerted efforts and contributed in the prevention of these diseases globally. Today, Aids is one of the main diseases of the world. The transmission is largely through commercial sex and intravenous drug use and as well as from blood transfusion.(Linstrand et al., 2009 p.144-145). Due to awareness of the rapid increase in the prevalence of HIV/AIDS across the globe, NGOs have run many community-based projects in order to reduce transmission of HIV/Aids. They have programmes to supply condoms to commercial sex workers. Health and social services provide education, care and social support group to most vulnerable people. These projects have decreased the expected spread of infection mainly in Thailand, Tanzania and The US (Linstrand et al., 2009 p.147). According to Lindstand, et al. (2009 p. 152), antiretroviral (ARV) drugs have been developed to combat or prevent HIV. But due to its high cost, only those who can afford could comply with the treatment. Thus, the Global Fund to fight AIDS, TB and Malaria (GFATM) was created in response to the challenge to finance basic health services. It effect will be judge after some years. It may be an effective prevention or have a low effect due to low compliance. The UN-AIDS is also one of the agencies established by WHO to deal with AIDS. UNAIDS has been successful in lowering the price of antiretroviral drugs and on improving the monitoring of the HIV pandemic (Linstrand et al., 2009 p.299). According to WHO, 2001 (cited by Linstrand et al., 2009 p. 165), the malaria parasite is estimated to be the direct cause of about 1.3 million deaths. Because of the outbreaks, global strategies to prevent and treat malaria have been developed and the main challenge here is to find a method cheap enough to be sustainable among low-income countries. The GFATM is one of the agencies of WHO which help finance the projects against malaria across the world. Its projects have been effective in some areas but it appears that this intervention will only be feasible in only a few areas. WHO has also responded with a programme called Roll Back Malaria. The focus is to improve existing drugs and to improve the use of health services by the affected population (Linstrand et al., 2009 p.168). According to the BMJ (2004), Roll Back Malaria is currently a failing global campaign. Support from donors needs to be increased for the Global Fund to provide the best funding method for the fast procurement of malaria tools. Global contributions have a great impact in the prevention of HIV/AIDS and Malaria. It has greatly helped in the control of spread, treatment and prevention of these diseases although some methods have failed; the international and local sectors still continue to improve their mechanisms. 1.4. Recommend international measures that will assist further health improvements in developing countries. There are so many international measures that could further help improve health in developing countries. The general health situation is deterioration in several countries. Health is a good indicator of human life conditions and the health of the population of the country determines its general development. Although global health has deteriorated, improvements never ceased (Linstrand et al., 2009). International organisation such as the UN continuously develops measures that will assist further health improvement especially in developing countries. It is in the interest of all countries and persons that the global health situations improve, thus UN has established Millennium Development Goals (MDGs). Almost half of the MDGs relate to health and targets the improvement of the least developed countries (Linstrand et al., 2009). According to the authors of global health (2009), there are two particular difficulties in global development. One is scientific and the other is political. In determining these two, one could understand the culture, social and political structures of a country and actions for a better development will have a greater chance of success. The World Bank, World Health Organizations and most other UN organisations now express similar view about development in health and alleviation of poverty. They regarded the eradication of poverty, freedom from hunger, access to safe water, basic education for all children, equal human rights for women and men, a healthy life and the sustainable use of natural resources as core aspect of development (Linstrand et al., 2009). The World Bank stated in its yearbook (cited by Linstrand et al., 2009), that a better life involves more that simply higher income. It stated that, Development encompasses as ends in themselves better education, higher standards of health and nutrition, less poverty, a cleaner environment, more equality of opportunity, greater individual freedom and a richer cultural life. The Non-governmental organisations, also suggests that the local communities should also be involve in order to sustain and achieve broader objectives of development goals and health improvements (Linstrand et al., 2009. These international measures suggested by international organizations, if properly implemented and complied will greatly assist health improvement not only in developing countries but in the develop countries as well. 2.1. Identify the elements that are the corner stones of healthcare systems A health care system is defined by Anderson and Frenk (1989 1994 respectively, cited by Lassey, et al., 1997), as the combination of health care institutions, supporting human resources, financing mechanisms, information system, organizational structures that link institutions and resources, and management structures that collectively culminate in the delivery of health services to the clients. These are what we call the elements of a health care system which are important in order to be more effective in delivering health care. These elements are formed in order to provide equity, efficiency and quality or safety in health care. According to Lassey, et al. (1997), the elements should collaborate with each other to produce health outcome or health services. In order to understand each of these elements, we must first discuss and consider their function in the system. Institutions are organizations that are responsible for the promotion of health, prevention of diseases and production of health care. It includes local, state and federal public health departments; public and private health care services providers such as hospitals and nursing homes; educational/training centres for health professionals; and environmental departments (Lassey, et al., 1997). Another very important element is the supporting human resources which includes public health professionals and other personnel who work in the field of health care. They are the ones who are directly involved in health promotion, illness prevention or health care (Lassey, et al., 1997). It is impossible to deliver health care without finance. Thus, financing mechanism is one of the most basic elements in a health care system. It includes direct government financing, private/national health insurance plans, managed care financing arrangements and other taxing systems that generate revenue for health care. Private out-of-pocket expenditures and any other sources that pay for the cost of care are also considered as financing mechanism (Lassey, et al., 1997). For an easy measurement of expenditure, outcomes for health care procedure and cost control, information system is needed. It facilitates sharing/exchange f information, collates data and contributes to greater understanding (Lassey, et al., 1997). Linking organizational mechanism is another element wherein association of professionals in school, hospital and other organizations attempt to link together the organizational units related to health care (Lassey, et al., 1997). But in order for these other components to function and produce health outcomes, it should first have to be managed. An organization should have a management structure or mechanism to function effectively and efficiently. These management structures include public health and administrative system that link multi institutional organizations such as hospital chains, financing administrations and other management mechanism (Lassey, et al., 1997). These elements are interrelated and work as a system. Therefore, each of these elements has an important role in operation of a health care system. They are all needed so that health care system could effectively deliver services and produce health outcomes. They are also important for a health care delivery system to be accessible, affordable, attainable and available to all sectors. 2.2. Justify the rationales for diverse forms of health care system There are many major influences that affect the heath of the population. Therefore, diverse forms of health care systems (HCS) are needed in order to meet the needs of the country. According to Lassey, et al. (1997), historical and cultural influences identify the political and economic structure of a country. The economic reality greatly influence the kind of health care system a nation can afford. The HCS of one country either private or public is affected by the combination of their physical, political, cultural, and community environment. Their structure also differs depending on the organizations health policies and health care delivery; accessibility of services; and economic factors affecting the health care delivery system (Lassey, et al., 1997). The European Observatory on Health Care Systems (EOHCS) 2002, conducted a study to provide up-to-date information on the health care systems of different countries and compared it to the UK health care system. This is conducted in order to improve the health care system and highlights that despite significant differences in how health systems are financed, organised and provided, all countries face a number of similar challenges. In the report of EOHCS (2002), diversity in health care system of eight countries has been discussed mainly highlighting the funding and delivering of health care systems. Denmark and Sweden is an example of a decentralised system of health care in terms of funding and delivery. Germany and the Netherlands have a social health insurance systems combined with private health insurance for high-income earners. France has a more centralised social health insurance model, offering universal coverage and with a mixture of public, private non-profit and for-profit providers In Australia, there are three tiers of government and there is an essential division of health care system. The economic and functional responsibilities are divided.The Commonwealth collects most of the taxes while the States delivers most of the public services. Australias HCS is mainly funded by public revenue. Out-of pocket payment, private health insurance and other sources of finance accounts only for about 30% health care expenditure (Healy, 2002). Both Australia and New Zealand have predominantly tax-financed systems of health care with differing degrees of decentralisation and privatisation of provision (EOHCS, 2002). In conclusion, diverse form of health care system is important because each country is different from another. Thus, they have to develop a health care system which responds effectively and appropriately to their needs in order to ensure equal accessibility to health services, to have a sustainable financing system, and to provide quality care to improve health outcome of ones country. 2.3. Evaluate the healthcare system of the UK making suggestions about facilitating a move from negative to positive outcomes. The United Kingdom is one of the first countries in Europe to implement a publicly funded National Health Service (NHS). The NHS act, enacted in 1948 adopted three principles for a publicly funded universal health care system. These are equal access to medical acre, Availability of comprehensive preventive and curative care and provision of serve ices to no cost at the point of service (Lassey, et al., 1997). As mentioned, health care in the UK is mainly funded through national taxation. Hospitals are predominantly owned with independent trust status. Health care services for privately insured patients or those who pay directly from their pocket are provided by private hospitals (EOHCS, 2002). The NHS covers all the legal residents of the UK and other residents of the European Economic Area and other countries who have reciprocal agreements with the UK. It is basically established to provide care services to the extent that it meets all reasonable requirements. Patients accessibility to health services is also being considered. According to the EOHCS (2002), there are several health care delivery systems in the UK. One of those is the ambulatory care which is provided by the general practitioner. There are walk-in clinics with GPs, practice nurses and other health professionals which provide primary care in several areas. Secondary care is provided by the in general acute NHS trusts, community hospitals, and tertiary level hospitals. In order to reduce unnecessary hospital admission and to avoid long-hospital stay, the government increased the number of intermediate care beds. This intermediate care is designed to prepare the patient to return home. Social care is also provided for those people with mental illness, learning difficulties and elderly who need domiciliary and residential care (EOHCS, 2002). There are also challenges that the UK health care system is facing. It has been recognized that the health care in the UK has been under funded as manifested by the long waiting lists for hospital appointments and poor quality hospital buildings. But the government is committed to straighten the situation. The Chancellor of the Exchequer announced that over the next 4 years, there will be an increased public spending on the NHS. These will represent sustained rates of increased spending if achieved (EOHCS, 2002). The NHS Plan also aim to increase NHS workforce numbers (consultants, GPs and nurses) as well as to improve services provided like reduced waiting times. In order to drive these changes, a Modernisation Board has been set up. In addition, a Commission for Health Improvement has also been set up to monitor and improve performance and facilitate positive outcomes (EOHCS, 2002). 3.1. Assess the current global health priorities in terms of attainment of health-related MDGs. The centre of Millennium Development Goals is health. This is supported by the work of (Linstrand, et al., 2009). It is stated in their book that almost half of the MDGs are health related. There are eight Millennium Development Goals. These are: to eradicate extreme poverty and hunger; to achieve universal primary education; to promote gender equality and to empower women; to reduce child mortality; to improve maternal health; to combat HIV/AIDS, malaria and other diseases; to ensure environmental sustainability; and to develop a global partnership for development, Department of Economic and Social Affairs (DESA), 2010. By knowing and addressing the current global health priorities, health-related MDGs could be also attained. Blue (2007) identified 20 top global health priorities and categorized it into six clusters. First priority is raising public awareness. This includes promotion of healthy lifestyle through effective education. It also involves dissemination of valid information via sustained accurate media coverage to improve economic, social and public health awareness (Blue, 2007). Second health priority is enhancement of economic, legal and environmental policies. It focuses on studying and addressing the impacts government expenditure and taxation (Blue, 2007). The third priority is modifying the risk factors. This includes deploying a universal measure to reduce tobacco use, promoting physical activity and consumption of healthy food. It is also an important that environmental and cultural factors that change behaviour are better understood (Blue, 2007). It is also important to prioritize engagement of business and community. Business should be a key partner in health promotion and disease prevention (Blue, 2007). Mitigating health impacts of poverty and urbanization is also one of the health priorities. This is where poverty related risk factors and the links between the environment, urbanization and chronic non-communicable diseases are being identified and addressed (Blue, 2007). Reorientation of health system is also an important priority. Allocation of resources should be based on burden of diseases. Moving professional training and practices toward prevention while increasing the number and skills of health care professionals especially in developing countries. Building a health system that incorporate screening and prevention and increases accessibility to medications (Blue, 2007). By addressing these current global health priorities, there is a greater chance of attaining health-related MDGs. 3.2. Identify the UK contribution to a global health strategy. Give specific example Tony Blair states that, Improving global health is clearly in Britains interest, and the Commission for Africa and the Gleneagles G8 Summit made several commitments on health and health care. The UK has a major role to play, (Crisp, 2007). 3.3. Justify the need for international health care organisations operating globally to form partnerships to secure better health for populations (especially women ad children) in the developing countries. In order to deal with the threats to health worldwide, International Organizations need to collaborate. Global collaboration was originally formed for the purpose of preventing the spread of communicable diseases across the national boarders (Linstrand, et al., 2009). One of the goals of the MDG is to develop a partnership for development. It basically a global cooperation on aid, trade, debt, access to affordable essential medicines and new technologies and addressing the special needs of the least developed, landlocked and small island states (DESA, 2010). There are several important reasons why there is a need for international organizations to form partnership. Though it originated from varied self-interest reasons like to combat infections for other countries or to quest for profit or influence for another, they may still not be a bad motivation to develop cooperation (Linstrand, et al., 2009). One of the most evident examples of multinational health collaboration is the successful work of the United Nations Childrens Fund (UNICEF) in reducing childrens death and suffering through cost-effective interventions and protection of breastfeeding. The UNICEF is a unique organisation that reaches out to all countries through its national committees (Linstrand, et al., 2009). UNICEF has also broadened its approach and includes the three Fs: female education, food supplements and family planning. WHO has given it support to this intervention of UNICEF (Linstrand, et al., 2009). Countries cooperating in dealing with outbreaks like Ebola or SARS and the guidance of the World Bank on countries expenditures on healthcare justify also the need for global partnership.
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