1. NDOH Perspectives on Regulated
Norms and Standards
October 2018

2. Presentation Outline Legislative Framework Institutional Arrangements
DOH measures
NDOH views of OHSC Roles and Responsibilities
Suggested Approach
Wy Forward

3. Legislative Framework
Constitution and Bill of Rights
National Health Act
Regulations
Norms and Standards
Other related legislation e.g. Medicines Control Act, PFMA, OHSA etc
Related Professional Acts and regulations
Policies and guidelines
Frameworks

4. Legislative Imperatives for quality of health care

5. Institutional Arrangements
NATIONAL –Governance &leadership /M& E / Regulatory/ policy setting
(Central Hospitals)
PROVINCES –Co-ordination /governance/ monitoring
(Regional and Tertiary Hospitals ,DHS)
DISTRICTS-Implementation of services
(PHC,CHC,CDC,DH)

6. NDOH Measures
Internal Audit function –as per any internal audit in any institution
Ideal Clinic Framework
Ideal Hospital Framework-work in progress –draft available for consultation in Aug/Sept

7. OHSC Roles and Responsibilities (NDOH Perspectives )
External Audit function –”ÄG “
Inspection
Compliance
Certification
Enforcement
Purpose : To assure the public that the specific HE is safe and delivers minimum standard of care as measured against the norms and standards set by the NDOH

8. Developmental Approach Contextual to SA Evidence- based
Guiding Principles /Approach
Developmental Approach
Contextual to SA
Evidence- based
Robust measures that have the same intent (expected outcome) to ensure same standard measured
Trust relationship between OHSC & DOH /HE

9. Thank you