FRONTESPIZIO - Cooperazione Italiana allo Sviluppo

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24 Augusto Cosulich, Vincenzo Racalbutoaims at ensuring regular and adequate supply of effective, safe and affordableessential drugs, medical supplies and equipment in the public and theprivate sector and ensuring their rational use.A comprehensive Logistic Master Plan will be developed and implementedduring HSDP-III. The plan is to increase availability of essential drugsfrom 75% to 100% in all public health facilities; to scale up the supply ofimported and locally produced drugs; increase safety, efficacy and qualityinvestigation from the present 40% to 100 %; and to reduce the overalldrug wastage from 8% to 1%.5. Information, Education and Communication:- This component aimsat improving the Knowledge, Attitude and Practice (KAP) on personaland environmental hygiene and common illnesses and their causes; andpromotion of political and community support for preventive and promotivehealth services through educating and influencing planners, policymakers, managers, women groups and potential end users.Hence, the main targets are provision of appropriate health communicationmaterials to 100% of the HEWs and equipping 100% of the Kebelesimplementing HSEP with portable IEC equipment; increasing the KAPof the population on HIV/AIDS, Malaria and TB by 50% of its 2005 status;and to increase adolescent awareness and knowledge on HIV/AIDSand Sexually Transmitted Infections from 77% and 30% to 95% and80%, respectively.6. Health Management Information System and Monitoring andEvaluation:- The HMIS and M&E component aims at informed policyformulation, planning, programme implementation, monitoring andevaluation and at improving the knowledge and skills of health managersin these areas. It also aims at enhancing community involvement in themanagement of health facilities and public health interventions. The objectivesof this component, is thus to implement the Civil Service ReformProgramme in the health sector to ensure efficient, effective, transparent,accountable and ethical service delivery at all levels of the health system;to develop and implement a comprehensive and standardized nationalHMIS and M& E System so as to ensure evidence based planning andmanagement of health services; and to harmonize the donor-governmentefforts in planning, reporting, monitoring and evaluation.
3. The ethiopian health sector and the italian contribution to HSDP 257. Health Care Financing:- The health care financing component aims atmobilizing increased resources to the health sector; promoting the efficient<strong>allo</strong>cation of resources and developing a sustainable health care financingsystem. The targets set under this component are increasing overallhealth expenditure per capita from 5.6 USD to 9.6 USD; doubling theshare of health as a proportion of total Government budget; and expandingthe Hospital based of Special Pharmacies from 82% to 100% and thatof Health Centers from 58% to 100%. In addition social health insurancewill be designed and implemented for employees in the formal sector andcommunity health insurance will be designed and pilot tested.Strategies of HSDP-IIIIn order to achieve the aforementioned goals and objectives, HSDP-IIIhas adopted the following strategies:• Vigorous implementation of the Health Service Extension Program forthe effective prevention and control of communicable disease and promotionof healthful living;• Improving the quality of health care through provision of adequate resources,implementation of a two way referral system, enhancing the capacityof HEWs for the detection, referral and follow-up of patients, andstrengthen secondary and tertiary hospitals, and referral laboratories;• Improving the number, skills, distribution and management of healthworkers; ensuring the planned training of health managers in adequatenumber and appropriate knowledge and skills;• Mobilize adequate financial resources, ensure efficient utilization, andstrengthen sustainable financing mechanisms for the health sector;• Improving the health information system and the capacity for effectivemonitoring and evaluation;• Improving the logistic management system;• Ensure full community participation in the planning, implementation,monitoring and evaluation of health care;• Promoting intersect oral collaboration, harmonization and alignment,and coordinate the activities of the public sector, private sector, internationalorganizations and NGOs in health interventions.Programme Implementation Arrangements of HSDP-IIIThe programme implementation arrangement of HSDP-III will be similarto that of HSDP-II as summarized below.
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