SURINAME National Health Sector Plan 2011 - 2018 Table of contents Foreword by the Minister of Health ........................................................................................................... 4 List of Tables and Figures ......................................................................................................................... 4 List of Acronyms ........................................................................................................................................ 7 Map of Suriname ..................................................................................................................................... 10 1. Introduction ................................................................................................................................... 12 2. Situation analysis ........................................................................................................................ 14 2.1. Macroeconomic, political and social context ............................................................................ 14 2.1.1. Demographic Profile and Population Characteristics ................................................................................ 14 2.1.2. Social Context ............................................................................................................................................ 16 2.1.3. Economic Context ..................................................................................................................................... 17 2.2. Health Status of the Population .................................................................................................. 17 2.2.1. The Burden of Chronic and Non-communicable Diseases ........................................................................ 17 2.2.2. The Burden of Communicable Diseases .................................................................................................... 25 2.2.3. Health Over the Life course ....................................................................................................................... 32 2.2.4. Commitment to Achieving the Millennium Development Goals ............................................................. 41 2.2.5. International Health Regulations ............................................................................................................... 43 2.3. Determinants of Health ................................................................................................................ 45 2.3.1. Poverty ....................................................................................................................................................... 45 2.3.2. Employment ............................................................................................................................................... 46 2.3.3. Education ................................................................................................................................................... 47 2.3.4. Gender ....................................................................................................................................................... 49 2.3.5. Nutrition, Food Safety and Food Security ................................................................................................. 49 2.3.6. Environmental Health ................................................................................................................................ 52 2.3.7. Disaster Preparedness and Response ......................................................................................................... 57 2.3.8. National health policies, strategies and plans ............................................................................................ 58 2.4. Health Systems and Services, and the Response of Other Sectors .................................... 60 2.4.1. Leadership and Governance....................................................................................................................... 60 2.4.2. Organization of the Health System ............................................................................................................ 61 2.4.3. Health Infrastructure .................................................................................................................................. 65 2.4.4. Health Workforce ...................................................................................................................................... 66 2.4.5. Human resources training .......................................................................................................................... 68 2.4.6. Health Financing ........................................................................................................................................ 70 2.4.7. Health Information Systems ...................................................................................................................... 72 2.4.8. Medical Products and Technologies .......................................................................................................... 73 2 3. Contribution to the Global Agenda ........................................................................................... 76 4. Development Cooperation and partnerships .......................................................................... 77 4.1. The Aid Environment in the Country ........................................................................................................... 77 4.2. UN Agencies ................................................................................................................................................. 77 4.3. Bilateral collaboration on health ................................................................................................................... 77 4.4. Multilateral Agencies and health .................................................................................................................. 78 4.5. Regional Integration ..................................................................................................................................... 79 4.6. Development Banks and International Financial Institutions ....................................................................... 80 4.7. Civil Society and Non-Governmental Organizations ................................................................................... 81 4.8. Regional PAHO/WHO Institutes and PAHO/WHO Collaborating Centers ................................................. 83 5. The Strategic Agenda ................................................................................................................. 84 5.1. Strategic Direction # 1: Health programs ..................................................................................................... 84 Priority Area 1.1.: Prevention and reduction of the burden of non-communicable diseases ............................... 84 Priority Area 1.2: Prevention and reduction of the burden of communicable diseases ....................................... 85 Priority Area 1.3: health over the life course ....................................................................................................... 87 Priority Area 1.4: Prevention and reduction of the burden of mental diseases .................................................... 88 5.2. Strategic Direction # 2: Health systems and service delivery ....................................................................... 89 Priority Area .2.1: Leadership, stewardship and governance ............................................................................... 89 Priority Area 2.2: Health Financing ..................................................................................................................... 91 Priority Area 2.3: Human resources for health .................................................................................................... 92 Priority Area 2.4: Health services ........................................................................................................................ 93 Priority Area 2.5: Improving the Health Information Systems ............................................................................ 94 Priority Area 2.6: Pharmaceuticals and new technologies ................................................................................... 95 5.3. Strategic Direction # 3: Determinants of health............................................................................................ 96 Priority Area 3.1: environmental and occupational health................................................................................... 96 Priority Area 3.2: Social and economic determinants of health ........................................................................... 98 Priority Area 3.3: Emergencies and disasters ...................................................................................................... 99 5.4. The Strategic Agenda Implementation Arrangements ................................................................................ 100 3 4 List of Tables and Figures Table 1: Basic Data on Geography, Population, Economic Sectors and the Government .................... 11 Table 2: Overview of the status of NTD‟s compared to the elimination targets ...................................... 30 Table 3: Maternal and Neonatal Health Indicators, 2000 – 2009 ..........................................................