Public private partnerships in healthcare sector in middle income Literature review

Public private partnerships in healthcare sector in middle income countries - Literature review Example As well, theoretical as well as empirical studies point to the potential contribution of private sector to reforms aimed at improving the quality and accessibility of health systems. The focus of the study is the increased focus of public-private partnerships (PPP) as a way of increasing capital finance as well as improving the efficiency and quality of service provision in low and middle-income countries. The partnership involves the public sector entering into long-term contract with private sector in order to enable the public sector access private capital for building and renovating health facilities and agreeing to deliver services over the contract period. Such contracts are designed and agreed upon some pre-determined specifications of the required outputs and define the financial, working and clinical standards, which the private sector has to meet. In low and middle-income nations, governments remain the ultimate funder of health care by making periodic payments to private s ector in return for services delivered (Hellowell, 2012 p.71). Public-private partnership is an institutional arrangement built on foundation of fresh public management that claims objectives such as improved efficiency, quality as well as competition of public sector services. In striving to achieve these objectives, PPP aims at achieving value for money while reducing the demands on the state budget by involving the private sector in provision of traditional infrastructure services like health care. Adoption of PPP policy within industrialized nations is often viewed as a tool for further development of public services, while its application in developing nations is a way for reducing poverty and improving the service offered to citizens in such nations. Early 1990s PPPs policy was widely adopted in industrialized nations like USA, UK and Australia; nevertheless, this policy has been diffused in developing nations (Appuhami, Perera & Perera, 2011, p.431). The approach of PPP is at tractive to developing countries that often experience macro-economic problems like poor infrastructure that burden the government budgets and excessive government budget. State-based healthcare service provision and private sector health services have existed together in various low and middle-income nations for decades with many nations having a huge portion of healthcare spending paid by the state. Private providers are heterogonous made up of formal business entities like independent hospitals, informal entities that include unlicensed providers as well as non-profit and non-governmental organizations (Basu, Andrews, Kishore, Panjabi & Stuckler, 2012, p.3). Various studies have disaggregated consumption of health care by income levels and appeared to show that the private sector mainly provide health services to more affluent populations. In the emerging economies, some nations are taking bold steps with the PPP’s by indulging the private sector in both infrastructures re newal and delivery of clinical services in the integrated partnership. Health care is a labour-intensive industry where clinical and ancillary services absorb most the expenditure allotted to many health systems; therefore integrating clinical services with provision of capital infrastructure in PPP offer unique opportunity for

The idea of facades across a range of texts Essay -- essays research p

The poem ‘The Ballad of Calvary Street’ by James Baxter, the film ‘American Beauty’ (directed by Sam Mendes and released in 1999), and the play ‘An Inspector Calls’ written by J.B. Priestley and performed at Circa Theatre in 2005, are all texts that share a similar theme. Although these three texts are different in terms of authorship and the medium through which the significant messages are communicated, what the texts do have in common is that they all convey ideas about how facades and superficial images of family life only lead to soullessness and domestic disorder. The unique approach that each text takes to this issue heightens the impact of the texts in every case, and allows the discussion of facades to become more pertinent in a time when domestic problems still mar our society. Baxter’s poem, ‘The Ballad of Calvary Street’, satirises the concept of facades and fake family life by ironically using religious imagery, and by utilising figurative language and clever diction to develop a rounded depiction of the sad characters at the heart of the poem. The poem discusses firstly the trellises that line Calvary Street (an image which conventionally would symbolise happy domestic life), and mentions the flowers that bloom â€Å"as bright as blood†. In addition to being an insidious suggestion that there is violence beneath the veneer of this seemingly respectable society, this phrase also alludes to the crucifixion of Christ. This is confirmed by the line that later describes the house as â€Å"an empty tomb†. This evocative metaphor hints that the house is a place of depression and emotional soullessness, and again links this home to the story of Christ; however, Baxter is comparing this house to Christ’s story only ironic ally. Through the use of religious language, Baxter is able to sardonically indicate that the values of forgiveness and compassion so often connected to The Bible and religion are nowhere to be found in this unhappy home. To emphasise that religion plays no role in this distorted version of family life, Baxter intersperses the religious language with mundane descriptions (for instance, he writes, â€Å"the afternoon goes, goes by, while angels harp above a cloud †¦Ã¢â‚¬ ) to show that spirituality – and indeed, all ideas of ethics and morality – are forsaken in this barren location. Baxter tells in the poem of how â€Å"two old souls go slowly mad†, and const... ...ley play ‘An Inspector Calls’ all scrutinise the nature of domestic life, and the facades that are developed to hide the true problems of our society. ‘The Ballad of Calvary Street’ looks at the manner in which individuality and excitement are suppressed by the maintenance of such a faà §ade, and emphasises that domestic relationships are devoid of any spirituality or ethical framework. ‘American Beauty’ focuses on the advantages of breaking free from the constraints of the faà §ade, and emphasises the freedom and openness that can be achieved once the duties of the faà §ade are forgone. ‘An Inspector Calls’ analyses the way a faà §ade can crumble when there is pressure and confusion to reveal people who are not as respectable as they seem. The issue of facades is very relevant to our society, at a time when, in New Zealand at least, domestic abuse and divorce are still pernicious problems. The issue is often explored across a range of texts and could even be argued to be a clichà © in current times. However, the uncompromising and honest manner in which these texts address the issue makes the concept of facades so intriguing and fresh, and causes these texts to gain added power and impact.

Dantes Inferno

The Inferno is more than just a fictional story about someone traveling through life. It is actually more like an autobiographical journey of life through its author, Dante Alighieri’s. He basically wrote with the personal purpose of recording where all of the people he came in contact within his life, will go when they die. This could be one of three places; Hell, Purgatory, or Heaven. He went on to design specific, fitting punishments or rewards based on each person’s life. Dante then tied this all together and made himself a character that walks the entire length of the abstracted world.Written in the early 1300s by an angry Dante living in exile, he literally describes a man who has been trapped, and must find a way to escape. He also includes the hidden Renaissances darkness, and the people who are Manipulating. As Dante passes through the depths of hell he begins to see sins that would be punished and tortured in medieval times to the same acts that are displayed in the era of the Renaissance, and yet are treated differently. The Renaissances era that had a lot of influence on Dante and the journey through hell.Whether they were someone that betrayed him in his political career or the girl that he fell in love with when he was 9 years old, he found a way to integrate them into the Inferno. It’s not hard to notice that in the symbols, Dante considers trust and loyalty to be one of the most important human characteristics. He basically felt this way due to the point that he was betrayed and exiled away from his beloved homeland, by the pope. It is because of this that he places offenders of breaking these at the center of hell. Dante was exiled from Florence in 1302 and this is where his feelings that helped structured the story.When he comes out of the dark forest Dante is blocked by the three beasts. The beasts are a lion, a leopard, and wolf. The lion is seen to poses pride, the leopards' role is that of lust and the wolf represents is greed. The three ferocious beasts have three of the seven deadly sins. Canto 3 started the read when Dante comes to himself again and realizes he is lost in a dark, savage, threatening forest deep in a valley. He tries all night to find a way out; when he comes to the foot of a high hill and his way is blocked by three beasts.He thinks he's going to get past the leopard that comes first, but the lion is more fearsome, and the wolf drives him back, despairing, to the dark wood. He then sees a human shape and calls out for help. It is the shade of Virgil, When researched he was the great Roman poet of the time of the emperor Augustus, where he as a poet has learned so much, and Dante begs him for help against the wolf. Virgil tells him that the wolf is too fierce to get by, that she is ravaging all of Italy, and will do so until the person comes who can chase her back to Hell.But Virgil promises to get him out of the dark wood, not by taking him past the beasts, but by leading him through Hell. Once he has seen those who suffer in Hell, Virgil will lead him up the mountain of Purgatory, where souls become ready for eternal bliss, and then someone else will take over and lead him up to Heaven. Virgil can't go there because, living before Christianity had spread, and he was not a Christian. Dante accepts Virgil's guidance through hell, and they set out. The first circle he sees was beings that where not good enough to go to heaven, or bad enough to join the bottom of hell.As the reading continued I realized it also showed that the angles had a choice between heaven and hell, which made it different from anything I have read from the past. Canto 5, is when he first enters the Second Circle, Dante sees Minos, a horrible, snarling demon to whom each soul confesses everything. Minos warns Dante to turn back, but Virgil again asserts that Dante's journey is divinely ordained. Dante hears wailing again. Spirits pass through the air like a flock of birds, tormented by Minos; they have no hope of rest, and no hope of less pain. One long line of spirits gets Dante's attention, and he asks Virgil who they are.Virgil replies to him, all having died because of love, and Dante is bewildered by pity. Canto 34 is in the deepest depth of Hell, the lowest point in the whole universe. Virgil lets Dante know that he is about to see the being who is the ruler of Hell. Dante looks through the sadness and sees something that looks huge and like a windmill in the distance. The wind is strong, and he has to shelter himself behind Virgil. In the icy plain beneath them the souls are now completely buried in the ice, through which he sees them. When they get closer, Virgil makes Dante come out from behind him and look at Satan.Dante is so frozen and weak he feels neither dead nor alive, but he looks. There is the being who was once the fairest angel in Heaven, Lucifer, who rebelled against the one and only God who had made him so fair. Who was once beautiful but ug ly now from where he sits, he is much bigger than the giants Dante saw at the outer edge of the deepest pits. His head has three faces, one red, one white and yellow, one black. Two big bat wings sprout under each face, and it is the flapping of those wings that made the ice of Cocytus. He weeps tears and blood from each of his six eyes, and in each mouth he chews on a sinner.Virgil having seen everything, they must go. Dante holds tight to Virgil, with his arms around Virgil's neck, and Virgil goes right up to Satan and takes hold of his flanks, which are covered with hair. From tuft to tuft he descends to the midpoint of Satan's body, and then manages to turn himself upside down and start climbing. They reach a cleft in the rock and there Virgil puts Dante down on the edge. Dante looks back, and there are Lucifer's legs upside down. Dante is utterly bewildered. Virgil explains that the midpoint of Satan's body is the center of gravity of the earth.The story also reminds me of Reve lations more than just the relation of Rome. It is the same idea of describing others who have live into a different situation or character. Both Authors must have had similar feeling towards the groups, they both had hatred and wanted revenge. They describe the groups for who they were as a character that nobody would like. Dante Had made people change their family name, because he had shown a lot about the person to others, just because a relative was in the poem. He needed something to help him relived all the hatred he carried with him self; the Poem did not spike me as a comedy but more of a drama.

Reflective Writing Sports s Psychology By Writing This...

Yet another semester is coming to an end, which means it’s time for final exams and end of the semester projects. I decided to end my journey though Sport’s Psychology by writing this individual synthesis project. Throughout this paper I will refer back to Reflective Writing Number Four, where I interview an outstanding performer with my questions focusing on three main concepts. These concepts are self-confidence, goal setting, and imagery. In this paper I am going to go into greater depth on the concepts themselves, as well as how the athlete applied the concepts to his performance. The performer that I chose to interview was Anthony Jay Montanez (A. J.). A. J. is currently a student here at UW who, within the last year, ended his career as a college shot and discus thrower. In middle school he became a Junior National Champion in the javelin. During his time in high school, he was a much decorated athlete. He was a four-year letter winner in football, indoor track, a nd outdoor track. After high school he went to Montana State University in Billings on a full ride track scholarship going for a degree in History Education. During his first year there, as a true freshman, he placed in the top four in his conference. Due to a coaching change the following year, he redshirted. During his redshirt sophomore year, he was the runner up in his conference. After his three years there, he decided to transfer to the University of Wyoming and was going to be on the track team. HeShow MoreRelated2010 Secondary Education Curriculum in English6955 Words   |  28 Pages the refinement of the secondary education curriculum was guided by the need, as articulated in the Education for All Plan 2015, to streamline its content in order to improve student mastery and contribute to the attainment of functional literacy. 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