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1、1,HEALTH SECTOR PERFORMANCE REPORT July 2005June 2006,Presented by Dr. James Nyikal Director Medical ServicesKenya Health Summit, 30th November 2006,2,Outline of presentation,IntroductionKey Service Delivery achievements, and lessons learntKey management support achievements, and lessons learntKey G
2、overnance and partnership achievements and lessons learntKey sector financing achievements and lessons learnt,3,Introduction,NHSSP II (2005 2010): sets the objectives and strategic directions for the health sectorImplementation to be done in transparent manner, and in partnership with all stakeholde
3、rs Government (not just MOH) Development partners Implementing partners (including civil society, and others to provide link to the public) Implementation through Joint Program of Work and Funding which is segmented into annual operational plans (AOPs) 1st annual plan (AOP 1): July 2005 June 2006Pre
4、sent summit: To present achievements of the sector during the AOP 1, the 1st year of the NHSSP II,4,Process Leading to the Summit,July 2005-June 30th 2006: year under reviewJuly August 2006: collation of information from all sourcesSeptember early October: development of 1st draft of sector performa
5、nce report:Late October (26th 27th October): Appraisal of draft by stakeholders during a Joint review Mission: Technical input provided from team of independent consultantsEarly November Finalising report of achievements, based on agreements from the Joint Review MissionNovember 30th (today) : Commu
6、nication of sector achievements during the AOP 1,5,Key achievements: Service Delivery,In line with bottom up planning and reporting, outputs are based on information directly from districts 61 out of 78 (78%) districts provided information on service delivery achievements, regardless of new tools an
7、d AOP1 as HQ document. Good outputs, and performance achieved with regard to: Mothers being kept healthy during pregnancy (ANC services) New borns (2 weeks) protected against immunizable conditions Children, and adults being able to survive common illnesses (IMCI, VCT, ARVs, TB cure, etc),6,Key achi
8、evements: Service Delivery(2),Favorable performance achieved with regard to Children, and adults adopting healthy lifestyles (supposed to be key change introduced in KEPH by the sector) (school health programs, youth friendly services, households implementing hygiene practices)Main concerns relate t
9、o services for Mothers able to have normal deliveries ( deliveries by skilled attendance -low) Children (up to 5 years) receiving protection against immunizable diseases (low routine immunization) Services for elderly persons (no targeted services),7,Key achievements: Service Delivery Mothers are ke
10、pt healthy during pregnancy,8,Key achievements: Service Delivery Mothers and children are kept healthy,9,Key issues/concerns: Service delivery,Management support to Service Delivery, from Provinces, and programs not yet focused on core functions: Policy formulation and strategic planning (not well c
11、oordinated) Ensuring commodity security (not well coordinated) Monitoring of performance, and Supervision (not well coordinated) Capacity strengthening and retooling of health workers (disjointed) Resource Mobilization and coordination of partners (little or no activities) Operations, and other rese
12、arch (limited, or no activities),10,Key issues/concerns: Service delivery,Absence of comprehensive approach to re-align service delivery, particularly by programs: More re-alignment of programs is needed to new approaches to functioning More resource-rationalisation (similar trainings, supervision,
13、reporting mechanisms still exist across programs) is requiredHigh partner dependence by programs: Capacity building, purchase of commodities Progress in activities dependent on partners levels of efficiencyDemand creation for public health services: Utilization of certain service by the public is lo
14、w (deliveries, immunization, nutrition etc)- The Operationalization of the community strategy, and citizens charter will facilitate improvement More focus shall be given to demand side issues (community health promotion and mobilization; outreaches),11,Key recommendations: Service delivery,Roll out
15、of community strategy to be urgently pursued Explore strategies to strengthen routine immunization and maternal health services Strengthen involvement of non-public actors in planning, and review of performance.,12,Key highlights: Systems support,Kenya SWAp design phase developed system improvement
16、plans, including Draft Human Resource for Health Plan developed Draft Performance monitoring framework developed Draft referral guidelines developed Health norms & standards developed Infrastructure, equipment, ICT maintenance & development plan Procurement improvement plan developedKey policy documents launched at June Health Summit 4 year Sector Joint Program of Work and Funding Community Strategy Bottom up AOP2, based on district, provincial and HQ plans Sector norms and standards,
