manament thesis

Powerful Essays
THE ROLE OF

TOTAL QUALITY MANAGEMENT
IN RAISING THE SERVICE QUALITY OF

PUBLIC HEALTH LABORATORIES
IN

DEVELOPING COUNTRIES

A thesis submitted in fulfilment of the requirements of the University of Derby for the degree of
Master of Science in Health Services Management.

By Gabriele Mallapaty

November, 1999

ABSTRACT
The role of total quality management in raising the service quality of public health laboratories in developing countries
Mallapaty, Gabriele
In 1998, the World Health Organisation (WHO) renewed its appeal to support the
Health for All strategy in less developed countries. This underlines the realisation, that two decades after the Alma-Ata declaration, the implementation of Primary Health Care strategies has come far short of the set targets. While physical health infrastructure has expanded in the past 20 years, actual provision of care has been limited and certain public health services are not available to large segments of the world’s population.
Today, we find that public health laboratory services are deficient and poorly managed in many of the developing countries. In a recent Delphi study, WHO has identified public health laboratory services as an essential public health function, vital for maintaining and improving health. Diagnostic laboratory services are particularly important in developing countries, where according to WHO’s estimates, 43% of total deaths are still claimed by infectious and parasitic diseases.
New and innovative approaches to health care management are needed to achieve the goal of Health for All in the 21st Century. The public sector in industrialised countries has recognised this need and has successfully applied modern management tools such as
Total Quality Management (TQM) to continuously improve quality of its health services. This thesis presents the TQM concept as a feasible framework to support implementation of the Health for All strategy in less developed countries.



References: Abbatt F R. (1980). Teaching for better learning: A guide for teachers of primary health care staff Adair J. (1985). Effective Decision Making. London, Pan Books. Amonoo-Lartson R., Ebrahim G J., Lovel H J. & Ranken J P. (1994). District Health Care: Challenges for Planning, Organisation and Evaluation in Developing Asher M. (1996). Managing Quality in the Service Sector. London, Kogan Page. Bennett F J. (1979). Primary Health Care and Developing Countries. Social Science and Medicine,13a, 505-514 Broadbent M. & Cullen J. (1993). Managing Financial Resources. Oxford, Butterworth-Heinemann Ltd. Burnett D. (1996). Understanding Accreditation in Laboratory Medicine. London, ABC Venture Publication. Carter J Y. (1992). The Development of Appropriate Laboratory Services in Eastern Africa Cook P. & Kirkpatrick C. (1988). Privatisation in Less Developed Countries. Brighton, Wheatsheaf Books. Crosby P B. (1980). Quality is Free: The Art of Making Quality Certain. New York, Mentor Book. Deming E. (1990). http://www.deming.org.uk/history/14points.htm Dorrell J Drury C. (1990). Costing: An Introduction, 2nd ed. London, Chapman and Hall. Fletcher S. (1992). Competence-Based Assessment Techniques. London, Kogan Page. Free M J. (1992) Health technology for the developing world. International Journal of Technology Assessment in Health Care, 8:4, 623-634. Free M J., Green J A. & Morrow M M. (1993). Health technology for the developing world: Promoting self-reliance through improving local procurement and Green A. (1994). An Introduction to Health Planning in Developing Countries. Oxford, Oxford University Press. Heuck C. (1998). WHO’s laboratory programme. World Health Forum, 19, 68-70. Hughes O E. (1994). Public Management & Administration: An Introduction. New York, St Johnson R S. (1993). TQM: Leadership for the Quality Transformation. Milwaukee, ASQC Quality Press. King M. (1973). A Medical Laboratory for Developing Countries. London, Oxford University Press. Knowles, M. (1995). Quoted in Scholtes P R. (1995) Koivusalo M MacPherson S. (1982). Social Policy in the Third World: The Social Dilemmas of Underdevelopment Mallapaty G. (1996). Consultants Report to H.E. the Minister of Health. Amman, Jordan. Mallapaty G. (1999a). Learner-centre Approaches to Workplace Training and Development for the Primary Healthcare Laboratory Services Mallapaty G. (1999b). Text-based Learning Resources for Primary Health Care Laboratory Staff in Developing Countries Mallapaty G. (1999c). Public Health Laboratories in Developing Countries: A Framework and Action Plan to Total Quality Management and Teamwork. Scholtes P R. (1995). The Team Handbook, 23rd print. Madison, Joiner Associates Inc. Scholtes P R., Joiner B L. & Streibel B J. (1998). The Team Handbook. 2nd ed. Seaman J. (1995). International Aid To Health Systems in the Developing Countries: The Problem of Recurrent Costs Shortell S. & Kaluzny A. (1997). Essentials of Health Care Management. New York, Delmar Publishers. Slack N., Chambers S., Harland C., Harrison A. & Johnston R. (1995). Operations Management Smithson P. (1994). Health financing and sustainability. A review and analysis of five country case studies The Economist. (1998). Economics Focus: Making aid work. Nov.14th, 1998: 105. U.S. Geological Survey (1997). Info on Geographic Information Systems. Vaughan P. et al. (1995). Quoted in Walt G. (1996). Walt G. (1996). Health Policy: An Introduction to Process and Power, 2nd ed. World Bank. (1980). Health Sector Policy Paper. Washington, The World Bank. World Health Assembly (WHA). (1976). World Health Assembly Resolution WHA29.74 World Health Assembly (WHA). (1977). World Health Assembly Resolution WHA30.43 World Health Assembly (WHA). (1979). World Health Assembly Resolution WHA32.16 World Health Organisation (WHO). (1978). Primary Health Care – Alma-Ata 1978: Report on the International Conference on Primary Health Care, Alma-Ata, World Health Organisation (WHO). (1980). Manual of Basic Techniques for a Health Laboratory

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Project Manament

    • 1078 Words
    • 5 Pages

    | | | |[pic] |Course Syllabus | | |School of Business | |…

    • 1078 Words
    • 5 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Quiz on Markeing Manament

    • 445 Words
    • 2 Pages

    1. The task of any business is to deliver ________ at a profit. a. customer value b. products and services c. improved quality d. customer needs e. products 2. Much of a brand’s strength in consumer markets depends on ________. a. developing a superior product b. creating superior packaging c. ensuring the product’s availability d. backing the product with engaging communications and reliable service e. all of the above 1. ________ are basic human requirements;…

    • 445 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Hello Kenneth, I agree that the essay should capture the attention of the reader, however, the thesis statement should answer a rhetorical question and include the points you will address. The premise will also follow your conclusion and it helps to utilize the additional material that the Professor provided. You made for some good discussions during this course. Good luck on your educational journey. Regards, Elizabeth…

    • 66 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    thesis

    • 601 Words
    • 3 Pages

    thesis is fun. thesis won't let me sleep. I love thesis! yey! I just wanna sleep. Please help me with my thesis, because I wanna pass my english class. Why make college so complicated? What do they even do with all the theses they make the students pass?…

    • 601 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    thesis

    • 997 Words
    • 4 Pages

    PM Page 11 THESIS SENTENCE TEMPLATES A thesis sentence is a sentence in the introduction that tells the reader what the topic or argument of the essay is. Experienced writers have little difficulty writing thesis sentences. This is because they have read and written thousands of them. You, the emerging writer, don’t have it so easy. So, you have to accelerate the process. You do this via thesis sentence templates. A thesis sentence template is the basic machinery of a thesis sentence, what…

    • 997 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Thesis

    • 340 Words
    • 2 Pages

    Part 1: Thesis Statement: A turbocharger is an excellent component and can be utilized to improve fuel economy, increase overall horsepower, and enhance the engine’s towing ability. I developed this thesis by using my knowledge of the different applications turbochargers are used on. Many vehicle manufacturers these days prefer to use smaller displacement engines and add turbochargers in order to produce a vehicle that gets great gas mileage, while not sacrificing power. I did not do any research…

    • 340 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Thesis

    • 376 Words
    • 2 Pages

    Tips for Writing an Introduction to an Analytical Essay The most important goals of an introduction are to interest your target audience, provide any necessary background information, and state your thesis. Generally, the thesis appears at the end of the introduction. Here are some tips for accomplishing the other two goals. Interest your target audience. Consider using these methods: o Challenge a prevailing idea. • All too often, American culture is reduced to a sum of white European…

    • 376 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Thesis

    • 1434 Words
    • 5 Pages

    phoenix mall Mumbai) 3. Thesis on Jail , case study on (banglore jail, belgaum jail) 4. Thesis on institute of archaeology , case study on (archaeological museum hampi) 5. Design of EXHIBITION 6. Restructuring the sukhna lake 7. Thesis on film city, case study on (DADA SAHEB PHALKE CHITRANAGRI MUMBAI, RAMOJI FILM CITY HYDERABAD) 8. CENTRE FOR THE INDIAN CLASSICAL MUSIC, CASE STUDY ON (KALA ACADMY GOA, NRITYAGRAM BANGLORE, NATIONAL CENTRE FOR PERFORMING ARTS MUMBAI,) 9. THESIS ON INFOTAINMENT MALL…

    • 1434 Words
    • 5 Pages
    Satisfactory Essays
  • Better Essays

    thesis

    • 2973 Words
    • 12 Pages

    CLARKSON UNIVERSITY Title A Thesis/A Dissertation By Name Department of Submitted in partial fulfillment of the requirements for the degree of Master of Science, Doctor of Philosophy, Date Accepted by the Graduate School ___________, _______________________ Date, Dean of the Graduate School The undersigned have examined the thesis entitled ‘Write Thesis Title’ presented by WRITE NAME HERE, a candidate…

    • 2973 Words
    • 12 Pages
    Better Essays
  • Good Essays

    Thesis

    • 305 Words
    • 2 Pages

    These are thesis statements from student essays in a previous course I taught. After reading them over, consider what works or doesn’t work about each of them, specifically as interpretative claims regarding social practices or visual texts. While analyzing each thesis statement, ignore any grammatical errors or factual inaccuracies. Please print this page and bring it with you to our next class meeting. “Valentine’s Day as an American holiday is one that truly documents how this nation has both…

    • 305 Words
    • 2 Pages
    Good Essays