Joint Annual Performance Review 2007 - Ministry of Health

The HR database was maintained and updated step by step throughout the year with the
technical assistance of the VSO volunteer to maintain and compare all the members of
working staff and reported quarterly.
Annual Operational Plan guideline for 2007 has been developed and disseminated to all health
institutions. Health sector AOP 2007 by institution was successfully completed and Health
sector AOP 2006 also published and disseminated
Monitoring and evaluation activities during the period included the undertaking of the Joint
Annual Performance Review in 2006 which combined the National Health congress with the
Joint Annual Health Sector Review. The Demographic Health Survey finding report was
finalized and there has been considerable strengthening of the Health Information System
with the introduction of revised forms for data collection and also revision to the HIS
software.
Strategy 18 - Effective public private partnerships to improve accessibility, quality and
affordability through the participation of private sector participation and enforcement
of regulation
The focus of activity undertaken in this area was the continuation of registration of doctors
and medical assistants in both public and private practice. At the end of 2006 69% of medical
doctors and medical assistants had registered. A Royal Decree for establishing a Dental
Council was issued in 2005 and the membership of Dental Council has been approved by subdegree.
The government and donor coordination has been greatly strengthened by the establishment
of a Technical Working Group for Health with joint MOH and health partner membership.
This has replaced the former CoCom forum. SWiM study conducted as part of MTR.
Strategy 19 - Enhancing MoH capacity to address chronic and other non-communicable
diseases and emerging public health problems
The main activities addressing chronic and other non-communicable diseases were centered
on tobacco control, the development of a National Diabetes Control Programme and cancer
and the development of Guideline of Arsenicosis. It is also included the utilization of helmet
wearing among motor-cyclist to prevent the serious injury.
While the legislation for tobacco control has not been approved by the Council of Ministers
and ratified by the National Assembly there has been some activity in awareness programmes
for target audiences such as Buddhist monks, teachers and local authorities.
The national strategy for the prevention & control of non-communicable disease was
developed and finalized. The guidelines for the management of Diabetes & hypertension
patients in RHs were drafted.
Cancer registration needs to be strengthened in all provinces. The capacity of physicians and
nurses to diagnose and treat cancer, especially palliative care needs to be improved.
The rate of helmet use has increased 20 %, but the continuance of mass media education is
required in order to improve result.
Strategy 20 - Further developing the health sector to strengthen management
effectiveness and service delivery responsiveness through enhanced management, good
leadership, appropriate decentralization and de concentration and institutionalized
sector wide management.
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