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NHI Pilot Districts 12 months progress report

NHI Pilot Districts 12 months progress report. Parliament 4 June 2013. Background. August 2011: NHI Green Paper – action plan April 2012: NHI pilot districts to prepare for: Purchasing of services; Engaging the private sector; Introducing a district health authority;

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NHI Pilot Districts 12 months progress report

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  1. NHI Pilot Districts12 months progress report Parliament 4 June 2013

  2. Background • August 2011: NHI Green Paper – action plan • April 2012: NHI pilot districts to prepare for: • Purchasing of services; • Engaging the private sector; • Introducing a district health authority; • April 2013: Rapid appraisal to: • Assess progress in preparing for NHI • Provide a framework for monitoring

  3. NHI domains appraised Human Resources Health information District Management Teams Conditional Grant Referral Contracting Private Providers • NHI management • Hospitals • Quality • Primary Health Care re-engineering • Infrastructure & Equipment

  4. Tabular summary per District

  5. NHI management & coordination

  6. Hospital Reform

  7. Quality

  8. PHC facility OSC inspections Baseline and 2013 follow-up scores and differences for each district Eight districts showed a fall in scores (five less than 5%) Two districts showed significant improvements (17% and 8%)

  9. PHC Re-engineering

  10. Infrastructure

  11. Equipment Audit in Primary Health Care Facilities Summary of facilities assessed in NHI pilot districts

  12. Human Resources for Health

  13. Health Management Information

  14. District Management

  15. Referral systems

  16. GPs in districts on national contract

  17. Summary • NHI management and coordination in placeand DHMTs realigning their priorities • NHI Conditional Grants have contributed to progress • Quality improvementinterventions underway • Hospital reformbeing introduced • Referralmechanisms are in place • PHC Re-engineering: Three streams (DCSTs, WBOT and School Health) teamsnot yet complete • Health staff is insufficient; WHO WISN norms and standardsbeing used to motivate increased funding, • Private providers – districts ready for private GPs to work alongside nurses in primary health care facilities

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