Annual Report 2009
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MINISTRY OF HEALTH Annual Report 2009 19 November 2010 Dr Neil Sharma The Interim Minister for Health Ministry of Health Suva, Fiji Dear Dr Sharma, I have much pleasure in submitting to you, the Annual Report of the Ministry of Health for 2009. The report highlights the Ministry’s performance in delivering services to the people of Fiji and contributing to the outcomes targeted by the government. It has been a busy and eventful year for the Ministry adapting to the changes brought about by the Government of the day. The effort, commitment and achievements of our staff and our partners are reflected in this report. We will continue to build on our achievement and implement our policies and prioritized activities. Dr. Salanieta Saketa Permanent Secretary for Health Ministry of Health Ministry of Health, Annual Report 2009 2 TABLE OF CONTENTS PAGE ACRONYMS ................................................................................................................................... 5 SECTION 1 INTRODUCTION ................................................................................................... 7 1.1 Introduction and Review by the Permanent Secretary for Health .................................................. 7 SECTION 2 OVERVIEW OF THE MINISTRY OF HEALTH .................................................. 10 2.1 Guiding Principles ........................................................................................................................ 10 2.2 Services ........................................................................................................................................ 10 2.3 Ministerial Assignment ................................................................................................................. 11 2.4 Organizational Structure 2009 ...................................................................................................... 12 SECTION 3 REPORT ON PERFOMANCE ............................................................................. 16 3.1 Strategic Direction ........................................................................................................................ 16 3.2 Performance Highlights ................................................................................................................ 16 3.3 Health Statistics 2009 ................................................................................................................... 26 3.4 Health Status Indicators 2009 ...................................................................................................... 30 3.5 Overseas Treatment ..................................................................................................................... 31 3.6 Research ...................................................................................................................................... 31 3.7 Special Features .......................................................................................................................... 34 SECTION 4 MANAGEMENT AND RESOURCES ................................................................. 40 4.1 Senior Executives ......................................................................................................................... 40 4.2 Human Resources; ....................................................................................................................... 41 4.3 Training and Development ........................................................................................................... 44 4.4 Employee Relations ..................................................................................................................... 46 4.5 Infrastructure ................................................................................................................................ 46 4.6 Procurement ................................................................................................................................. 47 4.7 Finances ....................................................................................................................................... 47 SECTION 5 OBITUARY ........................................................................................................... 56 SECTION 6 CONCLUSION ..................................................................................................... 58 SECTION 7 ACKNOWLEDGEMENT ..................................................................................... 60 SECTION 8 APPENDICES ....................................................................................................... 63 8.1 Trends of Health Statistics ................................................................................................................................ 63 a) Millennium Development Goal Indicators for Health Services in Fiji ............................................................... 59 b) National Cumulative Data on HIV Infections .................................................................................................... 60 c) Reported Cancer for 2000 – 2009……………………………………………...………….…………………….61 e) Reported Cases of Diabetes 2000 – 2009……………………………………………..……..………………….62 f) Reported Cases of Acute Respiratory 2000 - 2009 ............................................................................................. 57 g) Reported Cases of Dengue Fever 2000 - 2009 ................................................................................................... 58 h) Reported Cases of Typhoid Fever 2000 - 2009 .................................................................................................. 59 i) Reported Cases of Influenza 2000 - 2009 ............................................................................................................ 60 j) Reported Cases of Viral Infection for 2000 – 2009…………………………………………..………………….61 k) Reported Cases of Sexual Transmitted Disease 2000 – 2009……………………………………….………….62 8.2 In Service Training Sponsorship - 2009............................................................................................................ 68 Ministry of Health, Annual Report 2009 3 I .LIST OF TABLES PAGE Table 1: Government Health Facilities ........................................................................................................ 10 Table 2: Oral Health service provision by division………………………………………………………………….. 19 Table 3: Outcome 1: Key Performance Indicators 2008 - 2009 .................................................................. 21 Table 4: Outcome 2: Key Performance Indicators 2008 - 2009 .................................................................. 25 Table 5: Vital Statistics 2009 ....................................................................................................................... 26 Table 6: Immunisation Coverage 2009 ....................................................................................................... 26 Table 7: Top Notifiable disease reported during the year - 2009................................................................ 27 Table 8: Health Service Utilisation Statistics - 2009 ................................................................................... 28 Table 9: Morbidity & Mortality Statistics - 2009 ........................................................................................... 29 Table 10: Health Status Indicators 2009 ..................................................................................................... 30 Table 11: Number of Patients Referred Overseas for Treatment - 2009 .................................................... 31 Table 12: New Research Applications - 2009 ............................................................................................. 31 Table 13: Progress on Research Reports - 2009 ....................................................................................... 33 Table 14: Final Research Reports - 2009 ................................................................................................... 34 Table 15: Laboratory Specimens and Tests conducted ............................................................................. 35 Table 16: Outreach Activities by specialist team Northern Division............................................................ 37 Table 17: Summary of Staff Establishment MOH as at December 2009 ................................................... 42 Table 18: Posting & Transfers of staff 2009 ................................................................................................ 43 Table 19: Nursing Staff on Acting Appointments, July to December 2009 ................................................. 43 Table 20: Attrition of Personnel by Profession & Mode .............................................................................. 43 Table 21: In -service Training Activities for 2009 ........................................................................................ 44 Table 22: Summary of Disciplinary Cases handled in 2009 ....................................................................... 46 Table 23: Segregation of 2009 Budget ....................................................................................................... 48 Table 24: Proportion of Health Budget over National Budget .................................................................... 48 Table 25: Revised Budget October 2009 ...................................................................................................