MINISTRY OF HEALTH 2005 ANNUAL REVIEW

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MINISTRY OF HEALTH 2005 ANNUAL REVIEW

• SALIMATA ABDUL SALAM
• AG. CHIEF DIRECTOR

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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

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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

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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

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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

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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.

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Achievements

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

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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

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Analysis of 2005 Budget GoG(mill)
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2005 Health Fund ( 000s)
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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

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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

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Increase production of health professionals
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Increase Production of Health Professionals
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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

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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

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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.

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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.

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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

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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

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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

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MONITORING AND EVALUATION

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

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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

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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

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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.

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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

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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

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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

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THANK YOU