Technical Areas

Completed/Cancelled

Product/Service Deliverables Status
Conduct an assessment of the Health System in Dominica, including: service delivery network (primary care and hospital); governance and oversight; risk reduction strategies (including surveillance); human resources for health; priorities medicines and other health technologies; and financing, all elements required to develop a resilient health system. No number of health districts evaluated and restructured for the delivery of essential services. Completed in June 2018. All 7 health districts were evaluated. Completed
Support the redesign of the supply chain for medicines and other health technologies including access at the point of care Master plan for the redesign of the supply chain for medicines and other health technologies including access at the point of care, drafted. This output is deferred for 2019. Completed
Expand the current training of community health aids (to increase the cadre of health care workers) Trained and competent Community Health Aides Completed
Assessment of blood product and laboratory services with a focus on strengthening primary health care services Report with recommendations for the strengthening of the capacity to deliver safe blood and blood products within an integrated health network and an effective monitoring and evaluation framework. Completed
Assessment of radiology services with a focus on strengthening primary health care services Report with recommendations for the improvement in the provision of safe radiological services at the level of the hospital and community. Completed
Support for the redefinition of the health systems organizational model to meet population current needs. A national plan for the redefinition of the health system drafted by end 2018 with the progressive implementation in 2019. Deferred to to first semester of 2019, pending decisions of National Authorities on the recommendations of the assessment. Completed
Support for the development of a national plan for the redefinition of the health system, including aspects related to human resources, medicines and health technologies, financing, management and essential public health functions. A plan of action to implement short term changes to make primary care facilities operational by end of 2018. Deferred to first semester 2019, pending the development of the national plan for the redefinition of the health system. Completed

Details

Product/Service Deliverables Status
Breast and cervical cancer control, including palliative care Prevention and treatment services for cervical and breast cancer programmes strengthened Not started
Implementation of HRH plan of action in Caribbean countries according to the needs of the programs for each type of health professional HRH Unit developed and HRH plan of action implemented Not started
Strengthening MOH capacities for the implementation of essential public health functions EPHF assessment conducted and Health System strengthening framework developed and implemented. Health legislations reviewed and developed Not started
Build regional capacity to develop legislation for NCD RF in consistency with the WHO FCTC. Tobacco legislation and regulations developed Not started
Implement diabetes and hypertension control interventions in primary care and facilitate exchange of information and experiences HEARTS technical package to improve the management of cardiovascular diseases implemented Not started