2. Role of WHO as Technical Advisor to Ministry of Health West Bank and Gaza

3. 2 |2 | WHO-oPt Overview What is WHO? Global role and structure WHO’s mission and programmes in oPt. Priorities for 2009 to 2013 under Country Cooperation Strategy

4. 3 |3 | WHO-oPt WHO Global Presence 193 Member States form Governing Body: World Health Assembly (oPt is associate member) HQ in Geneva 6 Regional Offices (EMRO in Cairo) 147 Country Offices 8000 staff Budget approx $4billion (70% voluntary contributions)

5. 4 |4 | WHO-oPt WHO’s Core Functions Include: Providing leadership on health issues Providing technical support, catalysing change and building sustainable institutional capacity Monitoring the health situation and analysing trends Supporting national authorities in sudden-onset and chronic emergencies (preparation, response and recovery)

6. 5 |5 | WHO-oPt WHO’s Comparative Advantage Close relationship with Ministries of Health Technical expertise – setting norms and standards Access to global WHO network Designated lead of health cluster, globally and locally Part of UN system with same core values: neutrality, objectivity, transparency, accountability Strong partnerships, globally and nationally

7. 6 |6 | WHO-oPt WHO oPt Mission To promote the health of the population and the development of the health system in oPt and ensure that essential health needs are met

8. 7 |7 | WHO-oPt Framework for Cooperation Country Cooperation Strategy - describes how WHO will support the national health agenda in the oPt - WHO contribution to UN Strategy (MTRP) Provides basis for dialogue, resource mobilisation and planning Draft CCS for oPt for 2009 to 2013 will be circulated shortly

9. 8 |8 | WHO-oPt WHO’s Role in oPt jjhjk Mission To promote the health of Population Development The development of the health system Humanitarian Ensure essential health needs are met

10. 9 |9 | WHO-oPt Humanitarian – Health Cluster Lead FunctionExample Coordination of international and national humanitarian actors Organise, chair and support health cluster meetings Identify health needsCarried out Gaza initial health needs assessment, Feb 2009 Plan and coordinate response (joint strategies, action plans etc) Coordinated and reviewed health component of the CAP Monitoring and reportingProduced and disseminated daily situation reports during Gaza war Provider of last resortFacilitated delivery of all medical supplies to Gaza during war AdvocacyProduced reports on access issues eg Gaza referrals

11. 10 | WHO-oPt Humanitarian – Programmes (Gaza) Support for CDS on logistics Improving quality of care in hospitals (maternity and neo- natal departments) and PHCs (implementation of protocols for NCDs) Medical equipment – providing essential spare parts and strengthening maintenance regime

12. 11 | WHO-oPt Development – Current Activities Health Policy and Coordination –Technical support to Health Sector Working Group and Thematic Groups –Support for Health Policy and Planning Directorate and planning process –Secretariat for Central and District Coordination Committees

13. 12 | WHO-oPt Development – Current Activities Technical Programmes –Building community based mental health services –Quality programmes for East Jerusalem hospitals and strengthening EJH network –Strategy for prevention and control of non-communicable disease –Prevention, control and treatment of communicable diseases- TB, HIV/AIDS, Flu –Nutrition surveillance and standards

14. 13 | WHO-oPt Development – Current Activities JPRM (Joint Programme Review and Planning Mission) –Collaborative programmes to strengthen national capacity over agreed range of MoH responsibilities. Include: Training activities Regional workshops Short consultancies Fellowships

15. 14 | WHO-oPt Development – Planned Activities 1. Work with MoH to strengthen the health system including: –Continuing to support thematic group on health sector reform –Reviewing management framework for health sector ( delegated authorities, financial and performance incentives etc) –A long term plan for secondary and tertiary care (a master plan for hospitals) –Development of a national regulatory authority responsible for selecting, using and assessing health and bio-medical technologies in health care –Build capacity to use analytical tools for assessing health system performance, for analysing burden of disease and national health accounts Supports MOH NSHP SO5 – Effective policy, planning and management

16. 15 | WHO-oPt Reviewing management framework for health sector Quality improvement does not just depend on resources and technical capacity. Attitudes of health staff at all levels are just as important - motivation, commitment, responsibility etc We have to examine the factors that influence attitudes. Eg –Incentives to provide a high quality and responsive service (individual and institutional) –Conflicts of interest (private practice) –Performance assessment and accountability Management frameworks can be designed to address these issues

17. 16 | WHO-oPt The Organisation Iceberg Strategy & Business Plans Structure Formal roles Procedures Policies and Protocols The Formal Organisation The Hidden Organisation Plan, R 1987. Managing Change & Making Stick Attitudes Values and beliefs Management Style Rumours Power networks Loyalties Personal hopes and fears Informal relationships

18. 17 | WHO-oPt Development – Planned Activities Strengthen Health Information system to support effective use of resources and evidenced based policies and strategies: –Review the current HIS to identify gaps and develop a comprehensive HIS strategy –Support implementation of health expenditure and utilisation surveys –Improve vital registration –Train staff in use of WHO international classification of diseases Supports MOH NHSP SO5 – Effective policy, planning and management

19. 18 | WHO-oPt Development – Planned Activities 2. Expanded programme on NCDs including: –Support formulation of national NCD strategy in line with global plan of action on NCDs –Risk factor surveillance –Joint programme on healthy lifestyles (exercise, diet, smoking etc) –Continuing programme to build community based mental health services –Support to MoH nutritional strategy and plan of action (surveillance, micro-nutrient content of foods etc) Supports MOH NHSP SO1 – best possible health outcomes

20. 19 | WHO-oPt Development – Planned Activities 3. Addressing the unfinished agenda for communicable diseases –accelerating implementation of Stop TB strategy –ensure universal access to HIV prevention, treatment and care –Update national preparedness plan for Influenza –Support for MoH to carry out responsibilities under international health regulations Supports MOH NHSP SO1 – best possible health outcomes

21. 20 | WHO-oPt Conclusion We are here to help you Thank you