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Republic of Palau

Republic of Palau. 52 nd PIHOA Meeting Guam, USA June 12, 2012. Planning in Palau. Ministry of Health Plan 2008-2013 Plan for Public Health Divisional Plans Plan for Hospital and Clinical Medicine Divisional Plans Human Resource for Health Strategic Plan. Implementation Activities.

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Republic of Palau

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  1. Republic of Palau 52nd PIHOA Meeting Guam, USA June 12, 2012

  2. Planning in Palau • Ministry of Health Plan 2008-2013 • Plan for Public Health • Divisional Plans • Plan for Hospital and Clinical Medicine • Divisional Plans • Human Resource for Health Strategic Plan

  3. Implementation Activities • Minimal Essential Program • Pharmaceuticals, Medical Supplies, Equipment and Personnel • College of Health • Community, Classroom (MOE), Institutions of Higher Learning and Internal MOH • Reclassification and career path designs • Declaration of State of Health Emergency on NCD- Using ICS • Health System Strengthening- Disease- MOH, manage NCD affected • Primary Health Care- Health- Community Groups, NEMO, manage NCD at risk • Communitizing health and institutionalizing Disease • Elimination of Neglected Tropical Diseases • Using NCD created system: Elimination of intestinal helminths, yaws, elephantiasis and working on the Hansens and TB • Moving to Earlier Indicators- Pediatric, Larva: Pop Index, Obesity, “would be” population

  4. The primary reason why we have an NCD Crisis in Palau is because of: Passive Integrated Disorganization! We have over time adopted passive integrated disorganization. This applies to the way we handle traditional ways, policy decisions, funding mechanisms, planning, ownership (silo effects, territorialism), accountability, displacements of personal decision, disregard to data and information, importation of expatriate models or research without scrutiny. The solution to this PID is : Active Integrated Organization! Data driven decisions utilizing horizontal management mechanism to integrate stakeholders to appropriately and expediently manage resources in enabled environments. Just remove the: PASS DIS! And insert: ACT! Ions

  5. Current Situation Int journey 33% Obesity Rate 4% Proteinuria 3% Glycosuria 52.9 % tobacco use Affected with NCDs If we act now! Obesity Proteinuria Glycosuria Tobacco use Affected with NCDs If we do nothing! Unborn generation are born into an unhealthy system! Affected with NCDs Adult Youth/Children Unborn NCD Risk Factors Tobacco Use Alcohol Abuse Inappropriate diet Inactivity Trans-generational based Urgency

  6. IEA Iii President Vice Pres MOH Ministries NEMO Liaison Bureaus BPH Admin BH&CS NCD IC PIO National Emergency Committee Operations Intelligence Logistics Safety Finance/Admin NCD Incident Command Structure is a horizontal management tool to Actively Integrate Coordination within the MOH (HSS)and the whole of society through NEMO(PHC).

  7. NTD Health Promotion: health education (to reduce demand) N C D S T R U C T U R E N E T W O R K S N C D P R O G R A M S T R A T E G I E S Ottawa Charter 1976 Primary Health Care Concept NCD RESISTENT HOMES NCD RESISTENTSCHOOLS NCD FREE PALAU NCD RESISTENTHOSPITAL NCD RESISENT WORK-PLACE Health Care Services Health Systems Strengthening Health Protection: healthy policies and laws (reduce supply) Integration of the IEA Model to the Healthy Island Framework

  8. Thank you very much

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