strategy development and planning: overview
DESCRIPTION
Strategy development and planning: Overview. Dr Bernadette Daelmans Department of Maternal, Newborn, Child and Adolescent Health World Health Organization. MNCH: not in isolation. National health plan. MDG 4 & 5. Maternal, newborn and child health. - PowerPoint PPT PresentationTRANSCRIPT
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Strategy development and planning: Overview
Dr Bernadette DaelmansDepartment of Maternal, Newborn, Child and Adolescent Health
World Health Organization
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National health plan
Maternal, newborn and child health
MDG 4 & 5
Regional maternal, newborn and child health strategies
The Global Strategy for Women's and Children's Health
MNCH: not in isolation
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Planning and management cycles
Develop implementation plan
(1-2 yearly)
Prepare for review of implementation
status)1–2 yearly(
Evaluate programme
coverage and health impact )5-
10 yearly(
E.g. DHS, MICS
Develop strategic plan
)5-10 yearly(Manage
implementation )Ongoing(
National Health Plan
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Financing
Policy Directions universal coverage ,
primary care ,
health in all policies
Strategies -Plans -Regulation Medicines
Technology & Infrastructure
Workforce
Policy dialoguewithin and beyond
health sector
Comprehensive , integrated , continuous
and people -centred care along the life -
cycle
Cost
-
effective and safe
interventions
:
clinical &
public health
Universal access to close -to-client
networks , responsible for a defined population
Trust in health authorities :
FairnessProtection
CompetenceAccountability
Health Equity
Health & health security
Health System building blocks
Service Delivery
Outcomes
Social inclusion and
participation
Strategic Information
Research
Governance Critical subsystems
MNCAH within the health system
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Programmatic pathway for child health
IMPLEMENTATION OF ACTIVITIES
Advocacy for maternal and child health
Human, material and financial resource
mobilization
Human resource capacity development
Communication with families &
communities
Health system supports strengthened
Progress tracked
IMPROVED
Availability and access to health care
Quality of care
Demand for care
Knowledge of families and communities
INCREASED POPULATION-
BASED COVERAGE
of key effective interventions
IMPROVED SURVIVAL
AND HEALTH
Other determinants
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Steps in strategy development
• Situation analysis• Setting goals, objectives and targets• Select priority interventions• Decide how to deliver and scale-up interventions• Review policy and resource implications• Costing of the strategic plan• Plan for monitoring and evaluation• Writing-up the strategic plan• Ensure inclusion in national health plan and
maximize synergies with other programs
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Making critical linkages
1. Antenatal Care e.g.
2. Childbirth Care e.g.
3. Postpartum Care for mother and newborn e.g.
• Prevention of Mother to Child Transmission of HIV• Intermittent preventive treatment of malaria• Use of insecticide treated bednet• TB Care, including extra-pulmonary genital TB• Prevention of congenital TB
• Essential care during childbirth • Essential care for the mother and newborn after birth• Care of HIV positive women and affected newborn• Prevention of Mother to Child Transmission of HIV• TB care
• Support for breast feeding• ARV prophylaxis and feeding counseling for mother
and baby affected by HIV• Use of insecticide treated bednet• Integrated management of childhood illness
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OneHealth supports several steps
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• A tool to support processes for medium term (3-10 years) health systems to planning at country level
• Covers the national health sector, with focus on public sector health interventions.
• Allows for incorporating activities in private sector and costing of selected non-health sector activities that may have health impacts.
• Unified in three ways:– planning, costing, budgeting, impact analysis, financial space
analysis – all together– brings together disease programme planning and health systems
planning – one UN
OneHealth for strategic planning and costing
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National
Hospital
Health Centre
Outreach
Community
HS4. Health Information
HS5. Governance and Leadership
HS6. FinancingPolicies
HS3. LogisticsHS1. Infrastructure and Equipment
HS2. Human Resources
Malaria
Disease Programmes
TB
HIV
Reproductive H
ealth
WA
SH
Imm
unization
Child H
ealth
Nutrition
…N
CD
s…
Health System
Envelope
Fiscal Space envelope
Service delivery planning
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Flexible in use
Planning by programmes
• Nutrition • Child Health• Immunization• Maternal and
Reproductive Health
• Malaria• TB• HIV/AIDS• WASH• + )user defined(• + NCDs
)forthcoming(
Planning by levels• National• District• Hospital• Facility• Outreach • Community
Planning for systems Human Resources for
Health Infrastructure,
Equipment and Vehicles
Logistics Health Information
Systems Governance Health Financing Policy
Gender, Equity and the Private Sector as cross-cutting considerations
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In conclusion
• A good (MNCAH) program strategic plan is a pre-requisite for sound inputs to a National plan…and a good national plan should reflect key (MNCAH) program issues
• The (MNCAH) program strategic planning cycle should be synchronized with the national health planning cycle
• The OneHealth supports both National health planning and (MNCAH) program strategic planning