Health System Strengthening Seminar Monitoring Health Systems Change/Health Reforms English Speaking Caribbean Countries and Canada May 30 – June 1, 2006

Health System Strengthening Seminar

Monitoring Health Systems Change/Health Reforms

English Speaking Caribbean Countries and Canada

May 30 – June 1, 2006

Princess Hotel

Belize City, Belize C.A

Dr. Paul Edwards

National Epidemiologist

Ministry of Health, Belize

BACKGROUND• Belize produced its first edition of the Health System and Service Profile in May 2001• The second edition was produced in January 2002

• In 2005, Belize participated in the Health

System Profile and Analysis Workshop held in

Puerto Rico

BACKGROUND

• A module for a new format of the Health System Profile was shared with all countries to be adopted as to ensure standardization and to compare health status amongst Regions

• In that same year, a draft English version of the module was obtained since the workshop in Puerto Rico was in Spanish

• Since receiving the English version, Ministry of Health, Belize, initiated populating the statistical tables

• This process is a joint effort between the Epidemiology Unit and the Planning Unit of the Ministry of Health

Challenges

• Lack of Human Resources

• Data gaps

• Lack of a National Health System Profile Committee to oversee the commitment from the pertinent organizations as being active in the developmental process

• Weaknesses in the National Health Information system

Measure Taken Since

• Development of a new Health Information System which will support the development of the Health

Profile 2006

• Establishment of a core team from the Ministry of Health and PAHO to oversee the development of the Health Profile

• Several meetings are held between Ministry of Health and PAHO/Belize Representative, reviewing the process needed to be taken as to ensure the completion of the Health Profile 2006

Recommendations• Strengthening of the Statistics component

of the Epidemiology Unit, MOH • Establish a Committee to oversee the

smooth transition in developing present and future Health Profiles

• Identify and address data gaps

• Continuing leading role of PAHO/WHO for the development of the document

Total Population Belize: 2001-2005

115000120000125000130000135000140000145000150000

Mal

e

Fem

ale

Mal

e

Fem

ale

Mal

e

Fem

ale

Mal

e

Fem

ale

Mal

e

Fem

ale

2001 2002 2003 2004 2005

Total Population (Miles)

Source: The Epidemiology Unit, Ministry of Health

Population Pyramid - Belize 2005

0246810121416

Male

0 2 4 6 8 10 12 14 16

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Female

Source: Central Statistical Office, Belmopan

Poor Population Belize: 1995 & 2002

23.7

44.2

33.9

33.2

20.6

42.5

32.8

33.1

0 10 20 30 40 50

Urban

Rural

Male

Female

1995

2002


Doctors and Nurses Ratio per 10,000 population Belize 2000-2005

9.8 9.27.7 7.8 8.5

16.2 16.417.5

15.915.1

02

46

81012

1416

1820

2001 2002 2003 2004 2005

Rat

io

Ratio of Doctors per 10,000 persons Ratio of Professional Nurses per 10,000 persons

Ratio MOH Budget as a % to GOB Budget and GDP Belize 2000-2004

9.6

8.48.68.4

9.1

2.52.42.52.43.0

0

2

4

6

8

10

12

2001 2002 2003 2004 2005

Perc

ent

MOH/GOB% GDP%


Health Expenditure Per Capita Belize 2000-2004

157142

135128

186

282937

31 35

185171

171159

221

0

50

100

150

200

250

2001 2002 2003 2004 2005

BZ $

(Tho

usan

d)

Recurrent Development Total


Leading Causes of Morbidity by Rank Belize 2001-2005

Causes 2001 2002 2003 2004 2005

Complications of Pregnancy, Childbirth and the Puerperium

1 1 1 1 1

Injury, Poisoning and Certain Other Consequences of External Causes

2 2 2 2 3

Acute Respiratory Infections 3 3 3 3 2 Diseases of Other Parts of the Digestive System 4 4 4 4 4 Intestinal Infectious Diseases 5 5 5 6 8 Appendicitis, Hernia of Abdominal Cavity and Intestinal Obstruction

6 6 6 5 5

Bronchitis, Chronic and Unspecified, Emphysema and Asthma

9 9 7 9 6

Diseases of the Urinary System 7 7 8 7 9 Diabetes Mellitus 8 8 9 8 7 Diseases of Pulmonary Circulation and other form of Heart Diseases

10 * 10 10 *

Hypertensive Diseases * 10 * * 10 Source: The Epidemiology Unit, MOH * Means that it did not appeared as one of the top ten causes for the year.

Total Malaria Cases Belize: 1990-2005

1936

4014

6605

9413

10411

8671

3052

3036

5190

1853

14861092

1113

1319

1066

1549

0

2000

4000

6000

8000

10000

12000

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Total


Cholera Cases Belize: 1992-2005

159135

6 18 262

2912 0 0 0 0 0 0

0

50

100

150

200

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Cases

Cholera


Dengue Cases by Sex Belize 2001-2005

0

200

400

600

800 2001 2002 2003 r 2004 2005

2001 2 2 0 4

2002 16 25 0 41

2003 r 8 10 0 18

2004 17 24 0 41

2005 306 345 1 652

Male Female Dk/Ns TOTAL


Reported HIV/AIDS Cases Belize: 19986-2005

130

63

109109

72

46

90

3730

3828

1824131011

1374

434

457

447431

330

226

241

184

999372

608175

4434

2119131

0

50

100

150

200

250

300

350

400

450

500

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

AIDS

HIV+


Fertility Rate Belize: 2000-2005

3.5 3.5

3.4

3.6

3.2

3

3.1

3.2

3.3

3.4

3.5

3.6

3.7

2001 2002 2003 2004 2005

Rate Fertility Rate


Leading Causes of Mortality by Rank Belize 2001-2005

Causes 2001 2002 2003 2004 2005

Hypertensive Diseases 3 1 1 1 1 Acute Respiratory Infections 5 4 2 4 6 Diseases of Pulmonary Circulation and Other Forms of Heart Diseases 2 6 3 5 9 HIV/AIDS * 7 4 3 5 Transport Accidents 1 2 5 6 4 Diabetes Mellitus 4 5 6 2 2 Ischaemic Heart Diseases 6 3 7 7 3 Homicide & Injury Purposefully Inflicted on Other Persons 8 8 8 10 10 Cerebrovascular Disease 7 9 9 8 7 Other Chronic Pulmonary Disease, Diseases Due to External Agents and Residual 9 10 10 9 * Injury Undetermined Whether Accidental or Purposely Inflicted * * * * 8 Accidental Drowning and Submersion 10 * * * * Source: The Epidemiology Unit, MOH * Means that it did not appeared as one of the top ten causes for the year.

Infant Mortality Rate ( per 1,000 Live Births) Belize: 2001-2005

16.6

19.2

14.8 14.7

18.4

0.0

5.0

10.0

15.0

20.0

25.0

2001 2002 2003 2004 2005

Rate

per 1

,000 l

iveb

irths

Infant Mortality Rate ( per 1,000 live births)


Crude Death Rate(per 1,000 population) Belize: 2001-2005

4.94.8

4.74.6

4.7

4.4

4.5

4.6

4.7

4.8

4.9

5

2001 2002 2003 2004 2005

Rate

Crude Death Rate


THANK YOU

Documents

Health System Strengthening Seminar Monitoring Health Systems Change/Health Reforms English Speaking Caribbean Countries and Canada May 30 – June 1, 2006