Plan timetable and financial impact (Draft 20/04/12)
|
Event
|
Begin
|
Complete
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Comments/
Impact
|
Capital
|
Recurrent
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Health goals
|
|
|
|
|
|
Measles elimination*
|
2012
|
2015?
|
95% measles vaccine coverage in all regions for 2 years. Other WHO criteria to apply before elimination can be declared.
|
See DHFF
|
See DHFF
|
MDG 5 compliance*
|
2012
|
2014?
|
Meet criteria set by Maternal Health Taskforce.
|
|
|
MDG 4 compliance*
|
2012
|
2018?
|
|
|
|
Universal health coverage*
|
2012
|
2019?
|
Free, accessible primary health care for 99% of ARB population.
|
DHFF
|
|
Malaria elimination
|
|
?
|
WHO criteria for elimination.
|
|
|
Health services
|
|
|
|
|
|
Essential obstetric care in all health centres and community health posts
|
2012
|
2014?
|
|
RHSD funding
|
Nil
|
Maternity/ midwife training program for all existing staff involved in deliveries
|
|
2014?
|
All deliveries conducted by trained NO/CHW.
|
RHSD funding
|
0.2
|
Training needs assessment and training program developed and implemented for all existing staff
|
2012
|
2013
|
Maximise the potential of existing staff.
|
RHSD funding
|
|
ABG tobacco free policy and practice
|
2013?
|
2020?
|
|
|
|
ABG home brew and alcohol PH program
|
2014?
|
2018?
|
|
|
|
Develop and implement nutrition strategy to address first 1000 days and NCDs
|
2014?
|
2020?
|
|
|
1m
|
Medical supplies move to Pull system
|
2013?
|
2014?
|
Improved medical supplies
|
GoPNG funded
|
|
Decision on medicines purchasing options for ABG.
|
2014?
|
|
Assess impact of current approaches and move to Improved medical supplies.
|
Neutral
|
|
Buka Hospital re- accreditation
|
|
2013?
|
|
|
|
Diagnostics – Digital Xray established in 2 district hospitals
|
|
2020?
|
|
1m
|
|
Integration of BHCP into health services and coverage of all villages
|
2013
|
2014?
|
|
|
1m
|
Introduction of pneumococcal vaccine
|
2014?
|
|
Reduced child admissions for pneumonia
|
|
|
Medical supplies, and equipment electronic inventory and ordering system
|
|
2015?
|
|
|
|
Integrated Information system linking all levels and facilities
|
2012
|
2019?
|
|
|
|
DHFF facility level funding and removal of user fees.
|
2011
|
2013
|
Increased utilisation, increased performance at facilities.
|
|
3.3M
|
Drs deployed to districts and major facilities – increasing skills in facilities.
|
2013?
|
2025?
|
|
|
|
Buildings
|
|
|
|
|
|
STI clinics (2)
|
2012
|
2012
|
At Buin and Arawa. AusAID project currently underway.
|
Already committed
|
|
Rural Health Service Delivery rural health infrastructure upgrade
|
2012
|
2016?
|
Rural Health Service delivery project currently covers South and Central and is underway. Additional support required for North region’s rural facilities.
|
Already committed
|
|
CHW training school establishment
|
?2012
|
2018
|
Increased availability of CHWs. Cost approx K10m.
|
K10m
|
K2m
|
Arawa District Hospital Development
|
?2015
|
2020
|
Cost of new District Hospital $25m.
|
K25
|
K5m
|
Rural Hospital development Tanamalo, Moratona
|
?2020
|
2022
|
Cost $5 -10m per site.
|
K10m
|
K2m
|
Buin Hospital development
|
?2016
|
2021
|
Cost K10m
|
K10m
|
K2,2
|
Development of Buka Hospital as provincial hospital
|
2022
|
2029
|
Cost K100- 120m if new site required.
|
K120m
|
K20m
|
Nursing school development
|
2023?
|
2030
|
|
|
|
Children’s hospital development
|
|
Post 2030
|
|
|
|
Governance and management
|
|
|
|
|
|
Establish Health Plan Independent advisory group
|
2012
|
2012
|
Advises Minister on progress of this plan.
|
|
|
Establish Bougainville Health Board
|
2012
|
2012
|
Coordinating mechanism for health sector organisations (church, hospital, rural, NGO).
|
|
|
Establish Bougainville Health Authority
|
2012
|
2014
|
Merger Rural Health and hospital services.
|
|
|
Evidence based business cases should be prepared for all projects exceeding PNG K1 million. Business cases should respond to the criteria below.
PRIORITIZATION
In determining priorities, the health sector will assess various options, by applying and considering the following principles.
-
Equity
-
Impact
-
Disability adjusted life years (DALYs) gained
-
Technical feasibility
-
Effectiveness
-
Efficiency
-
Cost
-
Opportunity cost
-
Sustainability
-
Consistency with health sector values
-
Cultural acceptability
TIMEFRAME FOR IMPLEMENTATION
In determining when various strategies should be implemented, the health sector will consider the following principles.
-
Time to benefit
-
Pre- requisites in order for strategy to be viable/beneficial. (personnel, finances)
-
Benefit of small scale introduction before expansion and roll-out
-
Recurrent cost of maintaining strategy and how this affects ongoing annual expenditure
Appendix 12: Technical advisory group for this plan.
This plan was prepared following direction given by the Vice President & Minister for Health of ARB, The Honourable Patrick Nisira and from four days of discussion with a technical advisory group from the ARB health sector and consultation with a wide range of stakeholders.
Plenary sessions were attended by:
Laurence Disin, ABG Chief Administrator
Raymond Masono, ABG Deputy Administrator
Members of the technical group:
-
Dr Pumpara, CEO, ARB Health Division
-
Dr Imako, CEO, Buka General Hospital
-
Simon Disin, Director of Policy, Planning and Administration ARB Health Division
-
Alois Pukienei, Director of Public Health, ARB Health Division
-
Matthew Monei, Director of Corporate Services, Buka GH
-
Vincent Momei, Environmental Health, ARB Health Division
-
Michaelyn Pau, Catholic Church Health Secretary
-
Rev Abi Enoh, United Church Health Secretary
-
Hona Nolan, Women’s Representative,
-
Puara Kamariki, CEO for Human Resource, ARB
-
Maria Cartwright, NGO Health Rep, MSF
-
Ruby Mirinka, Bougainville Healthy Communities Program
-
Aileen Pilau, Health Information Officer
-
Peter Awin , Health Centre
-
Ms. Agnes Titus, UNDP
-
Ross Naylor, Health Economist
-
Dr Isaac Ake, Health Sector Expert and NDoH Representative
-
Dr Joan Macfarlane, Public Health Specialist
-
Prof Don Matheson, Health Planning Specialist and Lead Adviser
Stakeholders Consulted:
Vice President & Minister for Health ARB: The Honourable Patrick Nisira
Secretary of Health Pascoe Kase
NDoH Strategic Policy Division:
Technical Adviser, Health Economics, Navy Molou
Senior Planner (Strategic) Roselyn Melua,
Facilities branch Mr Ambrose Kwaramb.
Asian Development Bank: Rob Akers
WHO Representative: Dr William Adu-Krow
Dr Paulinus Sikosana
Dr Mohammed Salim Reza
PNG Finance Consultant : Gima Ruba
ARB CEO Finance, Graham Kakaroutz
CEO Planning and Aid Coordination Lesley Tseraha
GoPNG Secretary of Treasury Simon Tosali
AusAID Dr Geoff Clark
UNICEF, Chief, Child Protection, Elaine Bainard
Dr. Grace Kariwiga
NZAID New Zealand Program Aid Manager Rebecca Lineham
UNFPA, Assistant Representative Dr Gilbert Hiawelyer
World Bank Human Development Operations Ms. Ellen Kulumbu
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