engleski

Challenges in Public Health Systems Reform in Kosovo

Kosovo is facing with postwar problems, but main challenges are related to rapid social and economic changes. Social changes – from socialist system based on a high level of social and health rights to market-oriented society, are influencing mostly moral system of values, social cohesion and traditional social support. Two methods were used aiming to give a „state-of-art“ in Public Health System Reform in Kosovo: (1) review of health policy documents and (2) different focus group discussions with stakeholders involved in planning and implementing health strategies using SWOT analysis. In summary, results show: (1) lack of clarity – health system financing ; (2) health personnel unsatisfied – payment ; (3) no information on who offers what, when and where – organization ; (4) no information on who is the head – legislation, and (5) fragmented and not sustainable investments in public health sector. Application of health strategy is legging behind the policy towards health as a consequence of: (a) failure to financially and politically supports ; (b) failure to support professionals in orientation towards PHC, (c) unclear issue of health activity in private practice, (d) unregulated environment to support and stimulate orientation towards embracing new health policy and health in all policies, and (e) lack of access to health services for everybody.

Public Health Reforms ; Kosovo

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