Muteu Health Sector Strategic Plan – Case Study – Sociology Assignment

Muteu Health Sector Strategic Plan (HSSP) (2011-2016) is the successor to the Program of Work (PoW) which covered the period 2004-2010 and guided the implementation of interventions aimed at improving the health status of the people of Muteu. The Ministry of Health (MoH), other government ministries and departments, Health Development Partners (HDP), Civil Society Organisations (CSO), the private sector and other stakeholders in the health sector were involved in the development and implementation of the PoW which was extended to June 2011 to allow for the final evaluation. The Mid-Term Review and the final evaluation of the PoW informed the development of the HSSP, whose overall goal is to improve the quality of life of all the people of Muteu by reducing the risk of ill health and the occurrence of premature deaths, thereby contributing to the social and economic development of the country. Among the achievements during the period of the PoW, according to

Among the achievements during the period of the PoW, according to the 2010 Demographic and Health Survey has been the reduction in infant and child mortality rates from 76/1000 in 2004 to 66/1000 in 2010 and from 133/1000 to 112/1000, respectively. The maternal mortality rate reduced from 984/100,000 in 2004 to 675/100,000 in 2010 with an increase in women delivering at health centres from 57.2% in 2004 to 73% in 2010. There has also been a reduction in pneumonia case fatality from 18.7% in 2000 to 5.7% in 2008 and an increase in the proportion of children with acute respiratory infections taken to health facilities for treatment from 19.6% in 2004 to 70.3% in 2010. Immunization coverage is high: 81% of the children aged 12-23 months old were fully vaccinated in 2010. This is an increase in coverage of 26% since the 2004 DHS. There has also been an increase in coverage of the estimated population in need of ART from 3% in 2004 to 67% in 20111. While sustaining the gains made under PoW, the HSSP has taken further measures to address the burden of disease by putting more emphasis on public health interventions, including but not limited to health promotion, disease prevention and increasing community participation. The Essential Health Package (EHP) has been expanded after taking cognizance of the increasing burden of disease arising from non-communicable diseases (some of

While sustaining the gains made under PoW, the HSSP has taken further measures to address the burden of disease by putting more emphasis on public health interventions, including but not limited to health promotion, disease prevention and increasing community participation. The Essential Health Package (EHP) has been expanded after taking cognizance of the increasing burden of disease arising from non-communicable diseases (some of them ‘lifestyle’ diseases), such as mental illness, hypertension, diabetes and cancers. As the EHP is being implemented, the main priority will be interventions that are cost effective, and expansion of services to the under-served. Despite the gains made there are still a number of factors that need to be addressed that negatively impact on the health of Muteuans, namely the availability and quality of health services, access to health services and environmental and  behavioural issues.

Outcome 1:

Increased coverage of high quality EHP services

· Health facilities including staff houses constructed and rehabilitated especially in under- served communities.

· Service Level Agreements implemented in identified areas. 
· Emergency transport provided.

Outcome 2:

Strengthened performance of the health system to support

Strengthened performance of the health system to support delivery of EHP services

· Sufficient skilled human resources for health trained, recruited and retained in the health sector. 
· Quality medical equipment provided and maintained. Essential medicines and supplies made available all the time. 
· Monitoring, evaluation and research activities strengthened. 
· Appropriate standards, guidelines, Standard Operating Procedures, protocols and legislative frameworks developed.

Outcome 3:

Reduced risk factors to health

· Public policies that impact on health advocated for. 
· Healthy settings programs (workplaces, schools and communities) and water, sanitation and food safety interventions implemented. 
· Vector control strategies strengthened and implemented. 
· Advocating for healthy lifestyles and behaviors. 
· Disaster risk management strengthened.

Outcome 4:

Improved equity and efficiency in the delivery of quality EHP services

· Health financing strategy developed. 
· Resource allocation formula reviewed. 
· Increased harmonisation and alignment of partners.

Questions:

1.  Using a SWOT analysis tool, analyse the Muteu planning context and identify three major health system capacity concerns for developing and implementing the next HSSP. Discuss their potential implication on the next HSSP and provide suggestions of how these might be addressed. Use a SWOT analysis matrix to summarize the factors that define the Muteu’s health planning context. Discuss your SWOT analysis emphasizing the potential implications of the three main contextual factors.

2.  Looking at the disease burden and statistics for health conditions for Muteu, what should be the three-key priority population health issues or needs to be addressed in the next plan? Provide evidence and rationale for your recommendations in this regard..

3. Using a tree analysis or problem analysis tool or decision analysis, or mind mapping, identify the underlying causes of the three main population health issues which you have identified as priorities for next Muteu’s health plan. Based on your problem analysis, what should be the overall goal for the next Muteu’s Health plan? The overall goal should follow the SMART principles in developing goals and objectives.

4. Based on your problem analysis, use a flip method to develop three (3) SMART objectives and three (3) strategies that need to be implemented for each objective. You may need to use a table and text to explain the table for this section.

Present a stakeholder analysis matrix of the key stakeholders that the Ministry of Muteu needs to engage with and involve in the next planning process and discuss why. The relevance of the stakeholders should be related to the health issues which you are recommending as priorities for Muteu’s next plan.

5.Last but not least, justify why and advise how the next Muteu health plan should address the core health planning principles to demonstrate a population’s health planning approach. Finally, advise the Australian government, what sort of support is needed to strengthen the capacity of the Muteu’s health system in developing and implementing the next health plan. You may need to draw SWOT analysis for this section and related that to the rest of your findings.

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