Group Discussion: WHO Building Blocks and Existing Primary Health Care Providers in the Urban Setting (Group 3: Leadership and Governance) by Baby Naznin https://padlet.com/babynaznin/f7pge5wamkbbs8he Please add key issues and challenges related to leadership and governance in different health care models (To add a comment or feedback, just click the '+' underneath the different Providers' name) Questions: 1. What are the existing challenges related to leadership and governance among the existing primary health care providers in the urban setting? 2. How to address the discussed challenges regarding Leadership and Governance? en-us 2022-02-13 07:06:45 UTC 2022-02-15 06:20:58 UTC hello@padlet.com https://padlet-uploads.storage.googleapis.com/1270229311/352f67070bbb84e6184520200ccde36e/GD.png During covid pandemic, though there were dearth of lab technicians, there were lab technicians under City Corporation. Due to proper leadership, these technicians couldn't be utilized https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047863828 2022-02-15 06:00:47 UTC https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047863828 Out of pocket health expenditure is involved here as well. these services are not entirely free. Governance couldn't be addressed under ensuring skilled health human resource, regulation etc. https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047869167 2022-02-15 06:05:47 UTC https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047869167 This project is running under MOLGRD&C with poor governance https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047875998 2022-02-15 06:11:25 UTC https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047875998 City corporation is just an affiliated organisation whose lead authority is the Mayor who is not under MLGRD&C secretary. These two organizations are not under each other. So, there exists a huge coordination gap. https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047877695 2022-02-15 06:12:58 UTC https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047877695 Lack of accountability and feedback mechanism https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047878394 2022-02-15 06:13:27 UTC https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047878394 there should have feedback mechanism like helpline number which is there for rural health service. https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047880571 2022-02-15 06:15:17 UTC https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047880571 How the poverty is monitored to identify the poor population? what is the monitoring structure here is a prime concern https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047881822 2022-02-15 06:16:19 UTC https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047881822 Lack of structured monitoring system of the activities of NGO https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047882428 2022-02-15 06:16:46 UTC https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047882428 Financial governance, health workforce governance- these are needed to be addressed https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047884029 2022-02-15 06:18:00 UTC https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047884029 Roles are defined but not implemented https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047885653 2022-02-15 06:19:22 UTC https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047885653 Decentralization of the governance is needed https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047887546 2022-02-15 06:20:58 UTC https://padlet.com/babynaznin/f7pge5wamkbbs8he/wish/2047887546