REPUBLIC OF MAURITIUS HEALTH SECTOR STRATEGIC PLAN 2020-2024 Caring for People’s Health and Well-Being across the Lifespan Ministry of Health and Wellness HEALTH SECTOR STRATEGIC PLAN 2020-2024 Caring for People’s Health and Well-Being across the Lifespan Table of Contents List of Tables ................................................................................................................................................ iv List of Figures ............................................................................................................................................... vi Acronyms ................................................................................................................................................... viii Acknowledgments ........................................................................................................................................ xi Foreword ..................................................................................................................................................... xii Executive Summary ..................................................................................................................................... xiv 1. Introduction ............................................................................................................................................. 1 1.1 Economic Background ......................................................................................................................... 1 1.2 Health System in Mauritius ................................................................................................................. 2 2. Methodology ............................................................................................................................................. 8 3. Rationale for Five-Year Health Sector Strategic Plan 2020-2024............................................................ 10 3.1 Situation Analysis .............................................................................................................................. 10 3.1.1 Health Achievements ................................................................................................................. 10 3.1.2 Challenges .................................................................................................................................. 15 4. Context of the Health Sector Strategic Plan 2020-2024 ......................................................................... 29 5. Principles Guiding Health Sector Strategic Plan 2020-2024 ................................................................... 34 6. Strategic Action Framework .................................................................................................................... 35 6.1 Vision ................................................................................................................................................. 35 6.2 Mission .............................................................................................................................................. 35 6.3 Targets 2024...................................................................................................................................... 35 6.4 General and Strategic Objectives of HSSP 2020-2024 ...................................................................... 36 6.4.1 General Objective of HSSP 2020-2024 ....................................................................................... 36 6.4.2 Specific Objectives of HSSP 2020-2024 ...................................................................................... 36 7. Strategic Priorities 2020-2024 ................................................................................................................ 37 7.1 Integrated Primary Health Care Services .......................................................................................... 37 7.2 Community Empowerment ............................................................................................................... 39 7.3 Hospital and Allied Services .............................................................................................................. 40 7.4 Quality Healthcare ............................................................................................................................ 42 7.5 Non-Communicable Diseases and their Risk Factors ........................................................................ 44 7.6 Mental Health ................................................................................................................................... 45 i 7.7 Substance Use and Addiction ........................................................................................................... 47 7.8 Communicable Diseases: Vector-Borne, HIV and AIDS, Hepatitis C and Coronavirus, CoVID-19 ..... 49 7.9 Health through the Life Course ......................................................................................................... 52 7.9.1 Maternal Health ......................................................................................................................... 52 7.9.2 Neonatal, Child and Adolescent Health ..................................................................................... 54 7.9.3 Women Health ........................................................................................................................... 56 7.9.4 Family Planning Services ............................................................................................................ 58 7.9.5 Vaccination ................................................................................................................................. 59 7.9.6 Elderly Care ................................................................................................................................ 60 7.10 School Health .................................................................................................................................. 61 7.11 Emergency Preparedness and Response ........................................................................................ 62 7.12 Occupational Health ....................................................................................................................... 64 7.13 Health Information System ............................................................................................................. 66 7.14 Health Research .............................................................................................................................. 68 7.15 Human Resources for Health .......................................................................................................... 69 7.16 Access to Quality Medicine and Health Technologies .................................................................... 71 7.17 Food Safety ..................................................................................................................................... 73 7.18 Healthcare Financing ...................................................................................................................... 74 7.19 Intersectoral Collaboration and Public Private Partnership ........................................................... 75 7.20 Governance ..................................................................................................................................... 76 7.21 Medical Hub .................................................................................................................................... 78 8. Rodrigues ................................................................................................................................................ 79 8.1 Introduction ...................................................................................................................................... 79 8.2 Situational Analysis ........................................................................................................................... 80 8.3 Strategic Priorities 2020-2024 .......................................................................................................... 93 8.3.1 Integrated Primary Health Care Services ................................................................................... 93 8.3.2 Community Empowerment ........................................................................................................ 94 8.3.3 Hospital and Allied Services ....................................................................................................... 95 8.3.4 Quality Healthcare ..................................................................................................................... 96 8.3.5 Maternal Health ......................................................................................................................... 97 8.3.6 Emergency Preparedness and Response, including Communicable Diseases and CoVID-19 ... 98 8.3.7 Health Information System ....................................................................................................... 99 ii 8.3.8 Human Resources for Health ................................................................................................... 100 8.3.9 Access to Quality Medicine, Vaccines and Health Technologies ............................................. 101 8.3.10 Healthcare Financing ............................................................................................................