1. National Health Policy Republic Democratic of Timor-Leste

2. Country profile   Land Surface : 14,600 square km   Population: 960,000   Constituted of 5 region, 13 Districts, 65 Sub-districts and 498 villages, 2,336 hamlets and 194,943 households   TFR ; 7,8   Annual pop. Growth 3,9%

3. Selected Health Indicators for Timor-Leste Indicator 2003 Life expectancy (years) Infant mortality rate (per ‘000 live births) Under-5 mortality rate (per ‘000 live births) Maternal mortality rate (per 100 000 live births) Births attended by skilled health personnel (%) Underweight children Under-5 (%) 1 year-old children immunized against measles (%) Malaria[1][1] Prevalence rate Death rate TB[2][2] Detection rate (%) Cure rate (%) HIV[3][3] Prevalence Recurrent health expenditure per capita (US$ for FY) Ratio [4] of[4] Medical doctor/population Nurse & midwife/population Hospital bed/population Clinic (Health Centers and Health Posts)/population 57 60 83 420-800 24 46 47 148/1000 7/100 000 53 81 0,032/1000 22.2 1/3401 1/876 1/2380 1/4000 Source: Demographic Health Survey, 2003 and Health Information System, Ministry of Health

4. Plano Desenvolvimento Estrutura Politica SaudeEstrutura Accao Intersectoral Plano Estrategico da Saude Pacote Servico BasicoPacote Servico HospitalarSaude Publica Saude Infanti Saude Materna Doencas Contagiosas Doncas Nao-Contagiosas Obstetria/ginecologia Neonatal/paediatria Midicina Interna Trauma/cirurgia Saude Ambiental Forensica Patologia

5. Health Policy Frame Work  “…Let us not be tempted to build and develop modern hospitals that are costly and in which only half a dozen people benefit from good treatment. Let us concentrate above all on planning intensive campaigns of sanitation, prevention, and the treatment of epidemics and endemics for the whole population. …” Xanana Gusmao, Xanana Gusmao, Message for Opening of Melbourne Strategic Development Planning for ET Conference April 1999

6. Health Policy Frame Work  Health problems are not exclusively originated in health-related sources.  From that perspectives, we define our vision for health: “Healthy East Timorese people in a healthy East Timor”

7. Health Policy Frame Work  The fact that the vision implies a healthy East Timor means that sectors other than health should contribute to reach the point that this vision foresees (multisectoral approach to health)

8. Intersectorial Action Framework A model of Intersectorial Wellbeing and Health intervention for Timor-Leste A model of Intersectorial Wellbeing and Health intervention for Timor-Leste

11. Implementation of Policies Republic Democratic of Timor- Leste

12. Implementation of Policies Based on :  Guiding principles and values  Mission and operational strategies Through :  MoH Structure, Central Services, District Services, Hospital Services and referral system.  Established Intersectoral Action Forums; Ministerial forum, Central level, District and community level

13. Implementation of Policies How :  Planning, coordination and management  Implementation of regulation and legislation  Guidelines and protocols  Training  Monitoring and evaluation

14. Sources for health indicators  National Development plan 2020  MDGs Goals  National Surveys  Trend epidemiology  Resources availability  Implementation progress

15. Monitoring and evaluation process  Government developed tools ( quarterly report matrix, CSP matrix )  Health Management Information System ( activities based report )  Surveys and research  Donor mid term review  Quarterly review meeting ( national, District and Sub-District and Facilities )

16. Policy and decision making implication  The out put of all above mentioned mechanism lead for policies and strategies review, by setting new indicators  Considering new disease pattern, population profile, public preferences  New input