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Health Sector Revitalization Turks & Caicos Islands

Health Sector Revitalization Turks & Caicos Islands. Latin America and the Caribbean Health Sector Reform Workshop Belize City, Belize Dr. Rufus W. Ewing Director of Health Services. CHART 2: AGE DISTRIBUTION OF TOTAL POPULATION. CENSUS YEARS. 100%. 65+. 90%. 80%. 50-64. 70%. 60%.

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Health Sector Revitalization Turks & Caicos Islands

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  1. Health Sector Revitalization Turks & Caicos Islands Latin America and the Caribbean Health Sector Reform Workshop Belize City, Belize Dr. Rufus W. Ewing Director of Health Services

  2. CHART 2: AGE DISTRIBUTION OF TOTAL POPULATION CENSUS YEARS 100% 65+ 90% 80% 50-64 70% 60% 25-49 50% 15-24 40% 30% 5-14 20% 10% 0-4 0% 1970 1980 1990 2001 CENSUS YEARS Source: Vital Statistics Report 2004

  3. Vital Statistics –Socioeconomic • Population – 32,200 (2006 estimate) • CBR –10.4 • CDR – 1.7 • Growth rate 4.6% • GDP per capita – 11,160 • Revenue per capita - $2,370 • Public Sector Health Expenditure - $27 million (2005-06) • Per capita expenditure - $906 • Public Health Expenditure as percentage of GDP – 8.1%

  4. TCI Health Sector Organization • Owned and managed by TCIG • Primary /Public Health Care (7 Island Clinics / HC, Dental, Envir. Health, AIDS) • Secondary Health Care – 2 hospitals • Tertiary Care – Very Limited on Island – majority receive MTA

  5. Primary Health Care Services • 9 Public Clinics, 1 located within the hospital • 5 private clinics on Providenciales • 1 specialist clinic offering secondary & primary care services • 4 general practice offering some secondary care services

  6. Secondary Health Care Services • 2 Secondary care Health facilities • Grand Turk Hospital –21 acute care beds • Myrtle Rigby complex – 10 acute care beds • 2 operating theatres with full surgical capability – handling all emergencies but elective procedures limited by lack of ICU • 2 maternity units – types of cases limited by need for advanced Neonatal Care which is not available

  7. Secondary Health Care Services • Specialty Services • Internal Medicine • Pediatrics • General Surgery • Obstetrics & Gynaecology • Anaesthesiology • Urology (via private sector collaboration)

  8. Visiting Medical Consultants • Orthopaedics • ENT • Neurology • Dermatology • Nephrology (voluntary – NGO) • Ophthalmology (Partially funded)

  9. Supportive Health Services • Full service Blood Banks at two hospital sites • 2 Dialysis Unit with total of 11 machines • Physical Rehabilitation (1 private, 2 public)

  10. Health Care Staff -Physicians 1999: Physicians per 10,000 inhabitants ratio = 7.3 2006: Physicians per 10,000 inhabitants ratio = 10.3 (31 physicians)

  11. Public Health Sector Per Capita Expenditure

  12. Medical Treatment Abroad Expenditure

  13. Health Sector Financing • Improved quality of Health Service • Strengthen the Planning, policy, and regulatory role of Ministry of Health • Development of New Hospital facilities • Increase private sector participation • Strengthening Primary Health Care programmes • The cost of achieving the objectives above cannot be met and sustained if • MTA continue to escalate uncontrollably • Percentage Public HS expenditure remains high with no cost recovery mechanism • Private insurance contribution to NHE remains low (20.9 % in 1998)

  14. MOH STRUCTURE 2000

  15. MOH STRUCTURE 2007

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