State of the Age Technology vs. Outdated methods

Developing countries should take advantage of the lessons learned over the last few years by the developed countries and use the newer technologies to leap ahead. Developing countries should not be burdened with outdated methods that have prove inefficient and ineffective in maintaining quality of care at a reasonable cost. 

Integration vs. Separation

Until now the Health Care System has been separated, grouped, or classified into various "types of health care"; for example: nutrition, material and child health, or family planning. Health care must be viewed as a whole. Unless an integrated approach is taken, unless relationships are understood then effective solutions are not going to be able to implemented.

Evaluation at the detail level vs. the aggregate level

Projects cannot be evaluated at the aggregate level; they must be evaluated at the detail level. Evaluation and monitoring requires detail information. Aggregate data only tells you that something has happened. It does not tell you how or why. 

Management vs. Robots 

Managers need frequent measures of indicators to be able to make decisions. They cannot manage if they are given a check list and told what to do. Managers are a lot closer to the day-to-day operations. They can make things happen that outsiders will never be able to see or perhaps even understand. 

Teach staff to become managers and they will discover the correct way of doing things; Give them orders to follow and we will never know.

Lower Level of Implementation vs. Upper Level of Implementation

It is only at the lower levels that interactions are made with the client. It is only at the lower level that a project can be implemented. It should be at the lowest level possible that data is collected.

Lower Level Staff training in Technology 

Lower level personnel (including managers) should not be trained in computer technology; they should be trained in how to use the information. They should not be given training in how to design databases, how to design reports, or how to run networks. They do not have the technological training necessary to learn these skills. It is a waste of time and is not needed at this level.  

Distributed Processing vs. Centralized Data Warehouse

Distributed processing produces complexity. A Centralized Data Warehouse produces simplification. 

List checking vs. Education 

List checking produces dependency. Education produces independency. 

The Aging population

Plans for the aging of the population must be made now…and details worked out. Politicians think only about the next election and how good they can make themselves look in the next four years...they would never spend money that would only benefit the future generations!