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Systems analysis of privatization of animal health delivery services in Ghana and Jamaica.

机译:加纳和牙买加将动物卫生服务私有化的系统分析。

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摘要

Ghana is moving towards privatization of veterinary services, while Jamaica privatized clinical services in 1992. The major objective of the study was to identify factors determining uptake of privatization among veterinarians.;The methodology involved administration of questionnaires to eligible veterinarians in Ghana (n = 164; response rate 74%) and Jamaica (n = 45; response rate 78%). Data on AHSD systems (livestock population, personnel, financing, organization and operations of veterinary departments from 1986-96) were analyzed for trends. Macro-economic and socio-cultural factors impacting uptake of privatization were assessed.;Generally, no significant differences were found in perceptions of Ghanaian and Jamaican veterinarians on service delivery, determinants of successful private practices and privatization issues, despite the preponderance of private and public delivery systems in Jamaica and Ghana respectively. In Ghana, among government veterinarians, a significant proportion (61%) were unwilling to go into private practice. Among the reasons given were unwillingness or inability of farmers to pay for services, high interest rates on loans, low societal values for animals discouraging veterinary care, prohibitively high operating costs, and low livestock densities in many areas. High interest and inflation rates were perceived in both countries as detrimental to private practice start-up. In both countries, the major perceived reason for privatization was decline in government funding. A significant proportion of Jamaican respondents, compared to those in Ghana, perceived privatization as improving service delivery. AHSD was inadequately financed in both countries, as defined by measures such as R-ratio, coefficient of efficacy, salaries:non-staff expenditure ratios, recurrent expenditure per VLU, and non-staff expenditure per VLU. Specific legislation on private practice was either absent or not enforced. There were no clearly defined national surveillance systems.;There was not enough evidence for the short term impact of privatization on animal health in Jamaica from inspection of limited data on indices such as amount of meat condemned at slaughter, numbers of animals slaughtered and disease incidence and outbreaks.;In conclusion, certain major obstacles to the uptake of privatization among veterinarians in Ghana were identified. Lessons from Jamaica indicate that factors such as attractive start-up incentives and long sensitization period of public for service payment, may enhance uptake of privatization.
机译:加纳正在向兽医服务私有化迈进,而牙买加在1992年将临床服务私有化。研究的主要目的是确定决定兽医吸收私有化的因素。;该方法涉及向加纳的合格兽医发放问卷(n = 164) ;回应率74%)和牙买加(n = 45;回应率78%)。分析了AHSD系统的数据(1986-96年间的牲畜种群,人员,财务,组织和运作)的趋势。评估了影响私有化采用的宏观经济和社会文化因素。通常,尽管私人和公共部门占多数,但加纳和牙买加兽医对服务提供的看法,成功的私人惯例的决定因素和私有化问题没有发现显着差异交付系统分别在牙买加和加纳。在加纳,政府兽医中有很大一部分(61%)不愿接受私人执业。给出的原因包括农民不愿或无力支付服务费用,贷款利率高,动物的社会价值低,不利于兽医保健,经营成本高得惊人以及许多地区的牲畜密度低。两国都认为高利率和通货膨胀率不利于私人开业。在这两个国家中,人们认为私有化的主要原因是政府资金减少。与加纳的受访者相比,牙买加受访者中有很大一部分认为私有化可以改善服务的提供。根据R比率,功效系数,薪金:编外人员支出比率,每个VLU的经常性支出和每个VLU的非人员性支出等措施,这两个国家的AHSD资金不足。缺乏或没有执行关于私人惯例的专门立法。没有明确定义的国家监督系统;;没有足够的证据表明私有化对牙买加的动物健康有短期影响,这是通过检查有限的指标数据(如屠宰时被屠宰的肉类数量,被屠宰的动物数量和疾病发生率)来证明的总而言之,确定了加纳兽医接受私有化的某些主要障碍。牙买加的经验表明,诸如有吸引力的启动激励措施和公众对服务付款的敏感期长等因素可能会增加私有化的采用率。

著录项

  • 作者

    Turkson, Paa Kobina.;

  • 作者单位

    North Carolina State University.;

  • 授予单位 North Carolina State University.;
  • 学科 Veterinary science.
  • 学位 Ph.D.
  • 年度 1997
  • 页码 268 p.
  • 总页数 268
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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