COUNTRY PRESENTATIONCOUNTRY PRESENTATION

Commonwealth of the Commonwealth of the

Northern Mariana Islands Northern Mariana Islands

(CNMI)(CNMI)

OverviewOverview*CNMI: 14 islands; 3 Primary Inhabited Islands *CNMI: 14 islands; 3 Primary Inhabited Islands

-Saipan, Rota and Tinian-Saipan, Rota and Tinian

-Population: 53,883 (2010 Census) -Population: 53,883 (2010 Census)

*Former DPH now CHCC *Former DPH now CHCC -Public Law 16-51 effective October 1, 2011-Public Law 16-51 effective October 1, 2011

- Board of Trustees, CEO, Corporate Officers- Board of Trustees, CEO, Corporate Officers

-Semi-autonomous public governmental agency-Semi-autonomous public governmental agency

-from a $38M Budget to $5M in FY2012-from a $38M Budget to $5M in FY2012

-1 public hospital located in Saipan-1 public hospital located in Saipan

-Divisions: Hospital, Public Health, THC, RHC-Divisions: Hospital, Public Health, THC, RHC

*Top 3 CHCC Priority Issues: 1. Financial instability*Top 3 CHCC Priority Issues: 1. Financial instability

2. Declining resources2. Declining resources

3. NCDs3. NCDs

NCDs and Associated NCDs and Associated Risk FactorsRisk Factors

7 out of every 7 out of every 10 deaths in 10 deaths in

the CNMIthe CNMI

Fig 1. Number of New RD Patients by Year, 2009-2011.

According to a CNMI According to a CNMI Nutrition Survey, 45% of Nutrition Survey, 45% of

7-10 year olds were 7-10 year olds were obese or overweightobese or overweight. .

Childhood ObesityChildhood Obesity

Source: CNMI Nutrition Cluster Survey, Paulino, et al.2008

Does CNMI have a Health Does CNMI have a Health Plan?Plan?

No.No.

No comprehensive “whole of No comprehensive “whole of society” health plan in place nor a society” health plan in place nor a

CHCC strategic plan.CHCC strategic plan.

CDC NPHII…CDC NPHII…

4 Main Health Plans by 2012 4 Main Health Plans by 2012

1.1. Community Health Assessment Community Health Assessment

2.2. Community Health Improvement Community Health Improvement Plan Plan

3.3. Governor’s Healthcare System Governor’s Healthcare System AssessmentAssessment

4.4. CHCC Strategic PlanCHCC Strategic Plan

What plans are in place? What plans are in place?

What plans are in place? What plans are in place?

*2007 Strategic Plan*2007 Strategic Plan

*2008 CNMI HRH Action Plan*2008 CNMI HRH Action Plan

*2008 NCD Plan*2008 NCD Plan

*2012 Six months Division of Public *2012 Six months Division of Public Health Strategic Plan Health Strategic Plan

Plan Process Stakeholders Guide Strategic Direction

2007 Strategic Plan

Paid off-island Consultant

Doctors and Hospital Mgt

NO. DOA.

2008 HRH Plan PIHOA Governmental Agencies

Needs to be updated.

2008 NCD Plan WHO Community & Gov’t Agencies

Yes.

2012 PH Strategic Plan

PIHOA PH Mgt Team Yes.

Plan Weaknesses Strengths

2007 Strategic Plan

Lack of Awareness by Leadership

Hospital-centered

Well written report

2008 HRH Plan No funding

No Follow-up

Identified Staff

Inter-agency involvement Regional Initiative

2008 NCD Plan Government Agency controlled

Lack of Awareness

3 year SPC Funding

Community Involvement

Regional Initiative

2012 PH Strategic Plan

Competing Priorities

Lack clear objectives

PH Mgt Team involvement

Relevant

Lessons Learned on “the Lessons Learned on “the Plans” Plans”

*Designate staff /champion with decision-*Designate staff /champion with decision-making influence to keep the plan “Alive” making influence to keep the plan “Alive”

*Keep Plan “Front & Center” horizontally and *Keep Plan “Front & Center” horizontally and vertically (e.g. Active Collaboration & vertically (e.g. Active Collaboration & Engagement)Engagement)

*Secure and align funding (e.g. NA Program, *Secure and align funding (e.g. NA Program, NCD Plan)NCD Plan)

* Regular and consistent reporting of progress * Regular and consistent reporting of progress at all levels (e.g. Dashboards, targeted at all levels (e.g. Dashboards, targeted communication strategies)communication strategies)

Si Yu’us ma’åsi’ yan Ghilisoow!Si Yu’us ma’åsi’ yan Ghilisoow!