Summary Equitable Allocation of Health Resources
18
initiative. They will be able to produce more accurate data for workforce projections on an ongoing basis given various development scenarios.
The unit within the MoH which is leading this is responsible for providing the Ministry of National Planning and Development and the Ministry of Finance with data on human resource needs for
national budget allocations in the health sector. The same program is delivering an Executive Development Program EDP which aims to build capacity for senior managers to undertake strategic
management of human resources. To date 40 people across the human resource department have taken part in the EDP program and another 40 are being trained in the workforce planning techniques
and tools. Both are in the early stages of implementation so outcomes cannot be reported at this stage.
The Health Policy Unit HPU was established in this reporting period led by a senior official who is the former head of the MoH Department for Research and Development. The intention is to provide
senior advisers to the MoH with up to date information for emerging high priority policy issues which require an immediate response. AIPHSS senior management identified the HPU as a key mechanism
to channel evidence and data produced from AIPHSS activities to assist policy formulation, and to lead on the policy dialogue series. The first policy dialogue was conducted in May 2015 on
pharmaceutical policy in the era of JKN using data analysis and experts involved in the HSR to discuss the problem of the high cost of drugs,
14
and the impact on the JKN budget. It recommended seeking cross-sectoral partnership approaches involving the private sector. This recommendation will
be followed through independently by the MoH partners.
Intermediate Outcome: Providing appropriate, relevant and accurate information
The revision of primary health care data is an ongoing activity which will be completed in the next reporting period. Currently Puskesmas are burdened with extensive data collection requirements
making the information system dysfunctional, fragmented and poorly used for planning. The objective is to revise and reduce the amount of data and indicators that a Puskesmas is required to report on. It
is expected that an improved dataset will contribute to better information at the Puskesmas level.
Technical reviews conducted by the PTS on the revised SP2TP Puskesmas Integrated Recording and Reporting and SIKDA-NTT District Health Information System in NTT have revealed some
weaknesses in the recommendations being made by the technical team as well a lack of appropriate assessment and coordination with the district level partners. In particular the revised SP2TP needs to
be synchronized and combined with SIKDA NTT implemented by the AIPMNH program. The PTS has consulted Pusdatin Data Centre of MoH and NTT DHO and it is proposed to hold a specific meeting
in NTT in September 2015 to discuss the integration.
Strengthening the surveillance system for maternal mortality is another on-going activity. The intention is to develop a more integrated system for maternal mortality which engages relevant sectors at
province-district and sub district level. The model is being trialled in AIPHSS districts and when finalised will be used to develop a national model. Data collection is now ongoing at the sub-district,
district and provincial levels.
The training of District Health Accounts teams in the AIPHSS districts has been completed and data is now being produced to advocate for the reallocation of health resources for primary care, public
health and community outreach. DHA has been advocated extensively to local stakeholders, including local government officials and politicians. At this stage two local governments have promised to
allocate additional health funding. From previous experience Prof. Ascobat Gani budget increases of only 10-15 can be expected. This is due to political and government pressures to use funds for the
procurement of large capital equipment or structures.