3. What other countries are doing…
• Bangladesh – Focusing 20 low coverage districts
• Bhutan – service expansion
• DPRK – cold chain equipment and training
• India – cold chain equipment and logistics
• Indonesia – Training, information gathering,
service expansion
• Nepal – service expansion and HRH development
• Sri Lanka – 12 low coverage districts
• Timor Leste – service expansion and HRH
development
4. What are the major issues…
Bangladesh
capacity development of all levels, Quality aspects,
Incentive package, accountability, coordination of
partners
Bhutan
redundancy of planned activities, reprogramme,
phasing off GAVI Support
DPR Korea
Quality, AEFI surveillance, Emphasis on
performance/outcome indicators
Indonesia
Annual revision f unit costs and frequent changes in
financial regulations, Inter-district variations in
technical and management capacity
Nepal
coordination of planning, implementation and
monitoring, frequent staff changes, combine funds
and difficulty in getting financial reports on GAVI
HSS, political instability, HR and procurement
issues
Sri Lanka
Lack of guidance from missions, results based
financing, Work load is too heavy for existing staff
at project level
5. Myanmar HSS
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Overall Health Systems Assessment???
HRH Assessment & Profiles
HIS Assessment and HMN support
Drugs, medical products, equipment
Assessment???
Essential drug list???
Drug Regulatory mechanism???
Service availability mapping commenced??
Health sector master plan???
