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Page 1: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

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Page 2: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

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Page 3: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

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Page 4: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

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Page 5: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

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Page 6: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

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Page 7: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

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Page 8: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

8

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Page 9: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

9

Table 1: Linkage of Outputs with Government’s Targeted Outcomes (RDSSED) Key Pillar(s) PCCPP

Targeted Outcome (Goal/Policy Objective – RDSSED)

Outcome Performance Indicators or Measures (Key Performance Indicators –RDSSED)

Ministry’s Outputs (Health Systems Building Blocks)

Pillar 10: Improving Health Service Delivery

Communities are serviced by adequate primary and preventative health services thereby protecting, promoting and supporting their wellbeing.

Child mortality rate maintained at 17.7 to 1000 live Births (MDG).

2.Public Awareness Promotions – Public Health 4.Communicable Disease Prevention 5.Provision of Clinical Services 6.Provision of Primary Health Care

Percentage of one year olds Immunised against measles increased from 71.8% to 95 % (MDG 4).

4.Communicable Disease Prevention 6.Provision of Primary Health Care

Maternal mortality ratio maintained at 22.6 per 100,000. (MDG 5).

2.Public Awareness Promotions – Public Health 5.Provision of Clinical Services 6.Provision of Primary Health Care

Prevalence of diabetes in 25-64 years old reduced from 16% to 15.6%.

2.Public Awareness Promotions – Public Health 8. NCD Prevention and Control

Contraceptive prevalence rate amongst CBA increased from 31.77% to 36.6%. (MDG 5)

2.Public Awareness Promotions – Public Health 6.Provision of Primary Health Care

Reduction of Incidence by 2% of STIs among 15 to 24 year olds.

2.Public Awareness Promotions – Public Health 5.Provision of Clinical Services 6. Provision of Primary Health Care.

HIV/AIDS prevalence among 15-24 year old pregnant women maintained below 0.04% (MDG 5 & 6).

2. Public Awareness Promotions – Public Health. 6.Provision of Primary Health Care

Increase in moderate physical activity in the population by 1%.

2.Public Awareness Promotions – Public Health 8. NCD prevention and control

Reduction in under 5 hospital based malnutrition cases.

5: Provision of Clinical Services 6. Provision of Primary Health Care.

80% Coverage of MDA for Filariasis in Central, Eastern and Northern Divisions.

4.Communicable Disease Prevention

Reduction in TB prevalence rate from 40/100,000 to 30/100,000.

2.Public Awareness Promotions – Public Health 4.Communicable Disease Prevention

Rate of teenage pregnancy reduced from 3.8 to 3.61 per 1000 CBA.

2.Public Awareness Promotions – Public Health 6. Provision of Primary Health Care.

Page 10: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

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Prevalence of anaemia in pregnancy at booking from 55.7% to 50%.

2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health Care.

Reduction of smoking prevalence rate of 15-65 year olds from 37% to 36%.

2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health Care.

Increase in proportion of women screened for cervical cancer by 2%.

2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health Care.

Reduce dental carries in 12 year olds by 1%.

2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health Care.

Reduce confirmed cases of Typhoid by 15% (75% over 5 years)

2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health Care.

Reduce dengue rates by 10% 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health Care.

Communities have access to effective, efficient and quality clinical health care and rehabilitation services.

Reduction of admission rate for diabetes and its complications, hypertension and cardiovascular disease by 2%.

2.Public Awareness Promotions – Public Health 5. Provision of Clinical Services

Reduce amputation rate for diabetic sepsis from 30.1% to 28%.

2.Public Awareness Promotions – Public Health 5. Provision of Clinical Services. 8. NCD prevention and control

Increase treatment success rate to 85% of new smear positive TB cases.

2. Public Awareness Promotions – Public Health. 5.Provision of Clinical Services 6.Provision of Primary Health Care 8. NCD prevention and control

Bed occupancy rate of Psychiatric beds (Stress Beds).

2.Public Awareness Promotions – Public Health 4. CD Prevention. 5.Provision of Clinical Services 6.Provision of Primary Health Care

Increase in number of staff trained in mental health.

5.Provisions of Clinical Services

80% of UORs are responded to within 2 weeks of dated received.

9.Education and Training - Nurses

Improve waste segregation get baseline study) by 10%

5.Provision of Clinical Services 6.Provision of Primary Health Care

TAT for bio-chemistry, haematology, serology, microbiology and pap smears improved.

5.Provision of Clinical Services 6.Provision of Primary Health Care

General medical imaging 5.Provision of Clinical Services

Page 11: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

11

services delivered within 24 hours.

6.Provision of Primary Health Care

Special imaging services TAT within a week of request

5.Provision of Clinical Services 6.Provision of Primary Health Care

Improvement in the procurement and reduction in the wastage of lab reagents and stock outs by 10-15%.

5.Provision of Clinical Services 6.Provision of Primary Health Care

Reduce the incidence of low birth weight babies by 1%

5.Provision of Clinical Services 6.Provision of Primary Health Care

5% of 5-15 year olds are Screened for RHD

5.Provision of Clinical Services 6.Provision of Primary Health Care

80% of those diagnosed with RHD are managed at MOH health facilities.

5.Provision of Clinical Services 6.Provision of Primary Health Care 8. NCD prevention and control

Health Systems strengthening is undertaken at all levels in the Ministry of Health.

Increased participation of private health care partners and providers.

5.Provision of Clinical Services 6.Provision of Primary Health Care

Increased annual budgetary allocation to the health sector by 0.5% of the GDP annually. An annual growth rate of 5% over the medium term.

1. Portfolio Leadership Policy Advice and Secretariat Support.

Health expenditure increased from the current 4.7% to at least 5% of GDP by 2013.

1. Portfolio Leadership Policy Advice and Secretariat Support.

Increase in the doctor population ratio from 42 per 100 000 to 55 per 100 000 population.

1. Portfolio Leadership Policy Advice and Secretariat Support.

Increase nurse to population ratio from 50 per 100 000 population to 55 per 100 000 population.

1. Portfolio Leadership Policy Advice and Secretariat Support.

Patient satisfaction carried out at 3 divisional hospitals and 1 subdivisional hospital and 2 health centres from each division.

1. Portfolio Leadership Policy Advice and Secretariat Support.

85% of all capital projects completed with documentation

1. Portfolio Leadership Policy Advice and Secretariat Support.

Outsourcing non-technical activities by end of 2012.

1. Portfolio Leadership Policy Advice and Secretariat Support.

Health Commission (Technical Working Group) established by 2012.

1.Portfolio Leadership Policy Advice and Secretariat Support

Average of length of stay for in-patient reduced from 6.27 to 5.97 days.

1.Portfolio Leadership Policy Advice and Secretariat Support

Elimination of stock outs of drugs from present 100 items per month.

5. Provision of Clinical Services

Page 12: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

12

Number of Public Health facilities with 30 critical consumables and 60 vital medicines available.

10. Supply of Good – Medical and Consumables and Bio-Medical Equipment and Asset Management.

75% implementation of Bio-

medical Audit Report. 10. Supply of Good – Medical and

Consumables and Bio-Medical Equipment and Asset Management.

At the most 50%

implementation of recommendations resulting out of the Functional Review by PSC.

10. Supply of Good – Medical and Consumables and Bio-Medical Equipment and Asset Management.

Pillar 3: Ensuring Effective, Enlightened and Accountable Leadership

Gender Equality and Women Development.

Mainstream gender perspectives in all Ministries Strategic Plans, Corporate Plans, Business Plan and Training Plans. Increase in focus on Men’s Health. Increase participation of women in key administrative and leadership roles in the MOH.

1. Portfolio Leadership Policy Advice and Secretariat Support.

Pillar 4: Enhancing Public Sector Efficiency, Performance Effectiveness and Service Delivery.

Public Sector Reforms Rezoning of selected Health Facilities Decentralisation of decision making processes and services to selected health facilities.

1. Portfolio Leadership Policy Advice and Secretariat Support. 7. Human Resource Development

Pillar 8: Reducing Poverty to a Negligible Level by 2015.

Poverty Reduction Provision of appropriate health programs in ensuring the implementation of MDGs. (More specific from key program areas).

1. Portfolio Leadership Policy Advice and Secretariat Support.

Working with MoSW, line Ministries and other NGOs to coordinate poverty reduction programmes aimed at social determinants of health.

1. Portfolio Leadership Policy Advice and Secretariat Support. 6.Provision of Primary Health Care

Page 13: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

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Tab

le 2

: O

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Page 14: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

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Page 15: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

15

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Page 16: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

16

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able

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iseas

e Pr

even

tion.

1.

St

reng

then

and

exp

and

sele

cted

co

mm

unic

able

di

seas

e pr

ogr

ams.

1.

Red

uce

inci

denc

e o

f ty

pho

id b

y 20

% (

2)

2.

Red

uce

inci

denc

e o

f de

ngue

by

10%

(4

) 3.

R

educ

e in

cide

nce

of

lept

osp

iro

sis b

y 10

% (

5)

4.

Mai

ntai

n in

cide

nce

rate

s o

f in

fluen

za

belo

w e

pide

mic

le

vels

Jan-

Dec

Ja

n-D

ec

Jan-

Dec

Ja

n-D

ec

400

case

s pe

r ye

ar

620

case

s pe

r ye

ar

484

case

s pe

r ye

ar

25,1

74 c

ases

pe

r ye

ar

329

case

s pe

r ye

ar

558

case

s pe

r ye

ar

436

cas

es p

er

year

36

,000

cas

es

per

year

$10,

000

$25,

434

$5,0

00

NA

CD

PH

2.

Form

ulat

e an

d im

plem

ent

natio

nal I

HR

Act

ion

Plan

. 1.

A

chie

ve 5

0% o

f IH

R c

ore

ca

paci

ties

(6)

Jan-

Mar

IH

R A

ctio

n Pl

an

deve

lope

d

75%

of

IHR

ac

tiviti

es

impl

emen

ted

$5,0

00

NA

CD

C

HI

3.

Stre

ngth

en t

he

ope

ratio

nal c

apac

ity o

f M

atai

ka H

ous

e as

a B

SL 2

fa

cilit

y.

1.

Fina

lise

and

impl

emen

t 50

%

of

each

co

mpo

nent

of t

he

Jan-

Dec

M

atai

ka

Ho

use

Stra

tegi

c Pl

an

to b

e

50 %

of

all

natio

nal C

D

activ

ity a

reas

sp

earh

eade

d

$585

,000

N

A C

D

PH

EH

Page 17: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

17

17

Build

ing

Blo

ck

Outp

ut

Stra

tegi

es

Indic

ator

Tim

efra

me

Bas

elin

e20

13 T

arge

t B

udge

t R

esponsi

ble

D

ivis

ion

Mat

aika

Ho

use

Stra

tegi

c Pl

an

com

plet

ed

and

form

alise

d by

Q1

2013

by M

atai

ka

Ho

use

is ef

ficie

nt a

nd

alig

ns w

ith

expe

ctat

ions

of

MO

H a

nd

oth

er

stak

eho

lder

s

4.

Impl

emen

t ST

I/H

IV

actio

n pl

an.

1.

Incr

ease

VC

CT/

STI

accr

edite

d fa

cilit

ies

by o

ne

per

year

(12

)

Jan-

Mar

V

CC

T/ST

I ac

cred

itatio

n st

anda

rds

for

Sub

Div

isio

nal

heal

th

faci

litie

s m

ade

avai

labl

e

At

leas

t o

ne

heal

th f

acili

ty

at t

he S

ub

Div

isio

nal l

evel

sa

tisfie

s th

e m

inim

al

crite

ria

for

VC

CT/

STI

accr

edita

tion

$18,

000

NA

CD

N

A F

H

PH

5.

Impr

ove

hig

h qu

ality

Tu

berc

ulo

sis D

OTS

in a

ll D

ivisi

ons

– c

ase

notif

icat

ion

and

high

tr

eatm

ent

succ

ess.

1.

Incr

ease

pr

opo

rtio

n o

f ne

w s

mea

r po

sitiv

e TB

cas

es

succ

essf

ully

tr

eate

d to

85%

in

2013

(3)

Jan-

Dec

67

% (

2010

co

hort

) 85

%

$ 15

0,00

0 (G

F)

Nat

iona

l TB

Pro

gram

7.

Po

pula

tion

Wel

lnes

s Pr

om

otio

n –

Publ

ic

Hea

lth

1.

Syst

emat

ic m

ains

trea

min

g o

f th

e W

elln

ess

appr

oac

h in

to p

ublic

aw

aren

ess

and

pro

mo

tions

.

1.

2 he

alth

fac

ilitie

s pe

r di

visio

n be

de

clar

ed w

elln

ess

cent

res

(8 /

2013

)

2 he

alth

fa

cilit

ies

per

quar

ter,

pe

r di

visio

n

0 8

heal

th

faci

litie

s $1

00,0

00

NA

NC

D

PH

EH

2.

To a

dvo

cate

for

the

empo

wer

men

t o

f th

e co

mm

uniti

es a

nd s

ettin

gs

tow

ards

Wel

lnes

s.

1.

2 sc

hool

s pe

r di

visio

n be

de

clar

ed w

elln

ess

sett

ings

(8/

2013

)

2 sc

hool

s pe

r qu

arte

r,

per

divi

sion

0 8

scho

ols

$1

00,0

00

NA

NC

D

PH

EH

8.

N

CD

Pre

vent

ion

and

Co

ntro

l 1.

St

reng

then

pre

vent

ion

of

diab

etes

, hyp

erte

nsio

n an

d o

ther

NC

D’s

.

1.

80%

of

all h

ealth

fa

cilit

ies(

hea

lth

cent

res

/ nu

rsin

g st

atio

ns)

in e

ach

20%

co

vera

ge

rate

per

qu

arte

r

20%

na

tiona

l co

vera

ge r

ate

Targ

et o

f 80

%

by e

nd o

f 20

13

Tota

l = 1

80+

$300

.000

N

A N

CD

Page 18: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

18

Build

ing

Blo

ckO

utp

ut

Stra

tegi

esIn

dic

ator

Tim

efra

me

Bas

elin

e 20

13 T

arge

t B

udge

t R

esponsi

ble

D

ivis

ion

divi

sion

will

be

trai

ned

and

issue

d a

NC

D T

oo

lkit

2.

Upg

rade

SO

PD f

acili

ties

and

stan

dard

tre

atm

ent

guid

elin

es t

o im

pro

ve

man

agem

ent

of

NC

Ds.

1.

10 s

ub-

divi

sions

ar

e as

sess

ed p

er

year

, fo

r m

ultid

iscip

linar

y le

vel a

ppro

ach

to

man

agem

ent

of

NC

Ds

at S

OPD

’s

2.

Impr

ove

co

ntro

l o

f di

abet

es a

nd

hype

rten

sion

3 pe

r qu

arte

r Ja

n-D

ec

0 12%

10

20%

$100

,000

$1

00,0

00

NA

NC

D

PH

3.

Stre

ngth

enin

g M

enta

l H

ealth

ser

vice

s th

roug

h Pr

imar

y H

ealth

Car

e.

1.

5% r

educ

tion

in

the

num

ber

of

men

tal h

ealth

re

adm

issio

n (6

2)

2.

Esta

blish

reg

ular

m

enta

l hea

lth

wel

lnes

s cl

inic

s in

Su

b D

ivisi

ons

Jan-

Dec

Ja

n-D

ec

107

read

miss

ions

in

201

1 6

102

read

miss

ions

A

t le

ast

4 Su

b D

ivisi

ons

Ho

spita

ls

esta

blish

re

gula

r m

enta

l he

alth

wel

lnes

s cl

inic

s

$100

,000

PH

Clin

ical

CSN

9.

Pr

ovi

sion

of

Clin

ical

Se

rvic

es.

1.

Stre

ngth

en c

linic

al s

ervi

ces

and

cont

inuu

m o

f ca

re.

1.

Red

uce

child

m

ort

ality

rat

e to

18

per

1,0

00 li

ve

birt

hs (

18)

2.

Red

uce

infa

nt

mo

rtal

ity t

o 1

4 pe

r 10

00 li

ve

birt

hs (

19)

3.

Red

uce

pro

port

ion

of

live

birt

hs w

ith lo

w

birt

h w

eigh

t to

8%

(20

) 4.

R

educ

e ne

ona

tal

rate

to

8.0

(21

)

Jan-

Dec

Ja

n-D

ec

Jan-

Dec

Ja

n-D

ec

20

16

10

9

18

14

8 8

PA

EDS

CSN

PA

EDS

CSN

O

&G

CSN

PA

EDS

CSN

Page 19: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

19

Build

ing

Blo

ck

Outp

ut

Stra

tegi

es

Indic

ator

Tim

efra

me

Bas

elin

e20

13 T

arge

t B

udge

t R

esponsi

ble

D

ivis

ion

5.

2 o

r m

ore

sup

er

spec

ializ

ed c

linic

al

serv

ices

pro

vide

d (4

3)

6.

Mai

ntai

n M

MR

at

22 p

er 1

00, 0

00

live

birt

hs (

14)

7.

Red

uce

prem

atur

e m

ort

ality

rat

es

due

to N

CD

s fo

r 15

-55y

ears

Jan-

Dec

Ja

n-D

ec

Jan-

Dec

3 40

1,79

5

2 22

1,50

0

CSP

/CSN

O

&G

CSN

A

ll C

SN

2.

Stre

ngth

en o

utre

ach

pro

gram

s.

1.

Incr

ease

in

num

ber

of

out

reac

h pr

ogr

ams

targ

etin

g th

e ec

ono

mic

ally

un

derp

rivi

lege

d (3

8)

2.

Incr

ease

in

num

ber

of

out

reac

h pr

ogr

ams

Jan-

Dec

Ja

n-D

ec

3 30

6 30

$180

,000

PH

H

ealth

St

anda

rds

PH

Hea

lth

Stan

dard

s

3.

Stre

ngth

en q

ualit

y im

pro

vem

ent

and

risk

m

anag

emen

t.

1.

80 %

of

reco

mm

enda

tions

fr

om

RC

A

impl

emen

ted

with

in t

he

reco

mm

ende

d tim

efra

me

(54)

2.

R

educ

tion

in

aver

age

leng

th o

f st

ay f

or

Inpa

tient

s fr

om

7 t

o 5

day

s ex

cept

in s

peci

alist

ho

spita

ls, S

t G

iles,

Ta

mav

ua /

Tw

om

ey (

60)

Qua

rter

ly

Jan-

Dec

75

7

85

5

H

ealth

St

anda

rd

Risk

M

anag

emen

t

4.

Stre

ngth

en h

ealth

car

e 1.

Im

pro

ve w

aste

20

15

65%

78

%

$50,

000

Hea

lth

Page 20: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

20

Build

ing

Blo

ckO

utp

ut

Stra

tegi

esIn

dic

ator

Tim

efra

me

Bas

elin

e 20

13 T

arge

t B

udge

t R

esponsi

ble

D

ivis

ion

was

te m

anag

emen

t.

man

agem

ent

and

plan

ning

in h

ealth

fa

cilit

ies

by 2

014

(10)

Stan

dard

s R

isk

Man

agem

ent

10

. Pro

visio

n o

f Pr

imar

y H

ealth

Car

e.

1.

Co

ntin

ue t

o s

tren

gthe

n ch

ild h

ealth

pri

mar

y ca

re

initi

ativ

es.

1.

Red

uce

prev

alen

ce o

f ch

lam

ydia

in

fect

ion

amo

ng

preg

nant

wo

men

to

25

% (

1)

2.

Mai

ntai

n M

MR

at

22 p

er 1

00,0

00

live

birt

hs (

14)

3.

Incr

ease

ear

ly

boo

king

s (f

irst

tr

imes

ter)

for

mo

ther

s to

85%

(1

5)

4.

Red

uce

the

inci

denc

e of

an

aem

ia in

pr

egna

ncy

at

boo

king

fro

m

55.7

(N

NS

2004

) to

45%

by

2015

(1

7)

5.

Mai

ntai

n In

fant

an

d Yo

ung

Chi

ld

Feed

ing

(IYC

F)

stan

dard

s in

all

heal

th f

acili

ties

(30)

Ann

ual

surv

ey

Mo

nthl

y M

ont

hly

Jan-

Dec

Ja

n-D

ec

26.8

%

39

0 56%

66

%

25%

22

85

%

51%

80

%

$3

5,00

0

PH

All

hosp

itals

2.

Co

ntin

ue t

o s

tren

gthe

n ad

ole

scen

t he

alth

de

velo

pmen

t pr

ogr

am.

1.

Red

uce

ado

lesc

ent

birt

h ra

tes

to 2

0 (2

8)

Mo

nthl

y

22.7

6

20

$140

,000

3.

Impl

emen

t sa

fe

mo

ther

hoo

d pr

iori

ties.

1.

R

educ

e pr

eval

ence

of

chla

myd

ia

infe

ctio

n am

ong

Ann

ual

surv

ey

26.8

9%

25%

Page 21: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

21

Build

ing

Blo

ck

Outp

ut

Stra

tegi

esIn

dic

ator

Tim

efra

me

Bas

elin

e 20

13 T

arge

tB

udge

t R

esponsi

ble

D

ivis

ion

preg

nant

wo

men

fr

om 2

5% (

1)

2.

Incr

ease

VC

CT/

STI

accr

edite

d fa

cilit

ies

by o

ne

per

year

(12

) 3.

M

aint

ain

MM

R a

t 22

per

100

,000

liv

e bi

rths

(14

) 4.

M

aint

ain

cont

race

ptiv

e pr

eval

ence

rat

e am

ong

st w

om

en

of

child

bea

ring

ag

e at

46%

(16

) 5.

St

reng

then

Em

erge

ncy

Obs

tetr

ic C

are

serv

ices

at

4 su

b di

visio

n ho

spita

ls

(29)

6.

M

aint

ain

infa

nt

and

youn

g ch

ild

feed

ing

stan

dard

s in

all

heal

th

faci

litie

s (3

0)

Qua

rter

ly

Jan-

Dec

Ja

n-D

ec

Jan-

Dec

Ja

n-D

ec

7 39%

46

%

5 66%

11

22%

46

%

+5

80%

$4

0,00

0 $5

0,00

0

4.

Co

ntin

ue t

o s

tren

gthe

n o

ral h

ealth

pri

mar

y ca

re

initi

ativ

es.

1.

Red

uce

dent

al

cari

es in

12

year

o

lds

by 1

% (

50)

2.

Incr

ease

in t

he

num

ber

of

scho

ols

w

ith o

ral h

ygie

ne

prac

tices

by

10%

(5

1)

Jan-

Dec

Ja

n-D

ec

1.4

0

Red

uce

by 1

%

Incr

ease

by

10%

$25,

000

$25,

000

OH

5.

Co

ntin

ue t

o s

tren

gthe

n nu

triti

ona

l pri

mar

y ca

re

initi

ativ

es.

1.

Red

uce

the

inci

denc

e of

an

aem

ia in

pr

egna

ncy

at

Jan-

Dec

55%

51%

$226

,480

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22

Build

ing

Blo

ck

Outp

ut

Stra

tegi

esIn

dic

ator

Tim

efra

me

Bas

elin

e 20

13 T

arge

tB

udge

t R

esponsi

ble

D

ivis

ion

boo

king

fro

m

55.7

(N

NS

2004

) to

45%

by

2015

(1

7)

2.

Red

uce

pro

port

ion

of

live

birt

hs w

ith lo

w

birt

h w

eigh

t to

8%

(20

) 3.

D

ecre

ase

prev

alen

ce o

f un

derw

eigh

t ch

ildre

n un

der

5 fr

om

7%

to

6.5

%

by 2

015

(NN

S 20

04)

(24)

Jan-

Dec

Ja

n-D

ec

10%

7%

8%

7%

6.

Co

ntin

ue t

o s

tren

gthe

n co

mm

unity

hea

lth w

ork

er

pro

gram

.

1.

Cab

inet

pap

er o

n C

HW

Sco

pe o

f Pr

actic

e an

d R

emun

erat

ion

deve

lope

d (6

8)

2.

Num

ber

of

new

sm

ear

posit

ive

TB

case

pro

vide

d w

ith D

OT

by

trai

ned

CH

W

Jan

-Jul

Ja

n-D

ec

0 0

1

50

$210

,000

D

SPH

PH

7.

Man

age

envi

ronm

enta

l ri

sks

and

prim

ary

care

in

itiat

ives

.

1.

Red

uce

inci

denc

e o

f ty

pho

id f

ever

by

20%

(2)

2.

R

educ

e in

cide

nce

of

deng

ue f

ever

by

10%

(4)

3.

R

educ

e in

cide

nce

of

lept

osp

iro

sis b

y 10

% (

5)

4.

Impr

ove

was

te

man

agem

ent

and

plan

ning

in h

ealth

fa

cilit

ies

by 2

013

Jan-

Dec

Ja

n-D

ec

Jan-

Dec

Ja

n-D

ec

400

case

s pe

r ye

ar

620

case

s pe

r ye

ar

484

case

s pe

r ye

ar

65%

329

case

s pe

r ye

ar

558

case

s pe

r ye

ar

436

cas

es p

er

year

78

%

$9,0

00

$10,

000

$10,

000

$50,

000

NA

CD

EH

Page 23: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

23

Build

ing

Blo

ck

Outp

ut

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me

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cco

mm

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tion

and

Ass

istan

ce f

or

the

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emen

tatio

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f el

derl

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re p

olic

y.

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elo

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plem

ent

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y o

n W

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ess

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rugs

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ons

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in a

re

port

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peri

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nnua

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velo

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plem

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Page 24: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

24

Tab

le 3

: P

SC D

eliv

erab

les

and I

ndic

ato

rs

P

SC D

ELIV

ERA

BLE

S ST

RA

TEG

IES

KEY

PER

FOR

MA

NC

E IN

DIC

AT

OR

S (K

PI)

TIM

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ESP

ON

SIB

LE

DIV

ISIO

N

Pla

tform

1:

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an R

esourc

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anag

emen

t an

d D

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opm

ent

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ctiv

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uman

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ning

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ent

Form

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n,

mo

nito

ring

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tegi

c W

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an

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cces

sion

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nmen

t o

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rgan

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nal a

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tives

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arch

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uman

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ces

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ning

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nt C

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plia

nce

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nuar

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ly

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ning

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cco

unts

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e ad

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ning

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iviti

es b

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aini

ng

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t an

d Tr

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ng A

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inin

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inin

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arch

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nduc

t o

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ng

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nsfe

r Ev

alua

tion

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nths

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er e

ach

trai

ning

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mpl

ianc

e w

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R

Polic

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inist

ratio

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iplin

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s C

ases

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with

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mo

nths

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mo

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cess

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t

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rk

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nd IW

P’s]

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orm

ance

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ork

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ns im

plem

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t Jan

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lans

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ed e

very

qua

rter

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cess

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t H

uman

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ces

H

PPD

U

Pla

tform

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anis

atio

nal

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agem

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e Pl

anni

ng a

nd

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oun

tabi

lity

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ewo

rk C

ompl

ianc

e

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ulat

ion,

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tatio

n,

mo

nito

ring

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of:

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Ann

ual C

orp

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lan

PS

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ort

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P 20

11 –

201

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d to

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bro

ad

out

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es o

f G

ove

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ent

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lignm

ent

and

achi

evem

ent

of

long

, m

ediu

m a

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hort

ter

m g

oal

s

2011

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plem

enta

tion

of

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P fr

om

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anua

ry o

f 20

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Page 25: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

25

A

genc

y 20

11 A

nnua

l Rep

ort

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13

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C D

eliv

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les

repo

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k o

f ne

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nnua

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ort

by

28th

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201

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latf

orm

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anis

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nal

Man

agem

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ntro

l of

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tabl

ishm

ent

Co

mpi

latio

n o

f:

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son

to P

ost

ret

urn

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anci

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etur

n G

ove

rnm

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es

Mem

bers

hip

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List

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ctiv

e co

ord

inat

ion,

mo

nito

ring

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ntro

l of

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vern

men

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f es

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nth

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pdat

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ber

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cess

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org

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nabl

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hang

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f po

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rede

plo

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aff

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il Se

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nal

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ord

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anag

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t Po

licy

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mpi

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ficie

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rans

pare

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le

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rnan

ce.

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ecor

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t by

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ne

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agem

ent

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t

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g of

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tern

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ith

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nven

tions

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miss

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of A

genc

y re

port

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ono

ur M

OU

s an

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ents

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aint

ain

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atic

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ns

R

epo

rts

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y an

d Pl

anni

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duct

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anag

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t

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emen

tatio

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f th

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celle

nce

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ewo

rk

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miss

ion

of A

genc

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eskt

op

to S

EA S

ecre

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at

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ease

of

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A E

valu

ato

rs

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plem

enta

tion

of

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uniti

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or

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men

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om

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genc

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ck R

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bes

t o

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ugh

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xcel

lenc

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op

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issio

n by

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h A

pril

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luat

ors

rel

ease

d ac

cord

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to a

genc

y qu

ota

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f O

FIs

fro

m F

eedb

ack

Rep

ort

att

empt

ed

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S

Adh

eren

ce t

o S

ervi

ce

Cha

rter

s Fo

rmul

atio

n, im

plem

enta

tion,

m

oni

tori

ng a

nd r

evie

win

g o

f A

genc

y Se

rvic

e C

hart

er

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ove

d se

rvic

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liver

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ains

t se

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rter

R

educ

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aint

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aro

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rter

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rmul

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d im

plem

ente

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t M

arch

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an R

eso

urce

s

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cess

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engi

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revi

ew o

f bu

sines

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oce

ss

Co

nsist

ent,

hig

h qu

ality

and

co

st e

ffec

tive

serv

ices

fo

r cu

sto

mer

sat

isfac

tion

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ocu

men

tatio

n o

f pr

oce

sses

by

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t Mar

ch

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an R

eso

urce

s

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Page 26: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

26

Adh

eren

ce t

o S

ervi

ce

Leve

l Agr

eem

ents

with

IT

C /

GIR

C

App

oin

tmen

t of

pri

mar

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cond

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l po

int

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g o

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IRC

foc

al p

oin

ts a

nd S

LA

com

plia

nce

By

31st M

arch

H

ealth

Info

rmat

ion

Uni

t

Incr

ease

d ne

two

rk w

ith

the

Min

istry

of

Info

rmat

ion

on

the

use

of

med

ia

Esta

blish

men

t of

med

ia li

aisin

g pr

oces

s Es

tabl

ishm

ent

of W

ebsit

e /

PR

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mm

ittee

Upd

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ncy

web

sites

In

form

atio

n Ed

ucat

ion

Com

mun

icat

ion

(IEC

) pu

blic

atio

ns a

nd m

ater

ials

Upd

ates

and

pub

licat

ions

on

1st w

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of

each

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nth

Hea

lth In

form

atio

n U

nit

Page 27: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

27

Tab

le 4

: C

apit

al P

roje

cts

/ It

ems

SEG

Pro

ject

s/It

ems

Cost

8.

Cap

ital

Const

ruct

ion

1.

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radi

ng a

nd M

aint

enan

ce o

f U

rban

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spita

ls a

nd In

stitu

tiona

l Qua

rter

s 3,

000,

000

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Baga

sau

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sing

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ion

185,

566

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obia

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sing

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ion

227,

747

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Toni

a N

ursin

g St

atio

n 22

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7

5.

Mai

nten

ance

of H

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tre’

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sing

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ions

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000,

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Wai

nunu

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lth C

entr

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tens

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163,

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ra N

ursin

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gato

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tal E

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sion

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ital

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es

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Page 28: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

28

Tab

le 5

: M

inis

try

of

Fina

nce

(M

OF)

Del

iver

able

s an

d In

dica

tors

MO

F D

eliv

erab

les

Stra

tegi

esK

ey P

erfo

rman

ce I

ndic

ator

s (K

PI)

Tim

elin

eR

espo

nsib

le D

ivis

ion

Plan

ning

& M

anag

emen

t of

Budg

et C

ompl

ianc

e Bu

dget

Req

uest

For

mul

atio

n Bu

dget

Req

uest

Sub

miss

ion

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rter

A

ccou

nts

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eads

of

Dep

artm

ents

R

eque

sts

to In

cur

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nditu

res

(RIE

) Ti

mel

y/ E

ffici

ent M

anag

emen

t of

RIE

A

s an

d w

hen

befo

re c

losin

g of

ac

coun

ts in

Fin

ance

Circ

ular

A

ccou

nts

Fina

ncia

l Per

form

ance

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ortin

g

Com

plia

nce

Ban

k T

MA

T

rust

R

FA

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arie

s W

ages

I

DC

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FA A

naly

sis

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thly

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onci

liatio

n

15th o

f eve

ry m

onth

A

ccou

nts

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ncy

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enue

/ A

rrea

rs R

epor

t

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lect

ion

of R

even

ue

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thly

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enue

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urns

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f eve

ry m

onth

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ccou

nts

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lect

ion

of A

rrea

rs

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uctio

n by

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th o

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ry m

onth

A

ccou

nts

Ass

et M

anag

emen

t R

epor

t A

nnua

l Sto

ck ta

ke/B

oard

of

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ey

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ical

Sto

ck ta

ke A

gain

st

Inve

ntor

y 31

Jan

uary

A

sset

Man

agem

ent U

nit

Veh

icle

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M

onth

ly V

ehic

le R

etur

ns

5th

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mon

th

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spor

t

Aud

it R

epor

t Im

plem

enta

tion

of A

udit

Rep

ort R

ecom

men

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ns

Num

ber

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sues

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olve

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embe

r A

ccou

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d M

inist

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ision

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Page 29: Mock outline MOH - health.gov.fj · 10 Prevalence of anaemia in pregnancy at booking from 55.7% to 50%. 2. Public Awareness Promotions – Public Health. 6. Provision of Primary Health

29

Tab

le 6

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id in

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Term Definition

Evaluation the organized and unbiased assessment of the relevance, adequacy, progress, efficiency, effectiveness and impact of a course of action, in relation to objectives and taking into account the resources and facilities that have been deployed

The difference between monitoring and evaluation. Monitoring Evaluation

Routine Episodic (periodic) Outcomes, Indicators and Targets fixed Outcomes, Indicators and Targets questioned On time? On budget? Quality? Efficiency? Effectiveness? Impact? Relevance? Sustainability? Outputs and (intermediate Outcomes) Outcomes Internal Independent Management and Project Performance Accountability and Innovation Evidence any form of knowledge, including, but not confined to research, of sufficient

quality to inform decision Health policy a general statement of understanding to guide decision making that results

from an agreement or consensus among relevant partners on the issues to be addressed and on the approaches or strategies to deal with them

Health system are all the activities whose primary purpose is to promote, restore, and/or maintain health

Health system building blocks an analytical framework used by WHO to describe health systems, disaggregating them into 6 core components; leadership and governance (stewardship), service delivery, health workforce, health information system, medical products, vaccines and technologies and health system financing

Health system strengthening an array of initiatives and strategies that improves one or more of the functions of the health system and that leads to better health through improvements in access, coverage, quality and efficiency

Indicator is a measure that can be used to monitor or evaluate an outcome. A SMART Indicator is a variable which represents the outcome and has the following characteristics: Specific Measurable Achievable or Attainable Relevant Time bound

Input a quantified amount of resources put into a process Mission defines the fundamental purpose of an organisation or enterprise, succinctly

describing why it exists and what it does to achieve its vision Monitoring is the continuous oversight of an activity to assist in its supervision and to see

that it proceeds according to plan. Monitoring involves the specification of methods that measure activity, use of resources and response to services against agreed criteria

Objective a statement of desired future state, condition or purpose, which an institution, a project, a service or a program seeks to achieve

Operational plan focus on effective management of resources with a short time framework, converting objectives into targets and activities and arrangements for monitoring implementation and resource usage

Outcomes are those aspects of health that result from the interventions provided by the health system, the facilities and personnel that recommend them and the actions of those who are the targets of the interventions. Outcome is the uptake, adoption or use of outputs by the beneficiaries

Outputs are the supply-side deliverables, including the events, products, capital goods or services that result from intervention(s) by the Ministry of Health. Outputs are effects that can be controlled by the Ministry. The Ministry of Health can only influence outcomes while it can control outputs. An output is a change in the supply of goods and services (supply

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side), while an outcome reflects changes in the utilization of goods and services (demand side). Outcomes are changes in behaviour at either the individual, work group, organisational or institutional level caused by the activities

Resource planning is the estimation of resource input (human resources, medical devices, medical equipment, pharmaceuticals and facilities) necessary to provide expected resources

Stakeholder is an individual, group or an organisation that has an interest in the organisation and delivery of health care

Strategic plan is the formalised roadmap that describes how your organisation executes the chosen strategy. A plan spells out where an organisation is going over the next year or more and how it is going to get there. A strategic plan is a management tool that serves the purpose of helping an organisation because of a plan focuses the energy, resources and time of everyone in the organisation in the same direction

Strategy a series of broad lines of action intended to achieve a set of goals and targets set out within in a policy or program

Strategic planning is an organisational process of defining strategy, or direction and making decisions on allocating its resources to pursue this strategy. In order to determine the direction of organisations, it is necessary to understand its current positions and the possible avenues through which it can pursue a particular course of action. Generally strategic planning deals with three key questions, 1) Where are we now? 2) Where would we like to be? 3) How are we going to get to where we would like to be?

Target an intermediate results towards an objective that a program seeks to achieve, within a specified time frame, a target is more specific than on objective and lends itself more readily to being expressed in quantitative terms

Values are enduring, passionate and distinctive core beliefs. They are guiding principles that never change. Values are why we do and what we stand for. They are beliefs that guide the conduct, activities and goals of the organisation. Values are deeply held convictions, priorities and underlying assumptions which influence our attitudes and behaviours. They are intrinsic value and importance to those inside the organisation. Your core values are part of the strategic foundation

Vision is an inspirational statement that articulates main prioritised goals as well as values for what government wants to achieve for its population, both in public health and health care system terms

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