HEALTH SECTOR PRIORITIES FOR FY 2010/11 TO 2015/16 - PowerPoint Presentation

Slide1

HEALTH SECTOR PRIORITIES FOR FY 2010/11 TO 2015/16

PRESENTED AT THE LAUNCH OF

UGANDA UK HEALTH ALLIANCE

LONDON, UK.

TUESDAY

12

TH

FEBRUARY 2013

DR. ASUMAN LUKWAGO

PERMANT SECRETARY MINISTRY OF HEALTHSlide2

Climax of Good standard of Health in UgandaSlide3

The National Referral HospitalSlide4

PRIORITY AREAS FOR THE NATIONAL HEALTH POLICY

More than 75% of the overall burden of disease is preventable (NHP 1999).

A. The focus for the NHP II is on

Health promotion, disease prevention and early diagnosis and treatment with emphasis on vulnerable populations.

Cost-effective and affordable primary, secondary and tertiary preventive services. Slide5

PRIORITY AREAS FOR THE NATIONAL HEALTH POLICY Contd.

3. Health systems strengthening, specifically:

In line with

decentralisatio

n

- through training, mentoring, technical assistance and financial support.

Re-

conceptualising

and

organising

supervision and monitoring at all levels in both public and private health sectors

Improving the collection and

utilisation

of data for evidence-based decision making at all levels.

Establishing a functional integration within the public and between the public and private sectors in healthcare delivery, training and research.

Addressing the human resource crisis and re-defining the institutional framework for training health workers.

Leadership and coordination mechanisms, with the aim of improving the quantity and quality of health workers production. Slide6

CLUSTER APPROACHSlide7

1. Health Promotion & Education

Aims at increasing health awareness and promoting community participation in health care delivery and

utilisation

of health services

Promotion of Good sanitation practices

Prompt detection of outbreaks and emergenciesSlide8

Health Promotion & Education Contd.

Individual and community responsibility for better health

Ill-health due to environmental health and unhygienic practices and other environmental health related conditions.

Diarrhoeal

diseases

School children, their families and teachers - appropriate health seeking

behaviour

Equitable access by people in conflict and post-conflict situations to Health Services

Health emergencies and other diseases of public health importance.

Nutrition servicesSlide9

2.

Maternal and Child Health

Highest total burden of disease

However the Road Map to accelerate Reduction of Maternal and Child morbidity and mortality has been formulated.

The effective implementation of these strategies is what is needed to move towards achievement of MDGs 4 and 5 by 2015.Slide10

Maternal and Child Health

sexual and reproductive health & rights

newborn health and survival by increasing coverage of high impact evidence based

Attainment of MDG 4.

Scale up and sustain high, effective coverage of a priority package of cost-effective child survival interventions.

Reduce morbidity and mortality due to gender based violence.Slide11

3.

Communicable Diseases

Forms 54% of the total burden of disease; HIV/AIDS, tuberculosis (TB) and malaria, being the leading causes of ill health.

Malaria remains most important disease in terms of morbidity, mortality and economic losses.

The HSSP II - availability of ACTs consistently, RDTs for diagnostics and treatment, pre-referral treatment for severe malaria at community level, use of IRS, IPT, LLINs and early detection and treatment of malaria policy in place although not fully implemented.

Uganda is on course for diseases that have been targeted for elimination namely guinea worm, trachoma,

onchocerciasis

,

schistomiasis

, lymphatic

filariasis

and measles.

Address NTDs by chemotherapy, MDA insecticide spraysSlide12

4. Non Communicable Diseases (NCD)

An emerging problem in Uganda.

Includes Diabetes, CVS complications, Chronic respiratory d’ses, Cancer, sickle cell disease, road traffic injuries, mental health, substance abuse and medical pediatric and obstetric emergencies and deaths

NCDs are mostly preventable through a broad range of simple, cost-effective public health interventions.

The treatment of NCDs and their complications is costly.

The Ministry of Health has undertaken to strengthen the planning, coordination and implementation of interventions such as provision of pre-hospital ambulance services and enactment of a NCD control strategic plan.Slide13

Emerging Issues and Recommendations

Overall health of Uganda’s population remains poor with a low level of life expectancy and high level of mortality

Although there has been an improvement in overall health this remains slow suggesting that some interventions are having a positive impact.

There remains significant disparities in the distribution of health services with some regions of country having poorer services compared to others.Slide14

14

Progress of Key Health sector performance indicators

Indicator

Performance 2006

Performance 2011

Infant Mortality rate

76/1,000 Live Births

54/1,000 Live Births

Under five mortality rate

137/1,000 Live births

90/1,000 Live Births

Full Immunization Coverage

46%

52%

Deliveries by skilled health workers

38%

59%

Maternal Mortality ratio

435/100,000 Live births

438/100,000 Live births *

Insecticide Treated Bednet ownership

16%

60%

Children receiving treatment within 24hours of onset of malaria

1%

43%

Approved posts filled by qualified health workers

56%

58%

14Slide15

Way forward

Designed different strategies, tailored to address the challenges to health in different parts of the country

Proposed a comprehensive approach to addressing health services

Worked out a better understanding of the investments needed to achieve the health outputs being sought

Pursue Scale up of health services.

Undertaken a comprehensive knowledge management approach in the sector

Achieving equity in health

Prepare a comprehensive Health Financing Strategy

Agree to scale up sector coordination and partnershipSlide16

Thank you indeed!!

For GOD and my Country