DEPARTMENT OF HEALTH PROMOTION ENVIRONMENT AND SOCIAL DETERMINANTS

DEPARTMENT OF HEALTH PROMOTION, ENVIRONMENT AND SOCIAL DETERMINANTS TRANSFORMATION AGENDA

Outline of the presentation • Background • Introduction • Mo. H Transformation Agenda • Health Promotion • Challenges • Conclusion

Introduction Ministry of health Vision: A nation of healthy and productive population Goal: Improve the health status Of the people to contribute to socio. Economic development MISSION Equity of access to cost effective quality Health services as close to the family as possible Focus: Improve service delivery Promote UHC using PHC Approach

Mo. H Transformation Agenda Shift entry from health facilities to households /communities Community engagement through robust sensitization programmes Promote good health and prevent disease Media Empower citizens with information to enable them make healthy choices Coordinate and facilitate participation of sectors outside health Engage and implement Health in All Policy

Key Areas under the transformation Agenda NHSP 2017 -2021 Legacy Goals: • Reduce Maternal Mortality Rate (MMR) to less than 100 from 398 per 100 000 live births and under-five child mortality from 75 to less than 35 per 1000 live births • Eliminate Malaria by 2021 • Recruitment of 30, 000 health care workers • Introduction of Health Care/ Insurance to increase coverage from 3. 9% to 100% • Introduction of Alcohol and Drug Abuse Policy and Program • Achieve HIV Epidemic Control and Reduce HIV new Infection from 48, 000 to less than 5, 000 • Construction of 6 new specialized hospitals and 500 health facilities in the next 5 years • Train 500 Specialists by 2021 • Halt and reduce Non- Communicable Diseases. • Reduce TB incidents “Towards Elimination”

Creation of DHPESD • National level • Permanent Secretary – Health Services • Department of Health Promotion, Environment and Social Determinants • Health Promotion • Environmental Health • Social Determinants • Non-Communicable Diseases • Communication and External Relations

Health Promotion Structure • National Level • Assistant Director – HP • Chief HPOs • SHPOs • Province • Provincial Health Director • Health Promotion (Senior Health Promotion Officer) – these are appointed • District Health Director • Health Promotion – (appointed in some District)

Cont…. • Health Facility • Facility in-Charge • Environmental Health Officer • Community Health Assistants (CHAs) • Community • CHAs • Neighbourhood Health Committees • • • Community Health Workers (CHWs) Safe Motherhood Action Groups (SMAGs) Growth Monitoring Promotors (GMP) TB Treatment Supporters Adherence Counsellors Champions for Community Led-Total Sanitation (CLTS), etc

Mandate of HP Responsibility: • To coordinate health promotion, prevention and control of diseases for improved health outcomes at all levels • Specific functions: Develop and implement strategies for: • positive behavioral change • engaging policy makers • Collaborate with various stakeholders on the implementation of health promotion interventions • Facilitate and coordinate the development and implementation of policies and guidelines on HP

Achievements • Establishment of the DHPESD • Development of Policies and guidelines on HP • Initiation of the Healthy City Concept by sub-dividing Lusaka into Zones • Development, dissemination and distribution of SBCC materials • Conducting annual National Health Weeks • Supported successful commemoration national and international health days • Collaboration through TWGs for HP • Capacity building

Events Coordination • HP coordinates all health events – (some of the days) SN Event Dates 1 World TB Day 24 th March 2 World malaria day 25 th April 3 National Health week May annually 4 HTC Week August 5 Child Health Week Biannual – June and November 6 Africa Public Service Week June 7 World AIDS Day 1 st December

Strategies for resolving issues impacting on programme implementation • Advocacy • Community engagement (done through Religious leaders, Traditional leaders and Civic leaders) • Media engagement • Engagement of role-models • Policy

School Health Services • MOU with Ministry of General Education • Collaboration between MOH and MOGE at different levels (National, Provincial, District and at School level) • Roles of MOH • Provide technical experts – immunizations, WASHE, Reproductive Health, Nutrition, Physical examinations, • Roles of MOGE • • Provide hygienic conditions Teacher participate in MDA – deworming Guidance and counselling Mobilisation for school health

Innovations during Campaigns • Scheduled campaigns • • Stakeholder engagement and resource mobilisations Formation of sub-committees with TORs Sub-committees plan for activities Implement, monitor and evaluate • Unscheduled campaigns • • Emergency situations – initiate response Do a situation analysis Plan for response – as in scheduled campaigns Information dissemination using multi-media approach – Call Centre, Radio, TV, etc

Public Private Partnerships • Use business entities for resource mobilization (both emergency and nonemergency situation) • Engage private and public media organization for productions and dissemination – Loyola production, ZNBC (National TV & Radio), Community radios and TVs, etc • Private sector conduct Health Promotion (Mines, ZICTA, etc)

Conclusion The creation of the HPESD directorate provides an opportunity to strengthen: • Policy for service delivery at community level; • Governance structures; • Neighbourhood Health Committees and Health Centre Committees to have a clearly defined legal/regulatory framework and operational guidelines. This will enhance the health prevention, promotion and prolonging life when disease prevention goal is achieved.

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