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Introduction
This report contains findings and recommendations of the vertical functional review of the Kosovo
Ministry of Health (MOH) conducted in the period of February to June 2009 as a part of the
Functional Review and Institutional Design of Ministries (FRIDOM) project.
The review involved interviewing many health sector personnel. The report has been reviewed by
the Minister of Health and the new acting PS, but has not been circulated more widely within the
MOH. Further work leading to the Institutional Development Plan should include thoroughly testing
this report with MOH senior officials and others from the health sector.
Note that the information on the organisational structure and the vacant positions was valid in April
but will have changed. We requested up-to-date information on the position in June but did not have
this information at the time this final version was prepared.
This report has been prepared by the FRIDOM Project funded by the Department for International
Development of the United Kingdom (UK) Government. We would like to thank the Minister of
Health, the Deputy Minister of Health, and the Minister’s advisers for the advice provided, including
the insights on the key issues facing the health sector. We would also like to thanks staff members
from the MOH, the National Institute of Public Health (NIPH), the Kosovo Medicines Agency, the
Kosovo University Hospital Clinic, the Telemedicine Centre, the Registration and Licensing Board,
the FRIDOM team members, the EC, the World Bank, UNICEF, WHO, the Ministry of Finance and
others who contributed ideas and provided advice to contribute to this report. We would like to thank
Mentor Sadiku and Diana Pacolli for their very supportive assistance with the arrangement of
meetings in the MOH. The suggestions in the report do not necessarily represent the views of people
interviewed, or the Department for International Development, or the UK Government. The review
has been conducted by Qamile Ramadani and Lynne McKenzie.
The review is set out in the following sections.
Section I Legal, policy and medium term planning framework
Section II Barriers to change
Section III Overview of structure
Section IV Corporate functions
Section V Strategic management
Section VI Secondary and tertiary services
Section VII Pharmaceuticals
Section VIII Public health services
Section IX Primary health services
Section X Mental health services
Section XI Health information, internal audit, licensing, inspection, special offices and
committees
Section XII Examples from other countries
Section XIII New structure and current structure
Appendices: Appendix A Abbreviations; Appendix B Review Methodology; Appendix C
Legal Framework; Appendix D MTEF policy and planning priorities and strategic challenges
for the MOH; Appendix E Staff numbers and budget 2009; Appendix F Organisation
structure (current official one); and Appendix G Additional Advice in Response to Requests
from the Minister of Health.
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