“计划生育经理”的补充介绍了一个案例场景和三个讨论问题,以扩大诊所权力下放的过程。在这种假设的情况下,卫生部宣布了下放管理职能的计划,包括财政——这一步骤将要求计划生育诊所收取服务费,并使用收取的费用来支持诊所的运作。需要强调的是,在这样的变化之前,中央必须明确什么责任,权威,问责制将被转移。除非向外地工作人员提供足够的培训和技术支持,服务可能会受到干扰,质量也会受到影响。培训计划可以侧重于诸如准备集水区的人口预测等领域,制定性能标准,制定收取费用和处理现金的程序,报告收入和支出,分析和预测服务成本,编制预算,引进和管理创收项目。
This supplement to \"The Family Planning Manager\" presents a
case scenario and three discussion questions to amplify the process of clinic decentralization. In this hypothetical situation, the Ministry of Health has announced plans to decentralize management functions, including finances--a step that will require family planning clinics to charge for services and use the fees collected to support clinic operations. It is stressed that, before such a change, the central level must clarify exactly what responsibility, authority, and accountability will be transferred. Unless adequate training and technical support are provided to field staff, services can be disrupted and their quality compromised. Training
programs can focus on areas such as preparing demographic projections for a catchment area, setting performance standards, developing procedures for collecting fees and handling cash, reporting income and expenses, analyzing and projecting service costs, preparing budgets, and introducing and managing income-generating projects.