Strengthening universal health coverage through role delineation in the Solomon Islands

editor Equipo editorial — 15/04/2017

World Health Organization (WHO)

Problem:

  • Health services are inadequate for people in rural areas. 80% of the population lives in rural areas and islands with weak health infrastructure.
  • 73 out of 86 doctors are based at the National Referral Hospital.
  • Public perceptions of service quality results in large numbers of people travelling long distances to the national hospital for primary health services. This skews optimum allocation of the hospital’s resources including staff time.

Solution:

  • To achieve effective coverage of services, Role Delineation Policy (RDP) was developed following extensive consultation. The RDP defines service delivery packages for six levels of health facilities: rural health centres, area and urban health centres, general hospitals and the national referral hospital.
  • Successful advocacy led to inclusion of Universal Health Coverage in the National Development Plan, and to Role Delineation being the central unifying feature of the National Health Strategic Plan, 2016-2020.
  • Based on initial implementation experiences, the RDP was revised and will be sequentially will be implemented in rural provinces commencing in 2017.

Fragility, pluripathology/polipathology and/or complex chronic diseases

Progress

SOLOMON ISLANDS

Solomon Islands
Practices Map

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