But the Cuomo administration believes that New York State, especially in Brooklyn, still has more hospital beds than it needs and that some of the weakest facilities might have to shut down or be significantly reshaped.
Their focus is primarily on improving overall care country-wide while supporting the weakest facilities.
There are a wide variety of incentives and disincentives available, based on the outcomes of accreditation efforts, including financial rewards, public reporting of results as a way to attract more patients to the best facilities, and the provision of on-site support for weaker facilities.
Disease surveillance was weak at facilities and in medical camps, leading to difficulties in the rapid identification of disease outbreaks.
The crisis contributed to worsen the already weak health facilities, affected most of the water and sanitation systems, paralysed schools and, caused a spread of human rights violations, affecting mainly children and women.
Late enrollment of children may be attributed to weak EID facilities in the country, poor linkage between antenatal care and postnatal care clinics, and lack of skilled human resource in management of pediatric AIDS.
The underlying causes for these delays may be attributed to societal norms, lack of education, long distances to health facilities, weak health systems, and poverty (4).
If the information from a facility is weak, i.e., the sample size at the facility is small, the estimate of the true rate will be pulled closely toward the overall rate; when the information is strong, the estimate of the true rate will be closer to the facility's observed rate.
Several factors appear to contribute to male involvement in the PMTCT program including age, residence, education level, knowledge on HIV, knowledge on PMTCT, accessibility of health facility, having weak perception for male involvement in PMTCT, having perception of ANC attendance being females' responsibility, ever use of khat, and ever use of cigarette.
