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TWG: Health
TWG Action
Plan
74.
The TWG reported that the following sets of activities were
planned to be implemented, and satisfactory progress has been reported on
almost all activities.
Monitor Sector Performance
-
Progress of Sector 2005-2006 MTR.
MTR started from June 2006, to be completed by February 2007. TOR for
overall MTR has been agreed as well as those for sub-components. The
Midwifery review outcome was presented in September 2006 to TWGH and
officially disseminated in November 2006.The contracting and sector wide
management reviews are in process.
-
Progress of AOP 2006’s implementation.
JAPR 2006 was conducted in March 2006.
-
Budget Disbursement (JMI).
Disbursement of first semester 2006 has been presented to TWG-H in July.
The overall MOH’s Budget Disbursement Rate (cash released) as of
November 2006 is 74.2% (Central level: 74.8% and Provincial level: 73%).
-
Progress of Health Sector Support Project.
The Mid-Term Review report of the HSSP, including the
First Semi-Annual Report 2006, was completed in October 2006 and
presented to the TWGH in November 2006.
-
Progress of National Program.
Malaria &
Dengue, National Immunization Program, Nutrition, HIV/AIDS, TB, National
Centre for Health Promotion, Mental Health, NIPH and National
Reproductive Health Program.
-
Principal Recipient for GFATM.
Update as of June 2006 was presented at TWGH in October 2006.
-
Regular inputs from Civil Society.
NGO representative member of the TWGH and Secretariat are present in
Health Partner meetings. NGOs are permanent members of TWGH and its
Secretariat, unlike most other TWGs.
Sector
Harmonization and Alignment
-
Facilitate salary supplement phasing out and Performance
Based Incentive Reform.
Progress
was reported: (i) two-day joint field visit to “contracting” ODs and one
day to PMG Kampong Trach OD; ii) MOH HLG has met regularly; (iii) HPs
and MOH have discussed MBPI proposals; (iv) the working group had two
informal and two formal meetings during the second semester 2006; (v)
HPs reached consensus to align with national government per diem rate
payments according to Anukret 10.
-
SWiM development toward SWAp.
SWiM review is on-going as part of MTR and is expected to be completed
by Feb 07; A consultant was selected by WB.
-
Refine role, structure and function of Pro-TWGH.
Role, structure, and function of Pro-TWGH have been
established and regular quarterly progress reports have been obtained.
Representative from TWGH Secretariat randomly joint Pro-TWG meeting
every month.
-
Refine role, structure and functions of Sub-TWGH.
Eight Sub-TWGHs have been established, and are conducting
meetings regularly. Its reports are provided to TWGHS every month.
-
Strengthen capacity building of TWGHS (behind the
schedule).
The Bureau
for International Relations was upgraded to the Department for
International Co-operation. A MoH sub –decree describes the roles and
responsibilities. One local consultant and two admin assistants are
providing secretarial support to the TWGHS. The activity have been
delayed due to re-organization and staff changes
Key
Strategic Issues
-
Health service delivery contracting follow up.
Strategic Review of Health Contracting is part of MTR.
The final review report is expected in February 2007.
-
Consumer and provider rights.
The
Package of Consumer Right and Duty and Right of Provider in August 2006
was finalized and approved; Implementation, Monitoring and Review will
be conducted by NCHP under the lead of Dept of Hospital Services.
-
Review linkages of child survival, reproductive health
and HIV/AIDS.
Sexual and
Reproductive Health Strategy incorporates linkages RH-HIV and RH-CS.
Child Survival Strategy distributed.
-
Health financing: user-fees and access.
Access study phase I, distributed update on Social Health
Insurance, CBHI and Equity Fund was presented to TWGH in September 2006.
-
Budget disbursement: Linking planning, allocation,
budgeting and budget execution including follow-up work on PETS.
PETS results was presented to TWGH
in October 2006, but its report yet to be finalised by WB. Programme
Based Planning was implemented for Annual Operational Plan 2007.
-
Human resources comprehensive midwifery review.
The review report has been adopted by the MOH and
disseminated in November 2006.
-
Preparedness planning for pandemic influenza.
AI and PI preparedness plan for health was completed in
July.
Joint
Monitoring Indicators
75.
Further
develop the Public Administration to serve people better and to become an
effective development partners.
Institutional Development Plan is being developed as an input to the MTR
of the health sector strategy. Merit Based Payment Initiatives design is
being developed and discussed by MoH, MoEF, CAR and health partners.
Preparatory activities were carried out to formulate draft joint
Government-Donor action plan for phasing out of salary supplements.
Several meetings among four parties have reached some agreement in
principal (i.e. CAR agreed on the number of 160 from MOH, two provinces
and two National Programs as kick-off.)
76.
Increase the
proportion of deliveries attended by skilled health personnel.
In spite of some increases, the proportion of deliveries
attended by skilled health professionals is still low. In 2000, 31.8% of
deliveries were attended by trained health professionals (CDHS 2000); in
2005-2006, 43.8% of deliveries were attended by trained health
professionals (CDHS Preliminary Report 2005 -06).
Implementation status of the H-A-R Action Plan
Alignment
77.
Capacity
development.
Institutional Development Plan (including organisational development
needs) is under preparation and will be finalised following the MTR of the
sector strategy in 2007. Functional analysis has been carried out in the
central ministry followed by introduction of Performance Management
System, and the implementation of Performance Management System at central
level.
Harmonization
78.
Delegated
cooperation
is being
addressed in the TWGH workplan for 2006 & JAPR; 8 Sub-TWGH identified;
Pro-TWGHs in the process of establishing secretariat and revising
membership.
79.
Missions and
analytic work:
Sectoral Joint Annual Performance Review provides guidelines for
consolidated annual planning process for all health partners. Joint Review
Mission from MoH and HSSP partners was conducted in May/June 2006; and
HSSP MTR will serve as an input to sector review scheduled for September
2006. Subcomponent reviews are also underway in midwifery, contracting,
and sector-wide management are jointly agreed with government and health
partners.
Managing for results
80.
SOP.
The HSSP is implementing the SOP.
Resource
mobilization
81.
The TWG did not report on this matter.
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