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Health Sector Mid Year Review
Crossroads Hotel
27 April 2015
Dr. Charles Mwansambo
Chief of Health Services
Outline
 Highlights for the Period
 Health Sector Financing
 Health Systems Performance
 Performance of Health Service...
Highlights of the Period
 In the period of July – December, 2014 the
Ministry continued to prioritize Maternal,
Neonatal,...
Health Sector Financing
 Resource Mapping Round Three showed
that MK278.8 billion is available for the
2014/15 Fiscal Yea...
Health Sector Financing
 Government contributed MK65.8 billion
(92%) of the required MK71.8 billion SWAp
Pool resources.
...
Health Systems Performance
 Health Systems Performance covers:
 Human Resources for Health,
 Health Infrastructure,
 M...
Human Resources for Health
 MoH Continued with Implementation of
integrated Human Resources Management
Information System...
Drugs and Medical Supplies
 Sustained availability of essential medicines
and medical supplies.
 DfID has supported CMST...
Essential Equipment
 The Ministry of Health released the Service
Provision Assessment (SPA) Report which
shows availabili...
Infrastructure Development
PROGRESS OF SELECTED PROJECTS:
Project Name Status
Umoyo Houses: 140
new staff houses
and 5 fla...
Health Service Delivery
Performance
HOSPITAL ATTENDANCE, ADMISSIONS AND DEATHS:
Districts Central
Hospitals
Total
OPD
atte...
Maternal Health
 10.5% of pregnant women visiting ANC in their
first trimester against target of 17% (HMIS)
 87% deliver...
Child Health
0
10
20
30
40
50
60
70
80
90
100
Fully Immunized Measles Pentavalent 3
Percentage(TargetvsCurrent)
Current Ta...
Malaria
MoH released the 2014 Malaria Indicator Survey report
Indicator 2012 MIS 2014 MIS
% of those suffering from malari...
Diarrheal Diseases
 212,538 diarrheal diseases, representing an
Incidence Rate of 165 per 1,000 in under-fives
 15% of d...
Health Sector Reforms
(More details in Session 2)
Activities include:
1. Reviewing the
Partnership with
CHAM
2. Establishi...
Thank You for Your Attention
QUESTIONS?
ANNEXES – ADDITIONAL SLIDES
Health Sector Financing
• Only MK8.1 billion of the projected MK24.6
billion discrete resources were disbursed as at 31
De...
Human Resources for Health
• Promoted 524 staff to different
positions in the reporting period of
which 249 were Medical A...
Human Resources for Health
• 5 Radiotherapists and 2 Medical
Engineers sent to school under the
Cancer Capacity Building P...
Essential Equipment
• Status of Procuring Selected Equipment :
Equipment Type Status Cost Center
Mammography
Machines
Deli...
Malaria
• Continued trend in reduction of Malaria
Incidence Rates
396
456
484
371
332 332
223
0
100
200
300
400
500
600
Ju...
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Malawi Mid-Year Review 2014-2015 Health Sector Overview

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Malawi Mid-Year Review 2014-2015
An overview of the Health Sector

Published in: Healthcare
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Malawi Mid-Year Review 2014-2015 Health Sector Overview

  1. 1. Health Sector Mid Year Review Crossroads Hotel 27 April 2015 Dr. Charles Mwansambo Chief of Health Services
  2. 2. Outline  Highlights for the Period  Health Sector Financing  Health Systems Performance  Performance of Health Service Delivery  Health Sector Reforms
  3. 3. Highlights of the Period  In the period of July – December, 2014 the Ministry continued to prioritize Maternal, Neonatal, and Child health.  There were three major emergencies: Responding to Floods, Controlling the spread of Cholera and Mitigating the threat of Ebola  The Ministry pursued a number of Health Sector Reforms to improve on the quality and efficiency of health service delivery.
  4. 4. Health Sector Financing  Resource Mapping Round Three showed that MK278.8 billion is available for the 2014/15 Fiscal Year.  MK71.8 billion (26%) comes from the MOH Pool, MK56 billion (20%) from NAC and MK151 billion (54%) are Discrete Project resources.
  5. 5. Health Sector Financing  Government contributed MK65.8 billion (92%) of the required MK71.8 billion SWAp Pool resources.  The balance of MK6 billion was predominantly contributed by the Norwegian and Flemish Governments.
  6. 6. Health Systems Performance  Health Systems Performance covers:  Human Resources for Health,  Health Infrastructure,  Medical Equipment, and  Drugs and Medical Supplies.
  7. 7. Human Resources for Health  MoH Continued with Implementation of integrated Human Resources Management Information System (iHRIS) to improve on data quality.  Improved overall vacancy rate with a drop from 47% to 45% through recruitment of 207 nurse midwives, 15 medical doctors, and 80 medical assistants – out of 534 graduates in the period.  Spent MK574,798,100 on 1,006 pre-service students.
  8. 8. Drugs and Medical Supplies  Sustained availability of essential medicines and medical supplies.  DfID has supported CMST with the outsourcing of Warehousing and Distribution to Imperial Health Sciences.  Drug quantification for 2014/15 FY was completed ($69 Million is needed for health commodities).
  9. 9. Essential Equipment  The Ministry of Health released the Service Provision Assessment (SPA) Report which shows availability of equipment as in the graph below:
  10. 10. Infrastructure Development PROGRESS OF SELECTED PROJECTS: Project Name Status Umoyo Houses: 140 new staff houses and 5 flats Progress at 60% and 50%, against targets of 60% and 30%, respectively Central Hospital Rehabilitation Progress at 70% (QECH), 0% (ZCH), 80% (KCH), 38% (MCH) Nkhatabay District Hospital Progress at 97% Phalombe District Hospital Consultant recruited, Contractor recruitment in progress 15 Health Centers Progress at 15%, against target of 30%
  11. 11. Health Service Delivery Performance HOSPITAL ATTENDANCE, ADMISSIONS AND DEATHS: Districts Central Hospitals Total OPD attendances 5,024,404 364,572 5,388,976 Admissions 258,615 81,474 340,089 Inpatient deaths 5,639 3,468 9,107
  12. 12. Maternal Health  10.5% of pregnant women visiting ANC in their first trimester against target of 17% (HMIS)  87% deliveries with skilled birth attendant (2014 MDG Survey)  90% of births occurred spontaneously, 6.8% (C- section), 1.7% (Breech, vaginal), 1.4% (vacuum extraction) (HMIS)
  13. 13. Child Health 0 10 20 30 40 50 60 70 80 90 100 Fully Immunized Measles Pentavalent 3 Percentage(TargetvsCurrent) Current Target PROPORTION OF CHILDREN IMMUNIZED AT DISTRICT LEVEL
  14. 14. Malaria MoH released the 2014 Malaria Indicator Survey report Indicator 2012 MIS 2014 MIS % of those suffering from malaria who have access to and are able to use collect, affordable and appropriate treatment within 24 hours of onset of symptoms 24 31.2 % of pregnant women who have access to and receive two or more doses of IPTp for malaria prevention 55 63 % of children under 5 years of age sleep under an ITN 56 67 % of pregnant women sleep under an ITN 51 62 % of outpatient suspected malaria cases who are confirmed by parasitological diagnosis 65 75
  15. 15. Diarrheal Diseases  212,538 diarrheal diseases, representing an Incidence Rate of 165 per 1,000 in under-fives  15% of diarrhea cases reported in Lilongwe, 8% in Blantyre, and 5% in Mangochi
  16. 16. Health Sector Reforms (More details in Session 2) Activities include: 1. Reviewing the Partnership with CHAM 2. Establishing a Health Fund 3. Revitalization of Health Insurance Schemes 4. Reforming Hospital Operations, including Decentralisation
  17. 17. Thank You for Your Attention QUESTIONS?
  18. 18. ANNEXES – ADDITIONAL SLIDES
  19. 19. Health Sector Financing • Only MK8.1 billion of the projected MK24.6 billion discrete resources were disbursed as at 31 Dec 2014 Discrete Donor 2014/15 Expected Disbursements (MK) Disbursement for Mid Year (MK) % Disbursed as at 31st December 2014 (MK) Norway/FICA 5,202,003,261 4,205,743,959 81% UNHCR 87,729,027 36,564,234 42% Global Fund (GF) 17,468,327,200 2,704,228,664 15% CDC 1,867,095,646 1,148,144,102 61% Total 24,625,155,134 8,094,680,959 33%
  20. 20. Human Resources for Health • Promoted 524 staff to different positions in the reporting period of which 249 were Medical Assistants to Senior Medical Ass. • Conducted promotional interviews as follows: –1,350 HSAs to Senior HSAs –Fresh employees to fill 1, 350 vacant positions to be created.
  21. 21. Human Resources for Health • 5 Radiotherapists and 2 Medical Engineers sent to school under the Cancer Capacity Building Project. • Obtained Establishment Warrant (EW) from the OPC to create 47 positions for laboratory technologists (90% of technologists who have graduated from different schools to be absorbed).
  22. 22. Essential Equipment • Status of Procuring Selected Equipment : Equipment Type Status Cost Center Mammography Machines Delivered, awaiting installation Central Hospitals Radiography Machines In progress, advanced stage KCH, MCH, QECH X-Ray Machine, Tube In progress Salima, Karonga thermos- luminescent dosimeter reader Donated by IAEA KCH 5 Standby Generators In Progress, 1 Delivered to Mchinji District Hospital District Hospitals 2 Oxygen Plants In progress KCH, QECH
  23. 23. Malaria • Continued trend in reduction of Malaria Incidence Rates 396 456 484 371 332 332 223 0 100 200 300 400 500 600 June, 2009 June, 2010 June, 2011 June, 2012 June, 2013 June, 2014 Dec, 2014 IncidenceRate Period

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