Transcript Health Services

GRENADA PRESENTATION
Presenter: Tessa Stroude
GEOGRAPHICAL LOCATION
Political Context
 Tri-island state-Grenada, Carriacou &Petit
Martinique
 Extension: 133 sq.miles
 Seven Parishes
 Westminster style parliamentary democracy –
bicameral legislature
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-Elected House of representatives
-Senate appointed
Executive powers: P.M. and Cabinet
Governor General represents H.M. Queen Elizabeth 11
No formal local government institutions
Multi-partite consultative committee
DEVELOPMENT INDICATORS
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Growth Rate (2003-2005) 5.8, -3.0, 1.9%
GDP at 2000 constant pricesUS$401mn
Inflation (based on consumer index) 5.8%
Population
106,027
Male
52,028
Female
54,000
Unemployment
18%
- Male
12.4
- Female
26.3
Adult Literacy rate
97.0
Human Development Index (2005)
66th
Social Development
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Household composition
- Female headed
Access to water
Safe Water source
Safe Sanitary (human waste)
Collected Waste Disposal
Has Electricity
47.0
98.8
87.0
61.5
97.5
80.9
Investment in Health
 GDP per Capita (2001)
US$3,881
 National Health Expenditure
as a % of GDP 2006 est.
4.8%
 Per Capita Health Expenditure
US$ 223.00(2004)
 % Government Expenditure 2006
16.1%
 Private Expenditure (2002) est.
1.7%
 70% of Health Budget
Wages & Salaries
HEALTH INDICATORS
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Life Expectancy
Infant Mortality
Maternal Mortality
Fertility Rate
Crude Birth Rate
Crude Death Rate
Immunization (across the board)
70.9years
13.6 (2004)
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3.09
17.8 (2004)
8.5 (2004)
100% (2005)
Health Indicators cont’
Top 5 cause of death 2003
 Malignant Neoplasm
 Endocrine & Metabolic Disease
 Disease of Pulmonary Circulatory
 Disease of Respiratory system
 Hypertensive Disease
MAJOR HEALTH PROBLEMS
 Chronic Diseases
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Heart Disease
Hypertension
Diabetics
Cancers
HIV/AIDS
Traffic Accidents
Health Services-Organization
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One Main Acute care hospital
Two Subsidiary hospitals –
- Off shore island-Carriacou
- Rural community
One Psychiatric Facility
Community Health Services
- 6 Health Centres, 3 Maternity Units
- 30 Medical Stations
Productivity – Health ServicesHospital - 2005
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Discharges
Average Length of Stay
Surgeries/Orthopedic
Deliveries
Outpatients
Hospital Occupancy
Overall Death rate @
Hospital
7554
6.8days
1785
1380
9730
75%
3.6%
Health Services Community Level
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Child Health
Ante Natal Delivery by health professionals
Post Natal Chronic Diseases
District Medical Officer Clinic
Pharmacy
Dental Services
Mental Health
Infectious Diseases
92.8%
100%
Health Services Special Response Programs
 Drug for the Needy: free access to drugs
for chronic diseases
 HIV/AIDS
 Free VCT clinics
 Free access to Anti-retrovirals
 Free access to health services for persons
under 16 years of age and over 60 years.
 Miracle Program: free ophthalmologic care
 Oncology program introduced
Response :
Health Sector Reform
 Statorization of Solid Waste Management
 Development of Executive Agency to manage
Hospital Services
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Process under review – still part of the policy agenda
Devolution of Good & Services
New positions established (Top Management)
Human Resources still under the PSC
 Recommendations to strengthen Planning
and Epidemiology Department
 Computerization of Medical and RegistrarGeneral Department.
Health System ResponseSteering Role
 Leadership
Functional review of Ministry of Health conducted
Administration
Hospital & Community Services
Development of National Strategic Plan
Health Disaster Plan near completion
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 Regulatory
 Reviewing & revising Legislation
 Development of protocols and regulations
Public Health
 Review of EPHF’s
Health System Response:
Steering Role Cont..
 Harmonization of Health Services Delivery
 Training Assessment completed & Human
Resource Plan to be developed
 Strengthened Human Resource Management
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New Chief Nurse Officer recruited
New Chief Medical Officer recruited
Director of Community Health Services introduced
Additional Epidemiologist employed
Training program to begin by July for Management
teams
Health Sector ResponseFinancing/Assurance
 General Taxation
 User fees reviewed at hospital
 Plans to upgrade the Billing and
Admissions Department
 National Health Insurance (under
discussions)
 Thank You !