Furthermore, misdiagnosis might exist because of poor diagnostic capacity of county-level centers for diseases control and prevention.
The plan includes a description of the county's population health status (premise of the plan), the physical capacity of the county hospitals, including how and where specialties are represented, and the number of beds and employees etc. in each specialty.
As county executive, Mr. Suozzi wants to clean up after years of Republican mismanagement, restore and increase the borrowing capacity of the county government, rationalize the administrative structure he inherited, and minimize the need to raise taxes.
This is however dependent on the capacity of the counties, since there is the potential for poor coordination between stakeholders resulting in parallel structures, gaps and overlaps, particularly of vertical programmes (KPMG 2013).
Yan and colleagues [26] report on a qualitative study about the extent and impact of county level managerial capacity to manage the New Cooperative Medical Scheme in China.
Fortunately, Amref also has plans to improve the laboratory capacity of the Katine sub-county as a whole, and any staff posted to Ojom would benefit from training already planned.
Flooding due to heavy rain in June 2001 crippled the Texas Medical Center in Houston, and resulted in a sudden loss of 75% of the ICU bed capacity for a county of 4 million people [ 5].
More logistical support should be given to gCHVs and TTMs in addition to periodic training 9. To address the issue of capacity building at county level,, GOL to institute a periodic nationwide training for health administrators since attrition of health personnel is still a major problem.
Some problems require specialised assistance, which is beyond the capacity of CBS, and falls under the responsibility of county agencies.
