Strategic Objective 10: To improve health services through

SEA/SPPDM-Meet.2/2.3 Page 341

Strategic Objective 10: To improve health services through better governance, financing, staffing and management informed by reliable and accessible evidence and research.

REGIONAL PLANNING BRIEF

1. Major work of WHO for this SO in the region (RO and countries) during 2008-2009:

Organization and management of health systems

• Organizational & management: Health service management strengthened, Service delivery policies: technical support provided

• Country capacities in national policy making: • National collaborative platforms on public health: Public health education strengthened

Human resources for health

• Member countries were supported to develop and implement health workforce strategic plans through development of planning tools, guidelines.

• Regional Health Workforce related information collection facilitated through country support and by developing a common template with the consensus of Member countries.

• The Member countries were supported through the Regional Network of Medical Councils. Countries were assisted to participate in regional HRH related networks and alliances.

• Capacity of Medical & other Health Science training institutionstrengthened through faculty development with fellowship & other technical exchange programs.

• Capacity of nurses and midwives in responding to MDGs and health goals were strengthened.

• Quality of nursing and midwifery education was strengthened through the meeting of South-East Asia Nursing and Midwifery Educational Institution Network, training of teachers and the support of the consultants in curriculum development and implementation.

Health financing

• Country health financing and expenditure reviews • Institutionalising NHA at country level • Monitoring the health impact of the global financial crisis, including country case studies • Capacity development course at country level

o Economic evaluation and impact assessment in health • Country capacity development courses at regional level:

o Economic principles for health policy and planning in low income countries o Health Financing Issues in Low Income Settings o Provider payment methods

• Initiating products for the Health Economics and Financing Observatory • New Bi-Regional Health Financing Strategy 2011-2015

Quality and patient safety

• Advocacy on patient safety; • Capacity building in patient safety, quality assurance and quality improvement;


• Capacity building in the prevention of healthcare associated infection in the hospital setting; • Field testing of the WHO hand hygiene tool kit and the WHO surgical safety checklist; • Drafting of national policy on quality and safety in healthcare; • Development of a patient safety curriculum for medical students and for medical students.

Health information and knowledge management

• Health Information and knowledge assets in SEAR are identified, collected and translated, printed and disseminated.

• Strengthen HELLIS Network Libraries in development of the library catalogue database of health literature.

• Develop databases of published health information such as research reports, theses/dissertations and grey literature etc. at national level

• Promotion of and support for access to essential health information and knowledge assets through HeLLIS and HINARI

2. Scope of work and major results planned for 2010-2011

Organization and management of health systems

• Implementing the health care reform in PHC revitalization through health care services delivery management, national capacity for governance and coordination for health system development improvement

Human resources for health

• Country capacity on HRH planning and implementation further strengthened. • National and regional HRH related information collection and dissemination strengthened.

HRH related assessments, evaluations & research promoted. • Partnerships e.g. networks and alliances in relation to health workforce development

strengthened. • Quality and standards of pre-service and in-service education/training in Medical & other

allied Health Science improved through development & implementation of frameworks, guidelines and tools.

• Capacity of health workforce including community-based health workers in public health interventions in countries contributing to MDGS and national health goals strengthened through CME, distance-learning & other activities.

Health financing

• Continued institutionalising of NHA at country level • Continued monitoring of the health impact of the global financial crisis, including country case

studies • Capacity development course at country level

o Economic principles for health policy and planning in low income countries o Health Financing Issues in Low Income Settings o Provider payment methods

• Country capacity development courses at regional level o Economic evaluation and impact assessment in health o Financial management for health

• Operationalising the Health Economics and Financing Observatory


Quality and patient safety

• Promote a legislative and regulatory environment that enables quality and safety in health care;

• Introduce evidence-based quality and patient safety norms, standards and tools (e.g. guidelines; checklists; standard operating procedures);

• Establish mechanisms to encourage compliance with established standards and to foster continuous quality improvement (e.g. training; monitoring; supportive supervision; external assessment or accreditation);

• Develop mechanisms to ensure patient and other stakeholders’ engagement in local quality and patient safety initiatives (e.g. mobilizing professional associations; creating patient-provider partnerships; ensuring stakeholder representation on quality and safety committees);

• Build regional and local capacity in patient safety and quality assurance and improvement concepts (e.g. integrate a patient safety curriculum into health professional education and training);

• Strengthen the local capacity for planning and managing appropriate health technologies; and,

• Build local capacity for research in patient safety.

Health information and knowledge management

• Promote development of Institutional Repositories for the MoH and research institutes. • Promote online publication of medical/health journals. • Establish Integrated Library Automation System for HELLIS Network Libraries. • Development of gender information and incorporated/linked in regional gender portal to

promote gender equality and women empowerment. • Development of South-East Asia Disaster Health Information Network.

3. Regional Expected Results (RERs) with indicators, baselines and targets (attached):


4. Budget information for the Strategic Objective for Country Offices (CO) and the Regional Office (RO) (in USD thousands)

PB 2008-2009* PB 2010-2011

Country offices Regional Office SO Component Planned Resources Planned Resources CO RO

Management and organization health service delivery reflecting the primary health care strategy

13,615 7,700 3,862 2,634

Governance and leadership 6,972 6,972 1,068 773

Coordination to achieve national targets for health system development

1,167 406 572 635

Health-information 3,523 1,267 1,187 750

Knowledge and evidence for health decision-making, 349 111 1,050 490

Health research 709 376 517 186

Knowledge management and e-health 979 601 967 712

Strengthened health workforce information and policy analysis 5,236 3,105 1,077 396

HRH production, distribution, skill mix and retention 3,620 2,488 1,845 1,868

Health system financing for social and financial risk protection, equity, access to services

1,011 338 956 918

Tools for estimating the economic consequences of illness, and the costs and effects of interventions

1,282 312 310 6

Health financing policy and use of financial information

1,172 110 395 0

Quality and safety in Health Care 0 0 0 0

TOTAL 39,636 23,271 13,806 9,369 30,287 12,700 * Resources as of May 15, 2009


South-East Asia Regional Expected Results for Regional PB 2010-2011

Strategic Objective 10: To improve health services through better governance, financing, staffing and management informed by reliable and accessible evidence and research.

Organization-wide Expected Result Regional Expected Results Indicator Baseline Target

1. Organizational and managerial capacities of service delivery institutions and networks in Member States strengthened with a view to improving effectiveness, efficiency and quality service delivery performance

Number of member states that have regularly updated database on numbers and distribution of health facilities.

6 8

• National collaborative platforms on Public Health established and made operational with increased awareness and understanding among political leaders and sectoral ministries of the need to link different sectoral plans and budgets in order to improve population health.

Number of member states which have initiated field level activities in comprehensive local public health initiatives including piloting the development approach

2 5

1. Management and organization of integrated, population-based health-service delivery through public and nonpublic providers and networks improved, reflecting the primary health care strategy, scaling up coverage, equity, quality and safety of personal and population-based health services, and enhancing health outcomes.

• Service delivery policies and their implementation strengthened to improve district planning and management capacity, to reflect PHC and community participation, to ensure collaboration and synergies between public and non public service delivery

Number of member states receiving technical support to ensure that service delivery policies and their and implementation increasingly reflect PHC principles

Unknown 5



Number of member states developing and piloting service delivery standards for non state/private health sector

Unknown 4 systems that lead to better overall performance

Number of member states developing district health system with referral care support

0 3

Number of member states assessing decentralization of health systems and updating the national policy

2 4

Number of member states improving institutional capacity for health policy and sector reforms

2 3

• National capacities for governance and leadership improved through evidence-based policy dialogue, institutional capacity-building for policy analysis and development, strategy-based health system performance assessment, greater transparency and accountability for performance, and more effective intersectoral collaboration.

a. Country capacity and practices improved in national and local health sector policymaking, regulation, strategic planning, implementation of reforms, intersectoral and inter-institutional coordination, improved

Number of countries in the last 5 years developed or updated a comprehensive National Health Plan based on HSPA

Unknown 3

• Coordination of the various mechanisms (including donor assistance) that provide support to Member States in their efforts to achieve national targets for health-system development and global health goals

1. Coordination of donor assistance strengthened at the regional and country levels to achieve national health system development targets and global health goals.

Number of countries strengthening external aids coordination with international health coordination unit ensuring

2 4



compliance with Paris declaration

improved.

Number of countries in which more than 50% of aid for health is provided in the context of government led program-based approaches (such as SWAPs for example)

2 3

• Country health-information systems that provide and use high-quality and timely information for health planning and for monitoring progress towards national and major international goals strengthened.

b. Implementation of national strategies for strengthening health information by Member States initiated and further improved, and efforts strengthened to enhance the monitoring and reporting of progress related to MDG.

Number of countries re-orienting their HIS national strategy

4 11

Number of regional ACHR meetings organized.

Recommendations of SEA ACHR

One meeting of SEA ACHR held per year

Number of countries using national forums /networks for conducting activities in health research

3 8

1. Development of a network and mechanism for better use of evidence in health policy making, including SEA ACHR meeting and WHO CCs initiated.

Number of new WHO CCs designation

5/year At least each AoW has one WHOCC

• Better knowledge and evidence for health decision-making assured through consolidation and publication of existing evidence, facilitation of knowledge generation in priority areas, and global leadership in health research policy and coordination, including with regard to ethical conduct.

2. Performance of regulatory institutions and ethical review committees/boards (ERC/IRB)

Number of countries strengthening institutional

5 10



ethical review boards e.g. training on human subject protection and/or developing national ethical guidelines

improved.

Number of countries participating in external evaluation for international standard recognition or accreditation

2 8

3. Health research ethics promoted and included in the medical / health professional’s curricula development and training.

Number of countries meetings or using forums/ networks for sharing in research ethics subject for health.

5 8

Number of countries analyzing, developing and updating national research priorities and country profiles on research for health

4 11 1. Analysis and strengthening of national health research systems development undertaken.

Number of regional health research priorities meetings held

1 1

• National health research for development of health systems strengthened in the context of regional and international research and engagement of civil society.

2. Capacity building of researchers and research managers.

Number of countries training researchers and research managers on strategies to strengthen national research

6 11



for health

Number of regional health research management self-learning package developed.

0 1 set

Number of Regional or inter-country health research management meeting conducted

0 3

3. International cooperation through Regional Health Research Strategy Alliance applied

Number of countries involved in international cooperation partnership for health research activities

Not known 8

1. Institutional Repositories of digital health information assets developed and implemented.

Number of Institutional Repositories developed, maintained and sustained in the member countries.

0 5

Number of health information portals developed or enhanced in the member countries.

0 5

5. Knowledge management and eHealth policies and strategies developed and implemented in order to strengthen health systems.

2. Equitable access to global, regional and national health information enhanced.

Number of training workshops in development of information portals and to access information services organized.

0 6



Number of countries with HRH strategic plans

3 10 6. Health-workforce information and knowledge base strengthened, and country capacities for policy analysis, planning, implementation, information-sharing and research built up.

• Evidence based national HRH planning and implementation capacities strengthened.

Number of countries with updated national HRH data bases

Not Known 8

Number of countries developing National Continuing Medical Education (CME) systems

7. Technical support provided to Member States, with a focus on those facing severe health-workforce difficulties in order to improve the production, distribution, skill mix and retention of the health workforce.

• Production, distribution, and retention of health workforce in Member countries supported.

Number of countries with accreditation mechanisms for training institutions

3 6

1. Policies and strategies developed and implemented for improving equity and financial access to health services

Number of countries initiated national efforts for financial protection

5 11 8. Evidence-based policy and technical support provided to Member States in order to improve health-system financing in terms of the availability of funds, social and financial-risk protection, equity, access to services and efficiency of resource use.

1. Policies and strategies developed and implemented for improving efficiency in resource use at all levels of government and facilities as well as through effective engagement of the private sector

Number of countries with a purchasing strategy for improving systems performance

unknown 5

Number of countries producing NHA regularly

6 9 9. Norms, standards and measurement tools developed for tracking resources, estimating the economic consequences of illness, and the costs and effects of interventions, financial catastrophe, impoverishment, and social exclusion, and their use supported and

• Preparation of National Health Accounts (NHA) and tools for improving financial management at all level of government and facilities Number of countries

received training in financial management

0 8



monitored. • Development of a Guide to economic

evaluation of ill-health and injuries and template to monitor the health impact of the financial and economic crisis

Number of countries trained in conducting economic evaluations and impact assessments, including on he health impact of the financial crisis

0 8

10. Steps taken to advocate additional funds for health where necessary; to build capacity in framing of health-financing policy and interpretation and use of financial information; and to stimulate the generation and translation of knowledge to support policy development.

a. Consolidated capacity building in health financing issues in low income settings and in the use of economic principles for health policy planning and management

Number of countries systematically using technical concepts and evidence to inform policy planning and management

Not know

11

Number of countries implementing WHO Hand Hygiene Guidelines

11

Number of countries implementing WHO Surgical Safety Checklist

11

Number of countries implementing WHO 3rd Global PS Challenge tools

0

11. Evidence based norms, standards and measurement tools developed to support member states to quantify and decrease the level of unsafe health care provided.

1. Key tools, norms and standards to quantify and decrease the level of unsafe care in member states disseminated and their use supported

Number of countries piloting WHO Patient Safety Curriculum for Medical

0 2



Students

Number of countries participating in WHO-supported patient safety research

2 4


Country Planning Brief: Bangladesh (SO-10)

1. Major work of WHO for this SO in country during 2008-2009: Health Service & Quality Care • Initiated a pilot for a Maternal Health Voucher scheme (MHVS). Preliminary results

indicate substantial improvements in maternal health service utilization and maternal mortality reduction

• Piloted for SEARO the WHO Hand Hygiene guidelines in a tertiary care setting. MOHFW has decided to scale-up the successful pilot to a national programme and provided own resources to do so.

• Provided technical assistance for the development of a successful GAVI HSS proposal development process to MOHFW.

Policy & planning: • Enhancing intersectoral collaboration for achieving health related MDGs including

monitoring performance of the related programmes • Improving equitable services at district and upazila level facilities. • Institutionalizing local level planning at district hospitals Health information: • Institutionalization of updated recording and reporting system in public and private

health facilities • Improved availability of geographic information for monitoring the health related MDGs Research: • Improved capacity for conducting research • Establishment of Research Information System • Promotion of ethical standard in conducting health research Knowledge management: • Improvement of capacity for effective management of health libraries • Improvement of access of health professionals in national and international knowledge

assets Human Resources for Health • The final draft of Bangladesh Health Workforce Strategy & Road Map for HRH Master

Plan has been approved by HRD Technical Committee, MOHFW. The draft health workforce career plan and updated recruitment rules are being prepared and expected to be finalized within 2009.

• The QA mechanism has been expanded to the more four paramedical & and one more institutional self-assessment report has been produced. State medical faculty has been upgraded to Bangladesh Paramedical Board and the updated regulations have been prepared. Bangladesh Medical & Dental Council Criteria and Standards updated and module for teaching health ethics has been approved and distributed for use


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• MPH course-curriculum updated and four joint FP-MU & NIPSOM short public health courses are being organized, supported by ongoing faculty exchange programme.

Nursing and Midwifery education and services • Enhanced contribution of nurses and midwives to the delivery of quality health care and

education • Functioning nursing and midwifery data base is in place at DNS and the training is

ongoing • Strengthened health regulatory bodies and accreditation system for institutions and

professionals • Technical support to improve nursing and midwifery education and training Health Care Financing • An operational design and theoretical tools for the health insurance Pilot Programme

will be finalized, with special reference to sustainability concerns of the scheme. • NHA-3 will be completed and published in 2009. • A Facility Efficiency Survey and a Public Expenditure Review have been completed, • The HEU documentation center was established

2. Scope of work and major results planned for 2010-2011 (by SO component): Health Service & Quality • Provide TA for PHC revitalization with focus on Community Clinic development and

Village Health Worker training • Complete, assess and document impact evidence of the MHVS pilot • Provide TA for TOT and QA for national scale-up of HH • Provide support to national Primary Trauma Care (PTC) capacity development • Support capacity development required for implementation of GAVI HSS

Policy & planning: • Providing support in policy making, planning and monitoring of national health

development activities for improving equity in health care and achieving health related MDGs;

Health information: • Provide technical support for improved capacity of the government to collect, analyze

and disseminate public and private sector health information for proper decision making at different levels;

Research: • Provide technical support for improving the capacity in the country for conduction and

management of health research; Knowledge management: • Provide technical support to improve the capacity in the country for collection, storage,

dissemination and sharing of knowledge assets.


Human Resources for Health • HRH Planning & Management: “Enhanced capacity on developing plans for scaling up

balanced health manpower development, and proper utilization of PHC service providers”

• HRH Education & Training: “Further strengthened capacity of institutions & regulatory bodied in ensuring community orientation & quality of health manpower education & training”

Nursing and Midwifery education and services • Improved quality of nursing and midwifery services through strengthening education,

service and regulatory management Health Care Financing

• Technical support will be provided for regular publication of national health accounts, conducting expenditure tracking mechanisms and fiscal space studies for better policy-making, and enhancing capacity of the government for designing and managing health financing related researches and studies.

3. How the scope and results are related to the Country Cooperation Strategy:

Health Service & Quality: • The strategic action 6.5, 6.6

Human Resources for Health: • The Strategic Action 6.2

Policy-planning: • The strategic action # 6.1

Health information, research and knowledge management: • The strategic action # 6

Nursing and Midwifery education and services • The strategic action # 6.2 & 6.6

Health Care Financing • The strategic action # 6.5 & 6.6


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4. Budget information for the Strategic Objective (in USD thousands)

PB 2008-2009 PB 2010-2011

SO component (OWER) AC

VC planned

VC Actual AC VC

Management and organization health service delivery reflecting the primary health care strategy 769 1,048 755

Governance and leadership 919 61 0

Coordination to achieve national targets for health system development 0 39 39

Health-information 90 100 0

Knowledge and evidence for health decision-making, 18 15 0

Health research 52 85 0

Knowledge management and e-health 89 0 0

Strengthened health workforce information and policy analysis 501 77 0

HRH production, distribution, skill mix and retention 1,190 227 0

Health system financing for social and financial risk protection, equity, access to services 23 191 0

Tools for estimating the economic consequences of illness, and the costs and effects of interventions 35 458 0

Health financing policy and use of financial information 6 72 0

Quality and safety in Health Care 0 0 0

Total 3,692 2,373 794 3,806 823

5. Possible VC funding through new or continuing projects

Health Service & Quality • DFID, Global Alliance on Patient Safety, GAVI HSS

Policy & Planning, Health Information, Research and Knowledge management

• GAVI HSS: Expected to be available in the next biennium

Nursing and Midwifery education and services • JICA

6. Staff requirements for 2010-2011 (short and long-term):

• Technical Officer – Health Services (2) • National Professional Officer – Policy and Planning • Technical Officer – Human Resources for Health

• Technical Officer – Nursing and Midwifery


Country Planning Brief: Bhutan (SO-10)

1. Major work of WHO for this SO in country during 2008-2009: • National Standards and Guidelines on Patient Safety developed. Paro hospital identified

as piloting patient safety initiatives in the hospital. • Capacity development in the area of Quality assurance and E Consultation. • Capacity developed in the area of Urology, health system management Human Resource

development, Economic analysis of health systems, Radiology, ultrasonography, dental, ENT etc.

• Conducted the annual health conference and published the annual health bulletin. • Attended many international seminars and conferences covering the topics of Health

policy, planning and financing by the high level officials.

2. Scope of work and major results planned for 2010-2011. To provide policy and technical support in: • Review, consolidation and strengthening of health policies into a National Health Policy • Development of options for sustainable health system financing • upgrading the Royal Institute of Health Sciences to Royal College of Nursing • Support in establishment of health institute for diploma and certificate courses. • exploring feasibility of establishing medical college in Bhutan • Strengthen the Human Resource for Health planning and management. • Improving research, planning and health information system to facilitate

decentralization process. 3. How the scope and results are related to the Country Cooperation Strategy

Strategic Priority #01 • Support for the review, consolidation and strengthening of health policies into a

National Health Policy • Support the development of the National Health Policy document Strategic Priority #02 • Strengthen development of human resources for health • Contribution to the revision of the Human Resources Development Master Plan for

Health based on the national health priorities. • Key support to the implementation of the Human Resources Development Master Plan Strategic Priority #03 • Contribute to the strengthening of the Health System • Efficient use of health information at all levels of the health system • Development of options for sustainable health system financing • Norms and standards and quality assurance for basic health care scaled-up towards

universal coverage • Research to support the health system Strategic Priority #06 • Enhance partnerships and resource mobilization for health • Support to the coordination of partners in health • Resource mobilization


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PB 2008-2009 PB 2010-2011


VC planned

VC Actual AC VC


48 66 0 105



Health-information 37 58 0 35





HRH production, distribution, skill mix and retention 0 0 99 510

Health system financing for social and financial risk protection, equity, access to services 93 0 0 40




Total 1,001 697 115 747 740

5. Possible VC funding through new or continuing projects None

6. Staff requirements for 2010-2011 (short and long-term)

None


Country Planning Brief: DPR Korea (SO-10)

1. Major work of WHO for this SO in country during 2008-2009: Health Service Delivery, Leadership and Governance • Health care service, particularly at the primary health care level improved through

support to health system development including physical renovation and supply provision for county hospitals and Ri clinics/hospital, and enhancement of household doctor system

• National and peripheral level capacity on health planning and management strengthened

Health System Research (Research Policy and Cooperation) • Quality data, recording and analytical capacities of evidence based decision making

including research capacity and knowledge management strengthened. • Capacity building in research methodologies

Health Management Information System • HIS Integration process expedited and geographical coverage expanded • Technical training and HMIS guidelines developed and provided to build up local

capacity • Orientation, advocacy and capacity building activities carried out • Review of existing routine reporting system and efforts to strengthen the same along

with introduction of special surveys Knowledge/Information Management and Dissemination • Pilot E-health project initiated successfully • Strategic plan for improving access to health research, journals and publications

developed and efforts to facilitate on-line access to “Medical Information Repository” services initiated.

Human Resource for health Development and strengthening • Development of medium term HRH Development plan • Review and revision of Household Doctor Training package and strategy • Capacity of human resource for health (HRH) strengthened in terms of management and

for the selected specialties and skills including nursing and midwifery service through support to in- and pre-service training facilities.

• Introduction of competency based teaching-learning approaches. • Institutional strengthening and networking of WHOCC to play lead role in development

of public health education in DPRK • Pre-service medical education improved through provision internationally accepted

medical text books, teaching learning materials including physical up-gradation, provision of computers and networking facilities for libraries

• Strategic plan for nursing and midwifery reviewed and revised three year curriculum for nursing introduced in the country

• Quality assurance program for nursing services and education initiated following the development of nursing standards


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• Model nursing schools renovated and equipped • Provision of nursing text books including translation and printing

2. Scope of work and major results planned for 2010-2011 (by SO component): Health Service Delivery, Leadership and Governance • Development of multi-year comprehensive national health sector plan • Development of guidelines and training materials for micro-planning and organization of

services at provincial and county level • Strengthening national capacity for international cooperation • Strengthen service delivery at primary health care level, by improving physical and

supply condition of the health facilities.

Quality and Safety in Health Care • Further expansion of patient safety activities across different levels of health system • Strengthen supervision and feedback system with introduction of appropriate tools and

techniques • Introducing and expanding quality assurance for health care services • Support the development of implementation of quality standards from the central to the

household doctor level, to improve quality of care. Health System Research (Research Policy and Cooperation) • Advocate and improve quality data, recording and analytical capacities of evidence

based decision making and knowledge management. • Undertake operational and clinical research projects • Utilize availability of census data for further analysis Health Management Information System • Establishing the comprehensive integrated HMIS with further enhancement of routine

reporting/monitoring system • Further improving the quality of data collection, analysis and reporting across levels of

health system to ensure use of data for decision making. • Strengthening the supervision and feedback system Knowledge/Information Management and Dissemination • Expansion of the E-health project for improving access to health services especially

diagnostic services • Strengthen the HELLIS network and initiate the on-line service of “Medical Information

Repository” and facilitate further access to international research and journals • Further strengthening of medical and nursing libraries including provision of

internationally accepted text books • MDG tracking and timely reporting Human Resources for Health development • Strengthen household doctor system by providing comprehensive training program and

supplies.


• Technical support to in-service training to build capacity for health planning and management

• Engage with MOPH and national institutions to support further development of public health education including short- and longer-term courses.

• Support ongoing strengthening of the nursing and midwifery education and service capacity through pre and in-service training and quality assurance protocol.

• Support the development of implementation of quality standards from the central to the household doctor level, to improve quality of care.

Health System Financing • Advocate and initiate activities in health system financing

3. How the scope and results are related to the Country Cooperation Strategy: • CCS (2009-2013) Strategic Priority 1: Strengthening the health system to further develop

capacity for policy, planning, and improve service delivery


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PB 2008-2009 PB 2010-2011


VC planned

VC Actual AC VC


79 1,114 1,118 79 1,872

Governance and leadership 0 396 0 0 0

Coordination to achieve national targets for health system development 0 0 0 0 0

Health-information 105 200 0 75 50

Knowledge and evidence for health decision-making, 0 0 0 0 0

Health research 10 42 0 10 50

Knowledge management and e-health 151 0 0 75 30

Strengthened health workforce information and policy analysis 242 350 0 175 100

HRH production, distribution, skill mix and retention 0 0 0 38 0

Health system financing for social and financial risk protection, equity, access to services 0 0 0 0 0

Tools for estimating the economic consequences of illness, and the costs and effects of interventions 0 0 0 0 0

Health financing policy and use of financial information 0 0 0 0 100

Quality and safety in Health Care 0 0 0 0 0

Total 587 2,102 1,118 452 2,202

Funds for some of the components were available in donor funded projects but are shown in SO5 per HAC business rule.

5. Possible VC funding through new or continuing projects

• RoK funded project “improving women and children’s health” in DPRK for 2008-2010 (12 million USD)

• GAVI HSS for strengthening health system (3.6 million USD) • Central Emergency Relief Fund (CERF) (2.5 million USD)

6. Staff requirements for 2010-2011 (short and long-term) • MO- One, • NPO- Two • Program Development & Management Officer/PHA-shared responsibilities

Short term consultancies


Country Planning Brief: India (SO-10)

1. Major work of WHO in country during 2008-2009: • Support for development of a National Clinical Trials Registry • Development of National Health Accounts, 2004-05 • Development of training manual and conduct of training programme on National Health

Accounts for select states. • Development of Training of Trainers Manual on Health Insurance and creation of Master

trainers through a TOT approach. • Studies on various aspects of human resources such as migration of health professionals

with focus on nurses, occupational health; anthology of health worker experiences • Study on health status and health care systems in selected tribal areas of India • Strengthening of health information, with focus on capacity building in areas of ICD 10

and ICF • Conduct of various studies on ethics and health research • Development of document on Primary Health Care, India • Review, development and finalization of a Quality Assurance Model for nursing care and

continuing nursing education. • Enhancement of the capacities of in- service nurses in the specialized areas of nursing

care and pre-service nurses through updating the curriculum. • Re-orientation of teaching-learning transactions in Preventive and Social Medicine for

medical under-graduates through a modular approach. • Support towards continuing professional development of PSM faculty of medical

colleges.

2. Scope of work and major results planned for 2010-2011 • The areas of work outlined for technical support focus on strengthening of health

systems. These inter-alia include, primary health care, health information and health research (including ethics), health financing and social protection, human resources for health; service delivery and evidence based policy amongst others.

• The scope of work would include, integrating principles of PHC approach in service delivery through public and non-public providers with a view to enhance health outcomes; strengthening collaboration between public and private delivery systems, coupled with inter-sectoral collaboration; enabling development of evidence based health policy through capacity building; strengthening donor assistance mechanisms to achieve national targets for health systems development; strengthening of national health information systems and health system research including capacity building among stakeholders.

• Further, emphasis would be placed on strengthening of human resources for health, in terms of development, strengthening, implementation and evaluation of health workforce information, policies, strategies and plans for human resource development and capacity building. Technical support would be provided for development and dissemination of frameworks, guidelines, manuals and tools for HRH at the country level.

• In areas of health financing, focus would be on capacity building and developing policies, strategies for improved financial access to health services especially for poor and disadvantaged to enhance social protection, efficient use of resources, development of


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norms, standards and measurement tools for tracking resources (e.g NHA), estimating economic consequence of illness, financial catastrophe and impoverishment.

• In the area of Public health education and training, the focus would be on strengthening the capacities of medical and para-medical personnel using a competency approach so as to deliver services in the government sector.

• In the area of nursing the focus would continue to be on improving the quality of nursing education, research and practice through the development of a system of quality assurance and accreditation of nursing educational institutions. The curricula of pre-service nursing also need to be updated and revised with the latest state of art knowledge and innovations to improve practice and research.

• Support for Health System development in PHC • Advocacy and advisory assistance for E-Health and KM and newer emerging

technologies/areas in the health field.

3. How the scope and results are related to the Country Cooperation Strategy: • In the area of health financing and social protection, the CCS emphasizes the need to

advocate for more resources, coupled with increasing efficiencies; assistance in increasing risk pooling, including health insurance and innovative financing initiatives.

• With a view to strengthening of health systems, it emphasizes support for public private partnerships; development of regulatory framework, standards and technology assessment; promoting health information for evidence based decisions through documentation of best practices, generation of data to support evidence based management and support for operations research on relevant issues. There is an increased need to support sub-national (state level) initiatives, by facilitating state-specific planning and support for capacity building at the state level.

• In the area of human resources for health, the focus is on developing systems for quality education and training, enhancing their effectiveness and tackling health imbalances and inequities; Advocating for and assisting in building managerial skills among health managers, especially in the public sector at all levels. It is equally important to strengthen the national and regional public health institutions and departments, develop skill-based trained professionals in public health, review and revise the curriculum and demonstrate the models of integrated teaching. Support professional development of public health professionals, develop standards for courses and institutions, facilitate the establishment of accreditation system and network of institutions, and foster regular interaction among them.

• Under the high priory area of strengthening of health systems, it stresses upon the importance of nursing and midwifery education and practices. Qualified nurses and midwives can contribute to positive health outcomes such as reducing mortality, morbidity, disability and promoting healthy lifestyles. Like wise, public health education also needs to be put high on the national agenda and the Country Cooperation Strategy makes a case for it as well.



PB 2008-2009 PB 2010-2011


VC planned

VC Actual AC VC


1,145 155 0 960

Governance and leadership 1,439 226 0 1,090

Coordination to achieve national targets for health system development 0 50 50 0


Knowledge and evidence for health decision-making, 31 150 0 50



Strengthened health workforce information and policy analysis 464 100 0 280



Tools for estimating the economic consequences of illness, and the costs and effects of interventions 70 100 0 100

Health financing policy and use of financial information 0 375 0 0


Total 3,619 1,374 50 3,045 979

5. Possible VC funding through new or continuing projects:

Various donors including USAID, GAVI etc.

6. Staff requirements for 2010-2011 (short and long-term) Public Health Administrator National professional Officer – Planning National professional Officer - Health systems National professional Officer - E-health National professional Officer - Information


366

Country Planning Brief: Indonesia (SO-10)

1. Major work of WHO for this SO in country during 2008-2009: Strengthening district health system and service delivery • Support provided for capacity building to implement minimum service standards for

health. • Support provided to develop national capacity on health policy and health system

review and planning. • Supported assessment of Clinical Performance Development Management System

(CPDMS), as health facility management tool and examine its relevance providing health services in line with PHC principles

• Advocacy on revitalizing primary health care

Improving health information, evidence and research policy • Health information system: Technical support provided in the finalization of HMN-

supported MOH HIS strategic plan and preparation of GF round 8 and 9 proposal for HIS; streamlining morbidity recording and reporting at primary care level; upgrading skills in disease classification and coding; training in health statistics; enhancing the use of information/evidence at district level and establish health database to improve better information accessibility and sharing.

• Health research: Support provided in the study of Burden of Disease study; statistical analysis to facilitate presentation of the National Basic Health Survey results; training in medical certification of causes of deaths, verbal autopsy interviewing skills; training and evaluation of the institutional Research Ethics Committee in the implementation of guidelines, regulations, ethical review mechanisms.

• Knowledge management: Strengthen the strategy of health knowledge dissemination using library information technology among HELLIS network and enhancement of WHO country office website.

HRH nursing midwifery • Development and introduction of the Clinical Performance Development and

management System • Review of the quality of nursing and midwifery education • Development of a nursing curriculum integrating new paradigm • Development of clinical practice guidelines for nursing & midwifery students • Support for implementation of a management information system for HRH

Health care finance • Support policies and strategies on social protection, especially social health insurance • Strengthen capacity to develop national health account


2. Scope of work and major results planned for 2010-2011 (by SO component): Strengthening district health system and service delivery • To support national efforts to promote policies and strengthen the health system to

improve access to quality health services.

• Strengthened health systems keeping health decentralization and primary health care principles as core component

• Strengthened health program planning and management capacity at district and sub-district levels

• Strengthened central level capacity for effective monitoring and support to district health activities

Improving health information, evidence and research policy • Streamlining program specific information systems to reduce reporting burden; establish

district health repository to promote data sharing; institutionalize health system monitoring system; data quality improvement and performance standard adherence; improving health surveillance system; enhancing use of information/evidence in decision-making.

• Support to strengthen health research ethics in medical institute; research management capacity building; consolidating national research findings and dissemination and policy analysis; enhancing capacity in evidence-informed health policy

• Capacity building in HELLIS, networking, digital library. Electronic literature search and related functions.

HRH nursing midwifery • Support continued for curriculum development for nursing and midwifery schools • Support implementation of model clinical learning practice for nursing and midwifery

student • Develop standards based examination for health professionals and explore certification

of competencies • Promote implementation of CPDMS • Review data gathered during 8 years CPDMS in hospital and health • Support health workforce planning approaches based on the management information

system for HRH • Evaluate the HRH management information system • Analysis current nursing and midwifery quality of service in Indonesia and identify the

determinant factors • Development of a provincial/district model of good nursing and midwifery services

Health care finance • Analyze health finance information and advocate supportive policies, including health

insurance


368

3. How the scope and results are related to the Country Cooperation Strategy: Strengthening district health system and service delivery • In developing the scope of work and results, CCS Indonesia 2007-2011 has been duly

considered. The proposed scope and results are in line with i) one of the six strategic directions for Indonesia and ii) strategic actions within the “health Policy and system development” components, as articulated in the CCS Indonesia, section # 6 titled “strategic agenda for WHO in Indonesia”.

Improving health information, evidence and research policy • With improved information system, quality data and good surveillance system can

provide quick response to disease outbreak. Efficient information support can help decision makers and health managers to monitor health system performance leading to improved allocative efficiency and better resource utilization. Good research findings and efficient dissemination of information can provide well-informed evidence for policy analysis and plan formulation. This is in line with CCS Strategic Directions #1 and #2

Assisting human resources for health (HRH) • CCS Strategic directions • Support national efforts to promote policies and strengthen the health system to

improve access to quality health services.


4. Budget information for the strategic objective (in USD thousands)

PB 2008-2009 PB 2010-2011


VC planned

VC Actual AC VC


453 941 0 616










Tools for estimating the economic consequences of illness, and the costs and effects of interventions 35 280 1 35



Total 1,788 2,787 91 1,473 765

5. Possible VC funding through new or continuing projects: Strengthening district health system and service delivery • Possible contributors: GAVI (through WHO SEARO and WHO HQ), AusAid Improving health information, evidence and research policy Assisting human resources for health (HRH) • There is no clear indication of forthcoming donor funding in maternal, neonatal, child

and adolescent health. Existing major supporters, for example GTZ and AusAid are discontinuing their programmes. However, some contributors might be willing to co-fund activities in the country.


370

6. Staff requirements for 2010-2011 (short and long-term): Strengthening district health system and service delivery

• Technical officer (District Health Systems) • Temporary National Professional Officer Improving health information, evidence and research policy • Technical officer - Monitoring • National Professional Officer - Health information system and Health research • National Professional Officer - Librarian Assisting human resources for health (HRH) • National Professional Officer – Human Resources for Health


Country Planning Brief: Maldives (SO-10)

1. Major work of WHO for this SO in country during 2008-2009: Health systems policy and service delivery:

• Strengthened medical supplies management system • Conducted service audits in Regional Hospitals • Standards and protocols for patient safety to be developed by end of 2009 • Hospital managers trained in Effective Management Skills and Techniques - Health Care

Focus • Staff trained in health service management • Support to be provided in developing policy for public-private partnership in health service

management • Support establishment of legal framework for national professional bodies such as Medical

Council, Nursing Council and Board of Health Sciences

Health care financing: • Staff trained in developing National Health Accounts • Support provided in establishing National Health Accounts in Maldives

Policy making for health in development: • Developed monitoring tool to assess progress of Health Master Plan

Knowledge management and information technology: • Supported development of national e-health plan • Staff trained in Information Technology

Health information, evidence and research policy: • Nationals trained in ICD 10 coding and medical terminology • Staff trained in Business Information Technology

2. Scope of work and major results planned for 2010-2011 (by SO component): Health care financing:

• Implementation of Universal Health Insurance Scheme • Quality of National Health Accounts improved • Economic evaluation of disease burden and impact of public health intervention

programmes

Policy making for health in development: • Strengthen capacity to monitor and evaluate the Health Master Plan and national health

programmes, and project health work force requirements for the future

Health systems policy and service delivery: • Strengthen capacity of managers of health services and programme on effective

management, with special focus on decentralization at atoll hospital


372

• Develop necessary health-related legislation and quality assurance mechanisms, based on management protocols and standard operating procedures for improving quality and ensuring patient safety

• Strengthen capacity of HRH regulatory bodies (Medical Council, Nursing Council and Board of Health Sciences, Alternative Medical Care), in updating their legislation, regulations and tools for ensuring quality of HRH education and ethical practice.

• Strengthen public-private partnership to ensure improved public health service delivery • Capacity strengthened to address medico-legal issues • Strengthen capacity for quality health service delivery

Knowledge management and information technology: • Implementation of e-health plan including better health management through improved

access to internet and intranet-based health information systems linking central and atoll levels

Health information, evidence and research policy:

• Strengthen the health management information system, including the hospital medical records system to ensure effective collection, analysis, dissemination and utilization of information in decision-making

• Enhance capacity to strengthen vital registration system • Strengthen National Health Research Committee • Strengthen capacity for conducting health research

Human resources for health: • Implementation of health workforce plan

3. How the scope and results are related to the Country Cooperation Strategy: Priority areas: 1 – Strengthening health systems 8 – Information and research



PB 2008-2009 PB 2010-2011


VC planned

VC Actual AC VC

Management and organization health service delivery reflecting the primary health care strategy 540 103 396








HRH production, distribution, skill mix and retention 7 209 0





Total 758 926 396 574 420

4. Possible VC funding through new or continuing projects: None


National Professional Officer - Planning and Programme Management & Public Health Temporary National Professional Officer – (6 months) Medical Officer


374

Country Planning Brief: Myanmar (SO-10)

1. Major work of WHO for this SO in country during 2008-2009: Quality and safety in health care • Development of standardized clinical management guidelines and IEC materials and

capacity building of hospital staffs at different levels including border hospital and health centre staffs.

• Monitoring and supervisory visits to different level hospitals to develop quality health care and review of hospital performance procedures and activities to identify the gaps and to take action for improvement.

• Enhanced capacity building on patient safety at the hospital setting and on infection control at all level hospitals.

Health service delivery leadership and governance • Improved managerial process at township and basic health service level in delivering

quality health services • Strengthening capacity of community health workers through training, supportive

supervision and evaluation at all levels of the Community Health Care programme. • Support to strengthening delivery of quality Nursing and Midwifery services at

hospitals and community health facilities through development of guidelines, capacity building and training in management and leadership skills.

• Support to development of Myanmar HSS GAVI proposal for health systems strengthening

• Support for improved coordination and capacity building of IHD for resource mobilization and participation of MOH staff in international meetings and conferences.

Health Information System and knowledge management • Support to strengthening of HIS through HIS performance assessment capacity

building of MOH staff, advocacy meetings (private and public sector) and establishment of electronic communications network in Nay Pyi Taw hospital.

• Development of annual health profile at township, state and division and national level

• Improvement of public health and hospital information systems through training, supportive supervision, development of software and application of computer assisted medical records management and geographical information system.

• Strengthened registration, service availability mapping and enhanced contribution of Myanmar to the Health Metrics Network.

• Improved access to health information through capacity building of library staff in HeLLIS and HINARi and information management.

Health system research • Strengthened capacity of researchers and research managers through training in

research methodology for post graduate students, in service personnel in MOH departments and study tours.


Human Resources for Health • Strengthening of Human resources for Public Health Education and clinical and non

clinical disciplines (including Nursing) and strengthening WHO collaborating centre through evaluation of the implementation and extension of the model of collaboration between nursing and midwifery services and education.

• Support to the development of Health workforce data base and strengthening capacity in HRH policy and programme research.

• Supporting Myanmar participation in Partnerships and Alliances at Regional level to strengthen national health workforce development.

Health System financing • Support for development of evidence based knowledge and essential skills in

mobilizing financial resources to improve the access to health by the disadvantaged. • Support for updating the National Health Accounts and for developing tools for

financial management through awareness raising and capacity building.

2. Scope of work and major results planned for 2010-2011 (by SO component): Quality and Safety in health care • To continue the capacity building activities on standardized clinical management for

hospital staffs at different levels including border hospital and health centre staffs (OWER1).

• To continue monitoring and supervisory activities to different level hospitals using tools by senior staffs of central and state and division level hospital to attain the quality health care (OWER1).

• To continue the reviewing activity of the current hospital performance procedures and activities to identify the existing gaps and to make improvement (OWER1).

• To continue to strengthen infection control capacity in hospitals staffs at all level including basic health staffs at rural areas (OWER1).

• To continue physical upgrading and providing ICU equipment to hospitals at high risk areas to reduce morbidity and mortality due to avian and human pandemic influenza other emerging diseases (OWER1).

• To develop national patient safety strategy and to strengthen capacity building and implementation of patient safety in different principles (such as Medicine, surgery, etc.) at the hospital setting (OWER 13).

Health service delivery, leadership and governance • To continue to strengthen and sustain relevant managerial capacity at township and

basic health service level for the delivery of integrated and equitable quality health services (OWER 1)

• To strengthen capacity of community health workers through training, supportive supervision and evaluation of the Community Health Care programme (OWER 1).

• To support to strengthening delivery of quality Nursing and Midwifery services at hospitals and community health facilities through development of guidelines, capacity building and training in management and leadership skills (OWER 1).

• To support improved coordination and capacity building of MOH for resource mobilization through training and capacity building of IHD staff and participation of MOH staff in international meetings and conferences (OWER 3)


376

• To support coordination and partnership building through regular meetings with NGOs on technical and collaborative issues (OWER 3)

• To support development of HSS GAVI activities for health system strengthening including health financing (OWER12). Information System (OWER 4)

• Strengthening of HIS (private and public sector) and establishment of electronic communications network in hospitals.

• Support development of annual health profile at township, state and division and national level

• To strengthen and sustain MoH capacity to generate public health and hospital information and to strengthen registration, service availability mapping and enhanced contribution of Myanmar to the Health Metrics Network.

Research Policy and cooperation (OWER 6) • To strengthen capacity of researchers and research managers for post graduate

students, in-service personnel in MOH departments. • To support interdepartmental collaboration in health system research • To support Myanmar participation in Regional Research Programmes and

international exchange Knowledge information and Management (OWER 7) • To improve access to health information by enhancing capacity of MoH and relevant

institutes in the use and access of HeLLIS and HINARI and information management.

Human Resources for Health (OWER 8 & OWER 9) • To support national capacity for strategic planning, training and management of

HRH • To strengthen Human resources for Public Health Education and clinical and non

clinical disciplines (including Nursing) • To strengthen WHO collaborating centre through support to implementation of CC

programmatic activity plan. • To support to the development of Health workforce data base through capacity

building of technical personnel in the development, maintenance and evaluation of health workforce related database.

• To strengthen capacity in HRH policy and programme research. • To continue to Support Myanmar participation in Partnerships and Alliances at

Regional level to strengthen national health workforce development. • To support development review, strengthening of coordination system for medical,

nursing and paramedical personnel to ensure compliance with the quality assurance standards

Health system financing • To build national capacity for sustainable financial protection including the use of

economic tools for health policy and planning (OWER 10). • To support for development of evidence based knowledge and essential skills in

mobilizing financial resources to improve the access to health by the disadvantaged, through capacity building, studies on health care financing, and skills development in resource mobilization (OWER 10) .


• To support for updating the National Health Accounts and for developing tools for financial management through awareness raising and capacity building (OWER 10).

• To support implementation of health financing activities contained in the HSS GAVI proposal (OWER11).


The above scope and results contribute in a major way to one of the core priorities of CCS to improve health system performance. • The improvement in performance of health system will be measured by increase

access to and utilization of quality health services in terms of adequate number of trained, equipped and supportively supervised basic health workers.

• Improvement of infrastructures at all level, including primary and secondary health care by upgrading hospitals to response avian and human pandemic influenza and also the other emerging and re-emerging diseases.

• Strengthening human resources for health at all levels • Improving the health information system • Development of health financing mechanisms to protect the health of

disadvantaged populations. • Improvement of the health system to reach hard to reach areas with PHC.


378


PB 2008-2009 PB 2010-2011


VC planned

VC Actual AC VC


703 3,501 0 565 2,867












Quality and safety in Health Care 0 0 0 221 355

Total 2,136 5,011 0 1,500 3,520


• USAID : USD 250,000 (continuing project) • EC : USD 500,000 (continuing project) • AusAID: USD 650,000 (Committed funding) • USAID : USD 500,000 (possible funding) • HSS GAVI: USD 8,081,000 (possible funding)


• Temporary National professional Officer – Health Systems • Temporary International Professionals – Health Systems (2) • Special Service Agreement – Medical care


Country Planning Brief: Nepal (SO-10)

1. Major work of WHO for this SO in country during 2008-2009: • Improve health services through better governance, financing, staffing and

management informed by reliable and accessible evidence and research. • Improved policy and strategy on free Essential Health Care Services. • Improved quality of care through quality improvement and performance based

management, particularly at district level and below. • Improved access to care through public private partnership in MCH services. • Organizational and management of health services has been strengthened through

training to upgrade professional development in the area of administration, programme planning and resource mobilization to improve quality health service delivery.

2. Scope of work and major results planned for 2010-2011 (by SO component): • To support for strengthening institutional and management capacities for

improvement of efficiency, quality, patient safety in service delivery at different levels of Health care delivery.

• To provide technical support for integrated approach in provisions of essential health care services (EHCS) in synergy with key stakeholders and external development partners.

• To advocate and support for implementation of health reform initiatives in the light of decentralized health system through improvement of institutional and management capacities.

• To facilitate and provide technical support for coordination of donor assistance given to improve national targets aiming at health system development activities such as International Health partnership (IHP) initiative.

• To support to improve integrated health management information system from the perspective of quality and comprehensiveness.

• To support capacity building and research related to health system development. • To provide assistance to strengthen health systems through implementation of

strategies for bridging knowledge gap. • To provide catalytic support in mainstreaming the development of HRH through

assessment in accordance with the health sector policy priorities and issues. • To support to strengthen the national capacity for training HRH in keeping up with

the policy and programme interventions for developing public health workforce. • To support to develop, review and strengthen the accreditation system for medical,

nursing and paramedical personnel and to ensure compliance with the quality assurance standards.

• To advocate and provide technical assistance for promoting, developing and implementing policies on alternative health care financing mechanisms including public-private partnerships.

• To provide technical assistance and to support capacity building for analyzing financing functions of the health systems and use of economic tools in policy planning including the development of National Health Accounts


380


The following objectives have been addressed in line with WHO Country Co-operation Strategy (CCS): • To support in improving equity in health and increased access to essential health

care services, particularly for the underprivileged population and vulnerable groups. • To support for strengthening management capacities for improvement of efficiency,

quality, patient safety in service delivery at different levels of health care delivery. • To provide support in strengthening integrated approach of EHCS by involving multi-

sectoral coordination. • Strengthened of institutions and management capacity in line with health sector

decentralization. • Integration and comprehensiveness of health information system improved.



PB 2008-2009 PB 2010-2011


VC planned

VC Actual AC VC


781 332 0













Total 2,589 1,017 800 1,967 2,190


• International Health Partnerships (IHP) • GAVI-HSS • Health Metric Network


• Public Health Administrator (PHA) • Medical Officer-HRH


382

Country Planning Brief: Sri Lanka (SO-10)

1. Major work of WHO for this SO in country during 2008-2009: • Coordinate and Facilitate with National Counterparts on Preparation of the Detailed

Proposals of WHO Collaborative Programs of the Biennium 2008-2009 • Monitoring and evaluating of activities in the 2008-2009 biennial work plans of SO10

(AC & VC) for the timely obligation and adequate liquidation and delivery of planned products in order to achieve (100%) OSERs.

• Providing technical assistance to National Focal Points on Quality Health Care to implement the Total Quality Management Strategy in selected hospitals

• Providing support for MoH for improved programme performance through capacity building of policy makers on planning and management

• Supporting the college of Community Physicians to strengthen Public Health Policy to improve the public health structure to face emerging Public health demands.

• Supporting the MoH to improve coordination for strengthening the National health system development

• Supporting the ethical review bodies to improve their performance • Supporting the Universities to strengthen the management of the research capacity

in the country • Supporting access availed to essential health information and knowledge assets

through HeLLIS • Supporting the MoH to develop a human resource development plan for health care

workforce • Supporting the Universities to strengthen the training capacities of undergraduate &

postgraduate training. • Supporting the MoH to improve the quality of training in new and existing

Paramedical training schools. • Supporting the Universities to improve the quality of training in degree level courses

in allied health sciences • Supporting the MoH to organize systematic & continuing training programs for

health workers. • Supporting the MoH to disseminate key information on health care financing. • Supporting the Health Matrix Network of the MoH • Supporting the GAVI programmes of the MoH

2. Scope of work and major results planned for 2010-2011 (by SO component):

• To provide technical and financial support to the MoH in formulating and implementing the strategy plan of human resources for health.

• To provide technical and financial support to the MoH to update and further implement Health system policy & service delivery.

• To provide technical and financial support to the MoH and the Universities in improving and further implementing evidence based operational researches in the health system development

• To provide technical and financial support to the MoH and the Universities to capacity build the health workforce in the country • Provide technical and financial support to the MoH to update Policy making for

health in development.


• To provide technical and financial support to the MoH to update Health financing & social protection.


Health System development is addressed in the Country Cooperation Strategy in the following issues in which the work plan addresses all the issues: • Stewardship in the health sector: Through the MoH to support activities concerning

this issue • Health financing: Through the MoH to support activities concerning this issue • District health system development: Through the MoH to support the district health

development reviews • Reorganizing hospitals: Supporting the MoH in the post conflict recovery measures

in the North and East, • Information technology (IT): Supporting the MoH by facilitating the HMN and

directly supporting through the work plan • Strengthening public-private partnership: Through the MoH to support activities

concerning this issue • Enhancing community response: to support the MoH and the Public health

initiatives in the country • Human Resources for Health: to support the MoH in formulating and implementing

the strategy plan of human resources for health and the MoH and the Universities and academic bodies to capacity build the health workforce in the country


384


PB 2008-2009 PB 2010-2011


VC planned

VC Actual AC VC


118 12 0













Total 1,035 806 0 966 238

5. Possible VC funding through new or continuing projects: • GAVI • World Bank


• National Professional Officer • Short-term staff may be recruited as and when required.


Country Planning Brief: Thailand (SO-10)

1. Major work of WHO for this SO in country during 2008-2009 • Supports through long-term fellowships

o Enhancing the capacity of health planners through long-term fellowships in health policy, economics, financing and management

• Primary health care (PHC) revitalization: o PHC Conference o Study visit on PHC Innovations: Strategic Route Map, o Follow-up of Alma-Ata Declaration: Support HSRI to review PHC o International Conference on ‘New Frontiers in Primary Health Care: Role of

Nursing and Other Professions’ • Development of a project and proposal with full budget for WHO’s work on public

health needs of vulnerable populations in Thailand • National mechanisms to support implementation of resolutions and agreements

related to International Health • Harmonization Process by developing the Standard Operating Procedure of the

Ethical Reviewed Committee for Human Research o Clinical Research in Ethic Capacity o The Assessment of Thailand National Health Research System o Administrative and Operational Support for the Network Secretariat for

WHO Collaborating Centres (CCs) and Centres of Expertise (CEs) in Thailand o Development of a toolkit to support community-based elderly care by

primary care providers • Financial Support on Capacity Building on Trade in Health Services for Human

Resources for Health • Training on Rabies International Vaccination and Common Pitfall in Post-exposure

Rabies Treatment • Production of Handbook of Thai Herbs for Oral Health (Thai version) • Model development for Diabetic Retinopathy Screening in a Community • Health Account development

o National Health Account: sustainable updates of 2006 and 2007 and diversifications

o Model Development for provincial Health Account • Support Timor Leste for Junior Public Health Professional on the job training • Support nursing training:

o Nursing training for DPRK, BHU, & TLS nursing teachers o Training Course for Nursing and Midwifery Teachers for Improving Teaching

and Learning Process

2. Scope of work and major results planned for 2010-2011 Scope of work • Primary health care (PHC) revitalization • Health workforce development • Health care delivery system development • health-information systems • Knowledge management and e-health policies and strategies developed and

implemented to strengthen health systems. • Safe health care


386

• Health economics & financing Major results planned • Primary health care (PHC) revitalization

o Development of linkage between institutionalized care (by hospitals at all levels, and other public health facilities including primary care unit (PCU) at district level with popular care by volunteers and communities

• Health workforce development o Supports through long-term fellowships o Supports for needed health workforce development, e.g. nursing.

• Health care delivery system development o Good governance in drugs management o Health-information systems

• Monitoring of implementation of resolutions and agreements related to International Health

• Knowledge management and e-health policies and strategies developed and implemented to strengthen health systems.

• Safe health care o Improving patient safety

• Health economics & financing o Continued support for Health Account development


• The scope and results stated in 2. respond to the CCS 2008-2011 (Thailand): • ‘(4) Strengthening capacity for monitoring and evaluating, and for health system

development • (7) Strengthening the development of human resources for health through existing

networks within and outside the country’


4. Budget information for the strategic objective

PB 2008-2009 PB 2010-2011


VC planned

VC Actual AC VC

Management and organization health service delivery reflecting the primary health care strategy 749 540 0 200 1,605

Governance and leadership 786 150 0 300 50

Coordination to achieve national targets for health system development 0 0 25 10 0


Knowledge and evidence for health decision-making, 24 70 0 20 40

Health research 10 60 0 15 40



HRH production, distribution, skill mix and retention 216 95 0 218 80


Tools for estimating the economic consequences of illness, and the costs and effects of interventions 84 100 0 35 80

Health financing policy and use of financial information 0 60 0 49 40

Quality and safety in Health Care 0 - 0 20 40

Total 2,027 1,505 33 1,622 1,528

5. Possible VC funding through new or continuing projects.

6. Staff requirements for 2010-2011

• National Professional Officer - Health System


388

Country Planning Brief: Timor-Leste (SO-10)

1. Major work of WHO for this SO in country during 2008-2009: • Health service delivery, leadership and governance:

o Policy, structural, organization and managerial changes determined for improve overall performance of health service delivery in two pilot district

o Establishment of regular monitoring system of health services delivery o Open forum and system for donor and NGO coordination in health sector (Health

Sector Coordination Group) established and functioning. • Quality and safety in health care:

o Assessment of patient safety conducted. Infection prevention and control within health facilities in Timor-Leste has been identified as a significant area of concern. WHO has been working very closely with the National Hospital and significant progress has been made toward improving infection control and thus minimizing the risk of disease to staff and patients. During February 2009 an IP audit of the hospitals in Dili and Baucau was conducted.

o Infection Prevention (IP) guidelines were recently printed by WHO with support from AusAID and are awaiting distribution

o Contributed in strengthening quality improvement for national and referral hospitals and implementation of hospital service package

• Health Information System: o Trained the Health Management Information System staff on data management and

data analysis o Assisted HMIS unit in strengthening the management at the HMIS unit and establish

coordination mechanism with related programe at the national level • Research Policy and cooperation:

o Research on health system conducted • Knowledge/information Management and Dissemination:

o Assist HMIS unit in the development and dissemination of quarterly and annual health statistics

o WHO supported the establishment of the National Health Library (NHL) in early 2009 with the collaboration from UNFPA. It is equipped with internet service for downloading references from the websites. WHO librarian is seconded to the NHL to provide close mentoring to the newly recruited staff.

o Training on HINARI and HeLLIS was conducted in Timor-Leste involved the librarians from the Institute of Health Sciences, Universities, private Faculty of Public Health and staff from the hospitals and the MoH Central Office.

o Human Resources for Health: i. Institute of Health Science management and technical capacity building for

aligning education and training with service delivery needs ii. Adequate trained qualified teachers, teaching materials and instruction exit

in Midwifery School iii. 6 midwifery teachers are trained iv. 20 nursing and midwifery textbooks purchased v. Quality assurance guideline for midwifery school is developed vi. Medical professional association officially registered and plans and steps

required for Medical Council in the country developed.


• Health System Financing:

o Regular collection and use of financial information for health expenditure in place.

2. Scope of work and major results planned for 2010-2011 (by SO component): • Health service delivery, leadership and governance:

o Support the Ministry of health in strengthening the district management system and capacity in order to improve the performance of health services.

o Implementation of community based health services strengthened. o National capacities for governance and leadership improved.

• Quality and safety in health care: o Patient safety policy and guidelines developed and implemented.

• Health Information System: o Implementation of HMIS and capacity for data management, analysis and use at all

levels strengthened. o Coordination of health coordination and donor assistance that support member

states in their efforts to achieve national targets for health system development and global health goals improved

• Knowledge/information Management and Dissemination: o National library o HeLLIS, HINARI training

• Human Resources for Health • Health System Financing


In the TLS CCS (2009-2013), SO-10 is included in the Strategic Priority 1 (Health Policy and System).


390


PB 2008-2009 PB 2010-2011


VC planned

VC Actual AC VC

Management and organization health service delivery reflecting the primary health care strategy 28 390 19













Total 544 1,262 98 64 666


• Funding for VC was received from the World Bank in 2008 to support 1 STP for 6 months, but it was not continued in 2009.


• Core staff: 1 Health Policy Advisor for MoH (SO10) and 1 NPO for Planning (SO10). • Non-core staff: 1 TIP for HMIS, 8 person months of TIP for strengthening district

management capacity (30%).

Documents

Strategic Objective 10: To improve health services through