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Health Sector POW Half year Report

Health Sector POW Half year Report. by Dr Eddie Addai. Purpose of the Report. Give an account of progress in the implementation of the 2004 Programme of Work Create opportunities for making mid-course adjustments to implementation. The Report. Introduction Sector-wide Performance

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Health Sector POW Half year Report

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  1. Health Sector POWHalf year Report by Dr Eddie Addai Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  2. Purpose of the Report • Give an account of progress in the implementation of the 2004 Programme of Work • Create opportunities for making mid-course adjustments to implementation Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  3. The Report • Introduction • Sector-wide Performance • Cross cutting themes • Indicators and targets • Programme Performance • Financing the sector • Annexes for information • Capital Investment • Human Resources • Update of the Logframe Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  4. Preparing the Report • Reviewed half year reports of BMCs • Obtained updates from focal points defined in the Programme of Work • Requested for information from authoritative sources of information • Conducted a validation exercise Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  5. Limitations • Incompleteness of the data • To be rectified before the end of the year • Information systems of authoritative sources not structured to report on some of sector-wide indicators • Started discussions on this issue • Urgently need a system for harvesting data from the district level and from authoritative sources • Weak capacity of M&E unit of MOH Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  6. Cross Cutting Priorities • Consolidating institutional reforms • Pro-poor approach to service delivery and resource allocation • Scaling up interventions including National Ambulance Service • Implementation of NHIS • Stemming brain drain and redistributing staff • Priorities to be supported by • Investments Human Resources, Infrastructure and Information systems • Resource Envelope Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  7. Consolidating Institutional Reforms • Signing of health service performance agreement contract between • MOH on one hand and GHS/THB on the other • DG of GHS and Regional Directors • System for information management reviewed leading to development of Road map and ICT policy • 2004 Review included a review of the health sector institutions • Technical working group on institutional reforms established to review recommendation and provide way forward Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  8. Pro-poor Service and Resource Allocation • Strategic • Reviewed health sector pro-poor agenda • Established Poverty and Health working group to develop the health sector response to GPRS • Service Delivery • CHPS implementation continued • Technical review included a review of the neglected diseases that exclusively affect the poor • Developed TOR for ACSD evaluation Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  9. Pro-poor Service and Resource Allocation • Financing • Pro-poor resource allocation criteria applied to 2004 budget • Cabinet approved health sector proposals under HIPC • Targeting • System for identifying the poor under NHIS defined and included in the draft Legislative Instrument • Proposal for implementing deprived area incentive developed and implemented • Maternal exemption implemented in 4 deprived regions and proposal for extending it nationwide developed Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  10. Scaling up • HIV/AIDS • 3 by 5 incorporated into national strategy • 4 ART sites (2 new ones) • 29 VCT sites (6 new ones) • 29 PMTCT sites (6 new ones) • 1176 on ART • 302 mother baby pair treated with Niverapine Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  11. Scaling up • Malaria • New antimalaria drug policy developed • Multiple approaches to ITN distribution, yet • 3.5% of <5 and 2.7% pregnant women using ITNs • IPT implemented in 20 districts • 20% pregnant women in these districts on IPT Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  12. Scaling Up • Tuberculosis • TB treatment supporters introduced and integrated into CHPS for improving case holding and treatment outcomes • 74/110(138) districts have TB diagnostic centres • 59% cure rate Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  13. Scaling Up • Child Health Services • Celebrated Child health week • Incorporated IMCI into training curriculum • Slow implementation of IMCI in districts • 50/110(138) districts have at least one worker trained in IMCI Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  14. Scaling Up • Accident and Emergency • Training of 64 medical technicians • Ambulance stations and receiving hospitals in 5 regions linked by radio • 10 fully equipped ambulances deployed Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  15. NHIS • Inaugurated the NHI Programme • Established the National Health Insurance Council • Started preparing legislative instrument • DMHIS fully operational in 6 districts but preparatory work started in all districts • Preparatory work on establishing the National Health Insurance Fund started • Allocation formula being developed Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  16. Brain Drain and Redistribution • ADHA sustained • Ghana Post graduate Medical College established • First tranche of deprived area incentive package paid to 55 deprived districts • Staff vehicle hire-purchase scheme implemented • Discussions on housing scheme started Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  17. 31 Sector Wide Indicators • Health status indicators • Child Health • Nutrition • Maternal Health • HIV/AIDS • Health Service Indicators • Clinical Care • Reproductive Health • Preventive and Surveillance • Health Resource Indicators • Infrastructure • Human Resources • Financial Resource Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  18. Health Status Indicators Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  19. Heath Service Indicators Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  20. Heath Service Indicators Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  21. Heath Service Indicators Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  22. Health Resource Indicators Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  23. Health Resource Indicators Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  24. Health Resource Indicators Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  25. Health Financing Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  26. Releases into the Sector Slow spending by BMCs Slow disbursement of Item 4 Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  27. Releases into the Sector Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  28. Releases into the Sector Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  29. Releases into the Sector Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  30. Releases into the Sector Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  31. Comment on MDBS Matrix • Human Resources • Assess health professional attraction and retention program in consultation with stakeholders • Decentralize management of human resources continued, including the identification of options for decentralizing PE Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  32. Finance Revise resource allocation formula to be used in 2005 budget to include goods services and investments (items 2, 3, and 4 in the budget), favoring most deprived districts • Lay legislative instrument for the National Health Insurance Scheme before parliament Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  33. Exemptions • Increased funding for exemptions System for identifying the poor for exemptions from fees/health insurance premia subsidy developed and implemented Maternal delivery exemptions expanded to two additional regions. Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  34. Comment on MDBS Matrix • Service Delivery • Increase utilization of health services in deprived regions • Indicator is supervised delivery Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  35. Comment on MDBS Matrix Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

  36. Thank You Ministry of Health and Partners Summit, Miklin, 13 - 17 Dec 2004

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