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Home > Impact of Devolution on Managerial Functions of Public Health: Perception of Health Managers in Pakistan

Impact of Devolution on Managerial Functions of Public Health: Perception of Health Managers in Pakistan

Thesis Info

Author

Shahzad Ali Khan

Department

Department of Management Sciences

Program

PhD

Institute

National University of Modern Languages

Institute Type

Public

City

Islamabad

Province

Islamabad

Country

Pakistan

Thesis Completing Year

2010

Subject

Management Sciences

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728767621

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The objective of the study was to examine the impact of devolution reform of 2001 on the health management functions and to determine the change in managerial roles and responsibilities after the devolution reform. Qualitative research methods, inclusive of review of published as well as the grey literature, archival analysis and informant interviews were used for analysis. An internationally validated tool was used for data collection and analysis. Analysis of data showed that devolution reform of 2001 has changed the power holder scenario in the Health sector all the way down from the National level to the District and Facility level, with an increased involvement of District level after devolution. On the other side there is still a conflict among various power holders, about who has the authority and has responsibility of certain managerial functions. This conflict is visible, in the way respondents identified the level of authority and responsibility for each managerial function, and the level of agreement (or disagreement) among the respondents for that function. After the devolution, lower level managerial cadre has been upgraded with new district level management system, but it has increased the role- conflict among various power-holders in health system. This role-conflict resulted in increased ambiguity and a negative impact on the managerial functions of public health. The main conclusion of the study is that health managers in Pakistan do not share same perceptions of how responsibility and authority are distributed after the devolution. Managerial powers were not clearly allocated even in past before decentralization, but post-devolution situation has further increased the role conflict in the health system. Management roles in health sector have become more ambiguous after devolution, and the impact of devolution in redistribution of management responsibility and authority has not been in a better and desired direction. A model of managerial functions in post-devolved health systems is also suggested in recommendations.
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مو لانا شاہ عبدالرحیم مجددی

مولانا شاہ عبدالرحیم مجدّدیؒ
دینی حلقوں میں مولانا عبدالرحیم مجددی صاحب کی وفات کی خبر بڑے رنج و غم کے ساتھ سنی جائے گی، ان کے جدامجد حضرت مولانا شاہ ہدایت علی صاحبؒ سلسلہ نقشبندیہ مجدّدیہ کے ایک بڑے شیخ طریقت تھے جن کی ذات سے جے پور (راجستھان) میں مدتوں رشد و ہدایت کا چراغ روشن رہا، وہ صاحب تصانیف بھی تھے، حضرت مجدّد الف ثانیؒ کے مکتوبات کا اردو ترجمہ ’’درلاثانی‘‘ کے نام سے کیا تھا، انہی کے سایہ عاطفت میں مولانا عبدالرحیم صاحب کی پرورش و پرداخت ہوئی۔ مولانا مفتی محمد رضا انصاری مرحوم اور دوسرے علمائے فرنگی محل سے درسیات کی تکمیل کی سلوک و تصوف کی منزلیں اپنے بزرگوار کی رہنمائی میں طے کر کے خود بھی شیخ کامل ہوئے اور جب ان کے انتقال کے بعد ان کی مسندِ ارشاد پر متمکن ہوئے ان کا فیض بہت وسیع اور عام ہوگیا۔
مولانا کی تعلیم و تربیت قدیم طرز پر ہوئی تھی اور وہ ایک صاحب ورع و تقویٰ بزرگ اور شریعت و طریقت کے جامع شخص تھے مگر ان میں ایجاد و اختراع کی قابلیت بھی تھی اور وہ زمانے کے حالات و مسائل اور وقت کی ضرورتوں اور تقاضوں سے بھی واقف تھے، علاوہ ازیں وہ مخلص اور بڑے عملی شخص تھے، انھوں نے اپنے دادا کے کاموں کو وسعت و ترقی بھی دی اور ان میں اضافہ بھی کیا، ان کا سب سے بڑا کارنامہ جامعۃ الہدایۃ کا قیام ہے، جس کو وہ قدیم و جدید تعلیم اور عصری علوم سائنس اور ٹکنالوجی کا مرکز بنانا چاہتے تھے۔ اپنی اسی خصوصیت کی وجہ سے انھوں نے اپنی اولاد کو دارالعلوم ندوۃالعلما میں داخل کیا۔
دسمبر ۱۹۸۵؁ء میں مولانا عبدالرحیم صاحب نے جامعۃ الہدایۃ کے افتتاح کی تقریب بڑے اہتمام سے منائی تھی جس کا دعوت نامہ ازراہِ کرم مجھے...

Preferences of Filipino and Foreign College Students Towards Online Translation Tools

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Solubility Enhancement, Formulation Development, Characterization and Ivivc of Sustained Release Tablet of Ketoprofen

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