Transcript Country Team Action Plan

Country Team Action Plan
March 11, 2010
Palestine
Improving good
governance and
management
practices in the
Palestinian health
sector
Maternal Health Services
Child Survival Services
Chronic Diseases
Supporting
procurement
of health and
humanitarian
assistance
commodities
Improving
the quality of
clinical and
Community based
health
services
Injury Prevention
Water & Sanitation
Women’s Health
Where are we now?
Challenges
– Political situation
– Access to Quality Heath Care
– Non Standardized Trainings
– Inadequate Donor Coordination
– Reform in the context of no State
– Lack of Credible Data
– Graduates with varying degrees of
training and competency
Tracks 1 & 2
3
Tracks 1 & 2
4
Where do we want to be?
GOALS
Improve Quality of Care By Introducing Evidence-Based
Best Practices
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Healthy Timing and Spacing of Pregnancies
Post Partum IUD Insertion
Tracks 1 & 2
5
What are the gaps?
• Role of the MOH as a regulator and Service
provider
• The NGO experience is underutilized
• Need for updated curricula to include Evidence
Based Best Practices.
Track 1
6
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Track 1
What interventions
can we use to close the gap?
Support MOH to adopt and implement policies
supporting Evidence-Based Best Practices
Establish and support the introduction of Best
Practices in the Pre-service training curricula and
to new graduates with a focus on OBGYN and
Neonatal Health.
Involve Al Makassed Hospital (NGO) in adopting,
enhancing and Institutionalizing Evidence-Based
Best Practices
7
What are the possible challenges
to the intervention?
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Insufficient resources to finance activities
Resistance to Change
USAID requirements
Access and political situation
Track 1
8
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Who are the possible partners,
allies, and stakeholders?
MOH
Champion NGO—Al Makassed Hospital
Health Education Institutions
UN agencies
Private Sector
Health Associations
Palestinian Medical Council
Holy Family Hospital
Track 1
9
Private
Sector
NGOs
MOH
UN agencies
Donor Community
Universities
Track 1
10
What is the evidence to support
this best practice?
• HTSP, PPIUD are evidence based best practices.
• MOH and the NGO will launch a SOTA HIS system
for collecting evidence.
• There is a need to strengthen documentation of best
practices.
Track 2
11
What are the modifications needed to
improve the intervention’s scalability?
• Update training curricula at Makassed hospital (NGO) for
OBGYN and Neonatal residency programs
• Review and update pre-service curricula at Ibn Sina
Health Institute (for nurses and midwives)
Track 2
12
Who will be involved
in scaling-up?
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MOH
Ibn Sina Health Institute
Al Makassed Hospital
Holy Family Hospital
USAID is strengthening the capacity of institutions involved in
scaling up through technical assistance.
Track 2
13
Opportunities For scaling-up
• MOH committed to
improving the quality of care
• NGO committed to support
the MOH in reform activities
• A clear and focused National
Strategic Health Plan.
• In country technical expertise
Track 2
14
Constraints for Scaling up
• Political instability
• Shift in resources and
priorities
• Restricted mobility
• USAID regulations
Track 2
15
What policy, regulatory, budgetary, or
other institutional steps are needed?
• Institutionalize training curricula
• Allocation of sufficient resources both human and
financial.
The Director General for Women’s Health and The Director
of Al Makassed Hospital will lead advocacy efforts
Track 2
16
Scaling up
What will be the costs of expansion and
how will needed resources be mobilized?
• The MOH will allocate $50K to cover
initial phase
• Al Makassed Hospital will allocate
$25K to cover Initial phase
Track 2
18
How will the process, outcomes and
impacts be monitored? How will results
be fed into decision-making?
Through an extensive M&E process
and also through utilizing the HIS.
Track 2
19
What are our action steps?
Action Step
1.Review and update
training curricula for
Neonatal Health
Responsible Person
Dr. Rustum Nammari
Al Makassed Hospital
2. Initiate trainings
Al Makkased Hospital
staff
September
3. Review and update
training curricula for
OBGYNs
Dr. Rustum Nammari
Al Makassed Hospital
April-August
Tracks 1 & 2
Timeline
April-August
20
What are our action steps?
Action Step
4. Initiate trainings
Responsible Person
Timeline
Al Makassed Hospital
staff
September
10. Review and update •DG Women’s Health,
pre-service curricula at MOH
Ibn Sina
•DG for CME, MOH
11. Initiate Training
Tracks 1 & 2
Ibn Sina and MOH
staff
April-August
September
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