M I L N E B A Y P R O V I N C I A L H E A L T H A U T H O R I T Y ANNUAL REPORT 2017 A Y E A R O F A C C O M P L I S H M E N T S 675- 6411205, 6411200, 675-72319309 Milne Bay Provincial Health Authority Locked Bag 402, Alotau. Milne Bay Province. Email: [email protected]. pg. Features; Our facts; We Message from Board Chairman 2 were supported with budget Message from Chief Executive Officer 3 expenditures of K 20.128 million Who we Are 4 Board Of Governance Members 5 737 total Workforce-61% females. Senior Management Team 6 2017 At A Glance – Milestones and Highlights 7 Hospital deaths 2% Our Experience 11 Our Performance towards NHP KRAS 22 Alotau Provincial Hospital overview 39 552,491 Access our services Moving Forward 40 190 total health facilities 2017 Financial Reports 41 321, 262 Pop’n Thank You and Acknowledgements 52 4 Districts, Lest We Forget 52 16 LLGs MILNE BAY PROVINCIAL HEALTH AUTHORITY ANNUAL Page 1 REPORT - 2 0 1 7 Message FROM BOARD CHAIRMAN - MR PETER NEVILLE The year 2017 is the Milne Bay Health Authority’s seventh year of implementation since its inception in 2011. It also marks the second half of the implementation of the National Health plan 2011- 2020.The Milne Bay Provincial Health Board’s final term in office as this is the third year since they were sworn into office in early 2015. I wish to acknowledge that 2017 has been a challenging year however with the support of the CEO and Senior Executive Management I’m proud to say that there has been significant achievements. This goes to show the board and management’s commitment in fulfilling their mandatory obligations and functions as required under the Provincial Health Authority Act 2007 and also the functional determinations under the Provincial Government for the health sector The government reform in the health sector health performances indicators and the through Provincial Health Authority continues to minimum priority activity indicators. enable vital health services to reach the rural and remote areas of the province as indicated by the The effects of the current economic trend on improved key health indicators for the province. health services has been challenging and much This positive health outcome is attributed to stronger than the last five years however MBPHA strenghtening of the health systems including continue to perform well. This year it is one of the health workforce, financing, information, top five performing provinces in the country. medical supplies distribution, leadership and Some of the significant achievements includes: good governance. Utilization of health services is improvements in health infrastructure and not only determined by assessment but quality of health facility operations in compliance with health services made possible through National Health Services Standards; outreach implementation of the National Health Services clinic and patrols particularly special medical Standards. officers visits to the rural areas; and active participation by our partners in health services On behalf of the MBPHA board, management delivery. and staff I’m delighted to present 2017 report that highlights the performance of all divisions I acknowledge the important role of our partners within MBPHA and MBPHA partners in the and stakeholders in health service delivery and implementation of the National Health Plan their contribution to health sector’s 2011-2020 and the Integrated Provincial achievements. Finally, an organization is as good Development Plan 2011-2015. This medium term as its people, I would like to congratulate the plans are achieved through their respective senior management and staff of the MBPHA for Annual Work Plans in 2017. In this report we making this 2017 a successful year. present summary of our achievements of the key MILNE BAY PROVINCIAL HEALTH AUTHORITY ANNUAL Page 2 REPORT - 2 0 1 7 MESSAGE FROM CHIEF EXECUTIVE OFFICER-M R BILLY NAIDI In compliance with section 28 of the Provincial Health AuthoritiesAct 2007, the board and management of Milne Bay Provincial Health Authority presents the 2017 annual report highlighting the organization’s performance.The MBPHA continues to emphasize the importance of service delivery to the rural and remote communities, including the urban disadvantaged. This is done through the implementation of its Heath Service Strategic Plan and NHP 2011-2020 through the Annual Work Plan 2017. The government’s focus is to improve service infectious diseases and increase in non- delivery and health services delivery continue to communicable diseases, climate change and be at the forefront of it’s agenda. The Provincial associated issues; and the limited fiscal space as Health Authority reform aims to strengthen a result of the economic down turn. However the health systems and in doing so improving health organization was able to adapt well to these service delivery. Therefore, MBPHA continues to changes and performed consistently. make improvements in its financing arrangements, human resources, ICT, medical This annual report includes a summary of Milne supplies and technologies, infrastructure, Bay Provincial Health Authority achievements in leadership and governance which are important 2017; reviews progress in relation to the National system requirements needed to support health Health Plan 2011-2020 KRAs and priority services delivery. This is accomplished through outcomes including a provincial review of key the implementation of Corporate Plan 2016- health performance indicators; outlining our 2018, Health Service Strategic Plan and the partners contributions; contains directors brief Annual Work Plan 2017. experiences; and a financial statements of our performance summary . The notatble achievements and changes to health systems include: direct facility funding to Accomplishments for the year 2017 is a result of the district; establishment of PGAS stand-alone strong partnership and collaboration therefore I at Samarai Murua and rollout to other districts; acknowledge the efforts of all our service and major restructure to meet critical health developement partners, state agencies, personnel; improvement in internet connectivity, stakeholders and our hard working staff that networking and e-NHIS; rollout of Provincial contributed to our success. Medical Transit Stores and establishment of m- Supply; and infrastructure improvement. The year 2017 have been challenging given the changing context in terms of: population dynamics and pressure exerted on health service delivery, double burden of having to deal with MILNE BAY PROVINCIAL HEALTH AUTHORITY ANNUAL Page 3 REPORT - 2 0 1 7 Who we are : MILNE BAY PROVINCIAL HEALTH AUTHORITY Milne Bay Provicial Health Authority (MBPHA) is a public UR VISION sector organization established A healthy Province with affordable, equitable, and under the Provincial Health quality health care accessible by all men, women, O boys and girls. Authorities Act 2007 (PHA Act) as UR MISSION part of the government’s overall Milne Bay Provincial Health Authority is reform in the health sector to O committed to improving, transforming, and providing quality health services to the people of Milne Bay strengthen the health system so Province through innovative approaches supporting primary that it can effectively and health care and health systems development, and good efficiently deliver health services. governance at all levels. Under the PHA Act MBPHA is UR VALUES mandated to provide health The Milne Bay Health Authority upholds the O following essential values – we are, always: services delivery systems in the province with the assistance of its Accountable to all clients; partners, provide advice on policy Client orientated and people focused; matters to stakeholders and partners, coordinate and monitor Committed to continual learning and improved the implementation of the performance; National Health Plan 2011-2020. Focused on maintaining high ethical standards; Health services in Milne Bay Striving for fairness and equitable health acre Province is delivered through a network of health facilities. These Pursuing innovative , high quality and safe outcomes facilities include 147 Aid Posts, 4 Acknowledging the diverse nature of the province and Community Health Post, 39 uniqueness of each setting. Health Centres, 1 Rural Hospitals and 1 Provincial Hospital. There Working as a team in partnership with all stakeholders. are a total of 772 approved positions however 739 positions “Working as a team in partnership with all stakeholders” are occupied by staff employed by MBPHA to provide health care at these facilities. Providing health services to the most remote areas over the OUR GOVERNANCE STRUCTURE AND TEAM MBPHA Board Members The MBPHA Board of Governance (the Board ) oversees and governs MBPHA, and ensures that the services provided by the MBPHA meet all relevant legal requirements.It monitors MBPHA’sprogress towards the achievement of the Key Performance Indicators in the National Health Plan andthemeeting of the PNG millennium development goals and visions. It also reports Mr. Peter Neville- Mr. Jamil Yaganegi to relevant stakeholders through this Annual Reportas a Board Chairman Deputy Chairman & Member requirement of section 28 of the Provincial Health -Member business -Local Business Sector Authorities Act 2007 including the S119 report in accordance with the requirements under Section 119 of the Organic Law on PLLG. The Board meets a minimum of four(4) times per year. In 2017 only four (4) meetings were convened for the year. The MBPHA board Partnership Commitee conducted three Mrs .Lilly Israel Member – General meetings, Health Services conducted Committee one Mrs. Gloria Warren Community meeting, and Finance Resources and Audits Committee Member- Local Business rep. four meetings in 2017. In addition the following sub- committees conducted their respective meetings: Quality Improvement , Planning and Budgeting, Project Management, Patient Care, Human Resources, Finance and Infection Control sub-committee. These sub- committees meet to deliberate on issues at the operational level and make recommendations to the board committee to advise the MBPHA board. Mrs Piwen Sibunakau Since the inception of MBPHA in 2011 the senior Mrs.