Health Joint Programming Group (JPG) JOINT UN-GOVERNMENT MISSION ON HEALTH SYSTEM STRENGTHENING IN NINH THUAN PROVINCE August, 2013 HEALTH JPG

The Health Joint Partnership Group (JPG): Who we are 2. Non-Communicable Diseases 3. Communicable Diseases 4. SRMNCH and Nutrition 5. Water and Sanitation WHO. FAO UNFPA, UNICEF, WHO UNICEF, WHO SubgroupsUN Agencies Health is one of the key areas under the One UN Plan A JPG working on health: 7 UN Agencies, 5 diverse sub groups 1. Health Systems WHO, ILO, UNODC WHO, UNICEF, UNFPA, UNAIDS, IOM, UNODC

The Health JPG : What we work for Work on cross-cutting areas 1. Universal Health Coverage 2. Accelerating the MDG’s 3. One Health

Joint UN-Government Mission to Ninh Thuan on Strengthening Health Systems

Activities 2. Visit/Briefing Department of Health 3. Field Visit: District Communes Ethnic Minorities 4. Internal analysis and synthesis sessions 5. Feedback and reporting 1. Meeting People’s Committee (PPC)

The Health JPG : What we work for Each subgroup worked on their own technical areas but observed common areas: Health service delivery Health systems areas: planning, human resources, information

Lessons learnt: on the mission The mission was an excellent opportunity to learn how the local governments contextualize health in the over-all context of local development It was an excellent opportunity to understand health service delivery and health system at the local level The mission helped the Health JPG and the government to jointly find ways to redesign health service delivery at the local level

Lessons learnt: from the local level The grassroots healthcare system has successfully provided essential healthcare to most communities There are good facilities and well trained health staff The new well-equipped provincial hospital can provide the appropriate curative care at the local level. The local department of health is strong with a public health structure that covers key preventive programmes

Lessons learnt: Key challenges The health system needs to be redesigned to meet the future health needs of Viet Nam Planning needs to be focused to the needs of the local communities, focused on vulnerable populations and hard-to-reach areas Human resources planning needs to be long term Information has been gathered and reported through many layers- there is a need to establish basic essential information that is reflective of the local health needs Information is important for better planning.

Way Forward The One UN will continue to discuss with MOH on strategies to improve health service delivery to local levels; The Health JPG will develop recommendations to the MOH on specific support for improving planning mechanisms at the local level; Results will be reported back to the Health Partnership Group (HPG) and to the wider donor community

Thank You