1 / 17

By Dr. Founkham Rattanavong , Department of Planning - Finance Department

MDG Progress and Challenges based on Lack of Accountability for budget Execution at local level due to poor Health Information System. By Dr. Founkham Rattanavong , Department of Planning - Finance Department Ministry of Health, Lao PDR. MDGs Related to Health Sector.

kiri
Download Presentation

By Dr. Founkham Rattanavong , Department of Planning - Finance Department

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. MDG Progress and Challenges based onLack of Accountability for budget Execution at local level due to poor Health Information System By Dr. FounkhamRattanavong, Department of Planning - Finance Department Ministry of Health, Lao PDR

  2. MDGs Related to Health Sector

  3. MDG1: Eradicate extreme poverty and hunger Achievable but challenging: need to enhance coordination and budget for implementing of National Strategy/Policy on Nutrition Source: UNICEF, WHO Joint monitoring 2010, & Asia-Pacific MDG report 2010/11

  4. MDG 4: Reducing of Infant Mortality Source: WHO, 2011 & Asia-Pacific MDG report, 2010/11

  5. MDG 5: Maternal Health Promotion Achievable if: SBA, free delivery service, emergency operation, family planning available Source: Lao Reproductive Health Survey, MOH, 2005 & The Lancet Report

  6. MDG 6: Combat HIV/AIDS, Malaria & TB Source: WHO, 2011 & Asia-Pacific MDG report, 2010/11

  7. MDG 7: Ensure Environmental Sustainability Achievable, but need to redefine and funding Source: Water Supply & Environment Sanitation Centre, MOH, 2011

  8. Comparison to ASEAN Source: Asia-Pacific MDG Report, 2010/11

  9. Obstacles & Challenges • Health network is most covered but quality of services is still limited due to low technical skills • Caused factors of mother death are highly challenging to be solved not only by health sector • Birth attended by skilled birth personnel and referral system are not properly functioning • Nutrition is related to many sectors with limited fund • Immunization rate is not as targeted many provinces • Technical coordination and project implementation are still slow and IT utilization is very limited • Demand and budget supply and also private investment are limited • No proper monitoring and evaluation system (HMIS)

  10. Measures & Methods • Continue in improving health network for better quality with staff motivation to work in remote areassuch referal system (focus development areas) • Implement 5 yr plan into detail annual plan and budget with decentralization and responsibity of each project/program • Apply free delivery and < 5 treatment for nation wide • Extend Health Equity Fundto cover all eligible target • Strengthen nutrition task force and coordination point • Apply hospital financial mechanism with sustainable system and using appropriate IT for service quality improvement • Associatewith local authorities on 3 decentralization levels on: MHV development for rural developmentand vital data collection (MDG monitoring) • Increase goverment budget >9% (excl. ODA) and encourage more investment and assistance on health as MDG costing.

  11. Data Collection Method Population based and Institution based: Census, Survey and vital data collection is needed (Community Based Monitoring System) :-Village and Health Centre: VHV and VHC to collect data and report to district (monthly)- District Health Office:to comply and check data from all HCs before sending to PHO (quarterly)- Provincial Health Office: to comply, check all data from each district and report to MOH (quarterly)-Central level: to finalize, analyze and compare data from institution based for monitoring and report…

  12. Model Healthy Village Criteria • Health education as widely activities • Safe water supply and environment sanitation (rural & urban: 80%, 70%) • Expand Program on Immunization > 90% (19-45) • Maternal and child health family planning • Nutrition activities: iodine, Vit A, iron, de-worming,… • Prevention and basic treatment of common diseases by trained VHV or others • Child survival activities: ANC, PNC, breastfeeding, … • Essential drugs supply: Drug kit in the remote villages • Can refer emergency case to nearby health facilities • Record all births and deaths

  13. Model Healthy Village and Group of village based on 8 elements of PHC

  14. Key of Success

  15. Thank you

More Related