March 6, 2017
Problem: Health services are inadequate for people in rural areas. 80% of the population lives in rural areas and islands with weak health infrastructure; 73 out of 86 doctors are based at the National Referral Hospital; public perceptions of service quality results in large numbers of people travelling long distances to the national hospital for primary health services. This skews optimum allocation of the hospital’s resources including staff time.
Solution: To achieve effective coverage of services, Role Delineation Policy (RDP) was developed following extensive consultation. The RDP defines service delivery packages for six levels of health facilities: rural health centres, area and urban health centres, general hospitals and the national referral hospital; successful advocacy led to inclusion of Universal Health Coverage in the National Development Plan, and to Role Delineation being the central unifying feature of the National Health Strategic Plan, 2016-2020, based on initial implementation experiences, the RDP ...