„ GOVERNMENT OF TONGA REPORT of the MINISTER for HEALTH for the year 2009 TABLE OF CONTENTS 1 OVERVIEW OF THE NATIONAL STRATEGIC DEVELOPMENT PLAN EIGHT 2006/07-2008/09 ................ 7 1.1 Introduction ...................................................................................................................................... 7 2 ORGANISATIONAL OBJECTIVES AND FUNCTIONS ................................................................................... 8 2.1 Mission and Vision: .......................................................................................................................... 8 2.2 Tonga and its Neighbouring Countries: ............................................................................................ 8 3 HIGHLIGHTS OF ACHIEVEMENTS IN 2009 .................................................................................................. 9 3.1 KEY RESULT AREAS:................................................................................................................... 10 3.1.1 Key Result Area 1:................................................................................................................ 10 3.1.2 Key Result Area 2:................................................................................................................ 11 3.1.3 Key Result Area 3:................................................................................................................ 12 3.1.4 Key Result Area 4:................................................................................................................ 12 3.1.5 Key Result Area 5:................................................................................................................ 14 3.1.6 Key Result Area 6:................................................................................................................ 14 4 HEALTH ADMINISTRATION AND MANAGEMENT ..................................................................................... 16 4.1 Ministry of Health Executive ........................................................................................................... 17 4.2 Organization Structure ................................................................................................................... 18 4.3 District Hospitals ............................................................................................................................ 18 4.4 Overview of Health Indicators ........................................................................................................ 19 4.5 Mortality and Morbidity 2009 .......................................................................................................... 20 5 LEADERSHIP, POLICY ADVICE AND PROGRAMME ADMINISTRATION ................................................. 23 5.1 ADMINISTRATION AND MANAGEMENT SERVICES: ................................................................. 23 5.1.1 Account Section:................................................................................................................... 23 5.1.2 Corporate Services: .............................................................................................................. 24 5.1.3 Human Resource:................................................................................................................. 24 5.1.4 National Health Accounts: .................................................................................................... 25 5.1.5 Transport Services: .............................................................................................................. 26 6 HEALTH PLANNING AND INFORMATION SERVICES: .............................................................................. 26 6.1 Health Planning and Information Division: ..................................................................................... 26 6.1.1 Health Planning: ................................................................................................................... 27 6.1.2 Project Planning: .................................................................................................................. 28 6.1.3 Health Information: ............................................................................................................... 29 6.1.4 Information Technology: ....................................................................................................... 33 6.1.5 Research: ............................................................................................................................. 34 6.1.6 Medical Records: .................................................................................................................. 34 7 PREVENTATIVE HEALTH SERVICES ......................................................................................................... 35 7.1 PUBLIC HEALTH ........................................................................................................................... 35 7.1.1 Communicable Diseases: ..................................................................................................... 35 7.1.2 Health Promotion: ................................................................................................................. 40 7.1.3 Environmental Health: .......................................................................................................... 43 7.1.4 Community Health: ............................................................................................................... 44 7.1.5 Reproductive Health: ............................................................................................................ 44 8 CURATIVE HEALTH SERVICES .................................................................................................................. 45 8.1 CLINICAL SERVICES .................................................................................................................... 45 8.1.1 Paediatric Ward: ................................................................................................................... 45 8.1.2 Special Care Nursery (SCN) ................................................................................................ 57 8.1.3 Surgical Ward: ...................................................................................................................... 62 8.1.4 Medical Ward:....................................................................................................................... 68 8.1.5 Mental Health: ...................................................................................................................... 71 Report of the Minister for Health for 2009 2 8.1.6 Anaesthesia and ICU: ........................................................................................................... 71 8.1.7 National Centre for Diabetes and Cardiovascular Diseases: ................................................ 72 8.1.8 Emergency and Outpatients: ................................................................................................ 75 8.2 CLINICAL SUPPORT SERVICES ................................................................................................. 79 8.2.1 Laboratory: ........................................................................................................................... 79 8.2.2 Pharmacy: ............................................................................................................................ 82 8.2.3 Physiotherapy: ...................................................................................................................... 85 9 DENTAL SERVICES ..................................................................................................................................... 86 9.1.1 Curative Dentistry: ................................................................................................................ 86 10 NURSING SERVICES: .................................................................................................................................. 87 10.1.1 School of Nursing: ................................................................................................................ 87 10.1.2 Reproductive Health Section: ............................................................................................... 89 10.1.3 Hospital Nursing: .................................................................................................................. 90 11 ISLAND HEALTH DISTRICTS ...................................................................................................................... 91 11.1 „EUA ............................................................................................................................................... 91 11.2 VAVA‟U .......................................................................................................................................... 93 11.3 HA‟APAI ......................................................................................................................................... 95 11.4 NIUAFO‟OU ................................................................................................................................... 99 11.5 NIUATOPUTAPU ......................................................................................................................... 100 12 APPENDIX .................................................................................................................................................