ANNUAL HEALTH BULLETIN 2004 - Ministry of Health

As a general principle QA responsibilities should be decentralized as far as possible,
consistent with the ability of lower levels to take decisions and manage the QA
implementation in their own area.
The proposed QA teams at various levels:
• National QA teams: Lead by Joint Director, QASD
• Regional QA teams: Lead by Superintendents
• District QA teams: Lead by DMO
• BOO QA teams: Lead by DHSO
• Review and discuss their prior quality problems at their level and develop
quality management plans.
• Conduct and coordinate the QAS training in their respective areas.
• Submit the annual work plans to the QASD.
• Submit quarterly reports to the J1, Director, QASD for feedback and for
effective monitoring and evaluation.
The Joint Director, QASD coordinates QA activities through the HTQC. The HTQC
forum discusses the priority issues for quality improvements and standards setting and
for developing policy on how quality of care issues should be taken forward within the
health services as a whole. This body is comprised of a broad representation of
personnel committed to assessing quality of care at all levels and their roles and
functions are:
To provide leadership and advocacy for QA & S in Bhutan
To assess priorities for quality improvement and standards setting
To maintain an equitable and appropriate distribution of health technology
and human resources at each level of the health services.
To promote and enhance the skills of health staff in quality improvement of
health care.
To review progress on quality improvements nationally
The health care authorities at the Regional and District levels will put quality assurance
in focus by establishing goals and policies in their own priority health care areas and
ensure that they are incorporated in the health care plans of their service centers. As part
of each plan, the authorities will ensure that each health care institution takes part in