North Fly Health Services Development Program A Public-Private Partnership for health in PNG’s mining sector

Abt JTA | pg 2 A snapshot of PNG

Abt JTA | pg 3 North Fly District Estimated population in 2009: 68,193 Ethnic & linguistic diversity Geographic isolation & inaccessibility Ok Tedi Mining Ltd operations Exploration activities

Abt JTA | pg 4 Multi level partnership  Partnership between: –North Fly District Government –Catholic Health Services –Evangelical Church of PNG –Ok Tedi Mining Limited –Abt JTA Montfort Catholic Mission Health Services

Abt JTA | pg 5 Program priorities  Alignment with existing plans –PNG Vision 2050 –National Health Plan –Western Province Strategic Plan  Operationalising partner priorities  Integrated Annual Activity Plan based on Provincial plans

Abt JTA | pg 6 Program Components

Abt JTA | pg 7 Governance – level 1  Implementation Service Provider Contract OTML – Abt JTA - District Government  Steering Committee

Abt JTA | pg 8 Governance – level 2  Program Charter –Stakeholders –Service Providers  Implementation Coordinating Committee

Abt JTA | pg 9 Governance – level 3  Program Activity Groups  Operational planning and review  1 member from each partner organisation –MCH –HIV and AIDS and TB –Malaria & Environmental Health –Scholarships –Logistics and Infrastructure

Abt JTA | pg 10 Monitoring & evaluation  2009 baseline study  2011 midterm review  2011 independent technical review  Monthly, quarterly and annual reporting “Given the parameters and scope of the program, significant progress is being made in achieving its goal to contribute to the development of sustainable health services in the North Fly district” - Annmaree O’Keeffe, Independent Review, 2011

Abt JTA | pg 11 Outreach clinics Source: Annual Sector Review 2012

Abt JTA | pg 12 Achievements - MCH Source: Annual Sector Review 2012

Abt JTA | pg 13 Achievements - Malaria Source: Annual Sector Review 2012

Abt JTA | pg 14 Malaria  Remains major challenge  >100,000 bed nets – Rotarians Against Malaria –100% population coverage –Community education programs  Source reduction

Abt JTA | pg 15 Challenges of partnerships “The NFHSDP is an innovative attempt to introduce privately provided management and appropriately skilled health personnel services into the district health structure. The performance indicators show improved health system performance in the North Fly district. This improvement is partially attributable to the activities of the NFHSDP, as well as the activities of the existing providers.” “It also inadvertently dis-empowers the district health management by usurping their function.” “Despite the draw backs, much can be learnt from this model.” NDoH and AusAID. Feb Western Province Health Capacity Diagnostics Report p49

Abt JTA | pg 16 Lessons learned  Communication – crucial to success  Having a shared vision to develop a whole-of- district approach  Share responsibility and learn to grow together and understand each other to continue to work in partnership  Sharing resources to minimise the burden  Complete baseline survey as part of pre- mobilisation activities, rather than during implementation  Knowing partner catchment areas and populations

Abt JTA | pg 17 Sustaining the partnership It is vital that the previous achievements of the program are maintained and built upon, and the challenges to effective health service delivery are addressed in the coming years