Transcript Health Promotion Education - Zambia UK Health Workforce

HEALTH SECTOR PRIORITIES FOR
FY 2010/11 TO 2015/16
PRESENTED AT THE LAUNCH OF
UGANDA UK HEALTH ALLIANCE
LONDON, UK.
TUESDAY 12TH FEBRUARY 2013
DR. ASUMAN LUKWAGO
PERMANT SECRETARY MINISTRY OF HEALTH
Climax of Good standard of Health
in Uganda
The National Referral Hospital
PRIORITY AREAS FOR THE NATIONAL
HEALTH POLICY
More than 75% of the overall burden of disease
is preventable (NHP 1999).
A. The focus for the NHP II is on
Health promotion, disease prevention and early
diagnosis and treatment with emphasis on
vulnerable populations.
2. Cost-effective and affordable primary, secondary
and tertiary preventive services.
1.
PRIORITY AREAS FOR THE NATIONAL
HEALTH POLICY Contd.
3. Health systems strengthening, specifically:
 In line with decentralisation - through training, mentoring,
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technical assistance and financial support.
Re-conceptualising and organising supervision and monitoring
at all levels in both public and private health sectors
Improving the collection and utilisation of data for evidencebased decision making at all levels.
Establishing a functional integration within the public and
between the public and private sectors in healthcare delivery,
training and research.
Addressing the human resource crisis and re-defining the
institutional framework for training health workers.
Leadership and coordination mechanisms, with the aim of
improving the quantity and quality of health workers
production.
CLUSTER APPROACH
1. Health Promotion & Education
Aims at increasing
health awareness and
promoting community
participation in health
care delivery and
utilisation of health
services
1. Promotion of
Good
sanitation
practices
2. Prompt
detection of
outbreaks
and
emergencies
Health Promotion & Education
Contd.
 Individual and community responsibility for better health
 Ill-health due to environmental health and unhygienic
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practices and other environmental health related
conditions.
Diarrhoeal diseases
School children, their families and teachers - appropriate
health seeking behaviour
Equitable access by people in conflict and post-conflict
situations to Health Services
Health emergencies and other diseases of public health
importance.
Nutrition services
2.
Maternal and
Child Health
•Highest total burden of
disease
•However the Road Map to
accelerate Reduction of
Maternal and Child
morbidity and mortality
has been formulated.
•The effective
implementation of these
strategies is what is
needed to move towards
achievement of MDGs 4
and 5 by 2015.
Maternal and Child Health
 sexual and reproductive health & rights
 newborn health and survival by increasing
coverage of high impact evidence based
 Attainment of MDG 4.
 Scale up and sustain high, effective coverage
of a priority package of cost-effective child
survival interventions.
 Reduce morbidity and mortality due to
gender based violence.
3.
Communicable Diseases
•Forms 54% of the total burden of disease;
HIV/AIDS, tuberculosis (TB) and malaria,
being the leading causes of ill health.
•Malaria remains most important disease in
terms of morbidity, mortality and economic
losses.
• The HSSP II - availability of ACTs
consistently, RDTs for diagnostics
and treatment, pre-referral
treatment for severe malaria at
community level, use of IRS, IPT,
LLINs and early detection and
treatment of malaria policy in place
although not fully implemented.
•Uganda is on course for diseases that have
been targeted for elimination namely
guinea worm, trachoma, onchocerciasis,
schistomiasis, lymphatic filariasis and
measles.
•Address NTDs by chemotherapy, MDA
insecticide sprays
4. Non Communicable Diseases (NCD)
•An emerging problem in Uganda.
•Includes Diabetes, CVS complications,
Chronic respiratory d’ses, Cancer,
sickle cell disease, road traffic injuries,
mental health, substance abuse and
medical pediatric and obstetric
emergencies and deaths
•NCDs are mostly preventable through
a broad range of simple, cost-effective
public health interventions.
•The treatment of NCDs and their
complications is costly.
•The Ministry of Health has undertaken
to
strengthen
the
planning,
coordination and implementation of
interventions such as provision of prehospital ambulance services and
enactment of a NCD control strategic
plan.
Emerging Issues
and
Recommendations
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3.
Overall health of Uganda’s
population remains poor with a
low level of life expectancy and
high level of mortality
Although there has been an
improvement in overall health
this remains slow suggesting
that some interventions are
having a positive impact.
There remains significant
disparities in the distribution of
health services with some
regions of country having
poorer services compared to
others.
Progress of Key Health sector performance indicators
Indicator
Performance 2006
Performance 2011
Infant Mortality rate
76/1,000 Live Births
54/1,000 Live Births
Under five mortality rate
137/1,000 Live births
90/1,000 Live Births
Full Immunization Coverage
46%
52%
Deliveries by skilled health
workers
38%
59%
Maternal Mortality ratio
435/100,000 Live births
438/100,000 Live births *
Insecticide Treated Bednet
ownership
16%
60%
Children receiving
treatment within 24hours of
onset of malaria
1%
43%
Approved posts filled by
qualified health workers
56%
58%
14
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Way forward
•Designed different strategies, tailored
to address the challenges to health in
different parts of the country
•Proposed a comprehensive approach
to addressing health services
•Worked out a better understanding of
the investments needed to achieve the
health outputs being sought
•Pursue Scale up of health services.
•Undertaken a comprehensive
knowledge management approach in
the sector
•Achieving equity in health
•Prepare a comprehensive Health
Financing Strategy
•Agree to scale up sector coordination
and partnership
Thank you indeed!!
For GOD
and my
Country