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Strategy development and planning: Overview

Strategy development and planning: Overview. Dr Bernadette Daelmans Department of Maternal, Newborn, Child and Adolescent Health World Health Organization. MNCH: not in isolation. National health plan. MDG 4 & 5. Maternal, newborn and child health.

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Strategy development and planning: Overview

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  1. Strategy development and planning: Overview Dr Bernadette Daelmans Department of Maternal, Newborn, Child and Adolescent Health World Health Organization

  2. MNCH: not in isolation National health plan MDG 4 & 5 Maternal, newborn and child health The Global Strategy for Women's and Children's Health Regional maternal, newborn and child health strategies

  3. Planning and management cycles Evaluateprogramme coverageand health impact(5-10 yearly) E.g. DHS, MICS Develop strategic plan (5-10 yearly) Manage implementation (Ongoing) Prepare for review of implementation status (1–2 yearly) National Health Plan Develop implementation plan (1-2 yearly)

  4. MNCAH within the health system Health System building blocks Outcomes Governance Critical subsystems Service Delivery Comprehensive , Financing Health & health security Policy dialogue integrated , continuous and people - centred within and beyond care along the life - health sector cycle Health Equity Workforce Policy Directions - : Cost effective and safe universal coverage , primary care , interventions & clinical Social inclusion and health in all policies public health participation Strategies - Plans - Medicines Regulation Trust in health Universal access to authorities : Strategic close - to - client Fairness Information networks , responsible Protection Technology & for a defined Research Competence Infrastructure population Accountability

  5. Programmatic pathway for child health IMPLEMENTATION OF ACTIVITIES Advocacy for maternal and child health Human, material and financial resource mobilization Human resource capacity development Communication with families & communities Health system supports strengthened Progress tracked IMPROVED Availability and access to health care Quality of care Demand for care Knowledge of families and communities INCREASED POPULATION-BASED COVERAGE of key effective interventions IMPROVED SURVIVAL AND HEALTH Other determinants

  6. Steps in strategy development • Situation analysis • Setting goals, objectives and targets • Select priority interventions • Decide how to deliver and scale-up interventions • Review policy and resource implications • Costing of the strategic plan • Plan for monitoring and evaluation • Writing-up the strategic plan • Ensure inclusion in national health plan and maximize synergies with other programs

  7. Making critical linkages • Prevention of Mother to Child Transmission of HIV • Intermittent preventive treatment of malaria • Use of insecticide treated bednet • TB Care, including extra-pulmonary genital TB • Prevention of congenital TB 1. Antenatal Care e.g. • Essential care during childbirth • Essential care for the mother and newborn after birth • Care of HIV positive women and affected newborn • Prevention of Mother to Child Transmission of HIV • TB care 2. Childbirth Care e.g. • Support for breast feeding • ARV prophylaxis and feeding counseling for mother and baby affected by HIV • Use of insecticide treated bednet • Integrated management of childhood illness 3. Postpartum Carefor mother and newborn e.g.

  8. OneHealth supports several steps

  9. A tool to support processes for medium term (3-10 years) health systems to planning at country level Covers the national health sector, with focus on public sector health interventions. Allows for incorporating activities in private sector and costing of selected non-health sector activities that may have health impacts. Unified in three ways: planning, costing, budgeting, impact analysis, financial space analysis – all together brings together disease programme planning and health systems planning one UN OneHealth for strategic planning and costing

  10. Fiscal Space envelope HS4. Health Information HS5. Governance and Leadership HS6. Financing Policies • National Disease Programmes Health System Envelope • Hospital Service delivery planning • Health Centre …NCDs… Child Health Nutrition Reproductive Health WASH Immunization Malaria TB HIV • Outreach • Community HS2. Human Resources HS3. Logistics HS1. Infrastructure and Equipment

  11. Flexible in use Planning by programmes Nutrition Child Health Immunization Maternal and Reproductive Health Malaria TB HIV/AIDS WASH + (user defined) + NCDs (forthcoming) Planning by levels National District Hospital Facility Outreach Community • Planning for systems • Human Resources for Health • Infrastructure, Equipment and Vehicles • Logistics • Health Information Systems • Governance • Health Financing Policy Gender, Equity and the Private Sector as cross-cutting considerations

  12. In conclusion A good (MNCAH) program strategic plan is a pre-requisite for sound inputs to a National plan…and a good national plan should reflect key (MNCAH) program issues The (MNCAH) program strategic planning cycle should be synchronized with the national health planning cycle The OneHealth supports both National health planning and (MNCAH) program strategic planning

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