The development of the EHP in the context of limited Limited implementation and enforcement of policies, guidelines, resources. standards and protocols; and The development of draft health bill. delayed revision of PIM. The availability of the National Health Policy, other health Shortage of human resource and inequitable distribution. policies and standards and guidelines for delivery of the Increasing number of donor funded projects. EHP. Non-alignment with some donors which results into inequitable Existence of mechanisms for conducting formal health sector distribution of resources and inappropriate management and reviews and monitoring of the performance of the health utilization of resources i.e., human, financial and logistic sector. Procurement systems require further strengthening Increasing alignment of partners within the sector. Inadequate health service coverage and utilization. Functioning governance structures within the health sector. Financial management and accountability system requires continual Strong partnerships with HDPs and other stakeholders strengthening. including the community. Weak referral system and overreliance on central hospitals for EHP Alignment of HSSP targets with the MGDS and MDGs. delivery. Decentralization of the health system to District assemblies Poor coordination of public-private activities in the health sector. (partially). Non-adherence to capital investment plan at district level Establishment of CMS trust. Poor performance of contractors in infrastructure Availability of standards for the different levels of health Lack of utilities in some facilities. facilities. Poor transport management system Commitment to increasing Human resources. Lack of adequate attention to social determinants of health. Strong commitment to mobilization of financial resources. Weak monitoring and evaluation system and lack of utilization of data for decision making. Slow implementation of decentralization. OPPORTUNITIES THREATS
The development of the EHP in the context of limited resources. The development of draft health bill. The availability of the National Health Policy, other health policies and standards and guidelines for delivery of the EHP. Existence of mechanisms for conducting formal health sector reviews and monitoring of the performance of the health sector. Increasing alignment of partners within the sector. Functioning governance structures within the health sector. Strong partnerships with HDPs and other stakeholders including the community. Alignment of HSSP targets with the MGDS and MDGs. Decentralization of the health system to District assemblies (partially). Establishment of CMS trust. Availability of standards for the different levels of health facilities. Commitment to increasing Human resources. Strong commitment to mobilization of financial resources. Limited implementation and enforcement of policies, guidelines, standards and protocols; and delayed revision of PIM. Shortage of human resource and inequitable distribution. Increasing number of donor funded projects. Non-alignment with some donors which results into inequitable distribution of resources and inappropriate management and utilization of resources i.e., human, financial and logistic Procurement systems require further strengthening Inadequate health service coverage and utilization. Financial management and accountability system requires continual strengthening. Weak referral system and overreliance on central hospitals for EHP delivery. Poor coordination of public-private activities in the health sector. Non-adherence to capital investment plan at district level Poor performance of contractors in infrastructure Lack of utilities in some facilities. Poor transport management system Lack of adequate attention to social determinants of health. Weak monitoring and evaluation system and lack of utilization of data for decision making. Slow implementation of decentralization. OPPORTUNITIES THREATS
6.-Health-Sector-Strategic-Plan-2011-to-2016-by-GoM-2011.docx