| Summary |
This Kwik Skwiz aims to support all district managers who are confronted with the task of managing a districts services as well as its finances. It provides a helicopter view of what needs to be done, briefly describes the service management and financial management cycles and highlights the connection between them.
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| More Details |
ISSUE
It is apparent that most managers of services (line-function managers) are not involved in managing the finances of those services. With decentralisation of the management of health services managers are required to optimally use all resources in the district. To do this the service manager needs to be involved in both the service management cycle and the financial management cycle.
Box 1: Financial management and service management in Mount Currie:
| Mount Currie is a health district in KwaZulu-Natal. The district has two district hospitals with three fixed and six mobile clinics linked administratively to the two hospitals. The district does not yet have a district administration component and relies on the expertise in the hospital administrative section to support the district.
In the past, financial planning was left in the hands of the hospital secretaries who had the most experience. Service managers were not involved in this process (although consulted) and they lacked the necessary capacity. Service management is separate to financial management. |
2. THE SERVICE MANAGEMENT CYCLE AND THE FINANCIAL MANAGEMENT CYCLE:
Before we attempt to understand the two cycles, it is important to have a basic understanding of the concepts of management. Management is a process where results are achieved through the activities of people. When people deliver health services, they use money, drugs, vehicles, equipment and work in buildings (Those in italics are called resources). These resources are called inputs. |
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