Federated States of Micronesia PIHOA 14-18 November 2011 Honolulu, Hawaii, USA

  • View
    37

  • Download
    0

Embed Size (px)

DESCRIPTION

Federated States of Micronesia PIHOA 14-18 November 2011 Honolulu, Hawaii, USA. COUNTRY DEMOGRAPHIC PROFILE (SNAP SHOT OF FSM) - 2011. HEALTH SYSTEM FRAMEWORK – FSM SDP -2003-2023. National Level (FSM National Government, Department of Health and Social Affairs) Mandates: - PowerPoint PPT Presentation

Text of Federated States of Micronesia PIHOA 14-18 November 2011 Honolulu, Hawaii, USA

  • Federated States of MicronesiaPIHOA14-18 November 2011Honolulu, Hawaii, USA

  • COUNTRY DEMOGRAPHIC PROFILE (SNAP SHOT OF FSM) - 2011

    Federation of Four Island StatesKOSRAE/POHNPEI/CHUUK/YAPNumber of Islands607 Islands (65 Inhabited Islands)Land Area710 Sq. Km ( 271 Sq. Miles of Land Mass)Population (2010 Census)102,843 (2010 Census)Life Expectancy70 yearsCrude Birth Rate19/1000 (FSM DHSA/HIS 2010)Crude Death Rate4/1000 (FSM DHSA/HIS 2010)Infant Mortality Rate10.2/1000 (FSM HIS 2010- Hospitals Reported)

  • HEALTH SYSTEM FRAMEWORK FSM SDP -2003-2023National Level (FSM National Government, Department of Health and Social Affairs) Mandates:

    Policy Direction (national health and social affairs)Program Management/Coordination (national programs and donors projects)Monitoring of programs activities and funds utilizationTechnical Assistance Repository of national data (health vital statistics and programs data for reporting purposes)Collaboration with regional and international organizations supporting state and community health programs.

    State Level (State Department of Health Services Hospital and Public Health):

    Implementation of day-to-day direct medical and preventive health services Patient Referral (OI and Abroad)State policy on healthData Collection/Reporting

    Municipal Level (Primary Health Care and Dispensary Services) Community:

    Primary Health Care (PH and Dispensary services)Data Collection/ReportingMunicipal charters on community health

  • PROFILE OF PUBLIC (GOVERNMENT) HEALTH FACILITIES: FSM 2011

    Facility TypeFSM TotalChuukKosraePohnpeiYapGovt Owned1116671226Hospital41111Licensed Beds3411304511650Operating Beds294125359242Community Health Centers5--14Dispensaries9264-919Dental Clinics41111Aid Posts6-5-1

  • PROFILE OF PRIVATE HEALTH FACILITIES: FSM 2011

    Facility TypeFSM TotalChuukKosraePohnpeiYapPrivate Health Facilities113-8-Hospitals1--1-Licensed Beds36--36-Operating Beds36--36-Private Health Clinics3--3-Private Pharmacies53-2-Private Dental Clinics2--2-

  • Profile of the Four State DHS: FSM 2011

    DescriptionPohnpeiChuukYapKosraeFSMDepartment or SectionOperation/Surgery; Medicine; Dental; Obstetrics/Gynecology; Pediatrics; Emergency; Hemodialysis; Radiology; Laboratory; Physical Therapy; Medical Supply; Public HealthOperation/Surgery; Medicine; Dental; Obstetrics/Gynecology; Pediatrics; Radiology; Emergency; Laboratory; Medical Supply; Public HealthOperation/Surgery; Medicine; OB/GYN; Pediatric; Radiology; Emergency; Laboratory; Pharmacy; Public Health and Mobile Clinic;Operation/Surgery; Medicine (OPD/Inpat);OB/Gyn; Radiology; ER; Dental; Pharmacy; Laboratory; PH and Mobile ClinicProgram Management, Coordination,Monitoring andEvaluation;TAPolicy DevelopmentNo. of Doctors2020121163No. of Dentists373215No. of Graduate Nurses50694336198No. of Pharmacy Technicians632213No. of X-Ray Techs.562215No. Lab. Techs.868628No. of Med. Supply Techs.41117No. of Patients120/day210/day60/day50/day110/dayNo. of X-Ray20-33/day50/day18/day-26/dayNo. of Lab. Works250/day50/day30/day35/day80/day

  • PROFILE OF HEALTH WORKFORCE (SNAP SHOT OF THE FSM HEALTH WORKFORCE: FSM 2011)

    INDICATORSNUMBERRATIO/100,000 POPULATIONDOCTORS631:1,632DENTISTS151:6,856NURSES AND MIDWIVES2491:413OTHER NURSING/AUXILIARY STAFF861:1,196OTHER PARA-MEDICAL STAFF2821:365OTHER HEALTH PERSONNEL1831:562PHARMACY TECHNICIANS131:7,911X-RAY TECHNICIANS151:,6,856LAB. TECHNICIANS281:3,673

  • NCD Conditions As Leading Causes of Morbidity FSM 2010

    Other Heart DiseasesDiabetesHypertensionCancerKidney DiseasesStroke Chronic Obstructive Pulmonary Disease (COPD)Gout

  • Leading NCD Conditions as UCOD FSM 2010DiabetesCancerMyocardial InfractionCerebro-vascular AccidentRenal FailureHypertensionChronic Obstructive Pulmonary Disease

  • FSMNG Response To NCDsNCD/Chronic Disease Unit (National and State)DiabetesCancerTobacco Prevention and Control Nutrition Action Plan (Advocating for Go Local)Physical Activity (schools and work-place)Small scheme through SPC for Local Farming and PA2-1-22 Grant (WHO/SPC)

    FSM Endorsement to the Regional Declaration on NCD by FSMNG Leadership (Have not nationally declared); Environment supportive;Need to collaborate with the four states for proper declaration (FSM NCD Meeting/Conference in Yap-12/2011)Secure Political Commitment (Funding Support for sustainability)

  • What Already ImplementedLaw/Legislation (Tobacco and Substance Abuse)Clean indoor Law in all public places - all statesNo Sale to Minors Law all statesNo Promotion, Advertisement and Sponsorship Law all states, except KosraeNo sale of Single Stick Law Only in KosraeImportation Tax Law on Tobacco Products at NationalNo Betel Nut Chew by Minors Kosrae StateCommunity Smoke Free Nahs only in Enpein Powe, Kitti, PohnpeiSin Tax - All StatesBillPackaging and Labelling Bill- at FSM NationalBan Tobacco Importation Bill Chuuk StatePolicySecond Hand Smoke Policy in all government buildings/office space rentals and government vehiclesNo Soda Drinks/Drinking in Church Activities (receptions/parties)- KKCC Faith GroupMOAHealthy food sections at selected food establishmentsDraft PolicyFSM Nutrition and Physical Policy for schoolsGuidelines for food served during government hosted workshops, meetings, summit , etc.Executive DirectiveTwo-hour Physical Activity /Exercise Kosrae StateOn Going ActvitiesSponsored PA (Fun Wallk/RunLand Grant Agriculture and Nutrition Programs

  • What Already In-placed and Needing ReviewChuuk NCD Strategic Plan - 2011-2015Pohnpei NCD Strategic Plan 2011-2014FSM National NCD Strategy 2011-2015 Need Review by 12/2011 - YapSalt Reduction Program (New)

    Kosrae and Yap need to develop their NCD Strategic Plan

  • Objectives for the Next Two-YearReview Draft 2011-2015 FSM NCD Strategy National Declaration of PIHOA NCD State of EmergencyEndorsement of FSM National Nutrition and Physical Activity Policy Endorsement of National Guidelines for food served during government hosted workshops, meetings, summit, etc.Review and amend existing NCD policiesFine Tuning the Salt Reduction Program (New Program)Improving Data Management (NCD Data)Hiring of a Pathologist

  • Practices and Successes Implementing NCD PolicyClean Indoor Law through collaboration between governments (national and state) and private sectors;

    Involvement of stakeholders in the process

  • Lessons Learned - ChallengesPolitical Commitment and Support (Funding)Conflict of Interest (Policy Makers are business owners)Identifying Champions (devising policies/legislations)Gathering evidenced-based data supporting legislations

  • Supports Needed for NCD Policy, FSMTechnical AssistancePolicy Review/DevelopmentHIS SWAT Analysis (Linking of various data registries for an Integrated HIS)HRH Drafting of HRH Plan - PlanningQA/QITraining (on-site) for:community change agentsICS SystemFunding Opportunities (for Sustainability)

  • Thank You