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JOINT PROGRAMME OF WORK AND FUNDING (JPWF) 2012 ? 2014 FOREWARD: The goal of the National Health Sector Strategic Plan (NHSSP) is to reduce inequalities and improve the health of the people of Sierra Leone, especially mothers and children, through strengthening National Health Systems to enhance health related outcomes and impact indicators. This goal translates the overall mission and vision of the National Health Policy into policy objectives that are in line with the President?s Agenda for Change, the Ouagadougou Declaration and the Millennium Development Goals (MDGs). The Ministry of health and Sanitation (MoHS) recognises that the policy objectives of the NHSSP are best achieved through active involvement and partnership with other stakeholders in the provision of a defined Basic Package of Essential Health Services (BPEHS). The first year of the NHSSP (2010 financial year) was focused on accelerating access to Health Care for specific vulnerable groups, namely: pregnant women, lactating mothers and children under five years of age through the implementation of the Free Health Care initiative (FHCI). The Government of Sierra Leone (GoSL) and its health development partners followed this by developing a national health COMPACT. The COMPACT is a framework outlining roles and responsibilities of the GoSL on one part and its partners on the other in implementing the NHSSP. The purpose of this JPWF is to guide the activities and investment decisions of Government, and the health sector development partners over the next three years. It outlines the priority interventions to be focused on and their resource and financing implications. It is a Medium Term Expenditure Framework (MTEF) to address the policy objectives of the NHSSP in the medium term. This JPWF is a multi-year operational plan for the health sector, providing the basis for development of Annual Operational Plans (AOPs) that guide implementation of sector activities, based on consensus with all health sector development partners. As a policy document that we have jointly formulated, it is my sincere hope that it will henceforth become the single most important point of reference for design of service delivery programmes, resource mobilisation and a health financing framework as it embodies our dream for a better health care delivery system for all people of Sierra Leone. Foreword by Honourable Haja Zainab Hawa Bangura Minister of Health and Sanitation - (pdf, 2859.02 Kb)
National Health Information Systems Documentation on: mHEALTH, National Health Sector Strategic Plan, Facility Monitoring Centre - (ppt, 399.5 Kb)
NATIONAL HEALTH SECTOR STRATEGIC PLAN 2010 - 2015 Foreword Improving the health of the nation is one of the key priorities of our Government. Formulation and launch of this National Health Sector Strategic Plan (2010 ? 2015) for further development of our country?s health sector is therefore a major achievement. Considerable progress has been made in reducing the high infant and maternal mortality rates, increasing immunisation coverage rates and increasing the proportion of children sleeping under long-lasting insecticide treated bed nets. Nonetheless, women continue to die at childbirth, too many children die of easily preventable diseases for which cost effective interventions exist and sadly, much remains to be done with regard to tackling ill health related to poverty. This Plan provides the framework that will guide the efforts of the Ministry of Health and Sanitation (MoHS) and its partners over the next six years in attaining the health related MDGs. It reflects the Ministry?s fundamental belief that health is a basic human right. In this regard therefore, health services should be made available, accessible and affordable to all people without discrimination. The Plan further reflects the belief that health fundamentally affects individual productivity and is therefore a critical input for long-term development of the country. The strategies contained in the Plan focus especially on the needs of mothers, children and the poor. For these vulnerable groups, ill health is not only a personal tragedy but also an economic burden that reinforces poverty nationally. Whilst laying emphasis on these beneficiaries, the Plan concomitantly emphasizes strengthening of the entire health system as a key strategy to enhancing efficiency and effectiveness in provision of quality services that will ultimately improve health outcomes. In cognisance of the aforementioned, the plan is developed around strengthening of six key pillars of the health system, namely: (1) leadership and governance, (2) service delivery, (3) human resources for health, (4) medical products and technologies, (5) healthcare financing, and (6) health information systems. Our priorities are to improve infant and maternal health with the aim of progressively moving towards universal coverage, reducing the burden of communicable and non-communicable diseases and improving the quality of services provided by retaining highly qualified and motivated staff that work in an enabling environment. In tandem with the formulation of this strategic plan, we are developing a ?Basic Package of Essential Health Services for primary health care and hospitals?. We are also exploring new ways of enhancing effectiveness of the health system, such as the establishment of a Health Service Commission; a National Health Insurance Scheme; a new scheme of service whose aim is to improve retention of the right staff, in the right place and at the right time; and strengthening publicprivate partnerships, to name but a few. For the implementation of this plan, the Ministry depends on the continued dedication of its entire staff and those of its partner organisations. The Ministry?s goals for system-wide improvement require sustained provision of public funds as well as financial and technical assistance from development partners within the framework of the PRSPII. This Plan ushers in a new beginning towards a direction that the Ministry hopes will result in a sector-wide approach to managing and coordinating our individual and collective interventions. We welcome the support of our national and international development partners and gratefully acknowledge their contribution towards the development of our health sector. As a policy document that we have jointly formulated, it is my sincere hope that it will henceforth become the single most important point of reference for design of service delivery programmes, resource mobilisation and a health financing framework as it embodies our dream for a better health care delivery system for all people of Sierra Leone. Hon. Sheiku Tejan Koroma Minister for Health and Sanitation October 2009 - (pdf, 1116.78 Kb)

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