national health sector strategic plan 2011 … · national health sector strategic plan 2011-2030!...
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ANC Antenatal CareBCC Behaviour Change CommunicationBCI Behaviour Change InterventionBEOC Basic Emergency Obstetric CareBSP Basic Services PackageCCT Café Timor network (Clinica Café Timor)CD Communicable Diseases
CDP&C Communicable Diseases Prevention and Control
CEOC Comprehensive Emergency Obstetric CareCHC Community Health CentreCIMCI Community Based Integrated Management of Childhood IllnessesCVD Cardio-vascular DiseaseDHC District Health CouncilDHMT District Health Management TeamsDHS Demographic and Health SurveyDOTS Directly Observable Treatment Short Course EC European CommissionFHPP Family Health Promoter ProgrammeFP Family PlanningFY Fiscal Year (Jan-Dec)GFATM Global Fund for Aids, Tuberculosis and MalariaGDP Gross Domestic ProductGSB General State Budget (OGE)HAST HIV/AIDS/TuberculosisHDI Human Development IndexHRH Human Resource for HealthHDR Human Development Report
HIV/AIDS Human Immunodeficiency Virus /Acquired Immune Deficiency Syndrome
HMIS Health Management Information SystemHNGV Guido Valadares National HospitalHP Health PostHRD Human Resource DevelopmentHSP Hospital Services PackageHSSP Health Sector Strategic Plan (2008-2012)
ICS Institute of Health Sciences (Instituto de Ciências de Saúde)
ICT Information and Communication Technology
IDS Integrated Disease SurveillanceIEC Information, Education, CommunicationIMCI Integrated Management of Childhood IllnessesIMR Infant Mortality RateIYCF Infant and Young Child FeedingJAPS Joint Annual Planning SummitLLITN Long Lasting Insecticide Treated Net
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NATIONAL HEALTH SECTOR STRATEGIC PLAN 2011-2030 viii!
LSMS Living Standard Measurement Survey MC Mobile ClinicsMCH Maternal and Child Health MDGs Millennium Development GoalsM&E Monitoring and EvaluationMICS Multiple Indicator Cluster SurveyMMR Maternal Mortality RatioMoE Ministry of EducationMoH Ministry of HealthMoF Ministry of FinanceMAEOT Ministry of State AdministrationMTEF Medium Term Expenditure FrameworkMTR Mid-Term ReviewNCD Non Communicable DiseaseNDP National Development PlanNGO Non Government OrganisationNHA National Health AccountsO&G Obstetrics and GynaecologyOH&S Occupational Health and SafetyPER Public Expenditure ReviewPHC Primary Health CareQA Quality AssuranceRH Reproductive Health
SAMES Autonomous Medical Supply System (Serviço Autónomo de Medicamentos e Equipamentos de Saude)
SBA Skilled Birth AttendantSIP Sector Investment ProgrammeSPWG Strategic Planning Working GroupSWAp Sector Wide ApproachTA Technical AssistanceTB TuberculosisTBA Traditional Birth AttendantTORs Terms of ReferenceTFET Trust Fund for East TimorUN United NationsUNFPA United Nations Population FundUNICEF United Nations Children’s Fund VCT Voluntary Counselling and Testing (HIV/AIDS)WHO World Health Organisation
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NATIONAL HEALTH SECTOR STRATEGIC PLAN 2011-2030 xii!
A,&&".'R/,.'"$#B+."+.9#-,I#*,+-#&".';+.$(",-"+.)'."*+",$%.+C'",*("$#-#9'$'-*"0#%#0,*=D"!-"*1,(".'9#.)>"%.,+.,*=" ;+0/("A,&&"?'"+-"'-(/.,-9" *1'"@,-,(*.="%&#=(" ,*("(*'A#.)(1,%".+&'"#00+.),-9&="*1.+/91"0&'#."%+&,0,'("#-)".'9/&#*,+-(>"?="'(*#?&,(1,-9",-*'.('0*+.,#&"0+-(/&*#*,C'"?+),'("#?&'"*+"+C'.('#"(=(*'$"")'C'&+%$'-)>"#-)"?="'(*#?&,(1,-9"#)$,-,(*.#*,C'"#-)"$#-#9'$'-*"*++&(".'R/,.')"*+"*.#-(&#*'"1'#&*1"%+&,0,'(",-*+"%.#0*,0'D
Critical Factors for Health Sector Development:The following analysis is imperative for a successful development of Timor-Leste’s health sector.Assumptions:k"":+&,*,0#&"(*#?,&,*="#-)"0+$$,*$'-*"*+"-#*,+-#&")'C'&+%$'-*k""8$#&&"0+/-*.="k""8$#&&"-/$?'."+;"%+%/&#*,+-k""EC#,&#?,&,*="+;"S,-#-0,#&"d'(+/.0'(
Risks:k""M1#-9'(",-"b+C'.-$'-*"0+$$,*$'-*"*+"*#H'"*1'"%&#--')"(*.#*'9,'(";+.A#.)"k""5,$,*')";/-)("#&&+0#*')"*+"*1'"1'#&*1"('0*+."*1.+/91"b'-'.#&"8*#*'"c/)9'*k""8&+A"%.+9.'((",-"7/$#-"d'(+/.0'("<'C'&+%$'-*k""F'#H".'9/&#*+.="$'#(/.'("#-)"&#A"'-;+.0'$'-*",-"*1'"-#*,+-#&"1'#&*1"(=(*'$
As a twenty year operational document on the sector, the NHSP is a living dynamic document that will be revised regularly and amended based on the outcome of its implementation and on constructive comments and feedback from stakeholders. It provides the basis for formulating short-term operational plans that guide the implementation of sector activities on the basis of consensus developed with related sector constituent partners.
In presenting this National Health Sector Strategic Plan, the Ministry of Health hopes to capture the interest and commitment of stakeholder to the plans therein, while invoking the support of all concerned to succeed in achieving a better and healthier tomorrow.
NATIONAL HEALTH SECTOR STRATEGIC PLAN 2011-2030 2!
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Total Hospital DeathsNo. of
deaths% of Total
Hospital Deaths
Bronchopneumonia/Pneumonia 37 26 12 25 36 136 11.5
All forms of TB 3 5 18 75 75 176 14.9
Malaria 6 8 18 22 4 58 4.9
Cardiovascular Disease 1 1 1 14 21 38 3.2
Injury 0 1 5 19 9 34 2.9
Liver Disease 1 0 0 12 19 32 2.7
Cerebrovascular Disease 0 0 0 11 20 31 2.6
Renal Disorder 2 0 10 7 11 30 2.5
Diarrhoeal Diseases 10 10 1 7 1 29 2.4
Asthma Bronchiale/COPD 1 0 1 7 17 26 2.2
Meningitis/Encephalitis 2 4 4 7 0 17 1.4
Malnutrition 4 9 0 1 0 14 1.2
Anemia 1 2 0 10 0 13 1.1
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21
Box 4: Priotity Directions from 2011 to 2030
NHSSP Priority Directions
2011-2015(Conditioning)
2016-2020(Consolidation)
2021-2025(Maturation)
2026-2030(Sustainable
Take-off)
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Framework to accommodate changes in the health status of the country.
building at central, district and personalized health services on health planning and budgeting, reporting, monitoring and evaluation.
development and deployment for the district, national laboratory and health training institutions.
Assessment of National Health System Configuration.
development.
tertiary care infrastructure development.
of an effectively defined National Health System.
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HEALTH POLICY & PLANNING
STEWARDSHIP (GOVERNANCE)
SUPPORT SYSTEM FINANCINGPUBLIC
(DE-CONCENTRATION)PRIVATE (FOR-PROFIT &
NON-FOR-PROFIT)
SERVICE DELIVERY (PROVISION)
HEALTH POLICY & REGULATION
HEALTH SYSTEM RESPONSIVENESS &
ACCOUNTABILITY
INTER-SECTORAL COLLABORATION
HEALTH HUMAN RESOURCE
DRUGS AND ESSENTIAL MEDICAL SUPPLIES
LABORATORY& BLOOD BANK SERVICES
INFRASTRUCTURE AND NON-MEDICAL SUPPLY
PUBLIC(GSB)
PRIVATE (HOUSEHOLDS)
DONORS
NATIONAL HOSPTIAL
REGIONALL HOSPITAL
DISTRICT HOSPITAL
SPECIALISED HOSPTIAL
LABORATORY SERVICES
PHARMACY
COMMUNITY HEALTH CENTRE OR CLINIC
HEALTH POST
INTEGRATED COMMUNITY HEALTH SERVICE (SISCA)
25
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NATIONAL HEALTH SECTOR STRATEGIC PLAN 2011-2030 36!
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Expected Results/ Key Indicators:
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Strategy IndicatorTarget2015
Target 2020
Target2025
Target2030
1.
Strengthen community empowerment in participating and to take lead in the identification of health issues and practices that hinders access to health services.
% SISCa post management led by community leaders
50% 100% 100% 100%
2.Advocating for inter-sectoral collaboration and commitment in community level services.
Coordination mechanisms among different sectors developed and functioning in support of SISCa
100% 100% 100% 100%
3.Standardize comprehensive health service package at SISCa levels.
% of identified rural area with access to full packages of SISCa
50% 100% 100% 100%
37
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NATIONAL HEALTH SECTOR STRATEGIC PLAN 2011-2030 46!
IV.4 NATIONAL PRIORITY HEALTH PROGRAMS
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47
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NATIONAL HEALTH SECTOR STRATEGIC PLAN 2011-2030 48!
C. NUTRITION
31'" -/*.,*,+-#&" (*#*/(" +;" ?+*1" 01,&).'-" #-)" #)/&*(" ,-" 3,$+.45'(*'" .'$#,-(" (,9-,20#-*&=" ?'&+A""#00'%*#?&'"A+.&)"(*#-)#.)(D"E("*1'"6#*,+-#&"6/*.,*,+-#&"8*.#*'9="-+*'(>"/-)'.4-/*.,*,+-",("?.+/91*"-@)<%(@'(-((;)3@"#-%")#()*(@&)-8(,;)#)3";1(:)."%";-.1(,8<;-%")#-.(-#8(;<.%<&-.(*,-%<&,$()*(-($);",%'?
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!"E&$+(*"a^l"#.'"/-)'.A',91*4;+.4#9'!"Y^l"#.'"('C'.'&="/-)'.A',91*4;+.4#9'!"I.3)$%(KHl"+;"01,&).'-"/-)'."2C'"='#.("#.'"(*/-*')
!"E&$+(*"ZZl"#.'"('C'.'&="(*/-*')
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49
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SECTION V: HUMAN RESOURCES FOR HEALTH
V.1 DEVELOPMENT OF HEALTH HUMAN RESOURCES12
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Autonomous Health Institutions
National Health Institute
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Dir. of Health Policy & Cooperation
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National Directorate of Hospital, Referral and
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O!ce for Epidimiological Surveillance & Emergency
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National Directorate of Health HumaN Resources
Dir. of Human Resources Planning
Dir. of Humanan Resources Development
Dir. of Human Resources Management
Dir. of Budget & Financial Management Services
Dir. of Administration Services
Dir. of Logistic & Asset Management Services
Dir. of Procurement Services
National Directorate for Health Administration &
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% of locally identified food analyzed in the food com-position table
20% 50% 70% 90%
Develop food recipes and modeling to address dif-ferent needs
% of locally produced food with recipes for different needs
No. of surveys on food con-sumption con
50%
One
70%
One
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Implement WRA NFS education and counseling including health seeking behavior and food taboos ( before, during and after pregnancy)
Introduce and implement under-two growth moni-toring with counseling and MUAC screening for children 24-59 months
% of health workers trained in adolescent nu-trition
9o%% Improve and Maintain
Maintain Maintain
% of pregnant and lacta-tion women receiving counseling
50% 75% 90% Maintain
% of adolescent receive counseling on nutrition
20% 40% 80% Maintain
% of health workers who understand how to use the WHO growth chart
95% 95% 95% 95%
% of health workers who provide counseling
75% 90% Maintain Maintain
% of mothers receiv-ing counseling through growth monitoring activi-ties
50% 75% 90% Maintain
% of children screened and referred to health facilities
50% 70% 90% Maintain
Establish a national train-ing centre for nutrition and food security in coor-dination with agriculture and education sector
Establish national nutrition training center (NNTC)
1 NNTC estab-lished
MaintainMaintain Maintain
% of health staff trained on nutrition and food security 90% Maintain Maintain Maintain
% of health staffs enrolled into formal or informal program (to build leader-ship and technical capacity in NFS)
50% 75% 90% Maintain
% Hospital equipped with clinical nutritionist (dieti-cian)
HN: 2 MD special-ist diet.HD: 3 Dietacian and 1 MD dietacian
Maintain Maintain Maintain
% DHS equipped with S1-nutrition
30% 70% 100% Maintain
% CHC equipped with community nutritionist (D3)
30% 50% 70% 100%
Develop university level curriculum (bachelor and master degree) and faculty position in NFS
% faculty use nutrition cur-riculum
100% Maintain Maintain Maintain
Develop and incorporate NFS education in school curricula
% school use NFS educa-tion 25% 50% 70% 80%
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STRATEGIES ACTIVITIES OUTPUT INDICATORS
IMPLEMENTATION TIMEFRAME
Target2015
Target2020
Target2025
Target2030
Enhancing access to TB diagnostic and treatment services that are accountable to clients and based on human rights ap-proach
Government commitment supported by long-term planning adequate human resources and sustainable financing
develop medium and long-term budgeted plans of action in line with national health and development plansdevelop an evidence base on the impact of TB interventions
Case detection through quality assured bac-teriology and strengthening of the laboratory network
maintain a quality assured laboratory network for sputum smear microscopy develop capacity for culture and drug suscep-tibility testing at NHL ensure availability of supplementary diagnos-tics modalities at appropriate levels.ensure adherence to the recommended diag-nostic algorithms by all health care providers
Access to standardized treatment, under proper case management conditions, including direct-ly observed treatment and patient support to increase adherence, chance of cure, and reduce the risk of acquiring drug resistance
Uninterrupted supplies of quality assured anti-TB drugs and other consumables at all facilities Accurate recording and reporting on all no-tified cases and their outcomes for efficient monitoring of programme performance and evaluation of impact of TB control interven-tions
% of New smear positive registered out of esti-mated New smear posi-tive cases.
75 80 85 90
% of new smear posi-tive cases successfully treated out of new smear positive registered.
>85 >85 >85 >85
Number (%) of designat-ed microscopy centers that are part of external quality assurance pro-tocol
YW"PYVVl) YW"PYVVlQ YW"PYVVlQ YW"PYVVlQ
Number (%) of districts reporting no stock-out of anti-TB drugs
13 (100%) 13 (100%) 13 (100%) 13 (100%)
Number of districts sub-mitting reports on time
13 (100%) 13 (100%) 13 (100%) 13 (100%)
NATIONAL HEALTH SECTOR STRATEGIC PLAN 2011-2030 108!
STRATEGIES ACTIVITIES OUTPUT INDICATORS
IMPLEMENTATION TIMEFRAME
Target2015
Target2020
Target2025
Target2030
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109
STRATEGIES ACTIVITIES OUTPUT INDICATORS
IMPLEMENTATION TIMEFRAME
Target2015
Target2020
Target2025
Target2030
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