Dr. Christopher Simoonga Director - Directorate of Policy and Planning Ministry of Health, Zambia International Launch of the Zambian National Health Strategic Plan 7 th February 2012, BMA - London

Theme “ Towards attainment of health related Millennium Development Goals and Other National Health Priorities in a clean, caring and competent environment ”

M ISSION, V ISION, O VERALL G OAL & KEY PRINCIPLES Mission Statement: To provide equitable access to cost effective, quality health services as close to the family as possible Vision: A Nation of Healthy and Productive People Overall Goal: To improve the health status of people in Zambia in order to contribute to socio- economic development Key Principles: Primary Health Care (PHC) approach; Equity of access; Affordability; Cost-effectiveness; Accountability; Partnerships; Decentralisation and Leadership, Clean, Caring and Competent health care environment

Conceptual Framework of Health Systems Used– the Six Building Blocks Approach

Infant Mortality Rate, 1992 to 2007

Under five mortality rate 1992 to 2007

Maternal mortality ratio 1996 to 2007

SERVICE DELIVERY Two Thematic Areas 1. District Health Services 2. Hospital Referral Services Focus on three Cs of Quality of Care: 1. Clean 2. Caring 3. Competent

MEDICAL SUPPLIES directions cont. Focus:Zero Stock outs Strategies: Monitor availability at all times Streamline the procurement process Strengthen logistics of distribution

HUMAN RESOURCES FOR HEALTH cont. Focus: Recruitment and Retention Strategies: Scale up recruitment and retention Strengthen human resource management Increase training and staff development

MEDICAL INFRASTRUCTURE Focus: maintenance, rehabilitative and expansion Strategies: Invest in repair and reconstruction Increase number of health posts Build limited number of first referral level hospitals

HEALTH INFORMATION AND RESEARCH s cont Focus: Use of research evidence for policy –making Strategies: Develop and apply a communication strategy Strengthen policy dialogues Increase scope and access to the Health Management Information System (HMIS) Establish a Research Authority

HEALTH CARE FINANCING Focus: improving financing access to health services Strategies Abolish fees for primary health care services Create a health assurance fund (HAF) Encourage individual use of health insurance services

LEADERSHIP AND GOVERNANCE Focus: Implement an efficient and effective decentralised system of governance, ensuring high standards of transparency and accountability at all the levels of the health sector

Leadership and Governance Strategic directions cont. Strategies  Strengthening the overall legal and policy framework for health  Strengthen sector collaboration mechanisms: Review and update the Memorandum of Understanding (MOU) with sector partners and civil society; incorporate IHP+ principles into the MOU; and further strengthen the Joint Annual Reviews (JAR).  Strengthening leadership, management and governance systems and structures, to enhance transparency and accountability at all levels, in accordance with the jointly agreed governance action plan and the recently conducted systems audits.  Strengthen access to information at all levels, especially the community level.

The End