Summary
Today in the world, 1.2 billion people subsist on one dollar a day, another 925 million go hungry, 114 million school-age children do not go to school, of which 63 million are girls. Each year, 11 million children under the age of five lose their lives, the majority due to treatable diseases; As for mothers, half a million perish each year during childbirth or maternity. AIDS does not stop spreading, killing three million people each year, while another 2.4 billion do not have access to drinking water, that is, there is no economic balance in the world.
On this issue, throughout the 1990s and through anti-globalization movements, the “Millennium Summit” took place in September 2000 in New York City. Representatives from 189 states recalled the commitments made in the 1990s and the Millennium Declaration was signed, which includes the Millennium Development Goals (MDGs).
Due to the concern to verify if one of the objectives is met in our Country and taking into account that our state had a high rate of maternal mortality, problems were studied in a hospital in the high region of the State with an indigenous population with myths and customs.
The General Hospital of the municipality of San Cristóbal de las Casas, has undergone constant changes in the last two years, both in its functional and organizational structure that it has transformed from being a general hospital to a women's hospital, for which it is not has experience in this transition and for obvious reasons the service cannot be suspended until its organization is finalized, for which financial management is very important, since changes have occurred on the fly and this causes a series of conflicts between staff and instability that puts the general structure of the hospital at risk.
An analysis of the entire organization was carried out in order to detect critical points, prioritizing the need for a solution and looking for viable alternatives for its implementation. All with the purpose of establishing and standardizing processes that will facilitate work activities and achieve total user satisfaction and thus meet Goal 5 Improving Maternal Health, which is one of the 8 Millennium Development Goals set in 2000 in 189 countries. Members of the United Nations agreed to achieve by 2015.
Abstract
Today in the world, 1,200 million people live on a dollar a day, 925 million are hungry, 114 million school-age children do not attend school, 63 million of them are girls. At one year, 11 million die under five years, most treatable diseases; as mothers, half a million perish each year in childbirth or maternity. AIDS does not extend to killing every one to three million people, while 2,400 million have no access to drinking water ie that there is an economic balance in the world.
This topic, along nineties and through anti-globalization movements, took place in September 2000 in New York City, the «Millennium Summit». Representatives of 189 states recalled the commitments made in the nineties and the Millennium Declaration, where Millennium Development Goals (MDGs) are contemplated is signed.
For the concern of verifying whether an objective is met in our country and taking into account that in our state was in high maternal mortality rate, problems were studied in a hospital in the region of the state with high indigenous population with myths and customs.
The General Hospital of the town of San Cristóbal de las Casas, has undergone constant changes in the last two years, both functional and organizational structure that has been transformed from a general hospital to a hospital for women, for which there is has experience in this transition and for obvious reasons can not suspend service to narrow your organization, which is very important to managing finances since, there have been changes on the fly and this causes a series of conflicts between staff and instability that jeopardizes the overall structure of the hospital.
An analysis of the entire organization in order to detect critical points were prioritizing the need for solution and seeking viable alternatives for their implementation. All with the aim of establishing and standardizing processes that facilitate work activities and achieve total customer satisfaction and comply with Goal 5 Improve Maternal Health is one of the 8 Millennium Development Goals set in 2000 to 189 countries members of the United Nations agreed to achieve by 2015.
Introduction
From the United Nations and for the Goals to be achieved, a series of initiatives have been launched, of which the Millennium Project stands out. The first is an organized group of experts and 15 specialists each. Its mission is to recommend the best strategies to achieve the MDGs, analyzing costs, policies and other measures to follow.
In such a way that financial administration is very important to achieve the planned objectives.
As for the Millennium Campaign, under the name No Excuses until 2015, it aims to promote the MDGs and the commitment to ensure their fulfillment, promoting social participation and political will. In the South, and according to the Millennium Declaration, the campaign aims to promote the mobilization of internal resources, prioritize budget spending towards the MDGs, and strengthen human rights and democracy. In the North, No Excuses Until 2015 is designed to explain the need for a greater quantity and quality of ODA aimed at achieving the MDGs, to alleviate the burden of debt and to open markets to products from the South.
This approach leads us to analyze one of the objectives, which is to Improve Maternal Health and taking into account that the State of Chiapas is a place where the indigenous population predominate the Uses and Customs. It led me to reflect on the conditions of medical-hospital care in the highlands region.
Background
Unit Features
The land where the San Cristóbal Women's Hospital is located, formerly the General Hospital, was owned by the wealthy businessman Daniel Zebadúa Cruz. The succession of Mr. Daniel Zebadúa, rented these lands in 1957 to the Federal Electricity Commission to store the poles that were used for the electricity network. In 1958, in these same lands where there were hundreds of wooden posts, there was a great fire and after this event it was left empty. At this stage, in 1959, to be exact, the famous Doctor Manuel Velasco Suarez, friend and personal doctor of the President of the Republic Adolfo López Mateos, gets him to approve the construction of a Hospital in this City. The only condition that the President of the Republic sets is that the San Cristóbalence citizens provide the land.Doctor Manuel Velasco talks with the inhabitants of the city and proposes to make a public collection to buy the land, in three days the amount of $ 100,000.00 m / n is collected and with this money the mentioned land is acquired.
The State Government contributes with the amount of $ 5,000 pesos, the Municipal Presidency of that time also donates a small amount. The construction of the Hospital was achieved and on January 10, 1961, it was inaugurated with the presence of the President of the Republic Adolfo López Mateos and his wife, the first lady, Mrs. Ema Sámano de López Mateos and Dr. José Álvarez Amézquita, then Secretary of Health and Assistance.
In the General Hospital of San Cristóbal, 528 employees provide their services, including medical specialists, general practitioners, nurses, psychologists, nutritionists, chemists, administrative personnel and scholarship holders. The Hospital operates with 46 census beds and 22 non-census beds, providing specialized medical consultation in pediatrics, internal medicine, gynecology, mater module, colposcopy, audiology, hematology, surgery and traumatology. We also provide support from other areas such as: psychiatry, psychology, nutrition and dietetics, we have an office to perform vasectomies, also, there is an area for care of respiratory symptoms, there is an emergency area divided into adult emergencies, pediatric emergencies and obstetric, a shock area,as well as with a hospitalization area divided into the different basic specialties (pediatrics, gynecology, internal medicine, surgery and traumatology) and a neonatal care unit. We have a blood bank, a clinical analysis laboratory, and a bacteriology laboratory. We have support areas such as teaching and training, Quality and epidemiology. The administration, direction and medical subdirectorate.
Due to the growing population and the increase in the demand for health services, as well as the complexity of the diseases, the service becomes insufficient and unsatisfactory so it is necessary to expand the property, but due to the conditions of the INAH it is not possible, since it is located in the center of the city and it is not allowed to lose its colonial style, which makes the expansion of the hospital impossible and the acceptance of building a new hospital is achieved, work that is concluded in May 2010; conditioning the division of the hospital, making the change of services gradually until leaving operating in these facilities only the gynecology and obstetrics services with its neonatal care unit. The San Cristóbal Women's Hospital has been officially established since December 10, 2010.We have auxiliary services such as laboratory, X-rays, bacteriology, Imaging, social work, nutrition, protection against violence against women, psychology, early stimulation, dentistry, transfusion center, and teaching and research.
The hospital has 290 workers, 138 general nurses, 3 subspecialty doctors, 33 specialist doctors, 30 general doctors, 20 chemists, 8 social workers, 4 nutritionists, 49 administrative staff, 1 dentist, 5 psychologists. There is 1 emergency room with 2 offices, a procedure room, a labor room with 11 beds, an expulsion room, two operating rooms, a recovery room with 6 beds, hospitalization with 30 beds, neonatal care with 15 beds, it is considered a total of 30 census beds and 31 non-census beds, 9 doctor's offices, blood transfusion station, 3 ambulances.
Attributions:
- Provide medical care to all pregnant women with a gynecological condition Promote that care is provided with opportunity, equity and efficiency Reduce rates of nosocomial infections Seek user satisfaction Actively participate in the activities and decisions of the different technical committees Invited in-hospitals Participate and monitor compliance with the different programs that involve women's health Actively participate in research, teaching and medical care Manage the material resources and human capital that are required for proper functioning Provide timely information on maintenance needs to the hospital's medical equipment and furniture Maintain efficient communication between managers, middle managers and operational staff.
The total user population served in 2010 was 59,864 people, with the following municipalities according to frequency order: San Cristóbal de las Casas, Teopisca, Tenejapa, Oxchuc, Ocosingo, Chamula, Chenhalo, Huixtan, Larrainzar, Pantelho, Chilón, Chalchihuitan, Amatenango del Valle, among other municipalities with less affluence.
The understanding of cultural traits is a necessity in medical care, the understanding of interculturality contributes to a better knowledge of the socioeconomic and demographic characteristics of the users and undoubtedly helps to improve the quality of care that is provided and especially seeks ensure patient safety.
Our unit has, as we mentioned previously, a central axis that aims to seek organizational development and change; encouraging and recognizing the importance of the participation of all members through teamwork; strengthening a satisfactory work environment for each and every one of the health workers who work in said organization. That is why we try hard to stimulate our workers as we mention, motivating them with famous phrases, seeking a harmonious work environment, in which respect, ethics and teamwork predominate, giving them the opportunity to continue training in professional aspects, provided that the continuous evaluations that are carried out in the unit obtain satisfactory results;It is true that not all workers can be selected in this way since job development is not standardized; Even so, we have many appropriate stimuli that are widely disseminated to all staff through circulars or personalized information which is provided in the Quality department of our unit or in the teaching area, within the many stimuli that it has. the unit are those that are detailed below. Management Agreements are invited to all departments that are interested in obtaining resources to improve their area, National Award, another means of encouragement is through the joint teaching and training commission governed by the guidelines and general working conditions,Through the granting of scholarships on time in addition to the economic incentive that is granted to personnel who wish to continue with their academic training, we finally have the National award for the annual quality stimulus, which this year opens for approved workers, a situation that guarantees more competitiveness and therefore better improvement projects that achieve impact to achieve improvements in the unit. Another aspect that aims to stimulate the performance and development of workers is, as mentioned above, based on a design and application of a clinical and epidemiological research project that contribute to a better understanding of the health-disease process and therefore improve the quality of care that is provided in our unit, in accordance with our mission and vision.
conclusion
Finance is very important to be able to plan objectives and this is given across all sectors. Therefore, a study of a hospital was carried out where we can see that the control and administration of the personnel is important for the good performance of the workers reflected in the user, contributing to reach the World Development Goal, remembering and mentioning that the disease generates expenses economic, and if you want to control diseases it will be through prevention.
Bibliography
- Political Constitution of the United Mexican States Article 4. General Health Law: 45, 46, 313, 324, 330, 332, 333, 368, 370, 371. Last reform. June 30, 2003.National Development Plan Chiapas Solidarity State Development PlanThe National Health Plan in 2030Regulation of the General Health Law on the Provision of Healthcare Services. Articles: 224, 225 and 243. Official Mexican Standard NOM-007-SSA2-1993, Care of women during pregnancy, childbirth and puerperium and of the newborn. Official Mexican Standard NOM-031-SSA2-1999, For Attention to Children's Health NOM-017-SSA2-1994, For Epidemiological Surveillance.NOM-127-SSA1-1994, Environmental health, water for human use and consumption.NOM-168-SSA1-1998, From the clinical file.NOM-087- ECOL-1995, RPBIO Goal 5: Improve maternal health,reduce by three quarters, between 1990 and 2015; maternal mortality, achieve universal access to reproductive health.-Millennium Declaration.
