THSSP1 is therefore an important source of lessons learned for THSSP2. These lessons are summarised in Table 1a, along with a description of how the lessons have been incorporated into the design of THSSP2. Table 1a Lessons Learned from THSSP1 and incorporated into the design of THSSP2 THSSP1: issues Implications from which for design of lessons were THSSP2 learnt (as identified in Independent Progress Report) There were There is now a problems with signed the health Memorandum promotion of work, largely Understanding because of lack which clearly of clarity about describes the organisational respective roles and roles of the responsibilities. Ministry of Health and TongaHealth. (Annex 5) The Flexible All spending Fund was used will be in an ad hoc allocated way, largely to against support the Annual main hospital. Management Spending was Plans (AMPs). not based on Priority will be work-plans and to outputs. spending on NCD prevention and treatment at the primary care level, as well as on health systems strengthening. Spending priorities will be an
THSSP1 is therefore an important source of lessons learned for THSSP2. These lessons are summarised in Table 1a, along with a description of how the lessons have been incorporated into the design of THSSP2. Table 1a Lessons Learned from THSSP1 and incorporated into the design of THSSP2 THSSP1: issues from which lessons were learnt (as identified in Independent Progress Report) Implications for design of THSSP2 There were problems with the health promotion work, largely because of lack of clarity about organisational roles and responsibilities. There is now a signed Memorandum of Understanding which clearly describes the respective roles of the Ministry of Health and TongaHealth. (Annex 5) The Flexible Fund was used in an ad hoc way, largely to support the main hospital. Spending was not based on work-plans and outputs. All spending will be allocated against Annual Management Plans (AMPs). Priority will be to spending on NCD prevention and treatment at the primary care level, as well as on health systems strengthening. Spending priorities will be an