group no. 9
DESCRIPTION
Group no. 9. ANTIGUA & BARBUDA, BAHAMAS, BARBADOS, BELIZE, GUYANA, HAITI, JAMAICA, ST. LUCIA, TRINIDAD AND TOBAGO, ST. KITTS AND NEVIS, WASHINGTON Facilitator: SURINAME. Challenges in Social Protection in Health. SPH on political agenda Integrated and “client oriented” Health services - PowerPoint PPT PresentationTRANSCRIPT
Group no. 9
ANTIGUA & BARBUDA, BAHAMAS, BARBADOS, BELIZE, GUYANA, HAITI, JAMAICA, ST. LUCIA, TRINIDAD AND
TOBAGO, ST. KITTS AND NEVIS, WASHINGTON
Facilitator: SURINAME
Challenges in Social Protection in Health
• SPH on political agenda
• Integrated and “client oriented” Health services
• Accessible and equitable Quality care health services at all levels, EOC, EmOC
• Adequate No. of Human Resources
• Primary health care with sufficient budget
Challenges
• Early attendance to antenatal care
• Reduced abortion practices
• Delay initiation of sexual activity
• Adequate support services available
• Increased male involvement and access to SRH services
• Youth friendly services available
• Reduced no. of pregnancy in teens
• Strong partnerships “public & private”
Barriers to face the challenge
• Unhealthy behaviors –late antenatal care, home deliveries, low breastfeeding rate, low contraceptive prevalence use, unsafe sex, early sexual initiation-
• Gender inequities
• Gender Based Violence
• Direct payment for services and/or incomplete services
• Poor partner and family support during pregnancy, childbirth and puerperium
• Age specific Sexual and reproductive health not included in Education curricula
Barriers
• Negative attitude of staff
• Poor information on the services available
• Cultural and religious beliefs
• Geographical inaccessibility
• Unemployment
• Technical and first line staff politically appointed
Opportunities to face the challenges
• Political will towards MDGs -Existence of MDGs task force-
• Poverty alleviation programs –housing, school feeding program, “PATH”, others-
• Health sector reform process taking into consideration the integration of the health services
• Technical assistance from UNCT
Opportunities to face the challenges
• Community empowerment
• Maternal and mortality review Committee –includes verbal autopsy and clinical audits-
• Existence of Regional Initiative to eradicate child malnutrition
• Networking with NGOs and Community Based Organizations
• Access to and management of Funds e.g. Global Fund, Clinton Foundation-
• Access to PAHO Revolving Fund –Vaccine procurement-
Recommendations SPH to improve health outcomes
• SPH on Regional & National Agenda –Summit of the Americas, CARICOM, RESSCAD; time frame for universal SPH-
• SRH a primary health care strategy
• Increase the regulatory capacity of the Ministries of Health –planning, monitoring, evaluation, policies for accountability, fiscalization –
• Enable supportive environment for women and children –family and community-
• Increase capacity of health system to provide Essential Obstetric Care –Basic and Emergency- and Home Based Life Saving Skills.
Recommendations SPH to improve health outcomes
• Update health policies related to MNI and work towards integrated health services
• Update health information systems
• Research and evidence based on SPH
• Reorient services to focus on Primary Health Care and implement COMBI strategies
• Design and implement retention strategies for health professionals
• Strengthen Public Health in Medical and allied schools
• Work force projection for the CARICOM countries
Next steps
• Review and update SPH in countries
• Focus and align organizations working in the field of MNI health
• Sensitize health authorities to place SPH on national and regional agenda
• Reorient services to focus on Primary Health Care and adopt COMBI strategies
• Empower Communities to demand their right to health
• Implement Sexual and Reproductive health policies
• Enable supportive environment for MNI –family and community level-
• Technical assistance e.g. work force projection, SPH, M&E,
Next steps
Thank you