Ministry of Health, WOMEN & SOCIAL WELFARE

Ministry of Health,WOMEN & SOCIAL WELFARE

2008

For the Financial Year Ending31 December 2008

Some Senior Staff of the Ministry of Health, Women & Social Welfare Jan - 2008

2008ANNUAL CORPORATE PLAN

TABLE OF CONTENTS PAGE

1. Statement by the Interim Minister for Health, Women and Social Welfare.........................................3

2. Statement by the Permanent Secretary for Health, Women and Social Welfare...............................4

3. Overview………………….........……...…………………………..................................................................6

4. Guiding Principles……………………………………………………............................................................7

5. Roles and Responsibilities of the Ministry………….....………………………….....................................9

6. Key aspects of Ministry’s management structure and reporting lines ...........................................12

7. Ministry’s Plans and Planning Process............………………………………........................................14

8. Agency Output Contribution to Government Outcomes………………………....................................19

9. Strategic Priority Areas………..................................……………..........................................................24

10. Strategies To Address Performance Targets And Strategic Priority Areas…................................26

11. Capital Assets And Investment Program………….…………..........................................................…37

Appendix 1: Output Performance Targets : Health………....……….......................................................38

Output Performance Targets : Women, Social Welfare & Poverty Monitoring….................................44

Appendix 2: Register of Fixed Assets Used to Produce Outputs………….......................................…52

Appendix 3: Summary of Strategies by Function…….…………………………….................................…55

Acknowledgement....................................................................................................................................61

MOH ANNUAL CORPORATE PLAN 2008 1

LIST OF TABLES PAGE

Table 1: List of Acronyms..........................................................................................................................5

Table 2 : Legislation for which this portfolio is responsible.................................................................10

Table 3 : Associated Boards and Committees........................................................................................10

Table 4 : Ministry’s Approved Output......................................................................................................11

Table 5: List of MoHWSW Outputs and Associated Health Outcomes..................................................16

Table 6: Linkage between National Policy Objectives, Health-related and Social Development Indicators with PPS Outputs..................................................................19

Table 7: Strategic Priority Areas..............................................................................................................24

Table 8: Strategies to Meet Performance Targets...................................................................................26

Table 9: Proposed Investment Program for 2008...................................................................................37

Table 10: Output Performance Targets...................................................................................................38

Table 11 : Register of Existing Fixed Asset Base...................................................................................52

Table 12: Summary of Strategies by Functional Grouping....................................................................55

LIST OF FIGURES PAGE

Figure 1: Ministry’s Reporting Structure – Flow Chart………………………………………......................…..12

Figure 2: Ministry of Health Divisional Structure…….…………………………………….......................……..13

Figure 3: Department of Women, Poverty & Social Welfare Organisational Structure….…........................13

Figure 4: Relationship between Ministry’s plans and related GoF plans, commitments and requirements...............................................................................................................................14

Figure 5: Linkages between National Policy Objectives and MoHWSW Strategic Plan’s Policy Objectives....................................................................................................................................15

2 MOH ANNUAL CORPORATE PLAN 2008

FOREWORD

I am pleased to present the Ministry’s Corporate Plan for 2008.

This Annual Plan has been formulated to reflect the Vision and Goals of the Govern-

ment that are highlighted in the Sustainable Economic and Empowerment Development

Strategies [SEEDS] 2008 – 2010 and the previous National Strategic Plans, including

the enforcement of relevant and mandatory legislations and policies of the Ministry of

Health, Women and Social Welfare.

The policy objectives and strategies reflected in the Corporate Plan 2008 denote the

priority areas that the Ministry will continue to implement in 2008 in order to deliver an efficient service that is

responsive to the needs of the people.

The implementation of these annual strategies is envisaged to lead to the achievement of the outcomes, as reflected

in the developed Strategic Plans developed by the two amalgamated Ministries prior to the merging. The Ministry of

Health Strategic Plan 2007-2011, which are:

• Reduced burden of Non-Communicable Diseases;

• Begun to reverse the spread of HIV/AIDS and preventing, controlling or eliminating other

communicable diseases;

• Improved family health and reduced maternal morbidity and mortality;

• Improved child health and reduced child morbidity and mortality;

• Improved adolescent health and reduced adolescent morbidity and mortality;

• Improved mental health and

• Improved environmental health through safe water and sanitation.

The Ministry for Women and Social Welfare [which includes Women, Social Welfare and the Poverty Monitoring Unit]

identified the following strategies under its 2006 – 2008 Strategic Plan:

• Protect families, especially women, children and youth at risk.

• Promote gender equality.

• Strengthen communities to improve quality of life.

• Improved programmes that target the eradication of poverty.

• Improve the monitoring, evaluation and procedures that target poverty alleviation programmes.

I encourage all citizens of our beloved Fiji to join hands in assisting the Ministry in building a healthier nation in order to

nurture a healthy and productive population, by engaging in regular physical activities, developing healthy eating habits

and to sum it all, living a healthy life style. A healthy and productive population is an engine to foster economic growth

to raise overall standards of living for all.

I look forward to support from all citizens for the implementation of this Corporate Plan to achieve the desired results.

...........................................................

Dr. Jiko Luveni

Interim Minister for Health, Women and Social Welfare

1. Statement by the Interim Minister for Health, Women and Social Welfare


The 2008 Corporate Plan is developed with the view of guiding the Ministry to imple-

ment planned strategies and policies to achieve the overall goal: the provision of an

affordable, equitable and responsive service to all.

This Annual Plan took into account the objectives of the Ministry of Health Strategic

Plan 2007-2011 that was developed in tandem with the National Strategic Development

Plan 2007-2011, the Public Service Act 1999 and the Financial Management Act 2004

and the Ministry of Women, Social Welfare & Poverty Alleviation Strategic Plan 2006-

2008.

The 2008 Corporate Plan forms the basis for the formulation of Business Plans of the 10 divisions within the Ministry

namely: Public Health, Corporate Services, Nursing & Health System Standards, Curative & Health Services Develop-

ment, Northern Health Services, Western Health Services and Central Eastern Health Services Divisions, Department

of Women, Department of Social Welfare and the Poverty Monitoring Unit. The Director of each division will be respon-

sible for implementing strategies highlighted in this document.

I wish to emphasise the need to remain focussed on the major diseases causing ill health and premature deaths in Fiji.

These diseases include both Non Communicable Diseases and Communicable diseases and the need to continuously

implement planned strategies to contain them.

Basic health service provision should be strengthened through further development and implementation of the Clinical

Services Plan, Protection of health requires review of some and development of new health legislations, promotion of

health needs more emphasis so that more and more people remain healthy and use health facilities as ‘wellness cen-

tres’ and not only clinics for treatment.

Alleviation of poverty within families is a major output which will be strengthened through programmes that target the

strengthening of women through the implementation of the Women’s Plan of Action, protecting children to ensure full

development of their potentials and the development of youths through diversionary programmes for youths at risk.

The ongoing training of professionals together with capacity building of all cadres of workers in the Ministry needs to

continue. This is to ensure that all vacant positions in rural facilities are filled, as well as to support the efficient delivery

of services to the community.

At this juncture, I wish to take this opportunity to thank all our valued partners: to name a few, for their continued assist-

ance in terms of technical assistance or funding to complement the annual budget that enabled the Ministry to achieve

its goals. I will always look forward to your continued support.

I now wish everyone good health, happy and prosperous 2008 and I look forward to your continued support, dedication,

commitment and perseverance to continuously provide an efficient and responsive service to all.

...............................................................

Dr. Lepani Waqatakirewa

Permanent Secretary for Health, Women and Social Welfare

2. Statement by the Permanent Secretary for Health, Women and Social Welfare


Acronym Description

ACP Annual Corporate Plan

CSP Clinical Service Plan

CD Communicable Diseases

CEDAW Convention for the Elimination of All Forms of Discrimination

Against Women

CPR Contraceptive Prevalence Rate

CRC Convention of the Rights of the Child

DCHS Director Curative Health Services

DCS Director Corporate Services

DOTS Directly Observed Treatment Short-course

DPH Director Public Health

DNHSS Director Nursing & Health System Standards

FNCDP Fiji National Council for Disabled Persons

GM General Manager

GoF Government of Fiji

HR Human Resource

HIM Health Information Management

HIV/AIDS Human Immunodeficiency Virus/ Acquired Immunodeficiency

Syndrome

MDGs Millennium Development Goals

MoH Ministry of Health

NCD Non – Communicable Diseases

PPS Portfolio Performance Statement

SDP Strategic Development Plan

SEEDS Sustainable Economic Empowerment Development Strategies

STIs Sexual Transmitted Infections

WPA Women’s Plan of Action

Table 1: List of Acronyms


Providing accessible, affordable, efficient and high quality health care services for the people of Fiji is the

main goal of the Ministry of Health. With the emergence of new and chronic diseases together with an in-

creasing demand for free health services, the use of new technologies, modern & expensive drugs to sup-

port the delivery of the services in the face of limited resources, will continue to be a challenge in the years

to come.

The increase in resignations, migration and retirement of health professionals has left a vacuum, which will

take time to fill. This area of concern continues to have an impact on the efficient delivery of the health care

services to the people of Fiji.

With the implementation of the Clinical Services Plan; improved planning and ongoing delivery of effective

public health & promotion activities; performance budgeting; identification of appropriate financing/ resource

options to complement the health budget and implementation of appropriate prevention strategies; the Min-

istry will rise to new horizons/ occasion and continue to provide quality health care to improve health status

for all.

Service delivery for disadvantaged members of our society is also a key responsibility of the Ministry. The

review of major programmes and development of new strategies to address service delivery will ensure that

designed processes enhance the achievement of performance outputs that target specific groups of society.

Emerging issues are a constant challenge for social development and there is a continuing obligation to

ensure strategies are in place to begin to address these issues.

The more efficient and quality delivery of programmes for women and gender development is important for

the improved planning and continuous advocacy of women issues such as leadership and decision mak-

ing. Alongside this, gender equality is a necessity to allow the nation to build on its strengths for equitable

development.

3. Overview


VisionA Peaceful and Prosperous Fiji that values human dignity through a well financed health care delivery

system that fosters good health and well-being, social security and human development for all citizens.

MissionTo provide quality services through strengthened divisional structures and to reduce poverty by em-

powering families especially children and women at risk, advancing gender equality and strengthening communities in Fiji.

ValuesCustomer Focus

Being genuinely concerned that our customers receive quality health care, well-being, social security and human development for all citizens.

EquityStriving for an equitable health system, social security and human development and being fair in all our

dealings irrespective of ethnicity, religion, political affiliation, disability, gender and age.

QualityPursuing high quality outcomes in all facets of our activities, guides, mentors and develops people.

Commitment Committing ourselves to the highest ethical standards in all that we do ensuring excellence in manage-

ment.

ResponsivenessResponsive to the health needs, social security and human development of the population noting the

need for speedy delivery of urgent services.

IntegrityTakes responsibility in being accountable and transparent with optimum use of resources.

Collaboration Facilitates cooperation and partnerships, nurturing internal and external relationships.

4. Guiding Principles


In addition, we will subscribe as all other Public Servants, to the PUBLIC SERVICE VALUES prescribed in

Part 2, Section 4(1)-(14) of the Public Service Act 1999

1. The Public Service respects the values, policies, rights and freedoms set out in the

Constitution.

2. Employment decisions in the Public Service are made without patronage, favoritism or

political influence, and appointments and promotions are made on the basis of merit after

an open, competitive selection process.

3. Men and Women equally, and the members of all ethnic groups, have adequate and equal

opportunities for training and advancement in the Public Service.

4. The Public Service carries out the Government’s policies and programmes effectively and

efficiently and with due economy.

5. The composition of the Public Service reflects as closely as possible the ethnic

composition of the population raking account, when appropriate, of occupational

preferences.

6. The Public Service provides a working environment that is free from discrimination.

7. The Public Service is apolitical, performing its functions in a neutral, impartial and

professional way.

8. The Public Service is fully accountable within the framework of the Constitution and the

Public Finance Management Act 1999, to the Government, the Parliament and the people

of the Fiji Islands.

9. The Public Service is responsible to the Government in providing frank, honest,

comprehensive, accurate and timely advice and implementing the Government’s policies

and programs.

10. The Public Service has the highest ethical standards, integrity and honesty.

11. The Public Service delivers services fairly, effectively and courteously.

12. The Public Service develops and maintains leadership of the highest quality, particularly

through the Senior Executive Service.

13. The Public Service provides a fair, flexible and rewarding workplace.

14. The Public Service focuses on achieving results and managing performance.


The role of the Ministry is to ensure that the people of Fiji have a health care system, social security and human development that is accessible, affordable, responsive, equitable and of a high quality. In doing so, the Ministry will address its strategic objectives of maintaining an adequate primary and preventive health care services; promotion of health; maintaining an effective, efficient and quality clinical health care & rehabilitation services; maintaining an adequate, qualified and dedicated workforce; construction of new and continuous maintenance of all health infrastructure & facilities; maintaining a management culture that promotes and supports continuous quality improvement and identifying appropriate comple-mentary funding and resource allocation schemes to achieve major health outcomes identified.

In addition, the other core functions are; providing quality social policy advice to Government, facilitate the care and protection of children at risk and juveniles, including child and family counselling, facilitate the provision of Supplementary Income to the poorest in society, facilitate the empowerment and ad-vancement of women and gender mainstreaming in society, administer and monitor poverty alleviation projects in partnership with NGO and Civil Society partners, improve services to people with disabilities, rehabilitation of offenders through probation and community work orders and promote the principles of inclusiveness at all levels of society.

To achieve this goal, the Ministry is responsible for developing from available resources a comprehensive health care delivery system dedicated to primary health care, health promotion and disease prevention as well as social security, human development and gender equality.

Improvements to the delivery of services will continue to be pursued by the Ministry and in partnership with key stakeholders including the private sector and the development partners. The Ministry will con-tinue with the training of personnel to address critical staff shortages in health and other institutions, together with the upgrading of health and other facilities especially in the rural areas.

5. Roles and Responsibilities of the Ministry


Description

1 Animals (Control of Experiments) Act (Cap.161)

2 Burial and Cremation Act (Cap.117)

3 Dangerous Drugs Act (Cap. 114)

4 Fiji School of Medicine Act 1997

5 Food Safety Act 2004 (Not in force)

6 Ionising Radiation Act (Cap. 102)

7 Medical and Dental Practitioner Act (Cap. 225)

8 Medical Assistants Act (Cap.113)

9 Methylated Spirit Act (Cap. 225A)

10 Mental Treatment Act (Cap. 113)

11 Methylated Spirit Act (Cap. 113)

12 Nurses, Midwives and Nurse Practitioner Act (Cap. 256)

13 Private Hospitals Act (Cap. 115)

14 Public Health Act (Cap. 111)

15 Pure Food Act (Cap. 116)

16 Quarantine Act (Cap. 112)

17 Tobacco Control Act 1998

Table 2 : Legislation for which this portfolio is responsible

Number Description

1 Central Board of Health

2 Rural Local Authorities

3 Board of Visitors

4 Nurses, Midwives & Nurse Practitioners Board

5 Fiji Dental Council

6 Fiji Medical Council

7 Fiji Pharmacy and Poisons Board

8 Fiji School of Medicine Council

9 Private Hospitals Board

10 Fiji Optometrists Council

11 Fiji National Council for Disabled Persons

Table 3 shows the main boards and committees that work in close partnership with the Ministry.

Table 3 : Associated Boards and Committees


Number Description

1 Portfolio Leadership Policy Advice and Secretariat Support.

2 Public Awareness Promotions – Public Health

3 Emergency Response Services-Medical Evacuations

4 Communicable Disease Prevention

5 Provision of Clinical Services

6 Provision of Primary Health Care

7 Education and Training-Disease Control and Health Promotion

8 Education and training-Nurses

9 Hospice Services & Accommodation and Assistance for the Elderly.

10 Supply of Goods – Medical Drugs and Consumables

11 Poverty Alleviation- Income Support to Disadvantaged Persons.

12 Provision of Poverty Alleviation Project Assistance- Disadvantaged Persons.

13 Empowerment of Women

14 Child Welfare Services

15 Licensing, Compliance and Monitoring – Residential / Correctional Centre for Children

16 Child Care Counselling

17 Probation and Community work

18 Provision of Marriage Counselling Services

19 Supervision of Non-Custodial Sentences.

20 Development and Empowerment of Women.

21 Services to People with Disability.

Table 4 : Ministry’s Approved Output


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Fig

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Interim Minister for Health

Jiko luveni

Permanent Secretary for

Health

Lepani Waqatakirewa

Director Corporate

Services

Musuka Tabete

Director Curative Health

Services

Ami Chandra

Director Primary Health

Services

Losevati Alefaio

General

Manager

CWM

Hosp

Eloni Tora

General

Manager

Lautoka

Hosp

Tui Taoi

General

Manager

Labasa

Hosp

Samuela

Korovou

National

Adviser

Oral

Health

Bainato

Naulivou

National BloodService

Josefa Bolaqace

NationalAmbulance

Service(Vacant)

General

Manager

Community

Health

Cent/East

Salanieta

Saketa

General

Manager

Community

Health

Western

Tharid

Ali

General

Manager

Community

Health

Northern

Selina

Waqa

National

Adviser

Environa-

mental

Health

Waisale

Delai

National

Adviser

(Nutrition &

Dietetics)

Nisha

Khan

National

Adviser

Communi-

cable

Diseases

Eric

Rafai

SDMO

Suva,

Serua/Namosi,

Rewa, Tailevu,

Naitasiri,

Lomaiviti,Kadavu,

Lakeba,

Lomaloma

SDMO

Lautoka,Yasawa,

Nadi,Ba,Tavua,

Nadroga/Navosa,

Ra

SDMO

Macuata,

Taveuni,

Cakaudrove,

Bua

General

Manager

Corporate

Services

Salote

Radrodro

Principal AssistantSecretary

(Registration)Arab KhanSecretary

Fiji Media Council

Central/Eastern

Health Services

M.Mataitoga

Western

Health Services

M.Savua

Northern

Health Services

M. Waqa

Health Centres [33]

Nursing Station [54]

Health Centres [24]


Health Centres [19]


Figure 2: Ministry of Health, Divisional Structure


Minister for Health, Women &

Social Welfare

Jiko Luveni

Permanent Secretary for Health,

Women & Social Welfare

Lepani Waqatakirewa

Director Poverty

Monitoring Unit

Albert Rosa

Director Women

(vacant)

K. Makasiale - Actg

Director Social

Welfare

I. Rokotunidau

Figure 3: Departmentof Women, Poverty &Social WelfareOragnisationalStructure

7. Ministry’s Plans and Planning Process

The Ministry has three types of plans: a five-year strategic plan, an annual corporate plan and annual divi-

sional business plans.

The planning process and plans have taken into account the needs of the people of Fiji, Government of Fiji’s

Strategic Development Plan 2007-2011, Fiji’s international commitments and Ministry of Finance’s Corpo-

rate Planning Requirements as suggested in Figure 5 below.

International Commitments

(MDGs, FCTC, ICDP, WPA, WHA, CRC etc)

SEEDS SDP

2008 – 2010 2007 – 2011

WPA

MoH National Strategic Plan

2007 – 2011

MWSWPA Strategic Plan 2006 - 2008

MoH National Corporate Plan

2008

Divisional Business Plans 2008

Ministry of Finance

Corporate Planning

Requirements

Millennium Development Goals, Framework Convention on Tobacco Control, International Convention on Population

Development, Women Plan of Action, World Health Assembly and Convention on Rights of the Child.

Figure 4: Relationship between Ministry’s plans and related GoF plans, commitments and requirements


SDP 2007 - 2011Health Goal

SDP Policy Ojectives/Targeted Outcomes

MoH Strategic Plan2007 - 2011

Strategic Goals/PolicyObjectives

1. Reduced burden of Non-Communicable Disease

2. Begun to reverse spread of HIV/ AIDS and preventing, controlling

or eliminating other communicable diseases. Reduced burden of Non-

Communicable Disease

3. Improved family health and reduced maternal morbidity and

mortality

4. Improved child health and re-duced child morbidity and mortality

5. Improved adolescent health and reduced adolescent morbidity and

mortality

6. Improved mental health

7.Improved environmental health through safe water and sanitation

Communities are serviced by adequate primary and preven-

tive health services thereby protecting, promoting and supporting their well being

Communities have access to effective, efficient and quality

clinical health care and rehabilitation services

Quality, affordable and efficient health

Figure 5: Linkages between National Policy Objectives and MoHWSW Strategic Plan’s Policy Objectives

Table 5 lists the outputs the MoHWSW has to achieve to contribute to the achievement of the national outcomes.


No. MoHWSW Outputs (PPS) Outcomes

1 Portfolio Leadership Policy 1. Reduced burden of Non-Communicable Disease

Advice and Secretariat 2. Begun to reverse spread of HIV/AIDS and

Support preventing, controlling or eliminating other

communicable diseases

3. Improved family health and reduced maternal

morbidity and mortality

4. Improved child health and reduced child


5. Improved adolescent health and reduced

adolescent morbidity and mortality


7. Improved environmental health through safe water

and sanitation

2 Public Awareness Promotion 1. Reduced burden of Non-Communicable Disease

– Public Health 2. Begun to reverse spread of HIV/AIDS and

preventing, controlling or eliminating other




4. Improved child health and reduced child





7. Improved environmental health through

safe water and sanitation

3 Emergency Response 3. Improved family health and reduced maternal

Services - Medical Evacuations morbidity and mortality

and Blood Supply 4. Improved child health and reduced child




4 Communicable Disease 1. Begun to reverse spread of HIV/AIDS and

Prevention preventing, controlling or eliminating

other communicable diseases



3. Improved child health and reduced child morbidity

and mortality




and sanitation

Table 5: List of MoHWSW Outputs and Associated Health Outcomes


5 Provision of Clinical Services 1. Reduced burden of Non-Communicable Disease

2. Begun to reverse spread of HIV/AIDS and






and mortality




6 Provision of Primary Health Care 1. Reduced burden of Non-Communicable Disease

2. Begun to reverse spread of HIV/AIDS and






and mortality




7 Education and Training - Disease 1. Reduced burden of Non-Communicable Disease

Control and Health Promotion 2. Begun to reverse spread of HIV/AIDS and






and mortality





and sanitation

8 Education and Training – Nurses 2. Begun to reverse spread of HIV/AIDS and






and mortality





9 Hospice Services - 1. Reduced burden of Non-Communicable Disease

Accommodation and Assistance 6. Improved mental health

for the Elderly

10 Supply of Goods - Medical 2. Begun to reverse spread of HIV/AIDS and

Supplies and Consumables preventing, controlling or eliminating other





and mortality




11 Poverty Reduced Annually 1. Portfolio Leadership Policy Advices and

Secretariat Support.

2. Poverty Alleviation- Income Support to

Disadvantage Persons.

3. Provision of Poverty Alleviation Project

Assistance- Disadvantaged Persons.

12. Gender Equity and Equality 1. Portfolio Leadership Policy Advice and

Empowerment of Women.

13. Protection and Development of 1. Portfolio Leadership Policy Advices and Secretariat

Children and Youth at Risk Support.

2. Child Welfare Services

3. Licensing, Compliance and Monitoring –

Residential/Correctional Centre for Children

4. Child Care Counselling

5. Probation and Community work

6. Provision of Marriage Counselling Services

14. Equitable Participation for All in 1. Supervision of Non-Custodial Sentences.

Socio Economic Development 2. Development and Empowerment of Women

3. Services to People with Disability.


National Indicators Annual 5 Yr targets Output (PPS)

Policy targets and reports

Objectives or

‘Targeted

Outcome’

Communities Child mortality rate reduced Reduce by From 26 to 20 2. Public Awareness

are serviced by From 26 to 20 per 1000 live 2/1000 Per 1000 live Promotions

adequate Births (MDG). Live Births Births –Public Health

primary and 4. Communicable

preventive Disease Prevention

health services 5. Provision of

Clinical Services

6. Provision of Primary

Health Care

Percentage of one year olds Increase From 68% to 95% 4. Communicable

Immunised against measles by 5% Disease Prevention

Increased from 68% to

95% (MDG).

Prevalence rate of lymphatic Reduce by Eliminate by 2010 4. Communicable

filariasis (Pac ELF/WHO) 10% - rate to be 1% Disease Prevention

Prevalence rate of Reduce by From 10% to 5% 4. Communicable

Tuberculosis reduced from 1% Disease Prevention

10% to 5%

(part of MDG 222).

Prevalence of anaemia in Reduce by Reduce by 10% 2. Public Awareness

pregnancy at booking 2% Promotions

– Public Health


Health Care

Maternal mortality ratio Reduce 50 to 20 per 2. Public Awareness

Reduced from 50 to 20 per by 6% 100,000 live births Promotions

100,000 live births (MDG). – Public Health

5. Provision of Clinical

Services


Health Care

HIV/AIDS prevalence among Maintain Maintain 2. Public Awareness

15-24 year-old pregnant below below Promotions

women reduced from 0.04 to 0.1% 0.1% – Public Health

0.03 (MDG).

Prevalence rate of STIs Reduce Reduce by 10% 2. Public Awareness

among men and women by 2% Promotions

aged 15 to 25. – Public Health


Health Care

8. Agency Output Contribution to Government OutcomesTable 6: Linkage between National Policy Objectives, Health-related and Social Development Indicators with PPS Outputs

2There are two TB-related MDGs. MDG 23 is ‘Prevalence and death rates associated with tuberculosis’ and MDG 24 is Proportion of

tuberculosis cases detected and cured under directly observed treatment short course (DOTS)’.




Objectives or

‘Targeted

Outcome’

Prevalence of diabetes in Reduce Reduce by 2% 2. Public Awareness

15-64yrs age reduced from by 0.5% Promotions

16% to 14% – Public Health

(note: baseline and target

may need revision).

Admission rate for diabetes Reduce Reduce by 10% 2. Public Awareness

and its complications, by 2% Promotions

hypertension and – Public Health

cardiovascular disease. 5. Provision of Clinical

Services

Amputation rate for diabetic Reduce by Reduce by 5% 2. Public Awareness

sepsis 1% Promotions

–Public Health

5. Provision of Clinical

Services


Health Care

Contraceptive prevalence Increase by From 46% to 56% 2. Public Awareness

rate (CPR) 2% Promotions

amongst population of child –Public Health

bearing age increased from 6. Provision of Primary

46% to 56% (3). Health Care

Proportion of the population Increase by Increase by 2% 2. Public Awareness

aged over 35 years engaged 0.5% Promotions

in sufficient leisure time –Public Health

activity.

Prevalence of under 5 Reduce by Reduce by 5% 2. Public Awareness

malnutrition 1% Promotions –

Public Health

Rate of teenage pregnancy Reduce by Reduce by 2% 2. Public Awareness

0.5% Promotions –

Public Health

Communities ‘Proportion of tuberculosis Increase by Increase by 10% 2. Public Awareness

have access to cases detected and cured 2% Promotions

effective, under directly observed – Public Health

efficient and treatment short course 5. Provision of Clinical

quality clinical (DOTS)’. Services

health care and 6. Provision of Primary

rehabilitation Health Care

services Average LOS in psychiatry 2% Reduce by 10% 5.Provision of Clinical

beds Services

Bed Occupancy Rate of 1% Reduce by 5% 5.Provision of Clinical

Psychiatric beds Services

3MDG indicator 19 is actually ‘Condom use rate of the contraceptive prevalence rate’. The CPR is the denominator of MDG indicator

19; condom use rate is the numerator of the MDG indicator.




Objectives or

‘Targeted

Outcome’

Number of staff trained in 20% Increase to 80% 9. Education and

mental health Training – Nurses

and Doctors

Doctors per 100,000 1% Increase by 5% 9. Education and

populations increased from Training – Nurses

36 to 42. and Doctors

Elimination of stock outs of 50% Zero stockout Supply of Good

drugs from present – Medical Supplies

100 items per month and Consumables

Children and Cases dealt with are in line 50% of Increase by 20% 4. Child Welfare

young people with established protocols. all cases Services

enjoy greater - Managing Children

protection and at Risk.

development. Fully resourced Institutional 30% 100% 5. Licensing,

Strengthening Plans Compliance &

addressing child protection Monitoring

concerns. – Residential

Centres for Children

Children’s homes’ formal 100% 50% achievement 5. Licensing,

Memorandum of Agreement4 of improvement Compliance &

with Ministry. plan. Monitoring –

Residential Centres

for Children

Children’s homes’ have been 100% 80% compliance 5. Licensing,

monitored and audited. to Minimum Compliance &

Standards Monitoring –

Residential Centres

for Children

Children in family-based care 25% of 10% increase 4. Child Welfare

arrangement in lieu of children Services

institutional care. – Innovative Child

Welfare Programmes

Proportion of children who 30% 20% increase 6. Child Care

report that they discuss child increase Counselling –

protection issues at home, from Community

in schools and with their baseline Involvement

friends and know where to in Child Care

seek assistance.

Protection and Proportion of young 50% Increase by 50% 7. Supervision of Non-

Development of offenders diverted who increase Custodial

Children & benefit from community- from Sentences

Youth at Risk based programmes for their baseline.

social reintegration.

4MOA ensures that the children’s home or institution complies fully with the Minimum Standards and are licensed and registered.




Objectives or

‘Targeted

Outcome’

Proportion of offenders who 60% Increase by 20% 7. Supervision of

receive monthly counselling Non-Custodial

Sentences.

Proportion of offenders 10% Increase by 20% 3. Provision of

participating in Socio- Poverty Alleviation

Economic Development Project Assistance

to the Disadvan-

taged – Innovative

PAProjects.

All Qualifying persons for family 20,000 Zero increase 2. Poverty Alleviation

categories of assistance – Income Support to

the poor are Disadvantaged

able to meet Persons.

their basic Qualifying recipients receive 65% 5% decrease 2. Poverty Alleviation

needs. at least $2 a day of – Income Support

beneficiaries to Disadvantaged

Persons.

Proportion weaned off 1 Pilot 2% increase 3. Provision of

Family Assistance Project Poverty Alleviation

Project Assistance

to the

Disadvantaged

– Innovative

PAProjects.

Achievement of CEDAW Periodic Report to Completed 2 Periodic Report 12. Gender Equity and

Gender Equality the UN CEDAW Submitted Equality

and report

Empowerment Implement WPA

of Women Review WPA endorsed Complete 1 Revised WPA 12. Gender Equity and

through full Revised Equality

participation in WPA

business and 70% of

decision making recommen

process through -ded

entrepreneurial changes in

support in non RWPA

formal and At least one women in each Ministry 1 in each Govt 12. Gender Equity and

formal sector Govt board, committee of Govt Board etc

and decision tribunals, councils and women

making commission reporting

annually,

January




Objectives or

‘Targeted

Outcome’

Proportion of seats held by Ministry of Annual updated 12 Gender Equity

women in National Women Database and Equality

Parliament and municipals continuous checked, January

elections to be not less than database,

20% [MDG] can be

checked

annually,

January

Priority issues in the WPA 80 80% 12 Gender Equity and

are discussed in Equality

consultations with women 14 Equitable

and men at all levels participation for all

in socio-economic

Development

Women and Men attend 64 64% 12 Equity and Equity

Training Workshops for 14 Equitable

socio, economic and participation for all

political empowerment in socio-economic

Development

Women in Leadership/ 75% of 12 Gender Equity etc

Decision making empowered woman in

through Training DM


9. Strategic Priority AreasTable 7: Strategic Priority Areas

STRATEGIC PRIORITY AREAS OUTPUTS Maintain an adequate primary and • Portfolio Leadership Policy Advice

preventive health care services and and Secretariat Support

promotion of Health • Provision of Primary Health

Services

• Public Awareness and

Promotions -Public Health

• Education and Training-Disease

Control

• Communicable Disease Prevention

Maintainaneffective,efficientandQuality • PortfolioLeadershipPolicyAdvice

Clinical Health Care & & Secretariat Support

Rehabilitation Services • Provision of Clinical Health Care

• Supply of Goods-Medical Drugs

and consumables

• Education & Training –

Disease Control

• Communicable Diseases

Prevention

• Emergency response Services

– Medical Evacuations and

Blood Supply

MaintainanAdequateandqualified • PortfolioLeadershipPolicyAdvice

workforce & Secretariat Support

• Education and Training

Construct New and Ongoing Maintenance • Portfolio Leadership Policy Advice

of all Existing Health Infrastructure & Secretariat Support

• Capital Assets and Investment

Programme

Maintain a QI Management Culture that • Provision of Quality Clinical Health

Promotes and Supports Continuous Services

Quality health service delivery • Provision for Quality Primary Health

Care

Identify Appropriate Complementary • Portfolio Leadership Policy Advice

Funding Schemes and Resource and Secretariat Services

Allocation for the Health Services

Poverty Reduced Annually • Portfolio Leadership Policy Advice

and Secretariat Support.

• Poverty Alleviation- Income

Support to Disadvantage Persons.

• Provision of Poverty Alleviation

Projects of Assistance to

Disadvantaged Persons.

Gender Equity and Equality • Portfolio Leadership Policy Advice and

Empowerment of Women.


STRATEGIC PRIORITY AREAS OUTPUTS Protection and Development of Children and • Portfolio Leadership Policy Advice

Youth at Risk and Secretariat Support.

• Child Welfare Services.

• Licensing, Compliance and Monitoring

– Residential / Correctional Centre

for Children.

• Child Care Counselling

• Probation and Community Work

• Provision of Marriage

Counselling services.

Equitable Participation for All in Socio • Portfolio Leadership Policy Advice and

Economic Development Secretariat Support.

• Supervision of Non-Custodial

Sentences.

• Development and Empowerment

of Women.

• Services to People with Disability.


Ou

tpu

ts (

PP

S)

Ob

jec

tiv

es

/ S

tra

teg

ic

Str

ate

gy

Im

ple

me

nta

tio

n

Ou

tpu

ts

Ex

pe

cte

d i

mp

ac

t

P

rio

rity

Are

as

Da

te

1.

Po

licy

Ma

inta

in a

n a

de

qu

ate

pri

ma

ry a

nd

E

sta

blis

h a

n in

ter-

E

sta

blis

he

d b

y Ju

ne

B

ill is

fo

rmu

late

d

Ha

lt th

e s

pre

ad

of

HIV

/AID

S

Le

ad

ers

hip

a

nd

pre

ven

tive

he

alth

ca

re

min

iste

ria

l 2

00

8

an

d s

ub

mm

itte

d

Po

licy

Ad

ivic

e

serv

ice

s &

Pro

mo

tion

of

He

alth

co

mm

itte

e t

o f

ast

to C

ab

ine

t.

& S

ecr

eta

ria

t

tra

ck t

he

HIV

Bill

Su

pp

ort

Fin

alis

e H

IV P

olic

y B

y Ju

ne

20

08

Ha

lted

th

e s

pre

ad

of

HIV

/AID

S

HIV

Po

licy

20

08

Re

vise

No

tifia

ble

M

arc

h 2

00

8

Im

pro

ved

co

mm

un

ica

ble

dis

ea

se

Dis

ea

se S

che

du

le

R

evi

sed

Sch

ed

ule

su

rve

illa

nce

of

No

tifia

ble

Fo

rmu

late

na

tion

al

No

v 2

00

8

Dis

ea

ses

Effe

ctiv

e

dis

ea

se s

urv

eill

an

ce a

nd

IHR

Pla

n a

nd

Po

licy

resp

on

se

Fiji

’s N

atio

na

l IH

R

Fin

alis

e t

he

Me

nta

l Ju

ne

20

08

P

lan

an

d P

olic

y Im

pro

vem

en

t in

Me

nta

l He

alth

He

alth

Act

C

are

de

live

ry

Am

en

dm

en

ts t

o

Re

vie

w o

f co

re

No

vem

be

r 2

00

8

exi

stin

g A

ct

Be

tte

r p

rote

ctio

n o

f C

om

mu

nity

are

as

of

the

Pu

blic

ide

ntifi

ed

. H

ea

lth

He

alth

Act

.

De

velo

p M

en

’s

No

v 2

00

8

Am

en

dm

en

ts t

o

Imp

rove

d M

en

’s H

ea

lth

He

alth

Po

licy

ba

sed

leg

isla

tion

s

DH

S 2

00

8

id

en

tifie

d.

De

velo

p F

oo

d S

afe

ty

Oct

20

08

N

atio

na

l Me

n’s

R

ed

uce

d b

urd

en

of

foo

d b

orn

e

Re

gu

latio

ns

H

ea

lth P

olic

y ill

ne

sse

ss

Fin

alis

e F

oo

d &

Ju

ne

20

08

Imp

rove

d N

uri

tion

al s

tatu

s a

nd

Nu

triti

on

10

. S

TR

AT

EG

IES

TO

AD

DR

ES

S P

ER

FOR

MA

NC

E T

AR

GE

TS

AN

D S

TR

AT

EG

IC P

RIO

RIT

Y A

RE

AS

Tab

le 8

: S

tra

teg

ies

to

Me

et

Pe

rfo

rma

nc

e T

arg

ets


Ou

tpu

ts (

PP

S)

Ob

jec

tiv

es

/ S

tra

teg

ic

Str

ate

gy

Im

ple

me

nta

tio

n

Ou

tpu

ts

Ex

pe

cte

d i

mp

ac

t

Pri

ori

ty A

rea

s

D

ate

Po

licy

for

Fiji

En

do

rse

d b

y d

ieta

ry h

ab

its

C

ab

ine

t b

y D

ec.

De

velo

p C

od

e o

f B

y Ju

ne

20

08

2

00

8

Imp

rove

d C

hild

nu

triti

on

al s

tatu

s

Ma

rke

ting

of

Bre

ast

M

ilk S

ub

stitu

te

E

nd

ors

ed

by

Ca

bin

et

by

De

c

2

00

8

Ma

inta

in a

n e

ffect

ive

, E

sta

blis

h a

Clin

ica

l b

y Ju

ne

20

08

Imp

rove

d C

linic

al S

erv

ice

s

effi

cie

nt

an

d q

ua

lity

He

alth

ca

re &

S

erv

ice

s P

olic

y

En

do

rse

d b

y su

rve

illa

nce

C

ab

ine

t b

y D

ec

Re

vie

w o

f h

ea

lth

Ap

pro

pri

ate

2

00

8

De

velo

pe

d s

tra

teg

ies

rela

ted

leg

isla

tion

le

gis

latio

ns

revi

ew

ed

imp

lem

en

ted

for

be

tte

r p

rovi

sio

n

by

De

cem

be

r 2

00

8

o

f h

ea

lth s

erv

ice

s

Jun

e 2

00

8

En

do

rse

by

NE

C b

y

R

evi

ew

wo

rkfo

rce

De

c 2

00

8

Pro

po

sals

are

su

bm

itte

d f

or

req

uir

em

en

ts f

or

b

ud

ge

ting

.

h

ea

lth p

rofe

ssio

na

ls

a

nd

su

pp

ort

sta

ff.

B

y D

ec

20

08

M

ain

tain

an

Ad

eq

ua

te,

Qu

alifi

ed

De

velo

p P

olic

y

E

ffici

en

t h

ea

lth s

erv

ice

de

live

ry

an

d C

om

mitt

ed

Wo

rkfo

rce

F

ram

ew

ork

fo

r

reg

istr

atio

n o

f H

ea

lth

P

rofe

ssio

na

ls

Ca

pa

city

Bu

ildin

g

A

pp

rop

ria

te p

rop

osa

ls/e

stim

ate

s

D

eve

lop

ma

na

ge

me

nt

P

lan

fo

r M

an

ag

ers

is

su

bm

itte

d t

o M

o.

cap

aci

ty f

or

ma

na

ge

rs

de

velo

pe

d b

y M

arc

h

to

effe

ctiv

ely

mo

nito

r &

2

00

8

Re

gis

tra

tion

of

He

alth

e

valu

ate

act

iviti

es,

se

t

Pro

fess

ion

als

Po

licy

pri

ori

ties,

eq

uita

bly

an

d C

ab

ine

t P

ap

er

De

velo

pe

d p

rop

osa

l su

bm

itte

d t

o

a

lloca

te r

eso

urc

es

an

d

Ap

pro

pri

ate

po

licie

s

Mo

F f

or

fun

din

g

m

an

ag

e r

isks

d

eve

lop

ed

by

De

cem

be

r 2

00

8

N

um

be

r o

f fin

an

cin

g o

ptio

ns

Re

vie

w &

de

velo

p H

RH

id

en

tifie

d &

su

bm

itte

d t

o C

ab

ine

t

p

olic

ies

for

sta

ff re

ten

tion



Ou

tpu

ts (

PP

S)

Ob

jec

tiv

es

/ S

tra

teg

ic

Str

ate

gy

Im

ple

me

nta

tio

n

Ou

tpu

ts

Ex

pe

cte

d i

mp

ac

t

Pri

ori

ty A

rea

s

D

ate

an

d s

ucc

ess

ion

pla

nn

ing

fo

r a

ll ca

dre

s o

f st

aff

Re

vie

w t

he

He

alth

R

efo

rm S

tru

ctu

re &

stre

ng

the

n t

he

M

an

ag

em

en

t st

ruct

ure

B

y Ju

ne

20

08

N

ew

Str

uct

ure

Im

pro

ved

co

ord

ina

tion

s a

nd

at

Na

tion

al L

eve

l,

in

pla

ce

pro

visi

on

of

serv

ice

s

D

ivis

ion

al H

osp

itals

an

d P

ha

rma

cy

Co

nst

ruct

of

Ne

w a

nd

D

eve

lop

evi

de

nce

ba

sed

A

pp

rop

ria

te

C

on

tinu

ou

s M

ain

ten

an

ce o

f p

rop

osa

ls f

or

reso

urc

e

Pro

po

sals

de

velo

pe

d

a

ll E

xist

ing

In

fra

stu

ctu

re I

de

ntif

y a

lloca

tion

.

& s

ub

mitt

ed

to

ap

pro

pri

ate

co

mp

lem

en

tary

Min

istr

y o

f F

ina

nce

fun

din

g &

re

sou

rce

allo

catio

n

b

y A

pri

l 20

08

sc

he

me

s fo

r th

e H

ea

lth S

erv

ice

s,

Co

nst

ruct

ion

Ne

w f

aci

litie

s Im

pro

ved

se

rvic

e p

rovi

sio

n

o

f n

ew

Ho

spita

ls:

ne

w B

a

com

me

nce

d &

or

Na

uso

ri h

osp

itals

,

co

mp

lete

d

re

loca

tion

of

St

Gile

s,

Na

vua

ho

spita

l, a

nd

com

ple

tion

of

La

ba

sa

ho

spita

l, h

ea

lth c

en

tre

s &

nu

rsin

g s

tatio

ns

De

velo

p e

vid

en

ce b

ase

d

Pro

po

sals

/est

ima

tes

pro

po

sals

/est

ima

tes

pro

gre

ssiv

ely

for

on

go

ing

re

pa

ir

de

velo

pe

d f

rom

& m

ain

ten

an

ce o

f a

ll Ja

nu

ary

20

08

exi

stin

g in

fra

stru

ctu

re

Ou

tpu

ts (

PP

S)

Ob

jec

tiv

es

/ S

tra

teg

ic

Str

ate

gy

Im

ple

me

nta

tio

n

Ou

tpu

ts

Ex

pe

cte

d i

mp

ac

t

Pri

ori

ty A

rea

s

D

ate

De

velo

p e

vid

en

ce b

ase

d

Pro

po

sals

de

velo

pe

d

pro

po

sals

fo

r a

dd

ed

b

y A

pri

l 20

08

ve

hic

les

to s

up

po

rt a

n

e

ffect

ive

tra

nsp

ort

sys

tem

A

dvo

cate

He

alth

Ca

re F

ina

nci

ng

R

evi

ew

exi

stin

g f

ee

s a

nd

R

evi

ew

to

be

H

ea

lth C

are

fin

an

cin

g

Nu

mb

er

of

serv

ice

s th

at

req

uir

e

& H

ea

lth I

nsu

ran

ce c

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rag

e.

de

term

ine

ne

w f

ee

s a

nd

co

mp

lete

d b

y M

arc

h

op

tion

s d

eve

lop

ed

&

Fe

es

revi

ew

of

fee

s

ch

arg

es

for

ide

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ed

2

00

8

sub

mitt

ed

to

Ca

bin

et

m

an

ag

e r

isks

Re

vie

w e

xist

ing

str

uct

ure

to

re

flect

sta

tuto

ry

o

blig

atio

n

Re

vie

w t

o b

e

com

ple

ted

by

Ap

ril

R

evi

ew

an

d u

pd

ate

In

itia

l 2

00

8

CE

DA

W r

ep

ort

an

d w

rite

pe

rio

dic

re

po

rt

Fin

al D

raft

to

Ca

bin

et

E

ffici

en

t se

rvic

e d

eliv

ery

b

y A

pri

l 20

08

Re

vie

w a

nd

de

velo

p a

R

evi

ew

ed

WP

A f

or

20

09

-

20

19

B

y N

ove

mb

er

C

ED

AW

Ma

nd

ato

ry R

ep

ort

ing

M

ain

tain

an

effe

ctiv

e

org

an

isa

tion

fo

r e

ffici

en

t

d

eliv

ery

En

do

rse

d b

y P

S

Ad

he

re t

o I

nte

rna

tion

al

A

cle

ar

roa

dm

ap

with

str

ate

gie

s

Ob

liga

tion

s

acc

ep

tab

le b

y G

ove

rnm

en

t a

nd

O

the

r S

take

ho

lde

rs

Im

ple

me

nta

tion

of

the

WP

A

Re

vie

we

d W

PA

in

corp

ora

tes

70

%

o

f re

com

me

nd

ed

cha

ng

es

in t

he

re

vie

w


Ou

tpu

ts (

PP

S)

Ob

jec

tiv

es

/ S

tra

teg

ic

Str

ate

gy

Im

ple

me

nta

tio

n

Ou

tpu

ts

Ex

pe

cte

d i

mp

ac

t

Pri

ori

ty A

rea

s

D

ate

O

uts

ou

rcin

g o

f se

rvic

es

S

coo

pin

g o

f se

rvic

es

Ap

ril 2

00

8

Sco

op

ing

re

po

rt

Ou

tso

urc

ing

of

serv

ice

s fin

alis

ed

la

un

dry

, se

curi

ty a

nd

cl

ea

nin

g

Su

bm

it C

ab

ine

t p

ap

er

En

sure

th

at

op

era

ting

exp

en

ditu

re •

min

imis

e o

vers

pe

nd

ing

N

o o

vers

pe

nt

is

with

in t

he

ap

pro

ved

allo

catio

n

Ju

ne

20

08

S

ub

mit

Ca

bin

et

pa

pe

r

& m

inim

ise

ext

rava

ga

nt

spe

nd

ing

, •

sco

pin

g o

f h

osp

ital f

ee

s

N

ew

fe

es

stru

ctu

re in

pla

ce

ad

voca

te f

or

imp

rove

d b

ud

ge

t

in k

ey

serv

ice

se

cto

rs &

re

vie

w

ho

spita

l fe

es

stru

ctu

re

2.

He

alth

M

ain

tain

an

ad

eq

ua

te,

Intr

od

uct

ion

WH

O S

afe

N

ov

20

08

P

ilotin

g S

afe

Im

pro

ved

em

erg

en

cy o

bst

etr

ic

P

rom

otio

n

pri

ma

ry a

nd

pre

ven

tive

M

oth

erh

oo

d H

osp

ital

M

oth

erh

oo

d

care

se

rvic

es

in s

ub

div

isio

ns

an

d P

rovi

sio

n

he

alth

ca

re s

erv

ice

s a

nd

In

itia

tive

Ho

spita

ls in

of

PH

C

pro

mo

tion

of

he

alth

D

ivis

ion

s

S

tre

ng

the

n B

FH

I &

Milk

N

ov

20

08

C

ert

ifica

tion

of

Re

du

ced

Ch

ild m

orb

idity

&

S

up

ple

me

nta

tion

Ba

by

Fri

en

dly

M

ort

alit

y

P

rog

ram

Ho

spita

ls

Str

en

gth

en

C

ost

ing

of

In

cre

ase

d p

ub

lic a

wa

ren

ess

imp

lem

en

tatio

n o

f th

e

HIV

/AID

S S

tra

teg

ic

MO

A s

ign

ed

by

ab

ou

t H

IV/A

IDS

ST

I/H

IV/A

IDS

P

lan

by

Jun

e 2

00

8

imp

lem

en

ting

S

tra

teg

ic P

lan

20

07

-

p

art

ne

rs

2

011

Str

en

gth

en

&

No

v 2

00

8

Pri

ori

ty a

ctiv

itie

s In

cre

ase

d a

wa

ren

ess

ab

ou

t

im

ple

me

nt

inte

gra

ted

in D

iab

ete

s,

NC

Ds

an

d r

isk

fact

ors

NC

D p

rog

ram

s

Ca

nce

r a

nd

RH

D

im

ple

me

nte

d

Re

vie

w N

atio

na

l NC

D

Jun

e 2

00

8

Re

vie

we

d

Incr

ea

sed

aw

are

ne

ss a

bo

ut

S

tra

teg

ic P

lan

20

04

-8

C

om

ple

ted

N

CD

s a

nd

ris

k fa

cto

rs


Ou

tpu

ts (

PP

S)

Ob

jec

tiv

es

/ S

tra

teg

ic

Str

ate

gy

Im

ple

me

nta

tio

n

Ou

tpu

ts

Ex

pe

cte

d i

mp

ac

t

Pri

ori

ty A

rea

s

D

ate

De

velo

p n

ew

NC

D

No

v 2

00

8

Re

vie

we

d c

om

ple

ted

In

cre

ase

aw

are

ne

ss a

bo

ut

NC

Ds

S

tra

teg

ic P

lan

20

09

-11

a

nd

ri

sk f

act

ors

Im

ple

me

nt

fou

r(4

) N

ov

20

08

N

ew

NC

D

Imp

rove

d k

no

wle

dg

e a

nd

ora

l

p

rio

ritis

ed

Ora

l He

alth

Sta

teg

ic P

lan

h

ea

lth s

tatu

s o

f th

e c

om

mu

nity

act

iviti

es

fro

m O

H

2

00

9 -

20

11

S

tra

teg

ic P

lan

Imp

lem

en

t p

rio

rity

N

ov

20

08

P

rio

rity

act

iviti

es

Incr

ea

sed

aw

are

ne

ss o

f

M

en

tal H

ea

lth &

imp

lem

en

ted

m

en

tal h

ea

lth is

ssu

es

am

on

gst

Su

icid

e P

reve

ntio

n

the

ge

ne

ral p

ub

lic

Str

ate

gie

s fr

om

MH

SP

2

00

7 -

11

Pri

ori

ty a

ctiv

itie

s E

ffici

en

t d

ise

ase

su

rve

illa

nce

Str

en

gth

en

N

ov

20

08

in

su

icid

e

& d

ise

ase

ou

tbre

ak

resp

on

se

im

ple

me

nta

tion

of

the

pre

ven

tion

M

ort

alit

y

in

teg

rate

d p

rog

ram

on

Ho

spita

ls

co

mm

un

ica

ble

d

ise

ase

s

Imp

lem

en

t so

cia

l O

ct 2

00

8

Pri

ori

ty a

ctiv

itie

s R

ed

uct

ion

in d

ise

ase

mo

bili

satio

n p

lan

on

a

im

ple

me

nte

d f

or

inci

de

nce

an

d p

reva

len

ce

ma

jor

com

mu

nic

ab

le

co

ntr

ol o

f

dis

ea

ses

fil

ari

asi

s, d

en

gu

e

typ

ho

id a

nd

le

pto

spir

osi

s

Str

en

gth

en

imp

len

tatio

n

No

v 2

00

8

So

cia

l Im

pro

vem

en

t in

TB

-co

nta

ct

o

f le

pro

sy a

nd

mo

bili

satio

n P

lan

tr

aci

ng

ra

te a

nd

tre

atm

en

t

tu

be

rcu

losi

s co

ntr

ol

o

n C

D

com

ple

tion

fo

r a

ll n

ew

TB

pro

gra

mm

e

im

ple

me

nte

d

case

s


Ou

tpu

ts (

PP

S)

Ob

jec

tiv

es

/ S

tra

teg

ic

Str

ate

gy

Im

ple

me

nta

tio

n

Ou

tpu

ts

Ex

pe

cte

d i

mp

ac

t

Pri

ori

ty A

rea

s

D

ate

Str

en

gth

en

N

ov

20

08

Effi

cie

nt

resp

on

se t

o a

ny

im

ple

me

nta

tion

of

PH

De

rma

tolo

gy

an

d

he

alth

th

rea

t o

r e

me

rge

nci

es.

Em

erg

en

cie

s &

DO

TS

tra

inin

g f

or

Dis

ast

er

Ma

ng

em

en

t

Drs

an

d N

rs

S

tra

teg

ic P

lan

20

07

-11

com

ple

ted

in t

he

div

isio

ns

Str

en

gth

en

im

ple

me

nta

tion

of

HP

a

ctiv

itie

s in

th

e n

atio

na

l N

ov

20

08

M

ock

exe

rcis

es

Incr

ea

sed

aw

are

ne

ss a

nd

H

P S

tra

teg

ic P

lan

com

ple

ted

fo

r a

do

ptio

n o

f h

ea

lthy

life

styl

es

e

ach

div

isio

n

Pri

ori

ty a

ctiv

itie

s

in

he

alth

pro

mo

tion

imp

lem

en

ted

3

. E

me

rge

ncy

M

ain

tain

an

ad

eq

ua

te

Fin

alis

e N

atio

na

l Blo

od

F

eb

20

08

N

atio

na

l Blo

od

N

o s

tock

ou

ts o

f b

loo

d a

nd

Re

spo

nse

P

rim

ary

an

d P

reve

ntiv

e

Se

rvic

e S

tra

teg

ic P

lan

Se

rvic

e S

tra

teg

ic

blo

od

pro

du

cts

in a

ll h

ea

lth

S

erv

ice

s -

H

ea

lth C

are

Se

rvic

es

20

08

-11

Pla

n 2

00

8-1

1

faci

litie

s

M

ed

ica

l a

nd

Pro

mo

tion

of

He

alth

fin

alis

ed

E

vacu

atio

ns

S

tre

ng

the

n

a

nd

Blo

od

M

ain

tain

an

effe

ctiv

e

imp

lem

en

tatio

n o

f

Re

-org

an

iza

tion

R

eco

mm

en

da

tion

s to

be

Su

pp

ly

effi

cie

nt

an

d q

ua

lity

Blo

od

se

rvic

e

o

f S

t Jo

hn

s A

mb

. im

ple

me

nte

d

clin

ica

l he

alth

ca

re &

S

tra

teg

ies

reh

ab

ilita

tion

se

rvic

es

S

tre

ng

the

n E

me

rge

ncy

A

mb

ula

nce

Se

rvic

es

R

evi

ew

th

e E

me

rge

ncy

R

evi

ew

to

be

C

ab

ine

t P

ap

er

Re

com

me

nd

atio

ns

to b

e

R

esp

on

se &

co

mp

lete

d b

y Ju

ne

S

ub

mitt

ed

im

ple

me

nte

d

E

vacu

atio

n S

erv

ice

s 2

00

8

E

ffici

en

t re

spo

nse

to

an

y


Ou

tpu

ts (

PP

S)

Ob

jec

tiv

es

/ S

tra

teg

ic

Str

ate

gy

Im

ple

me

nta

tio

n

Ou

tpu

ts

Ex

pe

cte

d i

mp

ac

t

Pri

ori

ty A

rea

s

D

ate

4.

Pro

visi

on

of

Ma

inta

in a

n e

ffect

ive

S

tre

ng

the

n p

rop

osa

ls

Pro

po

sals

Im

pro

ved

clin

ica

l A

de

qu

ate

pro

visi

on

of

fun

ds

Clin

ica

l e

ffici

en

t a

nd

qu

alit

y fo

r a

de

qu

ate

fu

nd

ing

to

S

ub

mitt

ed

to

h

ea

lth s

erv

ice

s a

re m

ad

e a

vaila

ble

Se

rvic

es

clin

ica

l he

alth

ca

re &

e

nsu

re a

pp

rop

ria

te b

io-

Min

istr

y o

f F

ina

nce

re

ha

bili

tatio

n s

erv

ice

s m

ed

ica

l eq

uip

me

nt

are

b

y A

pri

l 20

08

ma

de

ava

ilab

le t

o

su

pp

ort

effi

cie

nt

de

live

ry o

f h

ea

lth

serv

ice

s

Imp

rove

Kid

ne

y d

ialy

sis

un

it

Nu

mb

er

an

d t

ype

of

pri

ori

tise

d

sp

eci

al/p

rori

tise

d

o

pe

ratio

na

l in

Ap

ril 0

8

serv

ice

s id

en

tifie

d &

util

ise

d.

are

as

of

clin

ica

l se

rvic

es

as

in t

he

Pro

visi

on

of

P

rio

ritis

ed

se

rvic

es

Ca

nce

r H

osp

ice

Kid

ne

y d

ialy

sis

at

CW

M

ide

ntifi

ed

Ja

nu

ary

o

pe

ratio

na

l in

ho

spita

l with

Kid

ne

y

20

08

S

ep

tem

be

r 2

00

8

F

ou

nd

atio

n o

f F

iji,

Ca

nce

r H

osp

ice

p

art

ne

rsh

ip w

ith

Fiji

Ca

nce

r S

oci

ety

C

on

stru

ctio

n o

f n

ew

an

d

De

velo

p e

vid

en

ce

Pro

po

sals

to

be

N

ew

he

alth

co

ntin

uo

us

ma

inte

na

nce

b

ase

d p

rop

osa

ls f

or

sub

mitt

ed

to

Mo

F

faci

litie

s

of

all

he

alth

infr

ast

uct

ure

re

sou

rce

allo

catio

n f

or

by

Ap

ril 2

00

8

con

stu

cte

d &

& f

aci

litie

s co

nst

ruct

ion

of

ne

w

m

ain

tain

ed

h

osp

itals

& h

/ce

ntr

es

Pro

visi

on

of

safe

an

d h

ea

lhy

w

ork

ing

en

viro

nm

en

ts f

or

all.

De

velo

p e

vid

en

ce

Pro

po

sals

/Est

ima

tes

ba

sed

to

be

su

bm

itte

d t

o

M

ain

ten

an

ce o

f h

ea

lthy

an

d

p

rop

osa

ls/e

stim

ate

s M

oF

by

Jan

ua

ry

sa

fe e

nvi

ron

me

nt

for

all

for

ma

inte

na

nce

of

20

08

exi

stin

g h

ea

lth

infr

ast

uct

ure

& f

aci

litie

s

Im

pro

ve in

tra

nsp

ort

an

d

com

mu

nic

atio

n.


Ou

tpu

ts (

PP

S)

Ob

jec

tiv

es

/ S

tra

teg

ic

Str

ate

gy

Im

ple

me

nta

tio

n

Ou

tpu

ts

Ex

pe

cte

d i

mp

ac

t

Pri

ori

ty A

rea

s

D

ate

De

velo

p e

vid

en

ce

Pro

po

sals

to

be

N

ew

Ve

hic

les

Imp

rove

in t

ran

spo

rt a

nd

ba

sed

pro

po

sals

fo

r su

bm

itte

d t

o M

oF

p

urc

ha

sed

an

d

com

mu

nic

atio

n.

pu

rch

ase

of

ne

w

by

Jan

ua

ry 2

00

8

com

mu

nic

atio

n

ve

hic

les

&

sy

ste

ms

in p

lace

com

mu

nic

atio

n

syst

em

s

M

ain

tain

a Q

I

ma

na

ge

me

nt

cultu

re t

ha

t R

evi

ew

an

d s

tre

ng

the

n

Re

vie

w t

o b

e

P

rovi

sio

n o

f IC

T s

tru

ctu

re t

o

pro

mo

tes

an

d s

up

po

rts

ma

inte

na

nce

of

curr

en

t co

mp

lete

d b

y a

nd

Im

pro

ved

qu

alit

y su

pp

ort

effi

cie

nt

de

live

ry o

f

con

tinu

ou

s q

ua

lity

he

alth

IC

T s

tru

ctu

re

reco

mm

en

da

tion

s cu

sto

me

r ca

re

he

alth

se

rvic

es

se

rvic

es

Org

an

ise

an

d s

ecu

re

imp

lem

en

ted

by

serv

ice

Im

pro

ve s

erv

ice

de

live

ry t

o t

he

ap

pro

pri

ate

re

sou

rce

s F

eb

rua

ry 2

00

8

p

eo

ple

fo

r d

ivis

ion

al t

rain

ing

Im

pro

ve s

erv

ice

de

live

ry

on

qu

alit

y cu

sto

me

r

ca

re.

S

tre

ng

the

n q

ua

lity

All

tra

inin

g t

o b

e

Im

pro

ve s

erv

ice

de

live

ry

im

pro

vem

en

t, p

atie

nt

com

ple

ted

by

No

v

sa

fety

an

d r

isk

20

08

m

an

ag

em

en

t sy

ste

m

u

nd

er

the

clin

ica

l

g

ove

rna

nce

fra

me

wo

rk

Intr

od

uce

& e

xpa

nd

th

e r

an

ge

of

Im

ple

me

nt

Clin

ica

l A

ll tr

ain

ing

to

be

R

ecl

ari

fica

tion

of

Im

pro

ve s

erv

ice

de

live

ry

Clin

ica

l Se

rvic

es

& r

ecl

ari

fy &

S

erv

ice

s n

etw

ork

co

mp

lete

d b

y h

ea

lth c

en

tre

s

up

gra

de

de

sig

na

ted

he

alth

No

v 2

00

8

form

alis

ed

ce

ntr

es


Ou

tpu

ts (

PP

S)

Ob

jec

tiv

es

/ S

tra

teg

ic

Str

ate

gy

Im

ple

me

nta

tio

n

Ou

tpu

ts

Ex

pe

cte

d i

mp

ac

t

Pri

ori

ty A

rea

s

D

ate

5.

Ed

uca

tion

M

ain

tain

an

ad

eq

ua

te,

qu

alifi

ed

R

evi

ew

an

d im

ple

me

nt

Re

vie

w t

o b

e

De

cre

ase

d

Imp

rove

d s

erv

ice

de

live

ry

a

nd

Tra

inin

g

an

d c

om

mitt

ed

wo

rkfo

rce

re

alis

tic s

tra

teg

ies

to

com

ple

ted

by

nu

mb

er

of

Dis

ea

se

wo

rkfo

rce

tr

ain

, d

ep

loy

an

d r

eta

in

Jun

e 2

00

8

resi

gn

atio

ns

Co

ntr

ol

th

e h

ea

lth w

ork

forc

e

Imp

lem

en

t m

ulti

skill

ing

Incr

ea

sed

Im

pro

ved

se

rvic

e d

eliv

ery

stra

teg

ies

of

wo

rkfo

rce

mu

ltisk

illin

g o

f st

aff

such

as

Co

llin

s R

ep

ort

Re

vie

w a

nd

an

aly

se

Re

vie

w t

o b

e

Wo

rkfo

rce

re

vie

w

Imp

rove

d s

erv

ice

de

live

ry

w

ork

forc

e r

eq

uir

em

en

t co

mp

lete

d b

y re

po

rt c

om

ple

ted

for

he

alth

pro

fess

ion

als

Ju

ne

20

08

& s

up

po

rt s

taff

an

d

S

ub

mis

sio

n t

o

fo

cus

on

sta

ffin

g is

sue

s

cab

ine

t

in

clu

din

g t

rain

ing

Imp

lem

en

t

re

com

me

nd

atio

ns

of

revi

ew

6

. E

du

catio

n &

M

ain

tain

an

ad

eq

ua

te,

qu

alifi

ed

R

evi

ew

an

d im

ple

me

nt

Re

vie

w a

nd

T

rain

ing

s A

pp

rop

ria

te

Tra

inin

g

an

d c

om

mitt

ed

nu

rsin

g

rea

listic

str

ate

gie

s to

im

ple

me

nt

com

ple

ted

w

ork

forc

e is

ma

inta

ine

d

N

urs

es

wo

rkfo

rce

tr

ain

, d

ep

loy

an

d r

eta

in

reco

mm

en

da

tion

s

nu

rse

s in

un

de

rgra

du

ate

b

y Ju

ne

20

08

an

d p

ost

gra

du

ate

cate

go

rie

s7

. H

osp

ice

M

ain

tain

an

ad

eq

ua

te

De

velo

p a

pp

rop

ria

te

Po

licy

to b

e

Po

licy

in p

lace

A

pp

rop

ria

te p

olic

y a

nd

Se

rvic

es

pri

ma

ry a

nd

pre

ven

tive

p

olic

y a

nd

gu

ide

line

s p

rep

are

d b

y M

arc

h

an

d im

ple

me

nte

d

gu

ide

line

s fo

r th

e c

are

of

the

A

cco

mo

da

tion

h

ea

lth c

are

se

rvic

es

an

d

on

to

str

en

gth

en

he

alth

2

00

8

e

lde

rly

are

de

velo

pe

d

an

d A

ssis

tan

ce

pro

mo

tion

of

He

alth

ca

re s

erv

ice

s fo

r o

lde

r

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11. CAPITAL ASSETS AND INVESTMENT PROGRAM

Table 9: Proposed Investment Program for 2008

Asset Type Qty to be Expected Estimated Cost Estimated Useful life

purchased Ownership

Nadarivatu 1 Government $120,000 50 years

Staff Quarters

Building - Preparatory Government $0.1million The project will be

Construction of the Phase completed at the

new Ba Hospital. end of 2010.

2nd phase of Hosp extension Government $450,000 50 years

Savusavu Hospital

Redevelopment

Upgrading of Ba Renovations Ba Mission Hosp. $100,000 60 years

Mission Hosp, Nailaga Private Ba & Nailaga

& Ba H/Centres H/Centres- Govt.

Upgrading of Health Refer 2008 Government $2million 50 years

Facilities in the Urban Priority List

Centres

Upgrading of Health Refer 2008 Government $1million 50 years

Facilities in the Sub- Priority List

Divisional Medical

Areas

Extension of CWMH Scooping Government $200,000 50 years

Mortuary

Biomedical Refer 2008 Ministry of Health $700,000.00 10 years

Equipment for Priority List

Urban Hospitals

Biomedical Refer 2008 Ministry of Health $700,000.00 10 years

Equipment for Priority List

Sub-Divisional

Medical Areas

Dental Equipment for Refer 2008 Ministry of Health $400,00.00 10 years

urban Dental Clinic Priority List

Dental Equipment Refer 2008 Ministry of Health $300,00.00 10 years

for sub divisional Priority List

Dental Clinic

New Generator 1 Ministry of Health $200,000 10 years

for Lautoka

New Generator for 1 Ministry of Health $180,000 10 years

Labasa Hospital

New Boiler for CWMH 1 Ministry of Health $200,000 10 years

New Incinerator for 1 Ministry of Health $316,125 10 years

CWM Hospital

Equipment for Health Ministry of Health $500,000 5 years

Centres & Nursing

Stations

Equipment for Health Ministry of Health $500,000 5 years


Appendix 1: Output Performance Targets : Health

Table 10: Output Performance Targets

Performance Indicators 2006 Actual 2007 targets

Quantity

Number of Policy Papers submitted to N/A > 12

the Minister

Number of Briefing Papers And tasks

performed on behalf of the Minister. N/A > 700

Quality

Client rates and consistency of policy N/A > 95%

papers as satisfactory or better.

Percentage of administrative tasks where N/A > 75%

performance rated by client as satisfactory

or better.

Briefings provided to the Minister that are N/A > 85%

N/A rated satisfactory or better.

Timelines

Policy advice prepared within five business N/A > 95%

days of a request from the Minister.

Cabinet papers prepared within ten N/A > 75%

business days of a request from

the Minister.

Cost

Completion of work program within the N/A 100%

Budget allocation

Output 1: Portfolio Leadership Policy Advice & Secretarial SupportFinancial Budget : $2,407,687Full-Time Equivalent Staffing Resources: 24



QuantityNumber of promotion campaigns N/A > 12undertaken.Number of health conditions targeted. N.A > 6 Estimated average target population reach N/A > 250of each campaign (,000). QualityThree year average percentage N/A > 5%improvements in respect of each health condition.Average percentage of target population N/A > 75%intending to act in accordance with the campaign message. TimelinesPromotional campaign implemented N/A > 85%according to approved schedule

CostCompletion of work program within the Budget allocation N/A 100%


QuantityNumber of medical evacuations. N/A > 100Units of blood consumed QualityPercentage of medical evacuations with a N/A > 10,000successful outcome.Percentage of blood lost due to inappropriate or N/A 0.4%failed storage.

TimelinessEvacuations effected within 24 hours of N/A > 98%requirement.

2. Public Awareness Promotions – Public HealthFinancial Budget: $1,215,756Full-Time Equivalent Staffing Resources: 7

Output 3: Emergency Response Services – Medical Evacuations and Blood Supply.Financial Budget: $1,309,356Full–TimeEquivalentStaffingResources:7


Blood supplies delivered between 2 and 5 N/A > 99%minutes before intended use. CostCompletion of work program within the Budget N/A 100%allocation

QuantityNumber of blood tests conducted. N/A > 5,001 Average population coverage of EPI.Average population coverage of tetanus N/A > 80%

QualityThree-year average annual decrease in N/A > 80%incidence of disease. TimelinessImplementation of disease outbreak control N/A > 80%programme within 24 hours of public health warning

CostCompletion of work program within the Budget N/A $1,565,307allocation


QuantityAverage number of outpatient consultations per N/A > 32 day per doctor.Average number of outpatients treated per N/A > 50nurse per day.Average number of prescribed items dispensed N/A > 1.000per dayNumber of specialist consultations per day per N/A > 16doctorNumber of hospital beds. N/A > 900 Average length of stay (days). N/A > 40 Number of hospital patients per nursing staff. N/A > 5

Output 4: Communicable Disease Prevention.Financial Budget: $ 1,565, 307Full–TimeEquivalentStaffingResources:49

Output 5: Provision of Clinical Services.Financial Budget: $73,550,209Full–TimeEquivalentStaffingResources:3,398


QualityRate of unplanned readmission for the same N/A > 95%condition within 28 daysPercentage of clients who rate service as N/A > 95%satisfactory or better. TimelinessPatients examined within 25 minutes of arrival N/A > 60% Diagnosis delivered within 15 minutes of N/A > 50%examination.

CostCompletion of work program within the Budget N/A 100%allocation


QuantityNumber of confirmed cases of measles N/A <30 QualityPopulation with access to improved sanitation N/A > 15%

TimelinessSDMT are satisfied with the timeliness N/A > 15%frequency and quality of technical advice provided of their respective DHP officer.

CostCompletion of work program within the Budget allocation N/A 100%


QuantityNumber of Clients Trained N/A > 1,001Number of course days N/A > 35Course days per staff N/A > 201

QualityCourse participants rate training as satisfactory N/A > 85%or better.Three year average decrease of incidence of N/A > 5% diseases in villages

Output 6: Provision of Primary Health Care.Financial Budget: $ 13, 558, 339Full–TimeEquivalentStaffingResources:665

Output 7: Education and Training – Disease Control and Health Promotion.Financial Budget: Full – $14,302,459TimeEquivalentStaffingResources:445


TimelinessTraining conducted in accordance with N/A > 95% scheduled timetable. CostCompletion of work program within the Budget N/A 100%allocation


QuantityNumber of Students. N/A > 450 Number of course days. N/A > 100Course days per staff member N/A > 100

Quality Course participants rate training as satisfactory N/A > 85%or betterPass rate in respect of formal qualification/exam N/A > 90%

TimelinessClasses commence within 2 minutes of N/A > 95%scheduled timetable.

CostCompletion of work program within the Budget allocation


QuantityNumber of elderly accommodated N/A > 100 Number of clients per nursing staff member. > 10

QualityClients rate the service provided as satisfactory N/A 95% or better < 1Three – year average incidence of breaches of the Health Act in respect of accommodation N/AThree year average incidence of breach of the [insert name of legislation governing the health N/A < 1 and safety legislation regarding sale of food].

Output 8: Education and Training – NursesFinancial Budget: $ 3,280,796Full–TimeEquivalentStaffingResources:106

Output 9: Hospice Services – Accommodation and Assistance for the Elderly.Financial Budget: $ 860,519Full–TimeEquivalentStaffingResources:67


TimelinessMeals are served within 15 minutes of N/A > 95%scheduled timetable.Patient bells are attended within 1 minute. N/A > 99%Successful applicants accommodated within N/A > 50% ten years.

CostCompletion of work program within the Budget N/A 100%Allocation


QuantityNumber of types of goods supplied. N/A > 2000Total quantity of items of goods supplied. N/A > 5000Total cash value of goods supplied N/A > $10 million

QualityPercentage of customers who rate service as N/A > 70%satisfactory or betterPercentage of customers who rate quality of N/A > 85%goods supplied as satisfactory or better. TimelinessCustomers receive goods they seek on the N/A > 95%same day.Customers receive goods they seek within N/A > 80%10 business days.Customers receive goods they seek later than N/A > 1% 28 days after order

CostCompletion of work program within the Budget N/A 100%allocation

Output 10: Supply of Goods – Medical Drugs and Consumables.Financial Budget: $ 18, 875, 409Full–TimeEquivalentStaffingResources:80


Output Performance Targets : Women, Social Welfare & Poverty MonitoringOutput 11: Portfolio Leadership Policy Advice & Secretarial SupportFinancial Budget: $942,500Full-Time Equivalent Staffing Resources: 13.59

Performance Indicators 2006 Actual 2007 Target 2008 Target

Quality• Client rates 80% content and consistency of policy N/A 80% 80% papers as satisfactory or better.• 75% of administrative N/A 75% 75% tasks where performance rated by client as satisfactory or better.• Briefings provided to the N/A 85% 85% Minister that are rated 85% satisfactory or better.

Timeliness• 95% of Policy advice N/A 95% 95% prepared within five business days of a request from the Minister.• 75% of Cabinet papers N/A 75% 75% prepared within ten business days of a request from the Minister

CostCompletion of work program within the Budget of N/A <$520,905 <$542,500$542,500 allocation at 1 January.Capital <$400,000


Output 12: Poverty Alleviation – Income Support to Disadvantaged PersonsFinancial Budget : $18,240,000Full-Time Equivalent Staffing Resources: 28.47


Quantity• 20,000 qualifying persons N/A 20,000 20,000 assisted.• 3 new projects 3 3

Quality• 65% of beneficiaries’ N/A 65% 65% receiving $US1 a day.• 01% of people assisted N/A 1% 01% no longer require assistance after 6 months.

Timeliness• 80% of applicants’ N/A 80% 80% assessment completed within ten business days of completed application being received.• 80% of qualifying beneficiary receives notice N/A 80% 80% of assistance within 20 business days of application.• Applicants to receive N/A 80% notice of applications within 30 working days.

CostCompletion of work program <$14.8 <$18.2 <$18.2within the Budget allocation at 1 January ($18.2m).


Output 13: Poverty Alleviation Project Assistance for Disadvantaged PersonsFinancial Budget : $1,400,000Full-Time Equivalent Staffing Resources: 20.06


Quantity• 200 qualifying persons N/A 200 persons 200 qualifying assisted. persons

Quality• 95% of approved N/A 95% 95% applicants to receive funds.• 75% of houses built within N/A 75% 75% six [6] months.

Timeliness• 95% of New Applicants’ N/A 95% 95% assessment completed within fifteen business days of completed application being received.• 75% of New Qualifying N/A 75% 75% beneficiary receives notice of assistance within thirty [30] business days of application.• 80% of payments are N/A 80% 80% made within sixty [60] days of approval.

CostCompletion of work program <$3.7 <$1.2 <$1.4within the Budget allocation at 1 January ($2.8m).


Output 14: Child Welfare ServicesFinancial Budget: $898,279Full-TimeEquivalentStaffingResources:26.07


Quantity• Average of 150 clients per N/A 54,750 54,750 clients day. clients

• 450 meals prepared per N/A 164,250 meals 164,250 meals day.

• 3 types of formal education N/A 840 activities 840 training and/or training activities activities undertaken per day per client. 14 days 14 days

• Average of 14 days a N/A 730 per officer 730 per officer client stays in protection per year per year

• Average of 2-child N/A 4 per year 4 per year welfare casework per officer per day.

• 1 training program per N/A quarter.

Quality• 99% of persons under N/A 99% 99% protection live in risk free environment. N/A 75% 75%• 75 % Clients rate accommodation as satisfactory or better. N/A 75% 75%• 75% Clients rate food as satisfactory or better.• 100% Casework for all N/A 100% 100% children under care.

Timeliness• 85% of Meals provided N/A 85% 85% within 5 minutes of scheduled time.


• 80% of Children placed N/A 80% 80% under protection within one [1] day of a legally valid instrument being issued. N/A 100% 100%• 100% of Court Reports submitted and care order obtained within 14 days of placing a child under N/A 100% 100% the care of the Director.• 100% review of all children under adoption within 3 months of placement.

Cost• Completion of work program within the N/A <$898,279 <$898,279 Budget allocation at 1 January ($898,279) 1<Revenue/Cost.

Output 15: Licensing, Compliance & Monitoring – Residential Centres for ChildrenFinancial Budget: $738,300Full-TimeEquivalentStaffingResources:24.73


Quantity• 7 homes under supervision. N/A 7 homes 7 homes• 1 application assessed N/A 1 applicant 1 applicant for establishment of a juvenile home.

Quality• At least 5 breaches of N/A 35 breaches 5 per annum standards detected per institution.

Timeliness• 95% of institutions N/A 95% 95% reviewed at least once


every 6 months.• 95% of applications N/A 95% 95% received for licence to operate as a juvenile home assessed within 5 months of receipt.

Cost• Completion of work N/A <$493,871 <$738,300 program within the Budget allocation at 1 January.Revenue/Cost

Output 16: Child Care CounselingFinancial Budget : $419,574Full-TimeEquivalentStaffingResources:18.53


Quantity• 2 consultations per day N/A 520 520 per counsellor. consultations consultations• 3 focused training N/A 60 per 60 per programme per district district district per quarter.

Quality• 3 year average proportion N/A 5% 5% of clients who require further counselling. N/A 75% 75%• 75% of counsellors with formal qualifications in counselling.• 75% increase in coverage N/A 75% 75% for targeted district.

Timeliness• 80% of Client consultations N/A 80% 80% within seven days of identified need. • 80% of Consultations N/A 80% 80% proceed according to schedule. N/A 80% 80%


• 80% counselling finalised and recommendations delivered within 21 days.

CostCompletion of work program N/A <$660,123 $419,574within the Budget allocationat 1 January.

Output 17: Supervision of Non-Custodial SentencesFinancial Budget : $504,354Full-TimeEquivalentStaffingResources:18.23


Quantity• 10 offenders under proper N/A 600 600 supervision per month per division.• 2 training programmes per division per year. N/A 10 10

Quality• 60% of probation reports from community N/A 60% 60% supervisors assessed as successful.

Timeliness• 99% of offenders under supervision are N/A 99% 99% counselled at least once a month.

Cost• Completion of work N/A <$504,354 <$504,354 program within the Budget allocation at 1 January.


Output 18: Gender Equality & Development of Women Issues and ConcernsFinancial Budget : $1, 625,119Full-TimeEquivalentStaffingResources:49.08


Quantity• 80 consultative meeting N/A 80 80 held.• 4 Training Workshops N/A 80 80 workshops conducted per division workshops per quarter.• 2 awards given to N/A 2 2 recognise women’s achievements. N/A 2 2• Review of adoption of key strategies on 2 international agreements.

Quality• 70% of recommended changes in the reviewed N/A 70% 70% plan of action.• 75% women in decision N/A 75% 75% making positions empowered through training.• 60% of all training to N/A 60% 60% target empowerment of women.

Timeliness• 100% Production of N/A 100% 100% monthly reports of progress made.

Cost Completion of work N/A <$1.625,119 <$1.625,119 program within the Budget Allocation.


Appendix 2: Register of Fixed Assets Used to Produce Outputs

Refer to the Asset Management Book, Asset Data Base and other Assets Records in the Ministry

Table 11 : Register of Existing Fixed Asset Base

Asset type Quantity Asset Asset Date of Purchase cost (forgrouped Identifier Ownership Purchase orleaserate assets)Motor Vehicles Pajero LWB 1 Government 2005 $69,855

(cost more than (GN 420)

$50,000.00 each) 1 Government 2004 $70,000

Prado Land

Cruiser (GN 132)

1 Government 1996 $60,000

Toyota Land

Cruiser (GM 297)

1 WHO 1996 $60,000

Toyota Land

Cruiser (GM 382)

1 WHO 1996 $92,000

Toyota Mini Bus

(GM 004)

1 British Aid 1997 $99,000

Landrover

(GM 691) 1 Government 1996 $70,000

1 Government 2002 $99,000

Hino Truck

(GM 293) 1 Government 1992 $55,816

Nissan Bus

(GN 043)

1 JICA 1997 $55,816

Toyota L/Cruiser

(GL 802) 1 AUSAID 1998 $70,000

Toyota Prado

(GM 693) 1 WHO 1992 $55,816

Toyota Ambulance

(GL 713) 1 Government 2002 $60,000

Toyota 1 Government 1990 $55,000

Toyota Ambulance 1 Government 2003 $60,000

(GM 960)

1 AUSAID 1988 $70,000

Parado LWB

(GM 964) 1 Government 1993 $55,816

Nissan Ambulance 1 AUSAID 2002 $92,235

(GL 274

Toyota Ambulance 1 AUSAID 1998 $58,000

(GM 963)


Asset type Quantity Asset Asset Date of Purchase cost (forgrouped Identifier Ownership Purchase orleaserate assets) Toyota Ambulance

(GL 067) 1 Government 2003 $60,000

Toyota L/Cruiser 1 AUSAID 2002 $92,235

(GL 803)

Toyota Ambulance 1 WHO 1996 $55,000

(GM 776)

Toyota Ambulance 1

(GL 068)

Toyota Ambulance 1 Government 1998 $105,000

(GM 963)

Motor Vehicles Toyota Ambulance 55 Government $2 million

bought by the (GM 776)

Govt. (cost less Toyota L/Cruiser

than $50,000 (GM 295)

each) Nissan Bus

(GM 590) 54 JICA, SPC,WHO $2 million

Motor Vehicles AUSAID,

donated to the Details can be BRITISH AID,

Ministry (cost less sorced from MOH KOICA, Lions

than $50,000) Asset Data Base Club, UNICEF

Save the

Children Fund

Details can be

sorced from MOH

Asset Data Base

Bio-medical Can be sourced N/A N/A N/A N/A

Equipments from the MOH

Asset Data Base

Computers Can be sourced N/A N/A N/A N/A

from the MOH

Asset Data Base

Medical Boats Can be sourced N/A N/A N/A N/A

from the MOH

Asset Data Base

Other Office Can be sourced N/A N/A N/A N/A

Equipments from the MOH

Asset Data Base

Mazda Sedan 323 N/A N/A N/A $30,000.00

Motor Vehicle (GM 957) DSW

Mitsubishi Pajero N/A N/A N/A $52,000.00

Motor Vehicle (GM 702) Boys

Centre

Mazda Sedan 323 N/A N/A N/A $30,000.00

Motor Vehicle (GM 565) PEU

Pajero Mitsubishi N/A N/A N/A $35,000.00

Motor Vehicle (GM 441) DSW HQ

Ford Twin Cab N/A N/A N/A $30,000.00


Nausori


Asset type Quantity Asset Asset Date of Purchase cost (forgrouped Identifier Ownership Purchase orleaserate assets)Motor Vehicle Daihatsu Rocky N/A N/A N/A $30,000.00

(GL 837) Boys

Centre

Motor Vehicle Pajero Mitsubishi N/A N/A N/A $30,000.00

(GM 444) DSW

Lautoka

Ford Twin Cab N/A N/A N/A $30,000.00

Motor Vehicle (GM 779) DSW Ba

Pajero Mitsubishi


Labasa N/A N/A N/A $25,000.00

Motor Vehicle Mitsubishi Pajero

(GN 339) Minister N/A N/A N/A $70,000.00

Motor Vehicle Hyundai Sonata

(GN 333) - PS N/A N/A N/A $40,000.00

Motor Vehicle Ford Twin Cab

(GM 781) DSW HQ N/A N/A N/A $30,000.00

Vehicle GN 163 N/A N/A N/A $20,000.00

Vehicle GM 980 N/A N/A N/A $20,000.00

Motor Vehicle Twin Cab N/A N/A N/A $36,000.00


Appendix 3: Summary of Strategies by FunctionTable 12: Summary of Strategies by Functional Grouping

Strategies Summarised by Functional Grouping Associated Implementation Outputs DatePrimary & Public Health Services and Promotion of Health

1. Strengthen primary and preventive health care 1,2,3,4,5,6,7,8 Ongoing

services and promotion of health

2. Implement the STI/HIV/AIDS Strategic Plan 1,2,4,5,6,7, Ongoing

2007 - 2011 & 10

3. Strengthen implementation of the integrated 1,2,5,6,7,9 Ongoing

Non-Communicable Diseases programs

4. Strengthen implementation of the integrated 1,2,4,5,6,7, Ongoing

Communicable Diseases Programs 10

5.Strengthen implementation of the integrated 1,2,6

Health Promotion Programs

6. Strengthenimplementation of other Public 1,2,3,6,7,8, Ongoing

Health Programs 10

Clinical health Services

7. Establish a Clinical Services Policy that prioritise 1,5 By February 2008

services to be provided by the public sector

8. Identify special areas of clinical services to be 1,5,7,8,10 Clinical services to

improved be improved

identified by March

2007

9. Review health related legislation for better provision 1,5 Prioritised

of health services legislation reviewed

by June 2008

Human Resources Management & Development

10. Review, develop and implement realistic strategies 1,7,8 Training Needs

to train, deploy and retain the health workforce Assessment to be

compiled by March

2008

11. Review and analyse workforce requirement for 1 Workforce

health professionals and support staff. requirement is

reviewed by April

2008


Strategies Summarised by Functional Grouping Associated Implementation Outputs Date 12. Develop management capacity for managers to effectively monitor and evaluate activities, Training Needs set priorities equitably allocate and resources 1,7,8 Assessment to be and manage risks. compiled by March 2008 13. Develop Strategies for staff retention 1,7,8 A report to be and succession planning compiled by March 2008

Drugs & Medical Consumables 14. Strengthen the logistics network and management 1,5,10 List of all drugs & of drug and medical supplies through evidenced consumables and based estimates quantities to be procured is available by January 2008 15. Formulate evidence based proposals to obtain increased funding for Essential Drugs 1,5,10 Evidenced based proposals submitted to HQ by April 2008Planning, Infrastructure Development and CapitalPurchases 16. Ensure appropriate equipment (biomedical and 1,5,10 List of all items to non - medical) are made available to support be procured is efficient delivery of health services available by January 2008

17. Develop and install an asset management data 1 Data base to be base developed by December 2008

18. Maintain the existing ICT structure to support 1,5,6 Maintenance Plan efficient delivery of health services is developed by December 2008

19. Develop evidence-based proposals for resource All proposals for allocation for construction of new health facilities 1,5,6 new projects are prepared by June 2008


Strategies Summarised by Functional Grouping Associated Implementation Outputs Date

20. Develop evidence-based proposals for resource 1,5,6 All proposals to be allocation for maintenance work on existing prepared by infrastructure and facilities June 2008 21. Develop evidence-based proposals for resource 1,5,6 allocation for purchases of appropriate vehicles and communication systems to support an efficient delivery of health services

Financial Management & Revenue Generations 22. Strengthen the effectiveness of the Financial Training for all management system to support the 1 users to be timely generation of reports. conducted in each division by June 2008 23. Review exiting fees and determine new fees and 1 charges for identified health services for Review to be Cabinet’s considerations completed by 24 . Identify opportunities for revenue generation 1 February 2008

25. Develop and recommend a range of health care List of revenue financing options for cabinet’s considerations generation strategies identified by February 2008 1 Recommended list of health care financing options is prepared by February 2008 Quality Assurance 26. Strengthen quality improvement, patient 1,5,6 Survey to be safety and risk management system under undertaken by June the clinical governance framework 2008 to determine effectiveness of programs on the ground.

27. Establish patient and staff satisfaction survey 1,5,6 Staff & patients satisfaction survey to be undertaken by December 2008


Strategies Summarised by Functional Grouping Associated Implementation Outputs Date

Quality Assurance 28. Strengthen quality improvement, patient 1,5,6 Survey to be safety and risk management system under undertaken by June the linical governance framework 2008 to determine effecetiveness of programs on the ground. 29. Establish patient and staff satisfaction survey 1,5,6 Staff & Patients program satisfaction survey to be undertaken by December 2008Poverty Reduction 1. Strengthen implementation, monitoring and 11,12 Ongoing evaluation of Poverty Alleviation Projects International Commitment 1. Review and update Initial CEDAW report and 18 August 2008 write periodic report Women Plan of Action 1. Strengthen implementation of the Women’s Plan 12,14 Ongoing of Action 1998 - 2008 2. Review and establish the Reviewed Women’s 12,14 By Nov 2008 Action as the roadmap for Women’s empowerment and Gender equality for the next 10 years Service Delivery 1. Improve Structure and processes for community 12,14 By June programme 2. Development and strengthen strategic partnership 12,14 Ongoing with NGO’s Training Institutions and relevant Government Machiniries for women and gender empowerment Media 1. Conduct a media campaign to raise public awareness on women’s topical issues and remove 12 Ongoing stereotyping of women Children and Youth at Risk 1. Minimum Standards to be implemented. 11,14,15 Presented in Cabinet by 31 2. Audit of Resdential Homes 11,14,15 March


Strategies Summarised by Functional Grouping Associated Implementation Outputs Date 3. Strengthen statutory processes for managing of 11,14,15 Ongoing Children’s Homes. 4. Strengthen probation and community work pilot 11,14,15,16,17 Ongoing 5. Strengthen childcare and counselling services. 11,14,15,16,17 Ongoing 6. Review of marriage counselling role and strengthening partnership with Family Court. 11,14,15,16 Ongoing Equitable Socio-Economic Development 1. Strengthening probation and community work 11,14,16,17 Ongoing end-processes. 2. Review of criteria for PAP and FA 11,14,16,17 Paper presented in Cabinet by 29 Feb



The Director Health Program & Planning Division of the Ministry of Health, Women and

Social Welfare hereby acknowledges the valued contributions of its Partners in Health, Central

Government Agencies and Senior Staff towards the consultations in the formulation of 2008

Corporate Plan.

These include the following: World Health Organisation, UNFPA, UNIFEM, JICA, AusAid in-

cluding FHSIP, Ministry of Finance & National Planning, Public Service Commission and all

the Directors and Senior staff of the Ministry, as well as the 3 geographical divisions: Northern,

Western & Cental Eastern.

We also acknowledge the support and direction given by the Permanent Secretary and the

Interim Minister in the development and finalisation of this Corporate Plan 2008.


AcknowledgementsAcknowledgements

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Ministry of Health, WOMEN & SOCIAL WELFARE

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