Report of the Fifth Biennial Health Conference Tsirang, Bhutan
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MINISTRY OF HEALTH REPORT OF THE FIFTH BIENNIAL HEALTH CONFERENCE TSIRANG, BHUTAN 17-19 SEPTEMBER 2019 0 Developed and Published by: Policy and Planning Division (PPD) Ministry of Health (MoH), Royal Government of Bhutan PO Box No: 726, Kawang Jangsa, Thimphu, Bhutan. 11001 Tel No: +975-2- 328095/321842 Email: [email protected] Website: www.health.gov.bt Copyright: All rights reserved © 2019, Policy and Planning Division, Ministry of Health (MoH), Royal Government of Bhutan. Suggested Citation: Ministry of Health, (2019). Report of the Fifth Biennial Health Conference, Thimphu; PPD, MoH. TABLE OF CONTENTS A. INTRODUCTION --------------------------------------------------------------------------------- 1 B. INAUGURAL SESSION ------------------------------------------------------------------------- 1 1. OPENING CEREMONY------------------------------------------------------------------------------------- 2 I. Welcome Address ................................................................................................................................................................................. 2 II. Keynote Address ................................................................................................................................................................................... 3 III. Recognition Events .............................................................................................................................................................................. 3 C. BUSINESS SESSION ----------------------------------------------------------------------------- 6 1. ADOPTION OF AGENDA --------------------------------------------------------------------------------------- 6 2. FINANCIAL DECENTRALIZATION AND INNOVATIVE PAYMENT MECHANISM TO REALIZE THE GOALS OF THE 12TH FYP AND SDGS ----------------------------------------------------------------------------- 6 3. VISION FOR THE HEALTH SECTOR -------------------------------------------------------------------------- 6 4. STATUS UPDATE ON THE RECOMMENDATIONS OF THE FOURTH BIENNIAL HEALTH CONFERENCE----------------------------------------------------------------------------------------------------------- 7 5. NATIONAL COMMITTEE FOR POLIO ERADICATION, MEASLES ELIMINATION AND RUBELLA/CONGENITAL RUBELLA SYNDROME CONTROL --------------------------------------------------- 7 6. HEALTH STAFF WELFARE SCHEME (HSWS) -------------------------------------------------------------- 8 7. BMHC REGULATION FOR HEALTH PROFESSIONALS --------------------------------------------------- 8 8. INPATIENT FOOD SERVICES SYSTEM 2019 ----------------------------------------------------------------- 8 9. ENHANCING COORDINATION FOR EMERGENCY PREPAREDNESS AND RESPONSE ---------------- 9 10. PATIENT SAFETY AND BURDEN OF UNSAFE CARE IN THE DEVELOPING WORLD WITH A FOCUS ON BHUTAN ------------------------------------------------------------------------------------------------------------ 9 11. HEALTH TECHNOLOGY ASSESSMENT ---------------------------------------------------------------------- 9 12. SIDE EVENT ON “BHUTAN’S NATIONAL DISEASE ELIMINATION COMMITTEE AND WHO SEARO: HOW TO STRENGTHEN AND REINFORCE COLLABORATION TO FOCUS EFFORTS TOWARDS ACHIEVING THE ELIMINATION OF TARGETED PRIORITY DISEASES“ ------------------------------------- 10 13. REPORT ON THE RECOMMENDATIONS OF COMMITTEE A-------------------------------------------- 10 14. HEALTH CARE ASSOCIATED INFECTIONS --------------------------------------------------------------- 11 15. STANDARDIZATION OF MEDICAL EQUIPMENT --------------------------------------------------------- 11 16. APPROACH TO PLANNING AND DESIGNING OF HEALTH FACILITIES ----------------------------- 11 17. REACHING THE UNREACHED GUIDELINE --------------------------------------------------------------- 12 18. STEP SURVEY 2019 ------------------------------------------------------------------------------------------- 12 19. PEN HEARTS THROUGH PEOPLE CENTERED APPROACH: IMPLEMENTATION EXPERIENCE -- 13 20. HEALTH FLAGSHIP AND THE ROLE OF DISTRICT HEALTH SECTOR IN ITS IMPLEMENTATION 13 21. ENHANCING AND SUSTAINING QUALITY OF CARE: INCORPORATION OF INFECTION PREVENTION AND CONTROL, EMERGENCY RESPONSE TIME AND 5S-CQI IN THE IWP -------------- 13 22. RADIATION SURVEY REPORT FINDINGS ----------------------------------------------------------------- 13 23. PRESCRIPTION SURVEY 2017 FINDINGS ------------------------------------------------------------------ 14 24. RESPONSE TO DENGUE OUTBREAK AND WAY FORWARD ------------------------------------------- 14 25. WISN: STUDY FINDINGS RELEVANT TO THE NATIONAL HEALTH WORKFORCE---------------- 15 26. BSHQA IMPLEMENTATION EXPERIENCES AND RECOMMENDATIONS ---------------------------- 15 27. REPORT ON THE RECOMMENDATION OF COMMITTEE B --------------------------------------------- 15 28. BHUTANESE TRADITIONAL MEDICINES-FUNDAMENTAL PRINCIPLES ---------------------------- 16 29. DRUG REGULATORY LEGISLATION: SENSITIZATION FOR HEALTH PROFESSIONALS ----------- 16 30. CERVICAL CANCER ELIMINATION ------------------------------------------------------------------------ 16 31. ENHANCING HEALTH SERVICE THROUGH DIGITAL HEALTH SOLUTIONS: A DISCUSSION ON EPIS AND THE ROLE OF DISTRICT HEALTH SECTOR ---------------------------------------------------------- 16 32. REPORT ON THE RECOMMENDATIONS OF COMMITTEE C -------------------------------------------- 17 33. POSTER PRESENTATIONS ------------------------------------------------------------------------------ 17 I. Electronic Patient Information System ................................................................................................................................. 18 II. Implementation Fidelity of Hospital-Based Directly Observed Therapy for Tuberculosis Treatment in Bhutan................................................................................................................................................................................................................. 18 III. Healthcare and Relevancy of Private Sector Involvement ........................................................................................... 18 IV. District Health Information Management System (DHIS 2) ....................................................................................... 19 V. Risk Assessment and Patient Safety in Dentistry .............................................................................................................. 19 D. CONFERENCE RECOMMENDATIONS: -------------------------------------------------- 20 E. ANNEXURES: ------------------------------------------------------------------------------------- 22 ANNEX 1: WELCOME ADDRESS BY DR. UGEN DOPHU, SECRETARY, MINISTRY OF HEALTH. ------- 22 ANNEX 2: KEYNOTE ADDRESS BY H.E LYONPO NAMGAY TSHERING, MINISTER, MINISTRY OF FINANCE. ------------------------------------------------------------------------------------------------------------- 24 ANNEX 3: LIST OF RECIPIENTS OF THE AWARD EVENT ------------------------------------------------------ 27 ANNEX 4: AGENDA OF THE 5TH BIENNIAL HEALTH CONFERENCE ---------------------------------------- 28 ANNEX 5: LIST OF PARTICIPANTS -------------------------------------------------------------------------------- 29 A. INTRODUCTION The Biennial Health Conference (BHC) is the platform for the health sector to congregate and set forth a concerted direction towards improving the health outcome of the nation. Each BHC is organized around a theme that provides opportunity for the health fraternity to trigger and discuss on a progressive set of recommendations, encompassing policy rethinking and governance systems, in order to accomplish that theme. “Enhancing Integrated People-Centered Health Services” was set as the theme for the fifth BHC considering its relevancy of ensuring access to quality health care services that meets the people’s life course needs as a primary element of Universal Health Coverage. The theme represents the Ministry of Health’s, as the lead for the health sector, call to refocus our attention and strengthen the model of health care in which people and communities are at the center of health services. The three days Biennial Health Conference was convened at the Professional Development Centre in Tsirang w.e.f 17-19 September 2019. A preconference technical session, on 16th September 2019, on the theme of the conference was conducted to set the stage for the BHC. The plenary sessions deliberated on matters pertaining to the health and how the heath sector can contribute to improving the health outcome of the nation. A series of side events comprising of different committees were organized as part of the deliberation on specific issues that required immediate recommendation to the conference and the health system. Each day began with an exciting physical exercise and Zhiney (Calm-abiding) meditation sessions, which is indigenous and a perennial part of the Bhutanese Sowa-Riga (traditional medicine). A football match was also organized on the theme “Initiating a National Wave to Combat NCDs” to symbolize the importance of physical activity. The Tsirang Rabdhey offered continuous offering to the deities and prayers for the smooth conduct of the conference and wellbeing of the health fraternity. The Tsirang Dzongkhag administration played a significant role in the organization of the conference with support from the Professional Development Centre, Royal Audit Authority, Tsirang. B. INAUGURAL SESSION His Excellency, Lyonpo Namgay Tshering, Minister, Ministry of Finance