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MINISTRY OF HEALTH 2005 ANNUAL REVIEW

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Work together for equity and good health for all people living in Ghana ... Retain health professionals for quality health care delivery. Ensure efficiency in human ... – PowerPoint PPT presentation

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Title: MINISTRY OF HEALTH 2005 ANNUAL REVIEW


1
MINISTRY OF HEALTH 2005 ANNUAL REVIEW
  • SALIMATA ABDUL SALAM
  • AG. CHIEF DIRECTOR

2
Vision
  • To improve the health status and reduce
    inequalities in health outcomes of all people
    living in Ghana
  • GOAL
  • Work together for equity and good health for all
    people living in Ghana

3
STRATEGIC FOCUS OF THE MoH
  • Provide stewardship to the sector
  • Policy and institutional development
  • Strategic planning
  • Resource mobilization
  • Coordinate and manage investments
  • Generate sector wide information for decision
    making
  • Manage sector wide monitoring and evaluation
    processes

4
STEWARDSHIP
  • Efforts at improving the general administration
    functions of the MoH was stepped up during 2005
  • 4 Officers were trained in MIS
  • 10 Secretariat staff benefited from in-service
    training
  • 1 out of 4 officers targeted for training at
    GIMPA benefited
  • Development of an efficient records system
    initiated
  • Personnel procedure manual developed
  • Selective PPM carried out
  • Inventory of MOH properties updated
  • Workshops on retirement planning organized
  • Drivers trained in defensive-driving skills

5
POLICY AND INSTITUTIONAL DEVELOPMENT
  • Thrust for the year
  • To improve the policy development and
    dissemination process in the Health Sector
  • Focus for 2005
  • National Ambulance Service Policy finalization
    and Implementation
  • National Health Insurance Scheme expansion
  • Review Exemptions Policy within the NHIS
  • National Drug Policy esp. on Malaria and ART
  • Resource allocation in favour of the deprived
    regions
  • Work place Policy on HIV/AIDS Blood transfusion
  • Healthcare waste management Policy for Health
    institutions.
  • Review Transport policy

6
Achievements
  • A NHIS Policy document has been developed
  • A NHI Act 650 has been passed
  • NHI LI 1809 has been passed
  • 107 (88.6) out of 123 District Mutual health
    Insurance Schemes (DMHIS) had been successfully
    set-up countrywide as of 31st December, 2005
  • 111 out of the 123 DMHIS are managing claims.
  • 3,573,231 people (17.9) of the entire population
    registered
  • Attendance to health facilities has increased by
    up to 40
  • Provisional accreditation has been given to THs,
    GHS health facilities and CHAG for a 2 yr period.
  • System for accrediting private hospitals and
    pharmacy shops is being developed.

7
Achievements
  • An emergency line for ambulance services has been
    activated in 2 regions
  • 50 ambulances have been procured for deployment
    to 20 locations.

8
STRATEGIC PLANNING
  • Private Health Sector Strategy developed
  • 2006 POW developed
  • New 5 Year POW initiated
  • Process aimed at new health policy initiated
  • National health forum held
  • Strategic meeting on NHIS and New Policy held
  • Road map for new helath policy outlined

9
Analysis of 2005 Budget GoG(mill)
10
2005 Health Fund ( 000s)
11
Human Resource For Health
  • Priorities for 2005
  • Increase production of health professionals
  • Ensure equitable distribution of workforce
  • Ensure continuing professional development for
    all categories of health staff
  • Retain health professionals for quality health
    care delivery
  • Ensure efficiency in human resource management

12
Increase production of health professionals
  • Fifteen Health Training Institutions expanded
  • Private sector encouraged to increase production
  • Two (2) new Nursing schools set up - Sunyani and
    Fomena
  • 20 new health tutors recruited
  • Increased (52) in-intake into all Training
    Institutions
  • Introduction of direct midwifery training
    programmes - Koforidua and Ashanti-Mampong
  • Accreditation of Training schools almost
    completed.
  • 1,200 Health care assistants trained by the
    various agencies

13
Increase production of health professionals
14
Increase Production of Health Professionals
15
Ensure equitable distribution of workforce
  • 1,000 (20) of total fresh students places were
    allotted to the various District Assemblies.
  • Internship of Medical and Pharmacy house officers
    has been decentralised to regional level.
  • Initiated and developed implementation plan on
    decentralisation of Personnel Emolument and Human
    Resource Management.
  • Specialist Doctors has been relocated to some
    regional hospitals
  • Fellowship plan is highly skewed towards the
    deprived areas

16
Ensure continuing professional development of
workforce
  • Fellowship awards increased by 6.5 over last
    years.
  • This was as a result of strict adherence to the
    recommendations of the committee on fellowships

17
Fellowship awards by agencies, 2005
  • In 2005, there was wider and fair distribution of
    fellowship awards.
  • Fellowships shifted from external to local
    institutions with the establishment of the Ghana
    College of Physicians and Surgeons.

18
Ensure efficiency in HR management
  • Management and leadership workshop was organized
    for heads of institutions.
  • Logistics (vehicles, computers its accessories)
    were distributed to Training Institutions.
  • Midyear and end of year review meetings were
    held.
  • Board of Governors for all Health Training
    schools established and will be inaugurated in a
    few months.

19
Constraints
  • Limited infrastructure in Training Institutions
    (TIs) to enhance increase intake.
  • Inadequate number of tutorial staff in TIs.
  • Lack of office accommodation for the Directorate

20
MANAGEMENT OF INVESTMENTS
  • The construction of Doctors Flats at KATH is
    almost complete
  • Works on the construction of Nurses Flats phase I
    at KATH was completed
  • The construction of offices complex for the Food
    and Drugs Board, Ghana College of Physicians and
    Surgeons and the Nurses and Midwives Council has
    begun
  • Rehabilitation works at the Pharmacy Council was
    completed
  • Construction of hostel and classroom blocks at
    the Nursing Training School, Bawku was completed
    and has led to the increase of student intake.
  • Construction of classroom block at the Rural
    Health Training School, Kintampo was also
    completed.
  • Works on the construction of classroom and hostel
    block at the Community Health Training School,
    Esiama was completed.
  • The refurbishment of the Central Medical Stores
    in Tema has also been completed
  • Sixteen Health Centres have been completed,
    handed over and are in use

21
SECTOR WIDE INFORMATION
  • A comprehensive HMIS design was developed and is
    awaiting implementation
  • RSIMD set up
  • Interagency data managers working group
    functional
  • Framework for establishment of data repository
    developed
  • Definition of interagency reporting mechanisms
    outlined
  • Production of annual statistical report for 2005
  • Working with HMN to outline the BOD and service
    performance trends
  • Proposal for research agenda developed - roil
    put in 2006
  • Website design completed
  • Information gathering in progress
  • Design/ operational briefing for directors
    scheduled end March
  • Communication strategy under development
  • First draft completed and under review
  • First meeting of Sector PROs scheduled for 1st
    quarter

22
MONITORING AND EVALUATION
  • Mid-term review of the sector was carried out.
  • 2004 annual review conducted and report produced
  • Quarterly performance report prepared

23
TRADITIONAL ALTERNATIVE MEDICINE
  • Thrust for the year
  • Improve access and formalize institutionalization
    of TM/CAM into National Healthcare programmes
    by-
  • Identifying Practitioners through training and
    certification.
  • Identifying practice, tools and medicines
    practitioners use.
  • Identifying their place of work

24
Achievements
  • Draft accreditation tool for TM/CAM Clinics was
    completed
  • Completed monitoring visit to some TM/CAM clinics
    in Accra.
  • Reviewed Trainers Manual for training TMPs
  • 50 TMPs in Western, Central, Eastern, Volta and
    Greater Accra Regions trained in good clinical
    practices.
  • 2 week training in management of Traditional
    Medicine Healthcare completed in Beijing, China

25
Achievements cont
  • Six (6) training were done ( 3 local and 3
    external
  • 3 additional training has been planned - Masters
    in Economic Development, Post Graduate
    Diploma-MIS Executive Masters (Public Admn. or
    Devt)
  • Joint Strategic Plan meetings with stakeholders
  • Collaboration, Partnership and consultation among
    stakeholders.
  • Advocacy for TM at ministerial level
  • Some stakeholders, National International have
    refocused/redesigned their programmes on TM/CAM
    based on our joint strategic plan.

26
Challenges
  • Creation of Traditional Medicine Units within the
    Health Service
  • Creation of the Traditional Medicine Council
  • Creation of the Traditional Medicine Research
    fund to accelerate research and development of TM
    products important in public health services
  • Low commitment to TM developmental activities

27
General Constraints/Challenges
  • Lack of clarity in the location of certain
    functions i.e. personnel functions.
  • General problem of logistics, finance and office
    accommodation
  • Inadequate Human Resources
  • Culture of documentation/writing very low

28
Outlook for 2006
  • Maintain pro-poor focus of health sector
  • Implement the HR incentive package
  • Massive expansions in all health TIs to enable
    increase intake.
  • Improve IME System
  • Establish a data-base for monitoring and systems
    for validating information
  • Re-examine the annual review process
  • Develop the Health Policy
  • Develop the next 5 yr POW
  • Extend health service performance agreement to
    other agencies

29
THANK YOU
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