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

Zambia UK Health Workforce Alliance & Zambia Ministry of Health Conference UPDATE ON NHSP , PRIORITIES AND NEW OPPORTUNITIES Dr. Welani Chilengwe Director - Mobile and Emergency Health Services Ministry of Health, Zambia Maynard Theatre, The Kings Fund, 11 – 13 Cavendish Square, London, 8 th May 2013

2 Clinical Audit Programme Government is prioritising this area to enhance quality of service

The Social Health Insurance To Achieve Universal o Access to Quality health Care To Improve the Quality o of Service Delivery (Clean, Caring, Competent) To Increase Resource o Envelope and Ensure Financial Sustainability

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, obstetrics and gynaecology, physiotherapy, oncology, radiology, theatre services, surgery, mental health, outpatient departments, haematology and all the clinical subspecialties

6 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.

7 Outreach Services being Implemented  Land Mobile Outreach  Air Mobile Outreach  Marine Mobile Outreach  Other Special Clinics/ services

8 Progress on Outreach Services  Since Commissioning of MHUs in April, 2011 270,492 clients seen, 15,370 operations conducted  Quarter 1 2013, 25,923 patients seen 693 operations(reduction of 25% clients and 36% in operations

9 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.

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.

12 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

13 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

14 Thank you