ERITREA HEALTH SECTOR STRATEGIC DEVELOPMENT PLAN (HSSDP 2012 – 2016) Mid-Term Review 3rd November – 19th November 2014 Final Report Harare, 18.12.2014 TABLE OF CONTENTS ACKNOWLEDGEMENTS .................................................................................................................... IV ABBREVIATIONS AND ACRONYMS ..................................................................................................... V ESSENTIAL INDICATORS: RESULTS AND TARGETS HSSDP 2012 - 2016 ............................................... VIII MAP OF ERITREA ............................................................................................................................. XII EXECUTIVE SUMMARY ................................................................................................................... XIII Achievements ..................................................................................................................................................... xiii Challenges .......................................................................................................................................................... xiv Recommendations ............................................................................................................................................... xv 1. INTRODUCTION ..............................................................................................................................1 1.1. Background to the 2014 Mid Term Review (MTR) of HSSDP ............................................................................ 1 1.2. Objectives of the MTR 2014 ............................................................................................................................ 1 1.3. Methodology of the MTR 2014 ....................................................................................................................... 2 1.4. Limitations ...................................................................................................................................................... 2 1.5. Composition of the MTR Team ........................................................................................................................ 3 1.6. Structure of the report .................................................................................................................................... 3 2. BASIC HEALTH CARE PACKAGE (BHCP) .............................................................................................4 2.1. Maternal, Neonatal and Child Health Care (MNCH) and Nutrition .................................................................. 4 2.1.1. Maternal Health and Safe Motherhood .......................................................................................................... 4 2.1.2. Child Health and EPI ........................................................................................................................................ 6 2.1.3. Nutrition .......................................................................................................................................................... 7 2.2. Prevention, Control and Management of Communicable Diseases ................................................................. 8 2.2.1. HIV/AIDS and STI ............................................................................................................................................. 8 2.2.2. Tuberculosis .................................................................................................................................................... 8 2.2.3. Malaria ............................................................................................................................................................ 9 2.2.4. Integrated Disease Surveillance and Response (IDSR) .................................................................................. 10 2.3. Prevention and Control of Non-Communicable Diseases (NCD) ................................................................... 10 2.3.1. Major Chronic Diseases (MCD) ...................................................................................................................... 10 2.3.2. Blindness and Trachoma Prevention ............................................................................................................ 10 Eritrea, Final MTR report of HSSDP, 18-Dec-14 Page i 2.3.3. Injuries and accidents ................................................................................................................................... 11 2.3.4. Mental Health ............................................................................................................................................... 11 2.3.5. Oro-Dental Health and ENT ........................................................................................................................... 11 2.4. Cross-Cutting Health Interventions ............................................................................................................... 11 2.4.1. Environmental Health Unit ............................................................................................................................ 11 2.4.2. Health Promotion Division ............................................................................................................................ 11 2.4.3. Quality of Care ............................................................................................................................................... 11 2.4.4. Supportive Supervision ................................................................................................................................. 12 2.4.5. Disaster Preparedness and Response ........................................................................................................... 12 3. HOSPITAL, EMERGENCY AND INTEGRATED ESSENTIAL MEDICAL CARE ........................................... 13 3.1. Hospital Services .......................................................................................................................................... 13 3.2. Emergency Medical Care and Referral Network ............................................................................................ 13 4. ESSENTIAL HEALTH SYSTEMS AND GOVERNANCE .......................................................................... 15 4.1. Human Resources for Health Development and Management ...................................................................... 15 4.2. Procurement, Supply and Logistic Management ........................................................................................... 16 4.3. Medicines Administration / Regulation......................................................................................................... 17 4.4. Biomedical Engineering ................................................................................................................................. 19 4.5. Infrastructure Engineering ............................................................................................................................ 19 4.6. Laboratory and Diagnostic Services and Medical Imaging Services ............................................................... 20 4.7. Blood Transfusion Services............................................................................................................................ 21 4.8. Legal Affairs and legal framework ................................................................................................................. 22 4.9 GOVERNANCE & PRINCIPLES .......................................................................................................................... 23 4.10. Partnership arrangements (national and international) .............................................................................. 23 5. SECTOR PLANNING, INFORMATION SYSTEMS, MONITORING & EVALUATION ................................ 24 5.1. Planning ........................................................................................................................................................ 24 5.2. Health Management and Information Systems (HMIS) ................................................................................. 25 5.2.1. HMIS as part of the HSSDP ............................................................................................................................ 25 5.2.2. HIS resources ................................................................................................................................................. 26 5.2.3. Indicators: data quality and sources ............................................................................................................. 26 5.2.4. Data outputs and use .................................................................................................................................... 27 Eritrea, Final MTR report of HSSDP, 18-Dec-14 Page ii 5.2.5. Recommendations ........................................................................................................................................ 27 5.3. Sector Monitoring & Evaluation .................................................................................................................... 27 5.3.1. M&E Objectives of the HSSDP ....................................................................................................................... 27 5.3.2. Recommendations .......................................................................................................................................