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Revitalizing Primary Healthcare : Experience of Maldives

Revitalizing Primary Healthcare : Experience of Maldives. Hussain Rasheed : Permanent Secretary Ministry of Gender, Family & Human Rights 13 December 2012 @ International Conference on Health Equity, Jakarta, Indonesia. In this presentation:. Introduction of the Maldivian archipelago

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Revitalizing Primary Healthcare : Experience of Maldives

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  1. Revitalizing Primary Healthcare :Experience of Maldives Hussain Rasheed : Permanent Secretary Ministry of Gender, Family & Human Rights 13 December 2012 @ International Conference on Health Equity, Jakarta, Indonesia

  2. In this presentation: • Introduction of the Maldivian archipelago • Health System and vital statistics • Multi-sectoral collaboration and its impact on health and quality of life • Recent changes and developments • Conclusion/Recommendations

  3. Maldives

  4. Health Care Service Delivery System • Health centers : primary health care facilities • Atoll Hospitals: secondary level, provide emergency obstetric care services • Regional hospitals :secondary level referral hospitals • Doctors will be posted if the population is above 500. Health Centers Atoll Hospital Regional Hospital Tertiary Care Hospitals

  5. Vital Statistics Source: Vital registration system, MoH 2010 data as of 26 June 2011 CBR & CDR calculated using projected mid year population

  6. Maternal Deaths 1997-2011

  7. Critical success factors for multisectoral collaboration • Stewardship – leadership and advocacy for PHC from WHO, public health officials • Governance – commitment of executives, ministers; • Financing – resource allocation, mobilization for health sector investment and support services • Skilled human resources – dedicated and motivated healthcare workers

  8. Critical success factors for multisectoral collaboration • Technically effective interventions – timely and continuing technical support and guidance from WHO and public health officials • Empowerment of other sectors – capacity building of focal points from other sectors • Community action – community support and volunteerism • Education – a literate population

  9. Recent Changes and Developments in Health Sector • Government Changes in 2008 – Policy changes and new Decentralization Act • Less focus on PHC in island and Atolls • Now going back to PHC model of past • In terms of Reproductive Health : more focus on accessibility • Health insurance for all (government pay the premium for all) ID cards are produced to get services

  10. Recent Changes and Developments in Health Sector • Our Ministry was established on May 2012 • In disaster situations, we have a mandate to facilitate psycho-social support to victims • National Disaster Management Center, MNDF and MoH is the main relief work agency

  11. End Thank You!

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