Presentation given by Dr Lo Veasnakiry at the 3rd Cambodian Health Researchers' Forum held at the National Institute of Public Health in Phnom Penh, 20th January 2017.
2. further
promoting
equitable health
outcomes across
the population.
Sustaining and further
improving access and
coverage achieved with a
renewed focus on
improving quality
to reduce the gap in
distribution of improved
quality health services
(provinces vs. districts,
rural vs. urban)
Increasing
financial risk
protection across
the population to
reduce financial
hardship in accessing
health care, when
needed
1
2
STRATEGIC
OUTCOME
3. Potential Priority Areas for Actions
Specific health needs of the population
• Reproductive, maternal, newborn, child health (including
immunization), and nutrition;
• HIV/AIDS, Tuberculosis, Malaria, Dengue, Hepatitis, emerging &
re-emerging infectious diseases, Neglected Tropical Diseases
(TNDs) including helminthiasis and leprosy;
• Non-communicable diseases (diabetes, hypertension, cancers,
chronic respiratory infection, mental health & substance use,
blindness prevention and control, vision and hearing impairment,
disability, elderly care;
• Risks factors to and social determinants of health-- tobacco &
alcohol, food safety, hygiene and sanitation facilities; and
• Impact on human health caused by environmental health risks
(pollutions), disaster preparedness & response, road accidents &
injuries; and of climate changes.
4. Potential Priority Areas for Actions
Health system performance
Patient-centered, equity-focused and gender-sensitivity health service
delivery;
Quality assurance: quality improvement initiatives towards accreditation
of health care accreditation, safeguarding quality and efficacy of
pharmaceutical products at affordable cost;
Health security: core capacity development to meet International Health
Regulations’ requirements, effective disease surveillance and response
system, and public health emergency preparedness and response;
Behavioral Change and communication, both health providers and
consumers; promoting clients s’ and providers’ rights and practices of
healthy lifestyle;
Substantial increase in the level of funding from stable sources of
funding, along with increase in efficiency, securing value for money, and
promoting mutual accountability for development assistance results;
5. Potential Priority Areas for Actions
Health system performance
Social health protection coverage and financial risk protection including
social insurance development for inform sector population;
Stronger education and training system; competency-based education
and training; accreditation of education and training institutions;
Equitable distribution of competent and well-motivated health
personnel with skill mix, and strengthening personnel management
practices;
Appropriate basic resources infrastructures (medical equipment and
technologies, sanitation and hygiene facilities, and application IC in
health service delivery, teaching, management of information system);
6. Potential Priority Areas for Actions
Health system performance
Effective laboratory & blood transfusion services to support efficient
and effective health service delivery, with special focus on quality
management and control systems;
Stronger national health information and effective performance
monitoring and generated evidences to inform policy decision
making through demand-driven health research agenda;
Legislation and regulation reinforcement (health professionals and
health providers, both public and private, and regulatory capacity
building and institutional development;
Effective multi-sectoral responses to health and health related issues,
including effective public-private partnership;
National accountability mechanisms for regular monitoring and review
of progress, with a broad range of stakeholders (including community,
local administrations, NGOs, private sector…)
7. Strategic objectives
1. The population have access (including access to medicines) to comprehensive,
affordable, quality, safe and effective quality health services at public and private
health facilities.
2. Stable and sustained financing of healthcare services with increased financial risk
protection when accessing healthcare services;
3. The health system will have adequate number of well-trained, competent and
appropriate skill mix, well-motivated health personnel with professional ethics.
4. Public health facilities are adequately supplied with medicines, health commodities,
medical material, with effective essential supportive services;
5. Public health facilities have appropriate basic infrastructure, advanced medical
equipment and technology and a network of Information & Technology;
6. Ensure availability and use of high quality, accurate and timely health and health–
related data/information, and promote health research; and
7. Develop institutional capacity at all levels, with special focus on leadership and
management competency, regulation and strengthen local accountability in health.
8. Health Information System
The main purpose of HIS development is to
ensure availability of relevant, timely, high
quality health and health related data and
information for evidence-based policy
formulation, decision-making, management and
planning, disease surveillance and response
system, and performance monitoring and
evaluation, thereby contributing to improved
health service delivery.
9. STRATEGIC AREA: HIS
Strategic Objective 6. High quality, accurate and timely health and
health–related data/information is available and used, with promoting
sound health research.
Strategy 26-30
26. Develop and implement legal tools and protocols for health
information management.
27. Increase the quality, reliability and validity of health and health
related data and information.
28. Improve institutional capacity on data management, especially at
facilities and district level on data compilation, analysis,
interpretation, reporting, dissemination and use.
29. Enhance the national disease surveillance and response systems,
including public health emergency and disease reporting system.
30. Strengthen monitoring and evaluation system and promote health
research.
10. Health Information System
30
Strengthen monitoring and evaluation system and promote health research.
Outcome: Stronger M&E system and better use of research findings
• Perform routine and continuous monitoring of plan implementation at required
intervals by using the HSP3 Indicators Framework for M&E at different level of the
health system.
• Strengthen the use of the national M&E system, processes and tools to reduce
multiple monitoring systems in the health sector, especially at operational level.
• Enhance mutual accountability by the Ministry of Health and Development Partners to
track progress of development cooperation towards the development results.
• Establish governance structures with clearly defined roles and functions to
advice, oversee and coordinate health research system, while promoting the use
of research findings for policy dialogue and formulation.
• Develop and regularly update a health research agenda to coordinate and
complement research activities.