Tue, 25 July 2017
Last Updated: Tue, 25 Jul 2017 6am
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A bold new vision

In a report released by the WHO today, Thursday, 23 March 2017, (from which I quote) “A bold new plan developed by the Ministry of Health and Medical Services, with support from WHO, sets out the Pacific nation's roadmap towards universal health coverage and the Sustainable Development Goals.

“The plan defines what services are to be offered at each of the 4 levels of the health system, from small rural health clinics offering basic primary care to area health clinics with simple surgical services, provincial hospitals, and the National Referral Hospital.

“Developing the plan has involved not only the Ministry of Health, but also the Public Services Ministry, which deals with labour issues, as well as the Ministry of Infrastructure Development.

"WHO is excited to be part of this whole new reform agenda that the health ministry has embarked on which could be a game changer," said Dr SevilHuseynova, the WHO Representative to the Solomon Islands.

“Almost half of all health expenditure in the Solomon Islands comes from donors. But much of that funding has targeted specific diseases, rather than strengthening the country’s health system and improving overall services. In addition, well-meaning local politicians and churches have built hospitals with little or no coordination with the Ministry of Health, and then seek the ministry’s support to run them.

“The result: Fragmented services, and health gains that haven’t matched the levels of investment.

"With all the increased investments in the recent past, there have not been proportionately significant health gains," says Dr TennethDalipanda, the Solomon Islands' Permanent Secretary for Ministry of Health and Medical Services. "For the last so many years measles immunization coverage has hovered around 75%, and we’ve never been able to get past the 85% mark despite increased investments. That’s what convinced us that something must be done differently."

“The plan, called the Role Delineation Policy, also maps out the human resources, infrastructure, and equipment that will be needed at every level.

"The health ministry is undergoing reforms which will enable us to implement the new policy," Dr Tenneth said. "The provinces need to take control of delivering health services while the central ministry will deal with policy, resourcing, and governance."

“Under the plan, 9 provincial hospitals and 34 area health centres will be upgraded, while 202 nurse aid posts will either be closed or upgraded to become rural health centres to ensure resources are used most efficiently to provide health services at strategic locations.

 “The plan also includes staffing area health centres – previously run by nurses – with doctors, ensuring that the health services people needs are available closer to where they live.

“To meet that demand, almost 100 medical graduates are being trained in Cuba, about half of whom have already returned to the Solomon Islands.

“The plan will be begin implementation after it is finalized in June this year. But some changes are already happening. Infrastructure upgrades have begun, and lists of equipment and the human resources needed have been drawn up.  Of course, all of that will cost money.

“A grant from the Republic of Korea to improve infrastructure in one province will help to determine how much investment will be needed to implement the full plan across the archipelago.

“The Solomon Islands faces a "triple burden" of disease: communicable diseases such as dengue, combined with increasing rates of non-communicable diseases and the effects of climate change, which cause frequent floods and droughts.

“If successful, the plan may become a blueprint for some of the Solomon Islands' Pacific neighbours, says Dr Greg Jilini, an Under-Secretary to the Ministry of Health who leads the taskforce that drew up the plan.

"There are other countries interested to see what we are doing, like Vanuatu who have very similar problems," he said. "They’re very interested to take the same path."

Frank Short
Bangkok, Thailand




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