MANAGEMENT
DEVELOPMENT &
PLANNING UNIT
Planning Division
Organization
Development Division
INTRODUCTION
Successive
Governments have, for long, realized
the importance of planning and management for socio-economic development
of the country. Health has been
recognised as an integral component of
comprehensive development. The
Ministry of Health, has accordingly laid emphasis on the need for health
planning and management in developing its programmes.
The Planning Unit was set up in 1981 and was re-organised and
re-designated as Management Development & Planning Unit (MDPU) in 1989. The Unit has since continued to facilitate the development of
health services programmes and projects in the country.
The
MDPU has a broad mandate cutting across the entire state health sector which
employs over eighty thousand persons. In
addition to planning, MDPU is
mandated to provide training programmes for health managers; operate the
international fellowship programmes; deal with international travel of Ministry
staff; and administer and monitor external assistance programmes.
Mission
The
MDPU aims at ensuring planned development and progressive improvement of health
care services that would help achieve the policy objectives concerning equity in
access, efficiency in resource allocation and use, quality of care leading to
improved health status of the people.
The objectives
Ø
To
help integrate health planning into the managerial process for health
development;
Ø
To
develop National Health Plans and provide support to prepare programme and
project plans in health sector ;
Ø
To
develop procedures and processes for planning,
implementation, monitoring and evaluation of health services
Ø
To
upgrade capacities in health planning at all levels of the health system ;
Ø
To
serve as a forum for national policy planning in health and international
co-ordination concerning health policy and development ;
The functions
Assess the present state of health : health problems, epidemiological
patterns and trends ; available service provisions ;
and effects of current interventions on health status, people’s health
awareness and empowerment ;
Identify managerial problems that
affect efficiency and effectiveness of programmes, and analyse them in terms of
deficiencies, causes and associated factors.
Determine the health scenario desired in keeping with the milieu of
people’s aspirations, professional aspirations, resource availability,
technological advance and managerial competencies.
Design strategies and programmes for addressing problems, issues and
deficiencies that impede service delivery aimed at reaching the desired health
status of the people
Train personnel at various levels of management in health planning and
systems management ;
Undertake and support health systems research in policy development,
strategy design, innovative approaches and systems management ;
Assist in the design and establish support systems for information,
logistics, supplies etc.;
Monitor implementation of development programmes and evaluate the plans
in terms of effectiveness, efficiency equity, health impact, and sustainability.
Coordinate with other Government and Non-Government Organisations in
their health development efforts
Liaise with international and UN agencies particularly World Health
Organisation, UNICEF in co-ordinating and mobilising support for international
and national health development activities.
The
Organizational Structure
The
MDPU is headed by Deputy Director General of Health Services (Planning). He is assisted by six Directors,
responsible for Finance, Planning, Health Information, Policy Analysis
& Development, Organisational Development and International Health
respectively. The MDPU spearheads the Annual/Medium Term/Long Term planning, and
development, monitoring and evaluation activities of the Directorate of Health
Services. Liaison with
international agencies constitutes the other important activity. The
implementation of the country programme with WHO support takes pride of place in
this regard. The MDPU functions as
the Secretariat for the Health
Development Committee. The MDPU
also sustains the productivity programme of the health sector.
Planning
Division
1 Cadre
Position
1.1 Specialist Cadre Projection
viewing the target year 2010 have been finalized
1.2 Cadre approval to recruit 853 Medical
Graduates for 2002 obtained.
1.3 Approval for additional Cadre for
Ratnapura Hospital obtained.
1.4 Cadre approval for STD/AIDS Control
Programme obtained.
Master
Plan Study
Study
objectives.
1
To formulate a Master Plan for strengthening and improving the health
system
in Sri Lanka viewing the target year 2010 .
2
To carry out relevant technology and knowledge transfer to Sri Lankan
counterparts in
the course of study.
It is desired that the result of the Master Plan will be integrated into
a health sector plan in
the next national development plan (Vision 2010)
Study
Area
The
study area encompassed the whole country of the Democratic Socialist Republic of
Sri Lanka. .
Performance
JICA
under took the study in close co-operation with GOSL authorities in 2002.
Ministry of Health, Nutrition and Welfare functioned as counterpart agency for
Study Team on behalf of GOSL. MOH
Coordinated
the implementation of the study in collaboration with the relevant Government
Agencies,
International donor Agencies and International Non-Governmental Agencies.
Donor
Meetings and Workshop
To facilitate
the implementation of this study,
Ten (10) meetings were
held for MOHs and, wide range of stakeholders in health sector
during this
year
Eight workshops
were conducted for health personals and community groups in the provinces
Implementation
of PHRD Project
A Secretariat
has been established at the Management Development and Planning Unit of this
Ministry with
the view of coordinating the activities relating to the PHRD Project.
This unit is
responsible for collecting, collating and synthesizing necessary information for
Planning,
coordinating the preparation of health sector strategies and formulation of
programme
Implementation
plan (PIP).
World
Health Survey 2002
Aim-
Aim
of the World Health Survey is to provide empirical data to the national health
information systems in order to ensure better monitoring of health of the
people, responsiveness of health systems and measurement of health-related
parameters.
The
objectives of the survey programme are to:
1.
develop a means of providing valid, reliable and comparable information,
at low cost, to supplement the information provided by the routine health
information systems.
2.
build the evidence base necessary for policy-makers to monitor whether
health systems are achieving the desired goals, and to assess whether additional
investment in health is achieving the desired outcomes.
3.
provide policy-makers with the evidence they need to adjust their
policies, strategies and programmes as necessary.
The
Survey has been completed.
Establishment
of Provincial Health Planning
Cells.
Health
Planning Cells have been established in all provinces with a view to make the
Health planning more effective and efficient at provincial level and also
actions were taken to strengthen the implementation capacity of these cells by
providing all necessary infrastructure facilities.
Establishment
of District Health Planning Cells
District
Health Planning Cells have been set up in all districts in order to expedite the
health planning works. Equipment to
improve the capability of these cells are provided with the financial assistance
from the WHO.
Responsibilities and functions of Provincial & District Health Planning Cells
Steps were taken to
standardize roles, responsibilities and functions of provincial and District Planning
Units/Cells.
Policy
Analysis & Development Division
PERFORMANCE
2000
1.
Coordination
·
DGHS
Staff Meeting ( 12 meeting were held)
·
IDA/WB
Progress Monitoring meeting (10 meeting were held)
·
Sub
Committee meeting ( 08 meetings were held)
2.
Workshop
·
Two
workshops were held in Kalutara and Colombo
·
Develop
project proposal and submitted for funding to
five days Workshop on Health Planning
for Senior
Health Manageress
3.
Strengthening of Provincial
Planning Units
Distributed
following items to provincial planning units
in
each Province
·
Computer
with Printer 08
Nos
·
Photocopier 08
Nos
·
Overhead
Projector 08
Nos
·
Laminating
Machines 08
Nos
·
Binders
08 Nos
·
Cutting
Machines 08
Nos
4.
Health Policy Planning Studies
Monitoring
following Studies
-
Rapid needs assessments
-
Drugs cost & availability
-
Policy option to generating resource for tertiary care
-
Burden of Diseases
-
Private Health Sectors
-
Violence against Women
-
D.H.S. Survey
-
Health expenditure survey
-
Study Mental Health
5.
Monitoring the Health Economics Study Programme
6.
Establishment of a Commission for National Health Draft Bill
7.
Study
on work Performance of Public Health Inspectors
Organization
Development Division
1.
Health Development Activities
1.1 Secretariat for the Health Development Committee
-12 meetings held
1.2
Secretariat for the National Health Development Committee – 10 meeting
held
Strengthening
MDPU
- Performance Review
Meetings
- 03
- Consultative meetings
- 01
- Development of Performance plan and Action Plan
Assist DDG(P) in Compilation of Country
Reports for development
Organizations
Productivity
improvement
a.
Needs Assessment Survey
of the Lady Ridgeway Hospital was completed
.
Assisting other Units
Development of Performance Report for the Budget Debate
Strengthening of Health Information System
Development of WHO Country Budget 2004-2005
Management Training
3.1Post-Graduate
* M.Sc. (Com.Med.)
Lectures on Health Planning &
M.D. (Com.Med) Supervision of Dissertation 02
M.Sc.
(Med.Adm.)
Lectures 36 sessions
Supervision of Dissertation
02
Examiner
- Final Examination
Qualifying
Examination
*
M.D.(Med.Adm.) Part I
-
Development of curriculum
-
Coordinator Evaluation Module
-
Lecture Sessions 08
In-service
Training
Training of Trainers
06 sessions
*
Post-Basic Nursing
06 sessions
*
Community Health Management/NIHS
08 sessions
*
Project Planning - WHO
05 sessions
Research
& Publications
Cost
Analysis of Indoor Patient Care Services at a District Hospital
Health
Information Division
Performance
2000
The
year started to the Health Management Information Unit with the Y2K threat. The
HMIS unit established an operation room to monitor Y2K rollover along with the
Computer Information Technology Council of Sri Lanka (CINTEC) while the whole
world was watching the Y2K roll over. Sri Lankan health service did not affect
with Y2K problems as we had prepared adequately to face the problem.
Following
activities were carried out during the year by the staff members of the unit.
a)
Post Y2K Events :
1.
Monitoring of post Y2K events.
2.
Certification of medical equipment for Y2K compliance.
3.
Wrote programmes for the Fellowship Database to provide permanent
solution for Y2K problems.
Database
Development :
1.
Completed collection of data from personal files of health workers to
establish the HRIS database except North & East Provinces.
2.
Completed the Medical Consultants database, Medical Officers database and
Dental Surgeons database corrected and updated.
3.
Entered 40,000 records to the HRIS database.
Software
Development :
1.
New software developed to monitor foreign funded programmes.
2.
Transferred the fellowship database from DOS based programme to Windows
based programme.
Updating and Maintenance of Databases :
1.
Collected data and updated the database on Health Institution and Bed
Strength.
2.
Collected data and updated the database on computers and computer
peripherals of the Ministry of Health.
3.
Collected data to update the telephone directory.
4.
Updated the manpower database by conducting the manpower census
bi-annually.
5.
Updated the vehicle information database.
6.
Updated the health ministry web site periodically.
Designing of Information Systems :
1.
Revised and implemented the manual health information system at GH
Badulla.
2.
Provided stationary requirement for one year for the pilot testing.
3.
Completed the ground work required to develop a Hospital Information
System software.
4.
Completed the ground work required to expand the computer network of the
MDPU to the other branches of the Ministry of Health.
5.
Assisted other units of the Department of Health to setup their computer
network by way of providing technical support.
6.
Assisted to develop the national nephrology database.
Training
Activities :
1.
Conducted eight one week programmes for middle level officers in the
health department on “Basic Computer Skills” and trained 214 trainees.
2.
Conducted lectures for PGIM students who followed MSc (Community
Medicine) course.
3.
Conducted lectures for PGIM students who followed MSc (Medical
Administration) course.
4.
Conducted seminars for Policy makers and highest level managers of the
Department of Health, Ministry of Health, Department of National Planning,
Government Treasury and PGIM trainees on Human Resource Planning and use of
computer projection model in HRH planning using Sri Lankan statistics.
5.
Conducted lectures for the UNDP training programme at NIHS.
6.
Planned the 2nd programme for Medical Record Officers on
Medical Record and Health Information Management three months training to be
held in October but postponed to January 2001 because of the General Election.
Intercountry Workshops :
1.
Conducted the one week Human Resource for Health Inter-Country workshop
in Sri Lanka with the financial assistance of WHO SEARO and technical assistance
from WHO Geneva.
Future
Planning :
1.
Developed a project proposal for external funding to establish a complete
Health Management Information System (HMIS) for government health services.
2.
Conducted a need assessment survey to identify training needs of Data
Entry Operators.
3.
Planned to produce a new monthly hospital bulletin for every hospital
with medical consultants up to the level of Base Hospitals and 14 such hospitals
commenced to produce their bulletins during the year 2000.
Dissemination
of Information :
1.
Printed Annual Health Bulletin 1998 in February and reduce the gap of
publishing the AHB by printing the AHB 1999 in December 2000.
2.
Catered the information requirements of the Central Bank, National
Planning Department and other government departments.
3.
Provide information for WB/IDA assisted policy studies and for other
researchers.
The
above activities are the major activities implemented by the Health Information
section of the MDPU during the year 2000.
International
Health Division
Activities
undertaken & completed
·
Processing
of project proposals under foreign funded programmes
Project
No. of proposals processed
1. WHO project
470
(Trg. Programmes & others 400, Supplies &
equipment 70)
2. WHO/SEARO
12
3. UNFPA
36
4. UNICEF
55
·Processing
of foreign fellowships
1. WHO regular budget
10 fellowship offers
2.
Short-term trips (WHO & others)
97
3.
JICA/KOICA etc
42
4.
Others
24
·
Processing
& coordinating visits of foreign consultants & fellows
1.
30 visits in all
·
GFATM
Work
1.
Monthly CCM meetings
2.
GF visits
·
PGIM
Work
1.
Msc – Com.Med.
2.
MSc-Med.Admin
·
Conducting
review meetings
·
Assisting
the development of the workshop on health policy media network
by the D/Policy (Vacant)
·
Initiation
of the study on the utilization pattern and impact of WHO fellowship
programme ( new activity)
·
Routine
administrative activities at the IH Unit
Finance
Division
Performance
- 2000
·
Preparation
of Action Plan - 2000
·
Preparation
of Capital Estimate - 2001
·
Assist
to prepare the annual
·
Implementation
programme
·
Preparation
of Quarterly progress reports on Capital
Projects,
4th Qr,.1999 & 1st, 2nd , 3rd
Qr. 2000
·
Coordinating
of Progress review meeting with the Ministry
·
Conducted
Training Programme for the Medical Administrators
on Financial management in Kalutara District
·
Provided
financial information to prepare the Health Bulletin
·
Provided
financial information to prepare the district development plan
·
Preparation
of Capital Expenditure Monthly
Progress Report for the
NHDC
meeting
·
Conducting
Capital Expenditure Progress review meeting with the DGHS
·
Financial
Reviewing of Budget Proposal under
foreign funded projects
·
Preparatory
work of the Performance report of the Department of Health
for the Budget debate
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