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Annual Programme of Work 2009 - Ministry of Health

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4. <strong>2009</strong> PRIORITIES<br />

Sector priorities for <strong>2009</strong> are aimed at consolidating achievements <strong>of</strong> 2008, expansion <strong>of</strong> key<br />

interventions aimed at reducing the burden <strong>of</strong> diseases and step up disease control activities<br />

with particular emphasis on polio eradication. Improving maternal and neonatal health and<br />

the consolidation <strong>of</strong> gains made with the High Impact and Rapid Delivery (HIRD) and<br />

Regenerative <strong>Health</strong> and Nutrition (RHN) programmes will be kept in focus. Priority will<br />

also be given to the introduction <strong>of</strong> improvements in the human resource management by<br />

rationalising productivity indices to assess performance <strong>of</strong> health workforce.<br />

The Inter Agency Leadership Committee (IALC), which is made up <strong>of</strong> heads <strong>of</strong> agencies<br />

under the <strong>Ministry</strong> <strong>of</strong> <strong>Health</strong>, in the course <strong>of</strong> the year also reviewed key programmes and<br />

activities and provided priority areas to be tracked during the year. The priorities outlined for<br />

the year therefore represents those that are scheduled for <strong>2009</strong> in the Five Year <strong>Programme</strong> <strong>of</strong><br />

<strong>Work</strong> (2007-2011), ongoing interventions requiring more intense follow up and those that<br />

have been agreed upon by the IALC, development partners and other stakeholders.<br />

The Five Year <strong>Programme</strong> <strong>of</strong> <strong>Work</strong> nominates a set <strong>of</strong> priorities for <strong>2009</strong>. These remain<br />

central to the framework for planning and budgeting for the year and will guide overall sector<br />

actions. These are:<br />

• Target safe food and water<br />

• Target quality <strong>of</strong> clinical care including referrals and emergency services<br />

• Rationalize facility and service availability<br />

• Strengthen <strong>Health</strong> sector budget and PFM systems<br />

In the course <strong>of</strong> the year a number <strong>of</strong> issues emerged leading to the identification <strong>of</strong> other<br />

areas requiring attention. Various fora and reports such as the IALC, the Consultative<br />

Meeting on MDG5, the Round table Conference on Human Resources and the<br />

recommendations <strong>of</strong> the 2007 annual review, provided opportunities for the sector to take on<br />

additional priorities for the year. The recent isolation <strong>of</strong> wild polio virus in the northern<br />

region has also contributed to the additional priorities for <strong>2009</strong>. These include the following:<br />

• Improve maternal and neonatal health<br />

• Intensify efforts to reduce the burden <strong>of</strong> Non Communicable Diseases<br />

• Intensify EPI activities especially towards polio eradication<br />

• Improve capacity to scale up coverage <strong>of</strong> ART<br />

• Improve human resource productivity<br />

• Improve existing information monitoring and evaluation systems<br />

• Ensure commodity security<br />

• Complete work on harmonization <strong>of</strong> <strong>Health</strong> Bills<br />

• Rationalize and improve claims management under the NHIS<br />

• Improve role <strong>of</strong> Regional <strong>Health</strong> Authorities in increasing performance<br />

• Improve staff attitude at all levels<br />

• Institute measures for gender mainstreaming<br />

Priorities <strong>of</strong> programmes will continue to adopt approaches <strong>of</strong> reaching the poor within the<br />

Poverty Reduction strategy. Capital investments will continue to prioritize training<br />

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