Joint Annual Performance Review 2007 - Ministry of Health

HCs will have midwifery graduates allocated in 2007 and 2008 for the remaining 194 HCs
without midwifery staff.
b. Provision of appropriate skills and knowledge to staff for better service delivery
In 2006, there are 170 HCs are equipped with staff trained in midwifery skills (midwifery 4
month, LSS courses) and 29 HCs with midwifery graduates. There are 14 RHs equipped staff
in Basic Surgery (BST) and 14 RHs in Anesthetist (ISAR) courses. It is planned to have at
least 9 RHs equipped with staff graduates from BST and 14 RHs having staff trained in ISAR
course.
2. Enhance management and technical skills for all health workforces
(Strategy 13)
The MPA and CPA service packages give clear direction what knowledge and skills needed
for staff for service delivery in addition with the knowledge and skills they have learned
through the basic education.
It is planned to provide the MPA training course to staff at HC level based on the Training
Need Assessment (TNA). In 2006, the TNA supposed to be implemented at the 24 provinces
under the management of TSMC/RTCs. Due to the shortage of gasoline and modification of
policy rate from the MoEF, the implementation of the TNA has not been achieved as planned.
As result, the MPA course has been delay due to waiting of TNA result. In 2007 and 2008,
the MPA training course will be provided according to TNA result with the expected number
of 6 staff per HC.
To support the CPA service package, lab training has been provided to the staff with 149
participants. In 2007 and 2008, it is planned to provide lab training course 5 times a year with
the estimation of 36 participants per course.
As in the previous year, there are 16 physicians trained with Basic Surgery (BST) and 25
nurses trained with Anesthetist (ISAR) courses. It is planned to have 16 physicians trained
with BST and 20 nurses trained with ISAR starting mid 2007 to 2008.
To improve the management skills of health managers, 44 managers received the hospital
management (HMT) course and will have 35 managers attend the HMT in 2007 and 2009.
The management for quality service delivery is the main concern of health development
partners. This should be drawn one part from maintaining and controlling the quality of
education for health in both public and private training institutions. Recently, the increasing
of private training institutions made the promotion of quality control of the education for
health very crucial. The MoH with the collaboration from the MoEY&S and relevant
institutions has finalized the draft of sub decree to be submitted to the Council of Ministers
for approval. The enforcement of the standards on training for health stipulated in the sub
decree will enable the MoH to have close collaboration with the Ministry of Education Youth
and Sport in promoting and controlling the quality of training for Health.
III-Constraints
The delay of implementation of AOP should be addressed such as flexibility of per diem rate
for traveling, shortage of gasoline, in order to smoothly implementation activities. The delay
of one of the activities will give a burden of works to the implementation levels including
PHDs, TSMC/RTCs as well as relevant responsible institutions for its management and
monitoring processes.
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