PHC Policy

National Health Policy for PHC
MAIGA AYUB HUSSEIN

M&E, ADSHM, BScN,Ms-Epid
ZZIWA SWAIBU
BEH,MPH(MUK)
1
Outline of presentation
• Definitions
• Key phrases
• Background
• National plans-NHP
• Health sector strategic plan
2
Definitions
• Policy
– Principles/ regulatory measures that govern systematic
course of action
– directed towards given topic
– by government or non-governmental agencies or
representatives
– over a period of time (a long-term purpose )
– intended to influence and determine decisions as well as
actions for the common good
– usually apply to a country as a whole rather than to one
part of it
3
Key phrases
 Abbreviations
 National health Policy (NHP)
 Health Sector Strategic Plan (HSSP)
 Sector wide approach (SWAP)
 Uganda National Minimum Health Care Package
(UNMHCP)
 Primary Health Care (PHC)
 Poverty Eradication Action Plan (PEAP)
 National Development Plan (NDP)
 Health Sector Strategic and Investment Plan
 Health Sector Development Plan
4
Background - 1
• Break down of the health system during the upheavals of
1970-1980’s.
• International agencies provided post conflict support
• Adopted policies and strategic plans from other countries
• Donor projects activities were independent of government
activities
• No provisions for sustainability
• Health agencies dissatisfied with project based method of
service delivery.
5
Background 2
• 1990s NHP and HSSP formulation initiated

• 1999 NHP(I) finalized
• NHP(I) guided development of HSSP(I) and
(II)
– HSSP I- 2000/01- 2004/05
– HSSPII- 2005/06- 2009/10
6
Background 3
• NDP(I) guided development of Health Sector
Strategic and Investment Plan (HSSIP)
2010/11 - 2014/15
• NDP(I)
– HSSIP(I)- 2010/11- 2014/15
– HSDP(I)- 2015/16- 2019/20
7
National plans
In the health sector, planning and resource allocation
at country level are mainly guided by national plans.
A midterm review of progress is important for policy-
makers since the review can inform the second half of
the plan’s implementation and provide a situation
analysis on which the subsequent plan can be based.
8
National health policy
• NHP I guided the health sector between 1999 and 2009.
• Over this period, a number of changes occurred e.g
– Increase in the burden of disease due to Non-
Communicable Diseases (NCDs)
– Negative health consequences of changing climate,
– New and emerging diseases,
– Challenges in implementation of the decentralisation
program and the
– Sector Wide Approach (SWAp) in health
9
Components of NHP( II)
Vision:
A healthy and productive population that
contributes to socio-economic growth and
national development
Mission and Goal

Social values (equity , Respect for culture,
professionalism etc)
10
Development context of NHP (II)
The development of NHP II guided by

• International context
 Millennium Development Goals (MDGs)
UN millennium declaration 6-8th sept 2000 at UN
hdqt Newyork.pdf
 Several conventions; PHC 2008, child rights, TB etc
 Regional health sector frame works (EAC)
11
Guiding principles of the NHP II
• PHC strategy revised 2008
• UNMHP forms the primary focus of health
care system delivery
• Decentralization
• Evidence based strategies
• Sustainability (pro poor)
• Gender mainstreaming of health programs
• Others
12
NHP(II)Policy objectives
Several objectives in regard to:
• Organization and management of the national health
system
– To improve access to quality hospital services at all levels
in both the public and private sectors
• Minimum health care package
– To ensure universal access to quality UNMHCP consisting
of promotive, preventive, curative and rehabilitative and
palliative services for all prioritized diseases and
conditions, to all people in Uganda, with emphasis on
vulnerable populations.
• Others
13
HSSP
Purpose
•To reduce morbidity and mortality from major causes of ill
health in Uganda and the disparities therein, as a contribution to
poverty eradication and economic and social development of
the people.
14
Uganda National Minimum Health Care Package
included the following 6 elements:
• Control of Communicable diseases (Especially

Malaria, TB, HIV/AIDS)
• Integrated Management of Childhood Illness
(IMCI)
• Sexual and Reproductive health and rights
(Antenatal care, obstetric care, Post natal care,
family planning, adolescent health, prevention of
violence against women
15
UNMHCP elements cont;-
• Public health measures;-
 Immunisation
 Health Education and Promotion
 Environmental health
 School health
 Intervention in diseases targeted for eradication/elimination
 Epidemics, disaster preparedness and response
• Mental and Rehabilitative health

• Essential clinical care;-
 Treatment of common illnesses
 Eye, ear and oral/dental care
 Palliative care
16
HSDP 2015/16 - 2019/20
• Background
• The NDP II 2015/16 – 2019/20 was launched and sets
Uganda’s medium term strategic direction, development
priorities and implementation strategies
• The NDP’s theme is "Strengthening Uganda’s Competitiveness
for Sustainable Wealth Creation, Employment and Inclusive
Growth" and the thrust is to accelerate transformation of
Ugandan society from a peasant to modern and prosperous
country within 30 years.
17
HSDP 2015/16 - 2019/20
• This Health Sector Development Plan (HSDP) 2015/16 -

2019/20 is the second in a series of 5-years aimed at
achieving Uganda Vision 2040 of a healthy and productive
population that contributes to socioeconomic growth and
national development
• The goal of this Plan is to accelerate movement towards
Universal Health Coverage (UHC) with essential health and
related services needed for promotion of a healthy and
productive life. UHC makes it possible to ensure that all
people receive essential and good quality health services they
need without suffering financial hardship.
18
HSDP 2015/16 - 2019/20
• The Plan builds on the achievements registered under the
Health Sector Strategic and Investment Plan (HSSIP) 2010/11
- 2014/15 and takes into consideration the challenges
encountered and lessons learnt during its implementation.
• The achievements realized under HSSIP include among
others:
 reduction in maternal mortality ratio from 438/100,000 (UDHS) live births
in 2011 to 360/100,000 (WHS estimates) live births in 2014
 reduction in under five mortality from 128/1000 live births in 2006 to
90/1000 live births in 2011 to 69/1000 (WHS estimates) live births in 2014
 reduction in infant mortality rate from 71/1000 live births in 2006 to
54/1000 live births in 2011 and 45/1000 (WHS estimates) in 2014
19
HSDP 2015/16 - 2019/20
• The impact of all this has been an improvement

in the life expectancy at birth in Uganda, from a
low of 47 and 45 years in 2000/01 for females
and males respectively, to 57 and 54 years by
2011, and estimated to have improved further
since then.
20
Objectives of the second National Development Plan
1. To contribute towards the production of a healthy

human capital for wealth creation through provision of
equitable and sustainable health services.
2. To increase financial risk protection of households
against impoverishment due to ill health.
3. To address the key determinants of health through
strengthening intersectoral collaboration and
partnerships, by adopting a health in all policies
approach
4. To enhance health sector competitiveness in the region,
including establishing centres of excellence.
21
HSDP 2015/16 - 2019/20
To achieve these, the health sector development priorities
are defined
i) Strengthening the national health system including
governance
ii) Disease prevention, mitigation and control
iii) Health education, promotion and control
iv) Curative services
v) Rehabilitation
vi) Palliative care services
vii) Health infrastructure development
22
HSDP performance indicators
23
HSDP performance indicators cont.
24
25
26
Thank you
27

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National Health Policy for PHC

MAIGA AYUB HUSSEIN

• 1990s NHP and HSSP formulation initiated

Mission and Goal

The development of NHP II guided by

• Control of Communicable diseases (Especially

• Mental and Rehabilitative health

• This Health Sector Development Plan (HSDP) 2015/16 -

• The impact of all this has been an improvement

1. To contribute towards the production of a healthy

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