ConsultantsReport-WorldHealthOrganization.doc

WORLD HEALTH ORGANIZATION DILI OFFICE, EAST TIMOR CONSULTANT’S REPORT: HEALTH SYSTEM AND HUMAN RESOURSES ASSESSMENT AND A PROPOSAL FOR FUTURE HEALTH SYSTEM IN EAST TIMOR Dr. G.G. THURUSINGHE STC/WHO December 1999 Contents Section A Introduction 3 Present Situation Health Status Analytical Review of the Present Situation Health Care System Present Constraints Positive Factors Initial Recommendations Re-establishment of Health Services in East Timor. 12 Phase I Phase II Phase III Proposal for Future Health System in East Timor. 14 Regional Health Authority (RHA) Primary Health Care Centers (PHCC) Proposed Organigram for Ministry of Health East Timor Policy Implementation Process 22 National Council for Health Development (NCHD). 4.2 National Committee for Health Development 4.3 Regional Committee for Health Development 4.4 Policy Implementation Process Other Important Sections 24 National Health Information System (NHIS) Drug Distribution and Management Disaster Preparedness Program Medico – Legal Services Blood Transfusion Services Laboratory Services Emergency/Ambulance Services Health Care Financing Private Health Care Sector Process Section B Human Resources Position Before Referendum in 1999 32 Assessment of Post – Referendum Situation of Human Resources for Health 34 Main issues in HRH 35 Training 36 Assessment of future manpower requirement 37 Future Perspective 38 Immediate Future 39 Long Term Perspective 40 9.0 Recommendations 41 10.0 Acknowledgements 43 Consultant’s Report Health System and Human Resources Assessment and A Proposal for Future Health System in East Timor Section A Introduction. East Timorese has been occupied by Portugal for about five hundred years, then by the Japanese during the World War II. Since 1974-1975 Indonesia has taken over East Timor. During this inversion and subsequent wars several thousands of people have been killed. The change of leadersh