Presentation Group 1.

Disparity in Allocation of Resources-Issues

1. Recruitment more from Kurunegala 2. Cadre is not revised for a long time. 3. Lack of facilities for improvement of

quality of services by health care workers.

4. Poor utilization of small institutions 5. Additional burden created by IDP-new

settlers. 6. Kalpitiya DH is poorly prepared for a

disaster – eg war

Issues contd. 7. Due consideration in allocating

resources is not given to the fact that TH Kurunegala is managed by line ministry which is separately resources allocated to it.Allocation of resources

8. Poor Information system – Population, needs, facilities, Public complaints/requests.

9. Poor cleaning & waste management.

Issues contd.

10. Poor implementation of power/authority during decentralization process down to districts & institutions. DPDHS does not have the power for

disciplinary actions

Solutions-HR 1. Recruitment only from the

district/Transfers only after a certain period – unskilled labour

2. Recruitment of skilled labour by a district quota.

3. Get the authority for training of technical staff to the province.

4. Frequent cadre revision according to the need.

Solutions 5. Scientific needs assessment on

human resource development/others . 6. Appointing a policy planning

committee – including all stake holders. 7. Implementation of referral & back

referral system with steps to improve people’s confidence & faith of people.

8. Get the IDP-new settlers included in to the Puttalam district-Increase the allocation of resources.

Solutions 9. ETU unit - fully equipped for at least

DHs 10. Transfer scheme implementation 11. District health development

committee should meet with Health Minister, Secretary, PDHS, DPDHS, MPs other stake holders-to meet regularly

12. Provincial Health development committee of higher capacity.

Solutions 13. Consider the allocation of resources

allocated to TH Kurunegala while allocating resources to Puttalam.

14. Develop criteria to allocate resoureces between districts.

15. Out sourcing some identified services.

16. Hospital committee members should represent district committee-Stake holders/beneficiaries should contribute to hospital development.

Solutions

17. Proper delegation of power/authority down to the districts/Institutions. Financial authority to main hospitals-

at least to maintain urgent essential services.

Allocation of resourcesIssues contd.

Provicial

Allocation

Population

Line Ministr

y

Total

Kurungala

2/3 1.48 X =2/3+x

Puttalam

1/3 0.75 0 =1/3

Thank You