Health reallocate scarce substantially level of funding management data and revenues and financial and increase the going to primary effort to understanding of society health personnel and and secondary reallocate relative costs and outcomes resources to efficiency of preventions over financial and benefits of improved over the effective primary existing resources. the short to human resources existing longer term. and secondary medium term. to primary and allocations. prevention Indicators of secondary Resistance from strategies. improved prevention over vested detection and the short to institutional secondary medium term. interests and prevention of high Reduced stakeholders. risk groups over treatment costs Development the longer term. for complicated partners more NCDs over the willing to provide longer term. financing if they are convinced existing resources are well managed and allocated strategically. Scale up PEN to PEN is an Initially, the Additional scaling- Feasible but Positive for the national coverage evidence - based, coverage levels up cost will vary requires long term Government as by January 2015, cost-effective, (and cost) or according to commitment to communities see and monitor costs approach to scaling up PEN country and improve training, the PEN goods and equity of reducing NCDs nationwide. Over overall package supply chains, and services access. including at the medium to longer involved (eg Cook supervision, scaled up primary health term, indicators of Islands costs maintenance of nationally. care level. reduced NCD ranged from $NZ equipment, Perhaps some
Health reallocate scarce financial and personnel resources to effective primary and secondary prevention strategies. Scale up PEN to national coverage by January 2015, and monitor costs and equity of access. substantially increase the and efficiency of existing resources. PEN is an evidence - based, cost-effective, approach to reducing NCDs including at the primary health care level. level of funding going to primary and secondary preventions over the short to medium term. Indicators of improved detection and secondary prevention of high risk groups over the longer term. Initially, the coverage levels (and cost) or scaling up PEN nationwide. Over medium to longer term, indicators of reduced NCD management effort to reallocate financial and human resources to primary and secondary prevention over the short to medium term. Reduced treatment costs for complicated NCDs over the longer term. Additional scaling- up cost will vary according to country and overall package involved (eg Cook Islands costs ranged from $NZ data and understanding of relative costs and benefits of existing allocations. Resistance from vested institutional interests and stakeholders. Development partners more willing to provide financing if they are convinced existing resources are well managed and allocated strategically. Feasible but requires long term commitment to improve training, supply chains, supervision, maintenance of equipment, revenues and society health outcomes improved over the longer term. Positive for the Government as communities see the PEN goods and services scaled up nationally. Perhaps some