Ministry of Health Conference UPDATE ON NHSP , PRIORITIES AND NEW - - PowerPoint PPT Presentation

UPDATE ON NHSP , PRIORITIES AND NEW OPPORTUNITIES

Maynard Theatre, The Kings Fund, 11 – 13 Cavendish Square, London, 8th May 2013

Zambia UK Health Workforce Alliance & Zambia Ministry of Health Conference

• Dr. Welani Chilengwe

Director - Mobile and Emergency Health Services Ministry of Health, Zambia

Clinical Audit Programme

Government is prioritising this area to enhance quality of service

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• To Achieve Universal

Access to Quality health Care

• To Improve the Quality
• f Service Delivery

(Clean, Caring, Competent)

• To Increase Resource

Envelope and Ensure Financial Sustainability

The Social Health Insurance

Hospital Upgrade Programme (Services & Infrastructure)

All Second level Hospitals to be upgraded to Central

(Teaching) hospitals

Selected District Hospitals to be upgraded to General

Hospitals

Selected training institutions to be improved to

Centers of Excellence to provide Specialist Training.

Emphasis on Specialities & Specialized Equipment

Government has prioritized training of specialists

& purchase of specialised equipment

2012: Catheterization Lab for the University Teaching Hospital, Lusaka CT

Scans for University Teaching Hospital, Livingstone General Hospital, Kitwe and Ndola Central Hospitals

2013: MRI for Arthur Davison Children’s Hospital & UTH, 3 CT Scans are in

the process of being acquired for selected remotely located hospitals using government funds (Kasama, Kabwe and Chipata General Hospitals)

Services: Internal medicine, laboratory services, blood bank services,

• bstetrics and gynaecology, physiotherapy, oncology, radiology, theatre

services, surgery, mental health, outpatient departments, haematology and all the clinical subspecialties

Mobile and Emergency Health Services

To form trauma, emergency and response teams (TERTs) at

national, provincial and district level

Increase access to more remote areas Streamline communication for an improved referral system. Fully operational Flying Doctor Service Ambulances and Motor Cycles will purchased The Emergency Service at UTH fully reorganized.

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Outreach Services being Implemented

Land Mobile Outreach Air Mobile Outreach Marine Mobile Outreach Other Special Clinics/ services

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Progress on Outreach Services

Since Commissioning of MHUs in April, 2011

270,492 clients seen, 15,370

• perations

conducted

• Quarter

1 2013, 25,923 patients seen 693

• perations(reduction of 25% clients and 36% in
• perations

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Goals for Emergency Services

Building HR capacity response through training Realigning hospital emergency service areas Improve infrastructure & improve on

communication methods

Procure equipment and emergency vehicles New cadre of paramedics and emergency

medicine

Establish emergency response teams Establish reliable emergency ambulance

service system

Draft Emergency SOP manuals and Disaster

Management Protocols.

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Telemedicine

A ministerial task force for implementation of

Telemedicine facilities in the country has been setup.

Telemedicine

will help to provide specialist consultations to hospitals lacking physical placements of such personnel

Quality specialist services will thus be available

through telemedicine.

International Collaboration

Government is actively engaging international

service providers through MOUs

 E.g. the MoU between GRZ and Apollo Group of

Hospitals in India

Patients are referred for specialized treatment in

India

Also Specialist doctors from Apollo visit Zambia

to do medical camps in partnership with their Zambian colleagues.

Other New Opportunities

Local

private sector participation in specialised treatment

Public Private partnerships (PPP) Policy and Legal framework for PPPs is now

in place

PPPs

have the potential for hi-tech infrastructure and employment creation

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Areas of Investment in PPPs:

Specialist Hospitals Training Institutions Pharmaceutical services Diagnostic Services

Specialist Hospitals/Services

 Orthopaedics  Neurosurgery  Cardiac Surgery  Head and Neck surgery  Plastic Surgery  Minimally invasive  Surgery/Laparoscopic surgery  Organ Transplant Surgery (Renal Transplant)  Traumatology/Emergency  Medicine  Paediatric Surgery  Obstetrics & Gynaecology

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Thank you

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