1.3 Análisis de Datos Simbólicos
1.3.3 Variables modales probabilistas
Strategy Indicators Activities to achieve the strategy Time scale Lead
Responsibility STRATEGIC OBJECTIVE 1: TO ENSURE ADEQUATE AND UNINTERRUPTED AVAILABILITY OF DRUGS AND MEDICAL SUPPLIES AT CMS AND IN ALL THE HEALTH FACILITIES
1.1: Strengthen institutional arrangements for regulation, procurement and distribution
• Consultative meetings held • Documents updated
• Enhance collaboration, communication and coordination among the statutory and regulatory bodies responsible for procurement and logistics for health products
• Update relevant policies, guidelines,
manuals and lists to guide procurement and logistics
Plan period
Year 1
1.2: Increase financing for procurement and logistics
• Procurement plan in place • Resources allocated for
procurement
• Joint consultative meetings
• Develop a comprehensive procurement plan to facilitate clear Financial Planning & Budgeting, Staffing and Logistics
management
• Allocate adequate resources in the annual budgets to CMS, health facilities and bodies that support procurement and logistics • Encourage collaboration between those
who use supplies and those who make decisions about the allocation of resources.
Year 1 Plan period 1.3: Strengthen the capacity to manage procurement and • Staff in place
• Well functioning LMIS system in place
• Employ adequate number of staff • Employ the right mix of staff in terms of
training and skills
Year 1 and 2
Strategy Indicators Activities to achieve the strategy Time scale Lead
Responsibility
logistics • Facility reports • Upgrade the Logistics Management information system
• Institute feedback on consumption from health facilities to CMS
1.4: Strengthen the systems for estimating and quantifying
commodity requirements
• Number of facilities ordering the correct quantities
• Number of adequately trained staff in place
• Strengthen procurement planning process and supply management system
• Train staff to undertake
quantification/forecasting and on other relevant procurement and logistics issues • Strengthen all aspects of drug management
at the health facilities.
• Enhance monitoring and reporting on procurement
Year 1 and 2
STRATEGIC OBJECTIVE 2: TO ENSURE THAT THE DRUGS AND MEDICAL SUPPLIES AVAILABLE IN THE HEALTH FACILITIES ARE USED APPROPRIATELY AND RATIONALLY, AND ARE PROPERLY ACCOUNTED FOR
2.1: Build capacity of staff and consumers to reduce inappropriate use of commodities
• Number of facilities
dispensing drugs according to standard treatment guidelines
• Number of therapeutic committees established
• Train HF staff to implement good drug management practices.
• Develop and circulate guidelines and manuals on rational drug use for the respective levels.
• Encourage appropriate utilization of drugs by health professionals and consumers • Support establishment and functioning of
Medicines and Therapeutics Committees
Year 1 and 2
2.2: Enhance monitoring and reporting on usage of commodities and other logistic functions
• Number of facilities utilizing tools for reporting
• Number of reports received • Number of facilities audited
• Develop adequate monitoring and reporting capacity through training
• Improve or computerize drug management systems at the facilities
Year 1 and 2
Strategy Indicators Activities to achieve the strategy Time scale Lead
Responsibility
at the facility level • Emphasize utilization of standardized tools for data collection & reporting
• Ensure adequate & frequent communication system
• Strengthen supervision through routine collection and use of data
• Encourage external auditing to enhance accountability 2.3: Improve information management and performance measurement of supply chain processes
• Number of facilities sending
performance reports • Train staff on reporting • Establish a system for measuring performance
Year 1
STRATEGIC OBJECTIVE 3.: TO SUPPORT THE PROVISION OF THE EHSP THROUGH THE CONTINUOUS AVAILABILITY OF SERVICEABLE AND APPROPRIATE EQUIPMENT IN ALL THE FACILITIES
3.1: Promote planned preventive maintenance of all equipment at the health facilities
• Equipment needs assessment report • Equipment inventory • Maintenance plan
• Undertake an equipment needs assessment in all the health facilities • Undertake an inventory of all equipment in
all facilities
• Assess state of equipment and required attention
• Develop and implement a maintenance plan (periodic inspection, maintenance and analysis of maintenance related data)
Year 1
Plan period 3.2: Provide adequate
financial resources for preventive maintenance and purchase of
• Amount of available
resources • Undertake costing of the maintenance and purchase • Allocate resources in the annual budgets • Mobilize resources from other sources,
Year 1 and 2
Strategy Indicators Activities to achieve the strategy Time scale Lead
Responsibility
equipment including from development partners 3.3: Build capacity for
appropriate, efficient and effective usage of all equipment in the health facilities.
• Operational guidelines
• Number of trained staff • Develop and provide operational guidelines for equipment in all facilities • Adequately train staff using the equipment
on how to handle and undertake preventive maintenance to avoid user-induced
breakdowns 3.4: Strengthen the coordination of procurement of equipment by stakeholders, including development partners
• Number of meetings held • National procurement plan in
place
• Encourage communication and meetings among Development partners, procurement stakeholders and the MOH to review
requirements
• Create a common forum and agree on a national procurement plan
• Institute flexible procurement procedures driven by set financial thresholds to allow delegation of procurement functions
Year 1 and 2
3.5: Standardize the equipment used
throughout the facilities
• Standard equipment list • Identify the equipment requirements of the different health facilities
• Develop a standard equipment list with specifications
• Procure only the equipment on the list
Year 1
STRATEGIC OBJECTIVE 4: TO SUPPORT THE PROVISION OF THE EHSP THROUGH THE ESTABLISHMENT AND MAINTENANCE OF APPROPRIATE BUILDINGS AND PHYSICAL INFRASTRUCTURE
4.1: Promote planned preventive maintenance to minimize the deterioration of the • Infrastructure needs assessment report
• Inventory report on condition of infrastructure
• Undertake an assessment of the current physical infrastructure of the health facilities • Establish the needed infrastructure to
support the EHSP at each health facility
Strategy Indicators Activities to achieve the strategy Time scale Lead
Responsibility
buildings and physical
infrastructure • Rehabilitation and Maintenance plan in place • Undertake an inventory of the condition of level physical infrastructure
• Develop and implement a rehabilitation and
maintenance plan Plan period 4.2: Provide adequate resources for development, rehabilitation and maintenance of physical infrastructure • Amount of available
resources • Undertake costing of the required development and maintenance
• Allocate adequate resources in the annual budgets
• Mobilize additional resources from other sources such as development partners
Plan period 4.3: Develop or renovate facilities to accommodate new or expanded services • Number of facilities
developed or renovated • Establish the facilities needed for new or expanded services • Identify facilities or location
• Obtain the required designs while involving the end users
• Build or renovate while ensuring professional supervision
Plan period
4.4: Build maintenance capacity or provide maintenance support at the different health facilities
• Number of facilities with maintenance staff • Number of facilities with
functional workshops
• Employ/deploy maintenance staff at the facilities
• Establish workshops/or provide adequate machinery, hand tools and basic
consumables for maintenance
Plan period
4.5: Standardize buildings and building components
• Standard design of buildings • Standard list of building
materials
• Identify the physical infrastructure
requirements of the different health facilities • Make standard designs but ensure
participation and involvement of end users
Strategy Indicators Activities to achieve the strategy Time scale Lead
Responsibility
• Identify and standardize the building components