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STRENGHTENING SPECIALISED CLINICAL SERVICES IN THE pACIFIC sscsIp. Overview of presentation. Background info abut SSCSiP What SSCSiP is about Activities in the Northern Pacific Regionalism lens Lessons learnt Way forward. Project Scope.
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STRENGHTENING SPECIALISED CLINICAL SERVICES IN THE pACIFIC sscsIp
Overview of presentation • Background info abut SSCSiP • What SSCSiP is about • Activities in the Northern Pacific • Regionalism lens • Lessons learnt • Way forward
Project Scope • Level of clinical support beyond that of the primary health care worker Examples: surgery, internal medicine, paediatrics, anaesthetics and trauma/critical care, obstetrics and gynaecology. • The personnel providing specialised clinical services - medical specialists, nursing officers, biomedical technicians, radiographers etc
Service delivery modalities • Offshore referrals • In-country through visiting teams • In-country though local specialists Issues • cost-effective and equitable - agreed medical and equity guidelines); patient outcomes • Planning (Not Demand driven, no objective needs analysis, poor hosting, lack of coordination) evaluation of patient outcomes; adjunct services • Lack of skill/knowledge transfer from visiting specialist to local clinicians.
Example of Regionalism Australian Government Funding FNU as implementing agency Project design reviewed & endorsed by MoH, and Pacific Island Ministers Meeting SSCSiP Project PICs & Development partners coming together to discuss identify a solution – SCS Project PICs identifying a common issue of concern
GOAL For Pacific Island Countries to achieve better planning and improved local capacity to meet secondary and tertiary health needs in a way that is appropriately balanced against each country’s primary and preventive care priorities. OBJECTIVE 1: to support Pacific Island countries to plan for, access, host and evaluate specialised clinical services. OBJECTIVE 2: to contribute to the development of appropriate health worker skills and capabilities Outcome 1.1 - visiting specialised clinical services are demand-driven and planned within each country (C) Outcome 2.1 - Support provided for HR for SCS planning ( C ) Outcome 1.2 –visiting teams are coordinated across the Pacific and provided in an efficient and effective manner (C +R) Outcome 2.2 – Increased knowledge and skills of health workers to provide and/or support quality specialised clinical services ( C ) Outcome 1.3 - adjunct services to support specialised services are available and generally strengthened ( R ) Outcome 2.3 – Established linkages to support health workers’ development ( R ) Outcome 1.4 – Patient outcomes are assessed and deemed satisfactory ( C ) Outcome 1.5 – Offshore referrals for specialist care is cost-efficient, and consistent with agreed medical and equity guidelines ( C )
SSCSiP Team • Secretariat (Based at FNU – Fiji Islands) • Dean, PM manager, Health planner, M&E coord, Project coord, Biomed engineer, clinical advisors • Budget of 1.2 Million AUD p.a • Next phase June 2012 – Dec 2014 • Planning, managing and evaluating SCS (VT, OR) • Information system for SCS (OR, VT, patient outcomes) • HRH planning and capacity development (SCS) • Responding to urgent needs (VT, locums)
SSCSiP Governance • Secretaries/CEO of MoH and Directors of clinical services from 14 PICs • Annual meeting
Achievements to date • Started in June 2011 (11 mo old) • Collection of Baseline data • SA of SCS, Mapping of Clinician’s profiles, Mapping of biomedical services capacity, Costing studies • Planning workshops (Palau, FSM & RMI) • ToR for visiting teams, preparedness checklists, evaluation of visiting teams, offshore referral policies
Achievements • Supported capacity building initiatives for clinicians & nurses (gastroenterology – FSM) • Responded to urgent needs: • Locums (Palau) – pediatrician & obstetrician • Biomed equip maintenance (Palau & FSM) • Ophthalmology scholarship (FSM)
Country scores Recruited a BME – work with PIC; coordinate BEMI BME; BMT training
