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National Health Policy. Republic Democratic of Timor-Leste. Country profile. Land Surface : 14,600 square km Population: 960,000 Constituted of 5 region, 13 Districts, 65 Sub-districts and 498 villages, 2,336 hamlets and 194,943 households TFR ; 7,8 Annual pop. Growth 3,9%.
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National Health Policy Republic Democratic of Timor-Leste
Country profile • Land Surface : 14,600 square km • Population: 960,000 • Constituted of 5 region, 13 Districts, 65 Sub-districts and 498 villages, 2,336 hamlets and 194,943 households • TFR ; 7,8 • Annual pop. Growth 3,9%
Selected Health Indicators for Timor-Leste Source: Demographic Health Survey, 2003 and Health Information System, Ministry of Health
Plano Desenvolvimento Estrutura Politica Saude Estrutura Accao Intersectoral Plano Estrategico da Saude Pacote Servico Basico Pacote Servico Hospitalar Saude Publica Saude Materna Obstetria/ginecologia Saude Ambiental Saude Infanti Neonatal/paediatria Forensica Patologia Doencas Contagiosas Midicina Interna Doncas Nao-Contagiosas Trauma/cirurgia
Health Policy Frame Work • “…Let us not be tempted to build and develop modern hospitals that are costly and in which only half a dozen people benefit from good treatment. Let us concentrate above all on planning intensive campaigns of sanitation, prevention, and the treatment of epidemics and endemics for the whole population. …” Xanana Gusmao, Message for Opening of Melbourne Strategic Development Planning for ET Conference April 1999
Health Policy Frame Work • Health problems are not exclusively originated in health-related sources. • From that perspectives, we define our vision for health: “Healthy East Timorese people in a healthy East Timor”
Health Policy Frame Work • The fact that the vision implies a healthy East Timor means that sectors other than health should contribute to reach the point that this vision foresees (multisectoral approach to health)
Intersectorial Action Framework A model of Intersectorial Wellbeing and Health intervention for Timor-Leste
Implementation of Policies Republic Democratic of Timor-Leste
Implementation of Policies Based on : • Guiding principles and values • Mission and operational strategies Through : • MoH Structure, Central Services, District Services, Hospital Services and referral system. • Established Intersectoral Action Forums; Ministerial forum, Central level, District and community level
Implementation of Policies How : • Planning, coordination and management • Implementation of regulation and legislation • Guidelines and protocols • Training • Monitoring and evaluation
Sources for health indicators • National Development plan 2020 • MDGs Goals • National Surveys • Trend epidemiology • Resources availability • Implementation progress
Monitoring and evaluation process • Government developed tools ( quarterly report matrix, CSP matrix ) • Health Management Information System ( activities based report ) • Surveys and research • Donor mid term review • Quarterly review meeting ( national, District and Sub-District and Facilities )
Policy and decision making implication • The out put of all above mentioned mechanism lead for policies and strategies review, by setting new indicators • Considering new disease pattern, population profile, public preferences • New input