Biennial Collaborative Agreement

Transcription

1 Biennial Collaborative Agreement between the Ministry of Health of Kazakhstan and the Regional Office for Europe of the World Health Organization 2010/2011 Signed by: For the Ministry of Health Signature Zhaksylyk Doskaliyev, M.D. Name Date Minister of Health of Kazakhstan Title For the WHO Regional Office for Europe Signature Marc Danzon, M.D. Name Date Regional Director Title

2 CONTENTS Introduction 2 Terms of Collaboration 3 PART 1. Medium-term priorities for collaboration for PART 2. Biennial Collaborative Agreement for Priorities and Country Expected Results 6 2. Budget 7 3. Commitments of WHO and of the Ministry of Health of Kazakhstan 7 1. Commitments of WHO 7 2. Commitments of the Ministry of Health of Kazakhstan 7 PART 3. Summary of expected results and products by priority areas 8 Priority 1: Strengthening core functions of Health System 8 Priority 2: Strengthening of mother and child and reproductive health 9 Priority 3: Strengthening surveillance and control of communicable diseases, management of HIV/AIDS and Tuberculosis and malaria 10 Priority 4: Strengthening prevention and management of non-communicable diseases 12 Priority 5: Climate change, emergencies and environmental hazards 123 Management and coordination of BCA implementation 14 LIST OF ABBREVIATIONS 15 1

3 Introduction This document constitutes the Biennial Collaborative Agreement (BCA) between the World Health Organization Regional Office for Europe and the Ministry of Health of Kazakhstan for the biennium This BCA is part of a provisional Medium-term framework for collaboration between the WHO Regional Office for Europe and the Ministry of Health of Kazakhstan for the six-year period , which corresponds to the period covered by the WHO Medium term strategic plan (MTSP ). Achieving the objectives of the current BCA is the responsibility of both the WHO Secretariat and the Ministry of Health of Kazakhstan. This framework for collaboration has been elaborated through successive steps of negotiation involving the national health authorities and WHO. The medium term priorities for collaboration , as agreed by the national health authorities and WHO and specified in Part 1 of the BCA, were taken as the starting point for the process leading to the present document. The WHO Secretariat then formulated priorities for collaboration for with the national health authorities that also take into account the Organization s global priorities and policy directions, a strategic assessment of the country s needs and contributions in the country by other partners, as well as WHO s own capacities. The document is structured as follows: 1. The first part sets out the medium-term priorities and objectives for collaboration for the six-year period , to be achieved through the joint efforts of the Ministry of Health of Kazakhstan and WHO. 2. The second part focuses on the biennium For each biennial priority, the WHO Secretariat has defined one or more country expected results (CER) to be achieved during At the end of this section, there is a statement of the total estimated budget for the BCA. 3. The third part of the BCA is in the form of a table. Under each Priority the table shows the associated country expected results, and next to each of these is the list of products (one or more) associated with the CER that will be delivered through the collaboration of the WHO Regional Office for Europe. Finally, reflecting the paper presented at the fiftyfifth session of the WHO regional Committee for Europe (document EUR/RC55/9 Rev.1, Next phase of the WHO Regional Office for Europe s Country Strategy: Strengthening health systems ), each product is categorized according to one or more health system functions, i.e.: Health policy and other stewardship and governance elements (ST) Heath system financing function (FN) Health system resource generation function (RG) Health services delivery function (SD) 2

4 Terms of Collaboration The Medium-term priorities (part 1) provide a provisional framework for collaboration for The medium-term exercise is a rolling process, and the medium-term priorities may be revised every two years by mutual agreement, where prevailing circumstances indicate a need for change. The Biennial Collaborative Agreement for , presented in part 2 and detailed in part 3, may be amended by mutual agreement in writing between the WHO Regional Office for Europe and the country as a result of, for instance, changes in the country s health situation, changes in the country capacity to implement the agreed activities, specific needs emerging during the biennium, or changes in the Regional Office s capacity to implement the agreed activities, or in the light of change of funding. Either party may initiate amendments. After the Biennial Collaborative Agreement is signed, a detailed country programme workplan will be developed for the biennium. For each expected result, the workplan will specify the necessary details about activities, budgets, indicators of each CER (with baseline and target values), the WHO officer responsible, the country counterpart (where relevant), milestones and the implementation schedule. Implementation will start at the beginning of the biennium Overall coordination and management of the country programme is the responsibility of the Head of the WHO Country Office. WHO budget allocation for a biennium indicates estimated resources that will be used for achieving CERs predominantly at country level, coming from both the WHO assessed contributions and from any other source. The value of WHO staff input to the BCAs is not reflected in these estimates, and hence the figures greatly understate the real value of the support to be provided. The funds included in this BCA are the Organization s funds allocated for the Regional Office s cooperation with the country. Implementation of the country programme workplan is the only way to mobilize these funds. It should also be noted that this Biennial Collaborative Agreement is open to further development and contributions from other sources, to supplement existing shared objectives or to introduce activities that have not been included at this stage owing to a lack of funding. In particular, the WHO Regional Office for Europe will facilitate coordination with WHO headquarters, in order to maximize the effectiveness of country interventions in the spirit of the One WHO principle. 3

5 PART 1. Medium-term priorities for collaboration for The following priorities for collaboration have been selected in response to current public health concerns and ongoing national efforts to improve the performance of the health system. Setting medium-term priorities for will facilitate the strategic orientation of collaboration. 1. Strengthening the health system Enhanced national capacity in health strategic analysis, planning, organisation and resources management Improved organisation and management of health services with emphasis on PHC, community-based preventive medicine and health promotion service. Developed national health financing policy that promotes a universal coverage Strengthened patient safety through improved health care practices, with special emphasize on injection blood safety and healthcare waste management Food safety systems including legislations and surveillance improved 2. Improving Mother and Child Health Comprehensive policies, plans and strategies, developed for scaling up towards universal access to effective interventions providing a continuum of care throughout the life course, integrating service delivery across different levels of the health system. Capacity built for strengthening and scaling up services for effective maternal, perinatal, neonatal and child care through continuum of care and primary health care approach, particularly for disadvantaged populations Capacity building for implementation of programmes for adolescent health including youth friendly services Reproductive health services strengthened Monitoring of nutritional status of women and children strengthened 2. Strengthening surveillance, and control of communicable diseases including HIV/AIDS, TB, malaria and vaccine preventable diseases Strengthening surveillance, control and elimination of communicable diseases including HIV/AIDS, TB, malaria and vaccine preventable diseases Guidelines, including the provision of information on norms and standards on quality and safety of vaccines, in order to render the functions of licensing and post-marketing surveillance functional Developed, endorsed and implemented appropriate national immunization strategies towards measles and rubella elimination and congenital rubella infection prevention ntegrated with essential child health interventions Minimum core capacities required by the International Health Regulations for strengthening of alert and response systems to enable timely detection, verification, risk assessment and response to epidemics and other public health events of international concern, including laboratory and infection control achieved. 4

6 Strengthened national capacity to detect, assess, respond and cope with major epidemic and pandemic-prone diseases (e.g. influenza, meningitis, hemorrhagic fevers, plague and smallpox) using effective tools, intervention and preparedness planning. Prevention of HIV/AIDS and malaria and treatment of Tuberculosis 3. Prevent and reduce disease, disability and premature death from chronic noncommunicable conditions, mental disorders, violence and injuries. National policies, strategies and regulations for chronic noncommunicable conditions, mental and behavioral disorders, violence and injuries and disabilities further developed and implemented. National health and social system strengthen in order to prevent and manage chronic noncommunicable conditions, mental and behavioral disorders, violence and injuries and disabilities 5

7 PART 2. Biennial Collaborative Agreement for a. Priorities and Country Expected Results PRIORITY 1: Strengthening core functions of the Health System a. Strengthened performance of the health system financing in terms of financial risk protection, equity, access to services and efficiency of resources; b. Strengthened capacity of the primary level of care to deliver quality services based on gaps identified; c. Improved capacity to develop and implement national policies on access, quality and use of essential medical products and technologies. PRIORITY 2: Strengthening of mother and child and reproductive health a. National strategy to improve access, equity, quality and use of reproductive, maternal, newborn, child and adolescent health services developed and launched. PRIORITY 3: Strengthening surveillance and control of communicable diseases, management of HIV/AIDS and Tuberculosis and malaria a. Strengthened core capacity to implement International Health Regulations and cope with major epidemic and pandemic-prone diseases, including equitable access to vaccines of assured quality, new immunization products and technologies; b. Strengthened capacity to address the main obstacles to deliver expanded prevention, treatment and care interventions for HIV/AIDS, tuberculosis and malaria. PRIORITY 4: Strengthening prevention and management of non-communicable diseases a. The national strategy in respect to chronic non-communicable conditions developed and launched; b. Improved capacity to implement evidence-based and ethical polices and strategies related to increased disease burden of alcohol, illicit drugs and tobacco use. PRIORITY 5: Climate change, emergencies and environmental hazards a. Strengthened professional capacity in assessing environmental risks, burden of disease and in providing evidence based guidance; b. Strengthened health systems capacity to prepare for climate related public health problems; c. A national health sector disaster preparedness and response programme established and operational. 6

8 d. Budget 3. Commitments of WHO and of the Ministry of Health in Kazakhstan 1. Commitments of WHO WHO agrees to provide, subject to the availability of funds and its rules and regulations, the above programme activities and inputs. Separate agreements will be concluded for any local cost subsidy or direct financial cooperation inputs at the time of execution. 2. Commitments of the Ministry of Health of Kazakhstan The Ministry of Health of Kazakhstan shall provide all personnel, materials, supplies, equipment and local expenses necessary for the technical cooperation. The Ministry of Health of Kazakhstan is encouraged to supplement funding for the above activities through fundraising. 7

9 PART 3. Summary of expected results and products by priority areas Priority 1: Strengthening core functions of the Health System Country Expected Results 1.1. Strengthened performance of the health system financing in terms of financial risk protection, equity, access to services and efficiency of resources Products Dissemination of analysis and recommendations for main directions of health financing reform in Kazakhstan Health System Functional Domain (stewardship ST, finance FN, resource generation RG, service delivery SD) ST FN RG SD 1.2. Strengthened capacity of the primary level of care to deliver quality services based on gaps identified Action plan for selected recommendations of the primary care evaluation report developed 1.3. Improved capacity to Training package developed to strengthen regulatory capacity of Drug Agency in area of medicines regulation develop and implement National Drug Formulary developed national policies on access, according to WHO recommendations quality and use of essential and used as basis for procurement of medical products and essential medicines technologies Development of national recommendations on patient blood management 8

10 Priority 2: Strengthening of mother and child and reproductive health Country Expected Results 2.1. National strategy to improve access, equity, quality and use of reproductive, maternal, newborn, child and adolescent health services developed and launched Products Report and package developed to improve primary healthcare and referral level capacity to provide quality maternal, child, adolescent and reproductive health services Health System Functional Domain (stewardship ST, finance FN, resource generation RG, service delivery SD) ST FN RG SD 9

11 Priority 3: Strengthening surveillance and control of communicable diseases, management of HIV/AIDS and Tuberculosis and malaria Country Expected Results 3.1. Strengthened core capacity to implement International Health Regulations and cope with major epidemic and pandemic-prone diseases, including equitable access to vaccines of assured quality, new immunization products and technologies Products Progress towards achievement of global commitments concerning vaccine preventable diseases such as measles rubella and other VPDs Strengthened immunization systems in order to maximize equitable access of all people to vaccines, including new immunization products and technologies Sustaining polio-free status Data management and reporting. Strengthened immunization systems in order to ensure access to assured quality of vaccines and their safe administration and disposal of waste Strengthening core capacity of the country for the International Health Regulations Health System Functional Domain (stewardship ST, finance FN, resource generation RG, service delivery SD) ST FN RG SD 10

12 3.2. Strengthened capacity to address the main obstacles to deliver expanded prevention, treatment and care interventions for HIV/AIDS, tuberculosis and mala HIV/AIDS evaluation report and recommendations on the priorities to be addressed Recommendations for improving the performance of the National TB programme and capacity building in critical performance areas Preventing the re-establishment of malaria transmission and maintaining malaria-free status 11

13 Priority 4: Strengthening prevention and management of non-communicable diseases Country Expected Results Products Recommendations for the development of a comprehensive national assessment report in the area of NCD Health System Functional Domain (stewardship ST, finance FN, resource generation RG, service delivery SD) ST FN RG SD 4.1. The national strategy in respect to chronic noncommunicable conditions developed and launched Recommendations for elaboration of the first draft of a national comprehensive non-communicable disease strategy in line with European NCD strategy Mitigating the burden of injuries from road traffic by strengthening health system capacity National Action Plan for Tobacco Control 4.2. Improved capacity to implement evidence-based and ethical polices and strategies related to increased disease burden of alcohol, illicit drugs and tobacco use Development of a National Alcohol Action Plan Technical assistance provided to evaluate implementation of the pilot Methadone substitution programme and evaluation report developed with recommendations 12

14 Priority 5: Climate change, emergencies and environmental hazards Country Expected Results Products Health System Functional Domain (stewardship ST, finance FN, resource generation RG, service delivery SD) ST FN RG SD Training workshops 5.1. Strengthened professional capacity in assessing environmental risks, burden of disease and in providing evidence based guidance 5.2. Strengthened health systems capacity to prepare for climate related public health problems Pilot project in selected regions Report recommending actions enabling systematic assessment and management of risks (e.g. improvement of EH monitoring) Health sector adaptation strategy KAZ Training package in health crisis management 5.3. A national health sector disaster preparedness and response programme established and operational KAZ Report with recommendations for health information management in health crisis 13

15 Management and coordination of BCA implementation Country Expected Results Products 1. Strengthened country programme coordination Assessment and recommendations on further strengthening of partnership and coordination with key stakeholders at country level, including UN common activities. WHO policies promoted at country level (including World Health Days) WHO country operations implemented as per workplan and adequate response provided to unforeseen country need 14

16 LIST OF ABBREVIATIONS General abbreviations BCA Biennial Collaborative Agreement CER Country Expected Result FN Health system financing function HQ World Health Organization headquarters MTSP WHO Medium Term Strategic Plan RG Health system resource generation function SD Health service delivery function ST Health policy and stewardship function WHO-EURO World Health Organization Regional Office for Europe Technical abbreviations MDG Millennium Development Goals MDR Multidrug resistance PHC Primary health care IHR(2005) International Health Regulations (2005) FCTC- WHO Framework Convention on Tobacco Control VPD Vaccine Preventable Diseases VBD Vector-Borne Diseases 15