Sunday, October 13, 2019
The Bill Of Rights :: essays research papers
The Bill of Rights à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à Bill of Rights à à à à à The first ten amendments to the US constitution are called the Bill of Rights because they provide basic legal protection for individual rights. The terms also applied to the English Bill of Rights of 1689 and the Canadian Bill of Rights 1960, and to similar guarantees in the constitutions of the American states. à à à à à From the perspective of two centuries, it can be said that Madison chose well among they pyramid of proposal sin the state. he included all the great rights appropriate for constitutional protection. The US Bill of Rights contains the classic inventory of individual rights, and it has served as the standard for all subsequenent attempts to sage guard human rights. à à à à à The first American use of the term was in 1774 when the first Continental Congress adopted the declaration and resolves, which was popularly termed the Bill of Rights because it was an American equivalent of the English Bill of Rights. Two years later came the Virginia declaration of rights, which contained the first guarantees for individual right single gully enforceable constitution. The distinctive feature of the provision in American Bill of Rights is that they are enforced by the courts. à à à à à From the time they first settled in Virgin and Massachusetts, the American colonist relied upon the rights enjoyed by Englishmen. The struggle for independence, however, demonstrated to them that rights not specified and codified in constitutional documents were insecure. The result was a movement as soon as independence was declared, to adopt bindings constitutions that limited governmental power and protected individual rights. Seven of the thirteen states adopted constitutions that included specific bills of rights. The Bill Of Rights :: essays research papers The Bill of Rights à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à à Bill of Rights à à à à à The first ten amendments to the US constitution are called the Bill of Rights because they provide basic legal protection for individual rights. The terms also applied to the English Bill of Rights of 1689 and the Canadian Bill of Rights 1960, and to similar guarantees in the constitutions of the American states. à à à à à From the perspective of two centuries, it can be said that Madison chose well among they pyramid of proposal sin the state. he included all the great rights appropriate for constitutional protection. The US Bill of Rights contains the classic inventory of individual rights, and it has served as the standard for all subsequenent attempts to sage guard human rights. à à à à à The first American use of the term was in 1774 when the first Continental Congress adopted the declaration and resolves, which was popularly termed the Bill of Rights because it was an American equivalent of the English Bill of Rights. Two years later came the Virginia declaration of rights, which contained the first guarantees for individual right single gully enforceable constitution. The distinctive feature of the provision in American Bill of Rights is that they are enforced by the courts. à à à à à From the time they first settled in Virgin and Massachusetts, the American colonist relied upon the rights enjoyed by Englishmen. The struggle for independence, however, demonstrated to them that rights not specified and codified in constitutional documents were insecure. The result was a movement as soon as independence was declared, to adopt bindings constitutions that limited governmental power and protected individual rights. Seven of the thirteen states adopted constitutions that included specific bills of rights.
Saturday, October 12, 2019
Philosophy Of Composition Essay -- essays research papers fc
Poeââ¬â¢s Composition of the Raven à à à à à Edgar Allen Poe describes in great detail, his poem ââ¬Å"The Ravenâ⬠, in The Philosophy of Composition. Never before had I been able to read a poet describe in his own philosophy of making a poem. Poe goes in deep context and meaning to how he derives the story line to his poem. He explains what significance the raven plays in the poem and the beauty of his intent in the poem. Poe, first thought of an impression or effect he would like to suppress upon the reader. In this case, he chose beauty as the sole intent of his poem. Second he wanted to find a tone, which would express his view of beauty throughout the poem. His choice of tone was sadness because he believed beauty ââ¬Å"excites the sensitive soul to tearsâ⬠(1575). He also wanted...
Friday, October 11, 2019
Public Health Care Service In Cameroon Essay
Social services consist of goods that are part of major resource bases that must be managed effectively in order to fulfill the ongoing development need of the country. The public health care system (PHCS) is one of the resource bases that directly benefits from government budget allocation. Throughout Cameroon, researchers observe major differences and unequal share distribution in the access and utilization of the public health services. These incongruities become obvious when examining the distribution of health infrastructures and health workers throughout Cameroon. A closer analysis shows that the organizational imbalance of public health establishments, along with inappropriate internal and external administrative politics (financial weaknesses and inadequate governance) in the management of PHCS are the most significant obstacles affecting the effectiveness of the health staff, the efficiency of the PHCS and the equity of public health services delivery in Cameroon. Human Resource Distribution First, the number of health care workers across the country is significantly inadequate with approximately 1 physician made available for about 10,000 inhabitants, compared to 1 for every 3,000 as recommended by the World Health Organization (WHO). Furthermore, it has been reported that there is about 1 nurse for every 2,250 individuals, compared to 1 for every 1,000 as recommended by the WHO. Table 2-1 shows the statistical trend in the number of physicians, nurses, midwives, dentists and other health care providers from 1980 to 2005, as well as the increase in the number of pharmacies. Even though the numbers that are displayed in this table seem large, and bearing in mind that the population has been steadily increasing since 1980, there is a discrepancy between the number of providers working in the health care industry and the number of people living in Cameroon. Indeed, in 2001 the human resource deficit in the PHCS has been estimated to total approximately 9,000 persons. In addition to the deficient number of health care workers, there is unequal distribution of health staffs throughout the country with wide distribution disparities between urban and rural areas, which point to obvious disparities in access to care between poor and non-poor. Studies show that while the ratio of health personnel stands at 1 for 400 people in urban areas, their ratio of health personnel decreases tenfold, and is pegged at 1 for 4000 people in rural areas, requiring rural residents to travel long distances to receive the necessary medical care. Such imbalance between health workers and the population requiring the health services raises concerns about the effectiveness of the health providers, since it is likely that their competence would be diminished due to the heavy load of patients they must care for. Because PHCS facilities are selectively located, there arise problems of equity in access. Equipment and Facilities Distribution The distribution of equipment and facilities resources also indicates that the PHCS is poorly equipped to provide adequate health services to meet the needs of the population. The physical resourcesââ¬â buildings, equipment, and suppliesââ¬â have been woefully deteriorating for some time. Most of the infrastructure and the equipment of the PHCS are outdated. Facilities are unevenly distributed among provinces, as well as between urban and rural areas. Table 2-2 shows that there is 1 health center for 8,500 people, 1 hospital bed for 770 people, and 1 health facility per 85,000 people, which is clearly insufficient to meet the medical needs of the population, and at the same time, provide appropriate medical care. Though the total number of health centers has increased twofold rising from 1,893 health centers in 1990 to 2,144 health centers in 1996, the inequitable distribution creates issues of disproportionate access to health services. Therefore, though there might be sufficient facilities for providing primary care for the countryââ¬â¢s population, the problem of uneven geographical distribution of health care facilities and the lack of trained medical personnel in remote areas, are incongruent and remain unresolved. à à à à à à à à à Health professionals and trained support staffs, valuable and indispensable assets of any health care system, are crucially scarce in the Cameroonian PHCS. Health professionals need to be trained and motivated to perform at optimal levels; however, in Cameroon, there are no incentives to encourage competent health workers to stay in the public sector or provide good quality services in the public facilities. Those health workers who remain and work in the public health sector have been primarily assigned to urban public facilities due to their general reluctance to relocate to remote areas of the country. Consequently, there exists an oversupply of qualified health providers with an attendant oversupply of infrastructure in mostly urban areas; whereas, there is an undersupply of qualified staff with the attendant undersupply of adequate infrastructures in primarily rural areas. Hence, the shortage and uneven distribution of trained health workers nationwide as well as the insufficient and disparate distribution of health facilities promote overcrowding of many public health facilities. Taken together, these prevailing conditions limit the effectiveness of health care workers, and contribute to underutilization of facilities in other areas, all resulting in inefficiency of the PHCS. The disparities of health services across the country can be noted in Table 2-2. à Inadequate Governance and Lack of Funding Apart from the decrepit health facilities, the accompanying technical support centers are also quite outdated with inept and corrupt bureaucratic administrations. Routine procedures that should normally be completed within a matter of hours can take several days to be resolved. Such ineptitude points to a lack of administrative discipline and an ingrained culture of corruption in the public healthcare system. From administrative procedures to medical procedures, patientsââ¬â especially the poorââ¬â have to bribe the personnel in order to obtain medical service delivery or they have to be prepared to undergo several trips to the healthcare institution just to receive appropriate medical care. Furthermore, there is no proper management accounting system in public health facilities, raising issues of inadequate management. Earned income from performed services are not all reported and when they are it remains quite unclear which charges correspond to which services. à à à à à à à à à A number of conflicting phenomena that retard effective development of PHCS have yet to be resolved or corrected. The conflict of interest and the agency problems arising when publicly employed physicians also manage public health facilities seems not to be a major concern of the MOPH. Physicians employed to serve public facilities may tend to divert patients to their own private clinics or they lack the necessary rigor and ethics in the delivery of medical care. There is therefore a clear shortage of competent and skilled healthcare managers and a lack of management leadership capacity resulting in extensive internal administrative weaknesses. à à à à à à à à à The lack of strategic planning in the conception and the implementation of health projects and programs also contributes to the failure of initiated health projects. Managers at public facilities, mainly possessing only basic medical background, lack the vision, the leadership capacity and the management discipline required for the function of healthcare manager. They approve projects presented to them, for example, based on subjective (highest under the table kickback) rather than objective (impact on population health status and improvement in quality of life) considerations. They do not have competent support staff to assist them in performing business strategic evaluation, which is necessary before engaging in any project. Such preparatory analysis would include environmental scanning, strategy formulation, strategy implementation and evaluation and control of operations. Thus, the lack of strategic management capacity and the inability to learn from past mistakes and othersââ¬â¢ experiences favor wastage of precious resources and promote inadequate governance of the PHCS. à à à à à à à à à Significantly, the PHCS is clearly under financed. Health care organizations must generate cash flow, acquire assets, and put those assets to work, just as manufacturing and banking organizations do. Though the public budget allocated to PHCS has more than doubled in the last couple of years, going from CFAF 24,048 billion or 2.16% of the national budget in 1997 to CFAF 120,844 billion or 7.82% of the national budget in 2005 (Table 2-3), it is important to note that such growth coincided with the implementation of several economic reforms and the approval of loans from the World bank (WB). Moreover, a significant amount of the monies available were heavily invested in the restructuring of some health facilities, the building of roads to increase access to care and the training of health workers. But despite the increases in government funding, the financial allocations are indeed meager considering the ongoing needs of the growing population. For instance, the structural renovations performed were certainly not sufficient to insure quality of care delivery nor were they enough to ensure increased use of health services. Furthermore, primary health care centers and district hospitals, even those with trained staffs, lack adequate technology to diagnose many infectious diseases, and they regularly run out of medical supplies and pharmaceutical drugs. External contribution to the financing of health care in government budget has increased also, rising from 26.53% of the total health investment in 1997 to 32.10% in the year 2000, as shown in Table 1-3. However, the management of such funds is troubling to the degree that in most cases health facilities do not receive the bulk of the monies from foreign financial benefactors. Internal organizational structures plagued with heavy bureaucratic barriers and heavy corruptive practices prevent the proper and fast disbursement of the external fund contributions, raising issues once again of internal dysfunctional organizational structure and inadequate governance. The lack of rigorous and transparent handling of funds leaves severe deficiencies in financial accountability and encourages false reporting and embezzlement of health funds. à à à à à à à à à à In addition, the MOPH has not been able to allocate monies equitably across the territory based upon the consideration of the geographic spread and economic need of the total population. Instead of using the donated funds for the revival of essential programs such as health prevention campaigns, immunization campaigns, information campaigns, and targeting services most frequently used by the poor, about 60% of government health expenditure is devoted to urban health facilities serving only about 20% of the population. Such preferential allocations create an issue of inequality in access and utilization of care. Moreover, households are then obligated to assign larger shares of their budgets for health expenditure. Meanwhile, the poverty rate has been steadily increasing nationwide. à à à à à à à à Another factor causing the low financing of PHCS is the practice of either wrongful or unwise disbursement of funds in the sense of not considering future development and advancement. Most funds earmarked for health care development are sunk into production costs (maintenance of major equipment, payment of salaries, replenishing of inventories, and so forth) with nothing substantial left for infrastructural developments and quality improvements in delivery care. Foreign Aid and Healthcare Expenditure Essentially, external institutions have dictated a number of economic constraints on national budgetary decisions. Cameroon is one of those countries subscribed to the WB/IMF structural adjustment program (SAP) which imposed drastic cuts in the national budget for health which went from 120 billion CFAF or 3.3% of the total GDP in 2002 to 58 billion CFAF or 1% of the GDP in 2005. à à à à à à à à à The SAP policies required already indebted countries to: (1) shift from production of domestic consumption food to producing cash crops for export; (2) abolish food and agricultural subsidies to reduce government expenditure; (3) severely cut health, education, and housing program funding and reduce salaries; and (4) devaluate the currencies and privatize government-held enterprises. The reform designed to stabilize the economy exerted adverse effects instead on the economy of borrowing countries like Cameroon. In reality, [the World Bank] imposed harsh measures, which exacerbated poverty, undermined food security and self-reliance and led to resource exploitation, environmental destruction and population displacement. The health sector was particularly adversely affected, and few proactive steps were taken to protect vulnerable populations and ensure ongoing availability of basic services. Following the expenditure cuts, especially in the national budget for public health, the following conditions occurred: (1) the integrated health centers lost qualified personnel and a shortage of basic health materials ensued; (2) the training of health workers was interrupted, which in turn affected the motivation level of doctors and health workers; (3) there was a shortage of medical supplies, a breakdown of transportation and problems of inadequate management; and (4) medical consultations and hospitalization declined despite the increases in acute infectious diseases. More generally, the quality of care delivery in public facilities declined and studies showed that more patients sought care in private institutions despite their higher costs. à à à à à à à à à In addition to all the obstacles of an already struggling PHCS, the combined effects of infectious disease epidemics of tuberculosis, malaria, and HIV/AIDS, further strained the public health sector beyond its limits. The failure of the public health system to provide appropriate medical care for individuals who had contracted these diseasesââ¬â large segments of the population ââ¬â led the latter to choose more expensive private medical services. Consequently, as shown in Table 2-4, the household budget for health expenditure skyrocketed and rose from 4% in 1983/84 to 9.6% in 1995/96 resulting in a household spending on health from $14 to $20.6 per capita. The increase is mainly due to elevated out-of-pocket payments charged for private medical services, raising the issue of inequality once again in the use of care. The WHO has estimated that the cost of a basic package of health care delivered to 90% of the population in a low-income country like Cameroon would be a $13 per capita (table 2-5). à However, a further analysis of the region matrix in table 2-5 and the distribution of household per capita health expenditures by population decile (which is a partial source to income group matrix) in table 2-6 reveals even more drastic inequalities in the distribution of health expenditure across income groups and between urban and rural regions. à à à à à à à à à Thus, in 1998, the per capita household expenditure for health by the poorest 10% of the population was only $5.4 while for the richest 10% it was $90.4. This translates in the utilization of private health servicesââ¬â more effective deliveryââ¬â by the part of the population with higher income and the utilization of public facilitiesââ¬âless effective deliveryââ¬â by the poorest portion of the population. The wide middle class will seek medical care from public, private or traditional providers based upon their current financial means. à The table 2-5 highlights the wide inequalities in the distribution of health expenditures between urban and rural areas (and to a lesser extent among rural areas). In Douala and Yaounde (the two largest towns holding about 40% of the population) the capita health expenditures were $51.9 and $46.1 respectively compared to $18.5 and $18.9 in the rural plateau and rural savanna. Such imbalances are due to the fact that households have higher incomes in urban areas, government spending is higher in urban areas and enterprises, both public and private, are concentrated in urban towns. à à à à à à à An evaluation of the performance of the PHCS reveals, therefore, that the principal elements and characteristics of successful health systems including accessibility to facilities, appropriateness of medical treatments, effectiveness in access of care, efficiency in delivery of care and equity in use of care, are all seriously lacking in the Cameroonian PHCS. Effectiveness: Public Health Care System Performance In Cameroon, public health facilities perform below expectations due to organizational, managerial and financial issues. This below average performance results in reduced effectiveness of public healthcare providers, inefficiency of the PHCS and unequal access to health services by a large portion of the population who needs it the most. à à à à à à à à à Budgetary cut backs have also led to a moratorium on the construction and equipping of health facilities, a freeze on the recruiting of public health employees, and a shortage of sufficient qualified personnel. In addition, the distribution of health workers across the country is inappropriate due to discrepancies in regional distribution of health facilities. In a major way, salaries have been slashed with the attendant consequences of the lack of motivation and lower performance (low morale) among health personnel. à à à à à à à à à As a result overall, the main quality indicators have deteriorated in the light of WHO standards. The per capita ratio of physicians, nurses, hospital beds, health centers and pharmacies shown in Table 1-1 indicate major discrepancies in the distribution of health resources across the territory. Human resource planning is to be revised and working conditions are to be ameliorated in order to attract more care providers in the public sector, increase productivity and effectiveness of the PHCS. à à à à à à à à Not only is there a shortage of human resource personnel, but there are also supply management deficits. Inventories are not kept accurately, so doctors and nurses can help themselves to medications directly on shelves, and supply depends on availability of resources rather than based on any demand assessment. This means that inventories and supplies are replenished whenever funds permit. Moreover, supplies are not equally distributed among health facilities. Urban health facilities tend to receive more stock and resources than rural or remote health facilities, but medication and medical materials are in more grave demand in these latter areas. In some rural facilities, syringes and surgical material such as gloves and bedding are re-used. Some facilities even lack beds for patient and the laboratory material to perform blood or other tests. Thus, equipment that are needed for the care of ill patients are regularly in excessive quantities compared to other areas, and are lacking in other areas or where there are none at all. à All these factors engendered by internal and external mismanagement at both the financial and the organizational levels affect the rate of use of public health services, and, ultimately undermine and negate the efficiency and the effectiveness of the PHCS. Efficiency: Utilization of Public Health Facilities Several constraints have arisen during the last decade, which led to a significant decrease in the utilization of the public health care system. The government suspended recruiting and training of health care personnel because of lack of funding. Table 2-1 shows that there are fewer than 20,000 health care workers for a population of almost 17,000, 000 people. The prevailing (accepted) corruption in public health facilities is manifested through the observation of health personnel offering health care services which are normally free in exchange for financial favors. In Cameroon, though many medical services such as vaccination and delivery of essential drugs, are supposed to be free of charge, more often than not, personnel charge patients with nominal fees for these services. Moreover, the culture of ââ¬Å"clientelismâ⬠is deeply rooted in the PHCS. Notably, medical services afforded to patients are prioritized not based on the severity of patientsââ¬â¢ illnesses, but rather on the level of rapport between the health staff and the patients or the amount of money the patients have at their disposal to be used to bribe the health staff. Health managers and health providers in the concerned facilities do not regularly investigate or follow up patients complaints simply because they belong to the same professional pool as those personnel who exploit the patients and accept bribes for routine medical care. Moreover, the lack of incentives from the MOPH to reinforce the delivery of free services and the fact that MOPH authorities are responsible for nominating those health managers, all factors which serve to undermine the effectiveness of any civil action against the malpractices observed in public health facilities. à à à à à à à à à In essence, as an intern in the Hospital La Quintinie in Douala in 2000, this researcher witnessed instances when patients bribed health personnel to receive health services they had already paid for at the cash register. This researcher also saw bodies being dumped in the front yard of the hospital and remaining there for hours before being dispatched to the morgue. In another instance, this researcher was informed of an individual who had sued a physician for negligence. The doctor had received a telephone call late at night relating to the difficult delivery of one of his patients; however, the doctor had asked the nurse to deal with the issue and turned off his cell phone, which resulted in the death of the patient. However, the case was dismissed and the physician, who did not even receive a temporary suspension or a reprimand, is still working at that facility. Also, seriously ill patients are still left unattended in waiting areas for extended hours. This situation fosters long lines and extensive waiting times, altogether discouraging many patients from seeking medical care in public health facilities. The efficiency of the public health system can be judged by the utilization of the services by the people for whom they are intended. According to the North West province records, during 1989 and 1995, there were 173,450 consultations in religious missions facilities versus 129,569 at government health centers in the northwest region. In other words, there is a two fold increase in the utilization of nonprofit facilities. That data attest to the low utilization of public health care services and implies that the quality of health services delivered is inferior in the public sector and, therefore, less sought. The evidence from the northwest province suggests a steady decline in health care provision by public facilities. The share of the government in both health centers and hospital consultations fell from 72.9% in 1989 to 50.1% in 1995 while the share of mission consultations increased from 25.5% to 47% and the private sectors from 1.6% to 2.9%. The bed occupancy rate in hospitals fell from 45% in 1985 to 23% in 1996. Therefore, it becomes apparent that many patients clearly demonstrated preference for health services offered by nonprofit organizations and for profit establishments instead of those offered in the public sector. Such utilization factors underscore the failure of the PHCS in providing efficient health services. à à à à à à à à à In fact, the poor, for whom public services are primarily intended, incur overall financial losses when using public health facilities. First, they must travel long distances to receive uncertain and inconsistent medical attention. Second, added to the time wasted on the road to reach health centers, they have to wait long hours to receive inadequate and inappropriate care or no care at all. The opportunity cost in terms of income loss and hours of labor is high compared to the quality of life improvement they might have gained. This prevents many low-income patients from utilizing public health facilities unless their diseases are in a well-advanced state and require immediate attention. à à à à à à à à à According to the 1995 household-survey, 14.8% of health providers were traditional healers, 43.8% of consultations took place in public facilities, and 56.2% took place in private facilitiesââ¬â though 50% more expensive. There is a clear decrease in the utilization of public health facilities over private health clinics. The decaying public health care buildings, major components of the health care infrastructure, and the lack of competent health workers actually send negative messages to patients who, therefore, prefer to obtain appropriate care at higher costs at private institutions for those who can afford it. Table 2-7 further illustrates the low level of government health spending relative to private spending and household spending. à There is a grave degeneration of medical ethics in several public health facilities. Often, under qualified health workers perform specialized services they have not been trained for. In some hospitals, nurses are performing surgeries, delivering anesthesia and prescribing medicines. In other health facilities, the record of services provided is inaccurate and patientsââ¬â¢ files are non-existent. à à à à à à à à à The overall number of health care personnel in public health care facilities has decreased against a background of a growing population, resulting in a gap between the health services demand and the supply in the whole territory and an underutilization of public medical services. Underutilization promotes wastage in health care resources and inefficiency (low utilization) while favoring the development of over-crowding in other health units, which in itself prevents proper and adequate delivery of healthcare to patients. Moreover, the vast regional imbalances between the distribution of health care facilities and health care workers exacerbate the problem of underutilization of public health care facilities. Equity: Health Disparities Across the Nation There are significant differences in the state of health and the access to care between the poor and low-income households and the non-poor, as well as between urban and rural inhabitants. Most people turn to formal health services in cases of illness. Among those who have declared themselves ill in 2001, 3/4 was able to seek consultation at a formal health centers, versus 1/4 in informal facilities. Formal health centers are more frequently visited by the non-poor and informal facilities by the poor. It appears that non-poor seek medical help more often than the poor maybe due to superior financial capacity. à Another indicator of discrepancy between poor, non-poor, rural and urban residents is the vaccination rate. Thus, the immunization rate for non-poor children is better than that for poor children and children are better protected in cities than in rural areas. Table 2-5 reports inequality in the rate of consultation in formal and informal facilities between poor and non-poor in rural and urban areas. From that table, it appears that both income groups allocate similar budgets for health expenditure. However, the average health expenditure among the rural and poor residents is three times less than that of non-poor and urban dwellers. Thus, lower spending for health care services is reflected in the lower consultation rate of non-poor which is indicative of their health status. Thus, the infant (12 to 23 months) immunization rate for poor in rural areas was 66.9% and 53.1% for poor in urban areas while it was 89.5 for non-poor in rural areas and 70.2% for non-poor in urban areas. à à à à à à à à à à Finally, the non-poor have to travel slightly lower distances to receive medical care than the poor which in turn increases their access to health services. According to regional health map data, 54% of people live less than five kilometers from an integrated health center. This average figure, however, conceals wide regional disparities, ranging from 43% of people living less than five kilometers from an integrated health center in the province of Adamaoua to 78% of people living less than five kilometers from an integrated health center in the Littoral province. Moreover, the household survey statement notes that rural people must travel five times farther than urban dwellers to reach the nearest health facility. Even more striking, 98.9% of the people who must travel 6 km to a health facility live in the countryside, indicating the serious problem of rural access to appropriate health care services. à à à à à à à à à Table 2-5 shows the division of health spending in urban areas (Douala, Yaounde, and other towns) and in rural areas. From this table, it is obvious that urban dwellers spend more on health care than rural dwellers mainly due to higher income since households in cities spend on average $34 on health care versus $16.7 on average on health care, which is about half of what urban dwellers spend on healthcare. Though government spending seems to be significantly higher in comparison to direct foreign aid and religious mission share of health spending, it must be emphasized that an increasing share of MOPH budget is financed through foreign financial donations (Table 1-3). à à à à à à à à à Table 2-8 is a perfect illustration of the lack of equity in the distribution of health services (whether in formal or informal facilities) among the different population groups in Cameroon. à From Table 2-8, it appears that annual average health spending per capita is three times higher in urban than in rural areas (39,00 CFAF vs. 13, 000 CFAF) and four times higher among the non-poor than it is among the poor (32,000 CFAF Vs 6,900 CFAF). Yet the cost of health services rose nearly three times as fast as the average inflation rate over the last five years by some 70% (13,000 CFAF to 22,00 CFAF), which led to a considerable decrease in the demand for health services, especially for the poor whose utilization of health services declined. References Adamolekun, L. (Ed.). (1999). Public Administration in Africa: Main Issues and Selected Country Studies. Boulder, CO: Westview Press. McKinney, J. B., & Howard, L. C. (1998). Public Administration: Balancing Power and Accountability (2nd ed.). Westport, CT: Praeger Publishers. Vine, V. T. (1971). The Cameroon Federal Republic. Ithaca, NY: Cornell University Press.
Thursday, October 10, 2019
Comparing and Contrast the Chemical Disasters at Bhopal
In todayââ¬â¢s modern society, as many countries have been developing very fast, the technologies are reaching high standards of level, for example, the high qualities weed killers and the liquid cleaner. However, as the big invention occurring, the more and more mistakes will be going on, because some technologies, such as weed killer and liquid cleaners are chemicals. With no doubt, chemicals are really harmful for human beings. As people all know that, toxic chemicals are used in the industries, which have to be safely covered and provide very serious use instruction, such as wearing long gloves, safety shoes or masks.However, even the chemicals are under several instructions, but people may have made some serious mistakes which caused a huge damage and large amount of death to people. In this essay, I am going to write about the two disasters that caused a lot of injures by the explosion of poisonous chemicals, which located in India and Italy. According to Shrivastava (1996), on the night of 2/3 December 1984, an enormous accident happened in Bhopal, India, the highly poisonous and unbalanced chemical gas was escaped from the factory and continue to spread over the city which caused by the lack of the attention and care ness.Apart from that, Marchi and Funtowicz and Ravetz (1996) states that in the 10 July 1976, a powerful weed killer which named 245T was exploded in a small town which located near Milan, the 245T contained the most powerful and toxic chemicals, it can kill any live stocks and human very easily, the accident was caused by man made unmanaged instructions and the toxic dioxin was spilled to the atmosphere. Between these two accidents, they were all caused by people not nature. Unlikely, these two took places in different period and locations. Luke (1984) believed that the Bhopal accident was caused by the ignorance of experts.This factory was built in a crowded population environment, and because they against the rule of US safety standar d, too much amount of MIC was contained in the store and due to the huge quantity of it, the tank was not strong enough to hold the chemical, as the safety manual required at o degree, the safety system was broken down and water leaking in to it and set off the reaction. The chemicals were released into the air. Bhopal and Seveso were similar in that, according to Marchi & Funtowicz & Ravetz (1996) because of the unmanaged instructions and the ignorance, the disasters had a substantial damage and effect.According to Gail (2003), the Indian Government made a great effort in trying to manipulate the situation, yet all their attempts failed to provide the sufficient supply of medical services and food supply. There was not enough place for all the injured people to get medical treatment. That is because of the large number of injuries and the lack of doctors and medicine. Added to this, doctors at Bhopal had no idea of what kind of affection they were dealing with. Unfortunately, most people arrived at the hospital when it was too late, others died while waiting for their tern to see a doctor.Similar to Bhopal, Seveso suffered from lack of immediate responses and from ignorance of what exactly happened and what gases were released. Late decisions of evacuation and other responses were made, after the government first move of realizing and defining the accident and its possible consequences. B. De Marchi, S. Funtowicz, and J. Ravetz (1996), believe that Seveso had a better response than Bhopal, when a comparison between the two disasters were made. The Italian Government had more ability to absorb the affects in a shorter period of time.Unlike Bhopal, the process of recovery was reasonably good, due to the smaller affects, less damage and the high financial capability. There were compensations to victims, redeployment to people lost their jobs and there was some control on health long-term effects by monitoring them through a practical planned program. The main di fference between the effects of the accidents at Bhopal and Seveso is that many people died at Bhopal, whereas there was no any death cases reported in any article at Seveso. Death is considered a short-term effect. David (2002) believes they were roughly 7000 death cases at Bhopal.Baines (1993) mentioned other short-term effects at Bhopal such as difficulty and eye irritation. Similar symptoms appeared on Seveso survivors. Added to this, Shrivastava (1996) points out that people exposed to the released gas had some other short-effects such as cough, vomiting and chest pains. Long-term effects at Bhopal mainly were eye-sight weakness and high possibility of getting different kinds of Cancer. No long-term effects are in detail in ââ¬Å"The long road to recoveryâ⬠, (B. De Marchi, S. Funtowicz, and J. Ravetz 1996), neither in ââ¬Å"Environmental Disastersâ⬠, (Baines 1993).These disasters had involved so many people, some were dead, and some were seriously injured . Also, so me people may have a great risk of getting the negative effect in their rest of lives. Due to these happened , there must be someone stand up and taking the responsibility for the huge damages and waste . In the disaster of Bhopal , the company which involved in was union Carbide , this company in USA was decreased their value of stocks by this failure. Furthermore, the Union Carbide in India has to accept to pay the funding for the patients and for the damages.Even though, the American company against to accept the legal responsibility which done by themselves. But, the local government and a lot of lawyers have sued the company, and they won the beat, so they got the funding for the injured families and hospitals. (ââ¬Å"Bhopal Indiaâ⬠DIS Covering Science). In contrast, according to ââ¬Å"The long road to recoveryâ⬠, by B. De Marchi, S. Funtowicz, and J. Ravetz (1996), the company of the Seveso had paid for the hospitals and government and any hurt, and they will be m ore concern about how to do the securities very carefully and reasonable.To avoiding these things happen again, every people and individuals have done something to prevent these kinds of disasters. First of all, according to the articles, local government had legislate some issues for caring the chemicals and warning people who were working with the chemicals must pay a lot of attentions on it. Also, the companies which producing the chemicals have to be located far from the high proportions of people in the neighborhoods and providing the knowledge for hospitals about how to cure the chemical disease.In conclusion, every one and society have to do something to avoid the disaster happen, because no one wants to die or wants to see other people dead. So, from these two disasters, People have studied how to prevent the disaster happen, and not just blame some one to take responsibility after the disasters. Even though these two serious events had happened years ago, it still named the one of the worst industrial disaster in the world, because many innocent people were died for it, and too many people had to injure the painful during their rest of lives. Essay Foundation 001Academic writing Comparing and contrast the chemical disasters at Bhopal in India and Seveso in Italy Student full name: Li Fei Lu (Lulu) Teacher: Chris Beard Essay length: 1190 words Reference A chronology of events at Seveso and Seveso adapted from B. De Marchi, S. Funtowicz, and J. Ravertz (1996) Seveso: A paradoxical classic in The long road discovery: Community responses to industrial disaster Edited by James K. Mitchell: United nations University Press. ââ¬Å"Bhopal, India. â⬠DISCovering Science. Online Edition. Gale, 2003. Reproduced in student Resource Center.Detroit: Gale, 2004. http://galenet. galegroup. com/servlet/SRC downloaded 26 November 2004 Cancer fears haunt survivors of Italian chemical disaster (1997) Cancer Weekly Plus Retrieved January 23, 2005, from the Expanded A cademic Database David, L (2002) Night of the Gas New Internationalist p34 (2) p9 Retrieved January 23, 2005, from the Expanded Academic Database Shrivastava, P (1996) Long-term recovery from the Bhopal crisis in The long road to recovery: Community responses to industrial disaster Edited by James K. Mitchell: United Nations University Press (adapted)
Wednesday, October 9, 2019
Benefit Analysis in Project Management â⬠Free Samples to Students
Allsports Sports Club is a place where many outdoor games like cricket, football and even athletics are conducted along with some indoor games like table tennis and others. The club is very much popular in the vicinity. There are many thousand members of the club who es to play these games on daily basis. A weekly newsletter is being released here on every Wednesday with articles on sports and few advertisement of outside business. The hitch is the release of this newsletter which is being supervised by Club President. The main objective of the report is to solve few technical and operational issues being faced by Club president on daily life to release the newsletter on timely basis. For which the owner has awarded us the contract to provide the solution. For the releasing of newsletter on every Wednesday, it is the duty of editor to collect and publish the articles based on the sports activities happened till last Saturday and moreover every week the editor need to change and every member need to be given equal opportunity of b ing the editor. But it remains the responsibility of Club president to see that all the members are getting equal chance. President is having only the word and spreadsheet as the software to manage the information related to many thousand members. President had to face many issues on daily basis to manage such big database. Few issues are listed below: So maintaining these information in spreadsheet needs vigorous and accurate filtering and maintain such dynamic information where every day the activities or the database need to be updated then only the next course of action can be finalised. So in such dynamic situation where daily there are ments and the whole system requirements changes accordingly the only methodology which fits in this situation is the Agile methodology of developing the system. The selected method that is Agile methodology for developing the information system of Allsports Sports Club is the best approach because it is a people centric project where every moment some ments need to be updated an again modify the system to generate the desired result (McLaughlin, 2017). So the merits of this methodology can be used with for below betterment of the system are: The sutomated system can be used to store an manage all the information related to thousands of stakeholders This methodology is the best option for this kind of changing conditions So Agile methodology option is the best approach to develop the desired system The primary required functions required to develop Allsports Sports Club System are: Unique registration ID is must for all users: so that the users who all are logging and for long they are logged in can be tracked, so that the exact work hours can be defined for the staffs to develop the publication. Verification of users: need to be done to prevent entry of any unwanted person in to the system and all the personal data shall remain intact. System must be accessible from all locations: so that members need not e to club physically for writing the articles and they can sit anywhere and write it, even after writing either they can upload in the system or e-mail to editor for further action. Proper functioning of the large database: is must to show desirable information. Window view wise access: is required to be provided depending on the person. The administrative access must be available with Club President to enable access to all folders. Generation of proper notification and follow-up system: is required for timely releasing of newsletter Always show pending tasks for the week: for developing the newsletter on time Highlight next weekââ¬â¢s editor name from 1 week before itself: to help club president in municating with him well in advance Common format of newsletter: need to be maintained to save last minute run for the format arrangement The non-functional requirements for developing Allsports Sports Club System are: Secured enough: the system need to installed good quality firewalls to prevent from any probable attack and preserve the information related to users. Accessible from all devices: to provide flexibility to users and ease of developing the articles System must be well understandable: for proper optimum use of the software. As per (Wrike, 2017) the cost benefit analysis in the field of project management is a great tool which can provide information regarding the parison between the investment made Vs the benefits incurred due to the investment. In this technique, all the expenditures are calculated together and arranged in time phase manner, then similarly the profits or benefits are also calculated and tabulated (refer table 1). Then the difference between both the expenditures and the benefits can provide NPV (Net present value), IRR (Internal rate of Return), ROI (Return on Investment) and Pay-back period. The more NPV, IRR & ROI are positive and the less Pay-back period is good for the project and is advisable for investment. WBS or the Work Breakdown Structure is a hierarchical structure being developed to breakdown the total scope of work to a meaningful level which can be tracked and controlled easily and supervised (Gordon and McDonough, 2016). This tool is mainly useful for the senior management or the project sponsor to look at the progress of the project at a single sheet. So here the total scope of system development is divided in the project management processes, that is ââ¬ËInitiationââ¬â¢, ââ¬ËPlanningââ¬â¢, ââ¬ËExecutionââ¬â¢ and ââ¬ËClosingââ¬â¢. Then in next stage these levels are further divided in to work activity level. Now once the Gantt chart is developed, we can observe that there are merely 4 activities out of critical path, so the whole schedule is almost critical and all the activities need to be controlled properly to void any delay in the overall duration of the project. The total project duration is 3.5 months. The people who are anyways related to the projectââ¬â¢s success or failure or can influence are known as the stakeholders of the project (Miller, 2017). Majorly the stakeholders can be sub divided in two parts; one is ââ¬ËInternal Stakeholdersââ¬â¢ and the other ââ¬ËExternal Stakeholderââ¬â¢. The investigation techniques are required for proper tracking and confirming the process involved in the project life cycle are running well and the product shall be delivered well within time and budgeted cost. Audit of document and processes: this is the technique where the documents and the processes of projects are being checked thoroughly to find any lacunas; the audit is also scheduled at regular interval to check the system correctness and for further improvement too. This method is useful for the system development, as we are using Agile methodology and after some point of time Agile has a tendency to run out of budget if not checked at every step. Interview of individuals: it is the process of obtaining correct and unbiased information regarding the project progress or some issues. Here one to one interview is conducted with some pre- set questionnaires. It is useful for the system because the questionnaires are set by some expert in the same field and the collection of unbiased response can really help in finding any issue or the rrot cause. Discussion by organising a meeting: it is the organised official meeting being conducted between the subject experts to provide their point of view and then other can debate and after some pint of time the team of experts can reach to a mon and best consensus. It is very much useful if the participants have good exposure of the topic of discussion. The chosen methodology of the system development procedure is the real achievement of the report, as Agile can be the best fit for the type of project it is. Moreover, the investigation techniques are very strong so that each step can be verified well before providing further. Currently there is no constraint, but the budget can be constraints after some progress of the project, since Agile has a tendency to overshoot the budget due to continuous development and a clear budget cannot be finalised at very beginning of the project. It is to conclude that the schedule time and budget as o now seems to be achievable and the project is very much beneficial at this point. Gordon, Ann and Michele McDonough. 2016. What is a Work Breakdown Structure? [online]. [Accessed 20 August 2017]. Available from World Wide Web: McLaughlin, Mike. 2017. What Is Agile Methodology? [online]. [Accessed 20 August 2017]. Available from World Wide Web: Miller, Mike. 2017. Project Stakeholders: Definition, Role & Identification. [online]. [Accessed 20 August 2017]. Available from World Wide Web: Wrike. 2017. What is Cost Benefit Analysis in Project Management? [online]. [Accessed 20 August 2017]. Available from World Wide Web: End your doubt 'should I pay someone to do my dissertation by availing dissertation writing services from
Tuesday, October 8, 2019
Captain John C. Holleran Coursework Example | Topics and Well Written Essays - 250 words
Captain John C. Holleran - Coursework Example He is the team leader, a coach, motivator, change agent and should provide a serene environment for effective service delivery. He should protect the assets of the firm through evaluation and control for instance utilizing budgets to bring the cost under control. When, the department reports anomalies, he is solely responsible. In the above case, retrenchment is imminent as the organization is large and this is what is driving costs higher than budgeted for. The paper will therefore respond to the above questions. The most vulnerable category of stakeholder will be the community or the society in general. This is because it will be deprived of the service rendered by the police officers retrenched. The community will also be exposed to indirect intangible cost of increased insecurity and increased crimes in the region. The living standards of the people will decrease due to decline in their income. Furthermore, captain is also likely to be affected through demotions redeployment or even redundancy. The employees will, lose their jobs, a decrease in purchasing power and some might suffer from psychological frustration due to stress. The department may have inadequate staff leading to poor quality service, straining of the small staff that could lead to fatigue. The creativity will drop significantly as the remaining vacant positions will not be filled with the right skill. It may spur up tension and mistrust among staff which in the long run will act negatively on the firmââ¬â¢s image, lowe r productivity. Lastly, society will be deprived of the vital service thus decreasing the social benefit enjoyed by the citizens. The society may be exposed to increase in crime rates which may destabilize it.(Pettinger,2002) According to Storey (1992), some of the resistance to effective change can either be behavioral or operational .These resistances include resisting to be redeployed, may resist the ââ¬Ënew wayââ¬â¢ and processes of
Monday, October 7, 2019
Advanced Copyright and Design Law Essay Example | Topics and Well Written Essays - 1500 words
Advanced Copyright and Design Law - Essay Example o ensure that the owners and creators of both literary and artistic work should benefit from their work for a reasonable duration of time, while also ensuring that their generations also reaps the benefits of the innovation and creation of the work. The provisions of Article 2 of Berne Convention for the Protection of Literary and Artistic Works2, states that the creators of artistic and literary work shall enjoy the rights of protection of their created work in the countries member state to union, other than in the country of origin where the artistic and literary copyright protection has been registered. In this respect, the convention provided for the uniform applicability of the right to enjoy the protection of the literary and artistic work that has been created throughout the European Union, without any disparity as regards the exact country for which the copyright has been registered. Further, Article 7(4) of the Berne Convention for the Protection of Literary and Artistic Wor ks3 provides that unless there is special protection of any artistic or literary work in the country of origin, the work shall be protected as artistic work within the European Union. Therefore, the need to ensure consistency in the protection of the artistic and literary works from being used without the authorization of the owner throughout the European Union is essential. Thus, repealing section 52 of the UK copyright Act was not a mistake but a necessary measure to enhance the benefits obtainable from artistic design protection both by the owners of the artistic designs and the whole society. There are two major reasons why repealing section 52 of the UK copyright act was not a mistake: First, repealing of section 52 of the UK copyright Act seeks to harmonize the copyright benefit enjoyment for the UK artistic design used in mass production, to match with the provisions of the European Union artistic and literary copyright protection. Section 52 of Copyright, Designs and Patents
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