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MoHSS in PPP to improve health delivery

Mon, 8 September 2014 05:00
by Charmaine Ngatjiheue

The Ministry of Health and Social Services has proposed a Public Private Partnership Framework (PPP) in a bid to cut down on HIV/Aids, Tuberculosis (TB) and Malaria and improve the generality of service delivery.
According to the PPP draft which is now being circulated by the ministry he engagement will go a long way ensuring coordination between the state and private health practitioners.
“Other programmes considered for support include adolescent friendly health services, Integrated Management of Childhood illnesses, broader health system support and interventions on TB, Malaria and HIV/AI DS,” noted the PPP in part.
The ministerial partnership with private businesses is also seen as an integral part in leveraging of national resources for a maintainable response in Namibia.
 “The use of the PPP is a strategic move for the achievement of the global health objective to have it widely accepted.  Namibia has a well-developed private sector which could be harnessed by Government to complement the state medical services in terms of facilities, skills, technology and finance. This would help Government fulfil its constitutional obligation of providing universal access to health care services to all, especially the poor and vulnerable members of the society,” noted the PPP in part.
Referral hospitals (Public Sector)
According to the proposal Referral hospitals are classified into 3 categories which are categorised as Class A, B1 and B2. The Windhoek Central Hospital falls under Class A which offers advanced and highly urbane services such as midwifery care and specialised nursing, promotive, preventative and rehabilitative and social care.
 Rundu, Katutura and Oshakati hospitals are the Class B1 and they offer essential and advanced special services which include a wide range of sub-specialisations such as nursing and midwifery care, promotive, preventative and rehabilitative and social care.
The Onandjokwe hospital falls under the Class B2 and their services were essential specialist services which are constrained to mainly general nursing and midwifery care, promotive, preventative and rehabilitative and social care.
Oshakati hospital is an intermediate hospital which is expected to offer specialised services in computerizes tomography (CT) that boosts diagnostics capability for head injuries and intracranial pathology among others.
“Due to a lack of appropriate infrastructure, patients from this hospital were in the past referred to Windhoek Central Hospital. With the establishment of the Ongwediva Medi Park, these services are now obtainable at this hospital because it has the appropriate infrastructure and human resources,” noted the report in part.
This in turn led to Medi Park signing an agreement with the MoHSS for it to provide the region with such services, leading to a reduction of referral cases to Windhoek, increasing efficiency on patient diagnosis and treatment.
“The Windhoek Central hospital as a Class I hospital also provides other highly sophicasted medical services such as medical imaging (MRI), dialysis, neurology surgery, Endoscopic Retrograde Choloangiopancreaogram (ERCP) and cardiac services,” added the report in part.
Challenges (Public Sector)
The Katutura Hospital as a Class B1 hospital has a Tuberculosis (TB) ward that serves the Khomas district, the region and the whole country, with special care provided for TB patients who are difficult to treat. This infectious disease requires strict infection control and hygiene measures and sadly, about 50% of bed occupants at the Class B1 hospital, TB unit are multi-drug TB resistant patients or extreme-drug resistant TB cases.
The public health sector sought some services from the private sector within the country because of the unavailability of equipment, lack of maintenance in certain cases and the absence of a cardiothoracic doctor.
However there are still obstacles in paediatric cardiology and many young patients are still being referred to Cape Town, South Africa for treatment.
Since there is no formal agreement existing between the MoHSS and the private sector for these services, the MoHSS is charged for all the procedures including all medical supplies used on the patients.
The Ministry also targets dealing with the lack of adequate staffing structure for the dynamic health service provision.
The ministry of health also need skills in areas like e-health, data-base management, patient record management, data analysis, research, hospital and human resource management, logistics, finance and medical technology.