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

3. Regional Namibia

4. 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

5. 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

6. 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.

7. 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.

8. 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

9. 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

10. 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.

12. Private Public Partnership and Accelerated Service Delivery Approach

13. 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

14. Projects in Planning

15. Indicative Ondangwa Project Program

16. Otjiwarongo Hospital 250 Beds: Otjozondjupa Region.

17. Ondangwa Hospital 330 beds: Oshana Health Region

18. 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

19. Nankundu Mental Health Hospital 106 beds: Kavango West Region.

20. Central Medical Store [CMS} Okahandja

21. National Public Health Laboratory: Okahandja, Otjozondjupa region.

22. 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.

23. 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.