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1. Reduce morbidity and mortality of the overall population.
2. Improve management of existing resources and quality of services
3. The reorganisation and the completion of the existing infrastructure of the healthcare system and
the procurement of medical equipment in accordance with European standards
4. Implement and develop the Health Information System
5. Develop a sustainable funding system for the health sector
The issues are summarized as follows:
1. An inability to effectively plan and allocate resources owing to an inadequate health information
system
2. Inadequate management systems to ensure satisfactory performance and quality services
3. Difficulties over accountability arising from a lack of clarity in the roles and responsibilities of
organisations and individuals
4. Serious shortcomings in the supply and distribution of drugs
5. Limited funds available
The Master Plan referred to in 3 above has the following recommendations:
Service improvements through improved planning capital planning linked to recurrent planning
(maintenance)
Improving the capital planning in the sector- problems were noted with not maintaining current
infrastructure and constructing new facilities without ensuring there is sufficient funding for their
operations and maintenance
Restructuring of the University Clinical Hospital to separate secondary and tertiary services
Improving the maintenance of laboratory and radiology equipment; improving access to CT
scanning and MRI scanning (no MRI at present)
Reducing the number of emergency callout centres
Better monitoring of the quality of health services, the maintenance of health facilities and the state
of cleanliness- address lack of use of clinical protocols (sequencing of interventions) and treatment
guidelines (evidenced based best practice treatments) tailored for Kosovo and the “inspection”
focus of monitoring rather than more modern QA approaches
Improvements in inputs
Addressing the issues of low salaries which results in doctors practising privately and a shortage in
areas like pharmacists
Improving primary health services through better provision of essential supplies including drugs
and training for staff; improving supply of drugs to secondary and tertiary services; improving the
procurement process for drugs
Increase in services
Planning for a small increase in tertiary hospital capacity including in speciality areas of oncology,
stroke, burns and cardiac surgery and a small increase in specialists in cardiology, thoracic surgery
and vascular surgery
Using telemedicine to access overseas advice for tertiary and secondary cases
Dealing with problems of access to secondary care in Mitrovice where people in the South cannot
access care in the hospital in the North
Increasing health promotion services including in the areas of food safety, smoking cessation, road
safety, diabetes and heart disease prevention, reducing injuries in the workplace and other areas.
Contracting for some services from the private sector such as laboratory tests, day surgery and
cardiac surgery where there are cost advantages in doing this (will require market development)
and developing the procedures to support this such as sound contracting approaches and timely
and accurate payments
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