NOTE: KINDLY NOTE THIS IS ONE QUESTION SO IF YOU ANSWER JUST THE ( a) PART OF THE QUESTION I KEEP REPOSTING QUESTION ONE WITH SUBQUESTIONS.

the health sector, there are many players who are involved in restoring, maintaining or improving health of the population mused Charles. He was convinced that there is a need to have a mixture of good organization, management and resources that will result in the delivery of cost-effective, efficient and quality health services. As he pondered on these thoughts, Mable came by and asked Charles about whether the health systems in Zambia were working well or not. In his response Charles said that the health systems were working below par. However, Mable told Charles that his response was not at all correct. She said that one has to use some assumptions so as to understand how health systems operate. Mable gave Charles an example. She told him to imagine that he attended a WHO meeting where he learnt that in some communities, especially in families that had patients with prolonged illness, people had to spend as high as 70% of their monthly incomes on health alone. This situation was described as disastrous. Thus, member states agreed that each member had to contribute a reasonable percentage of their gross domestic product towards health. The contribution had to be prudently managed so as to ensure minimal wastage of resources while ensuring cost effective and appropriate mix of healthcare activities were carried out. The goal is that every member of the community must be able to receive the bare minimum of healthcare. Charles agreed with Mable but said he had his reasons for his stance. He said as long as people in the rural communities are not educated on how to keep their environments clean, personal hygiene encouraged and how to identify common local diseases it was difficult to say the health systems were working well. He further, said that more clinics should be erected and for those communities where access was very difficult, outreach programs could be undertaken. Key to this, is the involvement of the community themselves as major stakeholders.

REQUIRED

. Identify four (4) objectives that Mable has mentioned in her example. (12 Marks)

F. From your answer in (D) above, what other concept has Mable NOT talked about? (2 Marks)

G. Mention two (2) other analytical frameworks that would shade more light in answering the question that was posed to Charles. (4 Marks)

H. Mention two (2) health strengthening strategies alluded to by Charles. (4 Marks) I. List three (3) activities under each strategy identified in question (H) above. (6 Marks)