rwanda primary health care and decentralisation of health system n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
RWANDA PRIMARY HEALTH CARE AND DECENTRALISATION OF HEALTH SYSTEM PowerPoint Presentation
Download Presentation
RWANDA PRIMARY HEALTH CARE AND DECENTRALISATION OF HEALTH SYSTEM

Loading in 2 Seconds...

play fullscreen
1 / 30

RWANDA PRIMARY HEALTH CARE AND DECENTRALISATION OF HEALTH SYSTEM - PowerPoint PPT Presentation


  • 224 Views
  • Uploaded on

RWANDA PRIMARY HEALTH CARE AND DECENTRALISATION OF HEALTH SYSTEM. Claude SEKABARAGA, MD, MPH Director of planning, policy and capacity building. PRIMARY HEALTH CARE SERVICES. MOH: HRF, OAI. 30 DISTRICTS: DH, DP, CDLS, MUTUELLE. 416 SECTORS : Health center.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'RWANDA PRIMARY HEALTH CARE AND DECENTRALISATION OF HEALTH SYSTEM' - etoile


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
rwanda primary health care and decentralisation of health system

RWANDA PRIMARY HEALTH CAREAND DECENTRALISATION OF HEALTH SYSTEM

Claude SEKABARAGA, MD, MPHDirector of planning, policy and capacity building

primary health care services
PRIMARY HEALTH CARE SERVICES

MOH: HRF, OAI

30 DISTRICTS: DH, DP, CDLS,

MUTUELLE

416 SECTORS : Health center

2080 CELLS: Health community post

14980 AGGLOMERATIONS: 2 Community health workers

priority interventions of primary health care services
PRIORITY INTERVENTIONS OF PRIMARY HEALTH CARE SERVICES
  • Increase the use of family planning methods, especially the long term methods;
  • Investment in strong prevention interventions of major diseases;
  • Universal access to curative care for all people living in Rwanda through universal coverage of health insurance;
  • Improvement of quality of care through quality of training, e-health, investment in infrastructure, drugs management, equipment and performance based financing of providers;
  • Decentralization of health services at Umudugudu (Health post) and households level (Community Health workers);
  • Mobilization of financial resources.
innovative interventions
INNOVATIVE INTERVENTIONS
  • Public subsidies (Health facilities budget support) through performance based financing;
  • Community health insurances;
  • High subsidy of drugs and products of higher prevalence diseases (Immunization, malaria, Hiv/aids and TB);
  • Autonomy of management of health facilities (hospitals and health centres), include now personnel;
  • Decentralisation, integration and task shifting in delivery of health care services.
slide10

FAMILY PLANNING IN PBF PRIMARY

HEALTH FACILITIES PILOT SITES

194% increase

60

50

55

50

45

2

40

R

= 0.8635

35

30

25

Percentage

17

20

15

10

5

0

1

2

3

4

5

6

7

8

9

10

11

12

1

2

3

4

5

6

7

8

2006

2007

slide22
IMPACT ON HEALH

OF POPULATION

lessons learnt
LESSONS LEARNT
  • Decentralisation and community participation: Accessibility, early treatment, ownership, implication of local leaders, community health workers, youth and women organisations, autonomy in management.
  • Community health insurance: Financial barrier, utilisation of primary health services.
  • Performance based financing: Quality, Rural to urban brain drain, local investment: Equipment, maintenance
  • Strong prevention: Universal distribution of mosquito-nets, hygiene and environment.
  • Partnership: Public, private, civil society and international cooperation implication.
conclusion
CONCLUSION
  • Decentralisation and community participation contributed to rapid and efficient results;
  • Primary health care have been improved very much in terms of prevention of major diseases like malaria, HIV/AIDS, although many challenges due to level of poverty and quantity and quality human resources;
  • Great efforts must be put in elimination of major diseases like malaria, diseases due to lack of hygiene and/or which vaccines exist, universal accessto mosquito-nets and health insurance.