Health care approaches UK and Uganda

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Health Care Approaches

With reference to examples, explain how health care provision varies for countries at different stages of development.

Access to health care varies across countries, groups and individuals, largely influenced by social and economic conditions as well as the health policies in place. Countries have different policies and plans in relation to the personal and population-based health care goals within their societies. Health care systems are organizations established to meet the health needs of target populations. Their exact configuration varies from country to country. In some countries, health care planning is distributed among market participants, whereas in others planning is made more centrally among governments or other coordinating bodies.

The National Health Service (NHS) is a publically funded healthcare system for England, primarily funded through the taxation system. The system provides healthcare to all legal residents in the United Kingdom, and most services are free at the point of use. Although the majority of the NHS budget is derived from taxation, funds also come from prescription charges, NHS dentistry, NHS optical services, car park charges in hospitals and charitable funds. The only reason that the NHS can be afforded is due to the high stage of development of England, with high-standing social and economic conditions, unlike that of many other countries.

Uganda's healthcare system works on a referral basis; if a level II facility cannot handle a case then it refers it to a unit the next level up. Services in public facilities are supposed to be free, but in many cases health workers extort money from patients desperate for services. Often units don't have the essential drugs, meaning the patients have to buy them from pharmacies or other drug sellers. The first contact for someone living in a rural area would be a community medicine distributor or a member of a village health team (VHT). Each village is supposed to have these volunteers but in many cases they are either non-existent or they do not have basic drugs for


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