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9th Joint Joint Annual Health Sector Review 8th-10th October 2008

Ministry of Health and Social Welfare, (M.) (2008) 9th Joint Joint Annual Health Sector Review 8th-10th October 2008. UNSPECIFIED. (Unpublished)

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Abstract

The 9th Annual Joint Health Sector Review took place at the Kunduchi Beach Hotel from 8th to 10th October 2008. The review drew upon the Technical Review Meeting where a number of technical areas were discussed in more depth. Several resource documents fed into the Review process, including the Technical Review Meeting Report, the Milestones Report, the draft Public Expenditure Review, the MTEF, and the final draft Health Sector Strategic Plan 2009 to 2015. The Honourable Minister of Health and Social Welfare formally opened the meeting and welcomed participant. The main focus of the review meeting would be the Health Sector Strategic Plan III 2009-2015 which was developed in a highly participatory manner and with due consideration to existing policies, sector targets, and cross-cutting concerns like equity, quality of services and decentralisation. As the Health Sector Reform is moving into its final stage it was encouraging to observe that the partnership arrangements had been internationally recognized, most lately at the High Level Forum in Accra, Ghana in September 2008. The honourable Minter pointed at particular areas that still require attention including community involvement, hospital reform strategies, public-private-partnership, information systems, deficient funding of the sector, and the human resource deficit. In the ensuing session the FY 2007/8 health sector performance including milestones were presented and discussed. The early distribution of the Health Sector Performance Profile Report was appreciated and the discussion focused on some stagnating indicators, maternal health issues, and the human resource crisis. There is a need for the sector to inform about its successes and to advocate its requirement for financial and human resources. Presentations of the health sector financing included briefs on national health accounts, the National Health Insurance Fund and community health funds. The increased health sector funding was appreciated but it was also highlighted that substantial additional health sector funding is required to achieve the National health targets. The second day was entirely set aside to focus on the Health Sector Strategic Plan III 2009-2015. The meeting was thoroughly introduced to the strategic framework, the eleven specific strategies and the cross cutting issue, which have been developed in a participatory process involving all major stakeholders since the last JAHSR in October 2007. The process leading to this final stage of the HSSP III was highly appreciated by many commentators. The discussion was very comprehensive and included all aspects of the strategic plan as well as the health sector. A large number of comments regarded requests to include and expand details on particular health sector concerns. It was agreed to update the organizational diagram in the document. However, as the HSSP III was already exceeding the Government page limitations the Ministry could not promise to include all the details suggested by participants. The list of indicators for the strategic plan was not completed and the M&E Working Group was tasked with responsibility to complete this assignment. Likewise, the financing chapter needed to be revised and changed according to discussions at the meeting. A group of economists from the Ministry, Development Partners, Civil Society Organisations and the contracted consultant was charged with responsibility to complete this chapter. Finally, it was resolved that the MoHSW senior management would take note of all comments and information provided at the JAHSR meeting and direct the editing group to the final revision of the HSSP III document. On the third day PMO-RALG made a presentation of the new health window for infrastructure development designated the Health Sector Development Grant. The discussion was particularly critical about the restrictions for allocating the grant, which prohibit its use at the regional level and confine allocations to health facilities with minimum staffing levels, hence further disadvantaging areas that are already deprived. A work group would be established to continue the development of the funding mechanism and report to the Technical Working Group. The milestones for FY 2008/9 were already developed by a group of stakeholders. With a few remarks the final list of milestones was adopted. The General Budget Support Performance Assessment Framework was briefly discussed and the Ministry advocated that the measure be more elaborate and specific. The Permanent Secretary of MoHSW appreciated the active contributions and successful deliberations and subsequently he formally closed the meeting.

Item Type: Other
Keywords: Health Sector Review, Public-Private-Partnership, Hospital, Maternal Health, Health Insurance, Community Health, Health Facilities,
Subjects: Health Systems > Community Health
Policies, Strategies, Plans, Guidelines
Divisions: Ministry of Health and Social Welfare
Depositing User: Mr Joseph Madata
Date Deposited: 22 Feb 2013 14:22
Last Modified: 22 Feb 2013 14:22
URI: http://ihi.eprints.org/id/eprint/537

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