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Malawi Mid-Year Review 2014-2015 Health Sector Overview
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Transcript of Malawi Mid-Year Review 2014-2015 Health Sector Overview
Health Sector Mid Year ReviewCrossroads Hotel27 April 2015
Dr. Charles Mwansambo
Chief of Health Services
Outline
Highlights for the Period
Health Sector Financing
Health Systems Performance
Performance of Health Service Delivery
Health Sector Reforms
Highlights of the Period
In the period of July – December, 2014 the Ministry continued to prioritize Maternal, Neonatal, and Child health.
There were three major emergencies: Responding to Floods, Controlling the spread of Cholera and Mitigating the threat of Ebola
The Ministry pursued a number of Health Sector Reforms to improve on the quality and efficiency of health service delivery.
Health Sector Financing
Resource Mapping Round Three showed that MK278.8 billion is available for the 2014/15 Fiscal Year.
MK71.8 billion (26%) comes from the MOH Pool, MK56 billion (20%) from NAC and MK151 billion (54%) are Discrete Project resources.
Health Sector Financing
Government contributed MK65.8 billion (92%) of the required MK71.8 billion SWAp Pool resources.
The balance of MK6 billion was predominantly contributed by the Norwegian and Flemish Governments.
Health Systems Performance
Health Systems Performance covers: Human Resources for Health, Health Infrastructure, Medical Equipment, and Drugs and Medical Supplies.
Human Resources for Health
MoH Continued with Implementation of integrated Human Resources Management Information System (iHRIS) to improve on data quality.
Improved overall vacancy rate with a drop from 47% to 45% through recruitment of 207 nurse midwives, 15 medical doctors, and 80 medical assistants – out of 534 graduates in the period.
Spent MK574,798,100 on 1,006 pre-service students.
Drugs and Medical Supplies
Sustained availability of essential medicines and medical supplies.
DfID has supported CMST with the outsourcing of Warehousing and Distribution to Imperial Health Sciences.
Drug quantification for 2014/15 FY was completed ($69 Million is needed for health commodities).
Essential Equipment The Ministry of Health released the Service
Provision Assessment (SPA) Report which shows availability of equipment as in the graph below:
Infrastructure Development
PROGRESS OF SELECTED PROJECTS:
Project Name StatusUmoyo Houses: 140 new staff houses and 5 flats
Progress at 60% and 50%, against targets of 60% and 30%, respectively
Central Hospital Rehabilitation
Progress at 70% (QECH), 0% (ZCH), 80% (KCH), 38% (MCH)
Nkhatabay District Hospital
Progress at 97%
Phalombe District Hospital
Consultant recruited, Contractor recruitment in progress
15 Health Centers Progress at 15%, against target of 30%
Health Service Delivery Performance
HOSPITAL ATTENDANCE, ADMISSIONS AND DEATHS:
Districts Central Hospital
s
Total
OPD attendances
5,024,404
364,572 5,388,976
Admissions
258,615 81,474 340,089
Inpatient deaths
5,639 3,468 9,107
Maternal Health
10.5% of pregnant women visiting ANC in their first trimester against target of 17% (HMIS)
87% deliveries with skilled birth attendant (2014 MDG Survey)
90% of births occurred spontaneously, 6.8% (C-section), 1.7% (Breech, vaginal), 1.4% (vacuum extraction) (HMIS)
Child Health
Fully Immunized Measles Pentavalent 30
10
20
30
40
50
60
70
80
90
100
Current Target
Perc
enta
ge (T
arge
t vs
Curr
ent)
PROPORTION OF CHILDREN IMMUNIZED AT DISTRICT LEVEL
MalariaMoH released the 2014 Malaria Indicator Survey report
Indicator 2012 MIS
2014 MIS
% of those suffering from malaria who have access to and are able to use collect, affordable and appropriate treatment within 24 hours of onset of symptoms
24 31.2
% of pregnant women who have access to and receive two or more doses of IPTp for malaria prevention
55 63
% of children under 5 years of age sleep under an ITN
56 67
% of pregnant women sleep under an ITN
51 62
% of outpatient suspected malaria cases who are confirmed by parasitological diagnosis
65 75
Diarrheal Diseases
212,538 diarrheal diseases, representing an Incidence Rate of 165 per 1,000 in under-fives
15% of diarrhea cases reported in Lilongwe, 8% in Blantyre, and 5% in Mangochi
Health Sector Reforms(More details in Session 2)
Activities include:
1. Reviewing the Partnership with CHAM
2. Establishing a Health Fund
3. Revitalization of Health Insurance Schemes
4. Reforming Hospital Operations, including Decentralisation
Thank You for Your Attention
QUESTIONS?
ANNEXES – ADDITIONAL SLIDES
Health Sector Financing• Only MK8.1 billion of the projected MK24.6
billion discrete resources were disbursed as at 31 Dec 2014
Discrete Donor
2014/15 Expected Disbursements (MK)
Disbursement for Mid Year (MK)
% Disbursed as at 31st December 2014 (MK)
Norway/FICA 5,202,003,261 4,205,743,959 81%
UNHCR 87,729,027 36,564,234 42%Global Fund (GF) 17,468,327,200 2,704,228,664 15%
CDC 1,867,095,646 1,148,144,102 61%
Total 24,625,155,134 8,094,680,959 33%
Human Resources for Health
• Promoted 524 staff to different positions in the reporting period of which 249 were Medical Assistants to Senior Medical Ass.
• Conducted promotional interviews as follows:– 1,350 HSAs to Senior HSAs– Fresh employees to fill 1, 350 vacant
positions to be created.
Human Resources for Health
• 5 Radiotherapists and 2 Medical Engineers sent to school under the Cancer Capacity Building Project.
• Obtained Establishment Warrant (EW) from the OPC to create 47 positions for laboratory technologists (90% of technologists who have graduated from different schools to be absorbed).
Essential Equipment• Status of Procuring Selected Equipment :
Equipment Type Status Cost CenterMammography Machines
Delivered, awaiting installation
Central Hospitals
Radiography Machines
In progress, advanced stage
KCH, MCH, QECH
X-Ray Machine, Tube In progress Salima, Karongathermos-luminescent dosimeter reader
Donated by IAEA KCH
5 Standby Generators
In Progress, 1 Delivered to Mchinji District Hospital
District Hospitals
2 Oxygen Plants In progress KCH, QECH
Malaria• Continued trend in reduction of Malaria
Incidence Rates
June, 2009 June, 2010 June, 2011 June, 2012 June, 2013 June, 2014 Dec, 20140
100
200
300
400
500
600
396
456484
371
332 332
223
Period
Incid
ence
Rat
e