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The Second Health Sector Strategic Development Plan Ii 2017 – 2021

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The Second Health Sector Strategic Development Plan Ii 2017 – 2021 THE SECOND HEALTH SECTOR STRATEGIC DEVELOPMENT PLAN II 2017 – 2021 Ministry of Health November, 2016 1 | P a g e Any part of this document may be freely reviewed, quoted, reproduced or translated in full or in part, provided the source is acknowledged. It may not be sold or used in conjunction with commercial purposes or for profit. The Second Health Sector Strategic Development Plan, 2017 – 2021 Published by: Ministry of Health Asmara, Eritrea 2 Contents LIST OF TABLES AND FIGURES ....................................................................................................................... 5 ABBREVIATIONS AND ACRONYMS ................................................................................................................ 7 FOREWORD ................................................................................................................................................. 10 ACKNOWLEDGEMENTS ............................................................................................................................... 11 EXECUTIVE SUMMARY ................................................................................................................................ 12 CHAPTER 1: BACKGROUND AND INTRODUCTION ...................................................................................... 16 1.1 Global and regional context ........................................................................................................ 16 1.2 National development context ................................................................................................... 19 1.3 HSSDP II overview and framework ............................................................................................. 21 1.4 HSSDP II development process ................................................................................................... 23 CHAPTER 2: SITUATION ANALYSIS .............................................................................................................. 24 2.1 Health trends and distribution .................................................................................................... 24 2.2 Status of basic health care package services .............................................................................. 29 2.3 Status of essential health systems and governance ................................................................... 31 2.4 Status of sector planning, research, monitoring and evaluation ................................................ 35 2.5 Status of health care financing, funding and budgeting ............................................................. 37 2.6 Analysis of issues and unfinished business ................................................................................. 39 CHAPTER 3: HSSDP II STRATEGIC DIRECTION.............................................................................................. 43 3.1 Introduction ...................................................................................................................................... 43 3.2 Emerging issues ........................................................................................................................... 43 3.3 Sector vision and goal ................................................................................................................. 44 3.4 HSSDP II health targets ............................................................................................................... 45 3.5 HSSDP II principles and values .................................................................................................... 45 3.6 Universal Health Coverage focus ................................................................................................ 47 CHAPTER 4: HSSDP II HEALTH SERVICES PRIORITIES ................................................................................... 48 4.1 Maternal, neonatal and child health and nutrition .................................................................... 48 4.2 Prevention, Control and Management of Communicable Diseases ........................................... 53 4.3 Prevention and Control of Non-Communicable Diseases ........................................................... 57 4.4 Cross cutting health interventions .............................................................................................. 60 3 4.5 Essential Medical Services .......................................................................................................... 67 4.6 Health Promotion and Social Determinants of Health ............................................................... 73 CHAPTER 5: HSSDP II ESSENTIAL HEALTH SYSTEMS AND GOVERNANCE ................................................... 76 5.1 Human resources for health development and management ................................................... 76 5.2 Procurement, supply and logistics management........................................................................ 79 5.3 National Medicines and Food Administration ........................................................................... 83 5.4 Infrastructure and Support Services ........................................................................................... 86 5.5 Legal and regulatory framework ................................................................................................. 90 5.6 Governance and principles ......................................................................................................... 92 CHAPTER 6: HEALTH SECTOR PLANNING, MONITORING AND EVALUATION ............................................. 96 6.1 Introduction ................................................................................................................................ 96 6.2 Planning, performance monitoring and review .......................................................................... 98 6.2.1 Harmonized Planning and budgeting process ........................................................................ 98 6.2.2 Joint assessments of progress ................................................................................................. 99 6.2.3 HSSDP II Evaluations ............................................................................................................. 101 CHAPTER 7: HEALTH CARE FINANING, FUNDING AND BUDGETING ......................................................... 102 CHAPTER 8: COSTING OF THE STRATEGIC PLAN ....................................................................................... 105 8.1 Methodology and costs assumption .................................................... Error! Bookmark not defined. 8.2 Key assumptions for the costing scenarios .......................................... Error! Bookmark not defined. 8.3 Overall costs per capita for the HSSDP II across the three Scenario ............ Error! Bookmark not defined. 8.4 Cost by health service priority for the Moderate Scenario ........... Error! Bookmark not defined. 8.5 Cost by health system area for the Moderate Scenario ................ Error! Bookmark not defined. 8.6 Impact findings ............................................................................... Error! Bookmark not defined. 8.7. Discussion of Findings ......................................................................... Error! Bookmark not defined. CHAPTER 9: IMPLEMENTATION ARRANGEMENTS.................................................................................... 115 9.1 National, Zoba and sub zoba institutional framework ................................................................... 115 9.2 Roles and responsibilities in implementing the plan ...................................................................... 115 9.5 Communication plan ....................................................................................................................... 115 9.6 Partnership and coordination framework ...................................................................................... 115 References ................................................................................................................................................ 116 Annex 1: Brief overview of the OneHealth tool ........................................................................................ 117 4 5 LIST OF TABLES AND FIGURES Figures Figure 1: Global Sustainable Development Goals ....................................................................................... 16 Figure 2: Inter-relations between SDG goals and targets relating to health .............................................. 17 Figure 3: Universal Health Coverage focus ................................................................................................. 19 Figure 4: Planning framework for health .................................................................................................... 21 Figure 5: Linkage of the HSSDP II chapters .................................................................................................. 22 Figure 6: Trends of maternal Mortality Ratio, 1990-2015 ......................................................................... 26 Figure 7: National data on Neonatal, infant and under-five mortality rates per 1,000 live births ............ 26 Figure 8: International data on Infant and Under-five mortality rates per 1,000 live births .................... 27 Figure 9: HSSDP II principles and values ....................................................................................................
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