Magisterarbeit, 2008
66 Seiten, Note: Distinction
This dissertation explores the governance of District Health Administration (DHA) in Bihar, India, examining its current structure, challenges, and potential for improvement. It aims to identify key areas for strengthening governance, drawing upon theoretical frameworks and practical experiences from other contexts.
Chapter One introduces the dissertation, outlining its background, rationale, aims, objectives, methodology, and the framework for strengthening governance in health administration. This chapter also defines governance in the context of health sectors and explores the possible effects of good governance on the DHA in Bihar. Chapter Two provides an overview of the state of Bihar, the structure and functions of its health department, and a detailed analysis of problems and issues related to governance in the DHA. Key areas of concern include weak leadership capacity, poor management capacity, lack of accountability, limited public participation, and lack of transparency in decision-making. Chapter Three delves into theoretical frameworks and documented examples related to strengthening governance in health administration. It explores strategies for improving leadership capacity, management capacity, promoting accountability, increasing community participation in decision-making and planning, and ensuring transparency in decision-making processes. Chapter Four applies the theories and practical experiences discussed in Chapter Three to the specific context of Bihar. This chapter focuses on developing recommendations for strengthening governance of the DHA in Bihar, taking into account the unique challenges and opportunities presented by the state's context.
This study focuses on the governance of the District Health Administration (DHA) in Bihar, India. Key areas of interest include leadership capacity, management capacity, accountability, community participation, transparency, health systems strengthening, and the role of the Primary Health Centers (PHCs) in providing healthcare services. The dissertation also examines the impact of governance on the overall health outcomes in Bihar and explores strategies for improving the governance of the DHA to enhance its effectiveness and efficiency.
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