Good Practices and Innovations in Public Governance 2003-2011

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Good Practices and InnovATIONS in Public Governance Africa Zambia 2006 Category 2 Winner Masaiti District Health Management Board Masaiti, Copperbelt Province, Zambia Description Combating health crises by making health services more efficient, accessible and responsive to the needs of the population. The Problem HIV/AIDS has become one of the biggest public heath problems in Zambia and sub- Saharan Africa. It is not only the main cause of premature death, but it also affects people’s ability to work and maintain a decent standard of life. The Solution The primary objectives of the Masaiti District Health Management Board (MDHMB) are to reduce maternal and infant mortality, and to decrease the high ratio of malaria, HIV/AIDS and Tuberculosis infections. In 1997, the Masaiti District Health Management Board was appointed by the Minister of Health to oversee the provision of health services. In order to improve public services, and to enhance their quality, the Board built partnerships with other professional associations, collaborated with various organisations and enlisted support from the community. The Public Service Capacity Building Program (PSCAP) and the Public Service Reform Program (PSRP) – two important initiatives of the Government of the Republic of Zambia (GRZ) – intended to transform the public service sector in order to make it more effective and efficient. The objectives of the programs were to improve government capacity to formulate, implement and analyze national policies for social and economic development, enhance ministerial capacities to effectively manage public expenditure programs and meet fiscal stabilization objectives, as well as make the public service more efficient and responsive to the needs of the country’s population. The MDHMB and Planned Parenthood Association of Zambia (PPAZ) have been working together in order to provide quality health services to the Masaiti community. The PPAZ has worked in collaboration with stakeholders such as the Japanese Organisation for International Cooperation in Family Planning (JOICFP), the Zambia 334
2006 Category 2: Zambia Flying Doctor Services, the National Food and Nutrition Commission, the Tropical Disease Research Centre, the University of Zambia, and the Ministry of Health to implement integrated family planning, as well as nutrition and parasite control programs. These initiatives resulted in the reduction of maternal mortality from 660 per 100,000 to 330 per 100,000 and the reduction of infant mortality from 54% to 84%. As for health performance improvements, the TB cure rate has increased from 63% to 74%; in family planning new patients’ rate has increased from 46/1,000 to 129.7/1,000; and the antenatal coverage went from 50% in 2000 to 84% in 2005. Increasing the number of professional staff was also a contributing factor in the success of the project. 335
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This publication provides an overvi
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