Healthcare is a National Capital Investment: 10 Nov 2016 Hon. Bernard Haufiku: Minister of Health and Social Services, MP, Namibia

Regional Namibia

Namibia Health Sector Hospitals Primary clinics Health centers Distribution of public/private facilities Public/private facilities Facility Public Private Hospitals 35 13 Primary clinics 256 75 Health centers 42 8 Consulting rooms N/A 557 Pharmacies Total 333 844

Geographic Distribution of HRH “Quick facts” HRH Cadre by Sector HRH Cadres by Sector Cadre Public Private Total Doctors 216 558 774 Registered nurses 1626 1363 2989 Enrolled nurses 1884 877 2761 Pharmacists 27 212 239 Pharmacist assistants 65 72 137 Social workers 76 174 250 Geographic Distribution of HRH Sources: MoHSS 2008b MoHSS website, 2010

Strategic Background The Ministry of Health and Social Services [MOHSS] long-term Strategic plan provides the framework for the improvement of Governance, development of Human Resource Development and Healthcare Infrastructure development. This includes the development of correct levels of care, development of specialist hospitals for Mother and Child, Mental healthcare, Infectious diseases and Oncology care.

Strategic priorities for Vision 2030 “Transform into a Healthy and Food secure nation”. Priority 1: Health Sector Governance that will address coordination, policy formation and strategic planning for the MoHSS; Priority 2: Training Healthcare Workers to escalate the development and training of the Professional Healthcare workers, required for an efficient and effective service delivery; Priority 3: Management to development a professional management culture characterised by service quality and standards; Priority 4: Service Delivery to focus on the development of an appropriate professional skill mix to manage the demands of the new healthcare service platforms Priority 5: Development of Healthcare Infrastructure to provide appropriate places for healthcare delivery based on the resource capacity in the country.

Public Health Case for Health PPPs For the Ministry of Health and government Improves access to key health services and products Leverages private sector resources – expertise and infrastructure – to health Increase efficiencies in service delivery Promotes greater equity and helps ensure universal coverage of health

Health System Strengthening Initiative Pathway to Impact HEALTH PRIORITIES Budget Effectiveness Efficiency Delivery System Health Worker Productivity Supply Management Procurement Levers for Change Facility Maintenance Equipment Supplies Adequate “On Time” Drug Supply Distribution Attitude/Responsiveness Absenteeism/Waiting Time Impact Increased Patient Satisfaction Improving Care Standards BETTER OUTCOMES

Private Public Partnership and Accelerated Service Delivery Approach The rationale for an accelerated funding structure for service delivery is a priority. Infrastructure delivery for hospitals remains dependent on availability of budget for capital works in terms of the MTEF, this means that the MOHSS will not be able to achieve its goals in terms of the 2030 Road Map. Alternative models are being employed to achieve an affordable result for Governments in capital intensive infrastructure delivery that keep the asset and debt off balance sheet in a structured Concession Lease. These Concession Leases can be classified as a Build Operate and Transfer (BOT) which is regarded as a preferred PPP model.

Private Public Partnership and Accelerated Service Delivery Approach

Business Case for Health PPPs For the Ministry of Health and government Attracts private capital investment and managerial expertise (often to either supplement public resources or release them for other public needs) Realizes long-term value-for-money through appropriate risk transfer to the private sector over the life of the PPP Rationalizes the use of existing health resources and infrastructure – public and private alike Reforms sectors through a reallocation of roles, incentives, and accountability

Projects in Planning

Indicative Ondangwa Project Program

Otjiwarongo Hospital 250 Beds: Otjozondjupa Region .

Ondangwa Hospital 330 beds: Oshana Health Region

Women and Child Specialist hospital 250 beds: Khomas is scheduled as the first of its kind in Namibia. To be followed by a facility in Oshakati and Rundu

Nankundu Mental Health Hospital 106 beds: Kavango West Region.

Central Medical Store [CMS} Okahandja

National Public Health Laboratory: Okahandja, Otjozondjupa region.

Expansion of Haemodialysis service units in public hospitals at Windhoek Central Hospital, to be followed by Oshakati and Rundu hospitals to address the demand experienced and to improve accessibility to deserving patients.

For further information on any of these investment opportunities please contact: The Permanent Secretary of Ministry of Health and Social Services Dr. Andreas M. Mwoombola. Andreas.Mwoombola@mhss.gov.na