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North Fly Health Services Development Program
A Public-Private Partnership for health in PNG’s mining sector
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Abt JTA | pg 2
A snapshot of PNG
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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
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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 JTAMontfort Catholic Mission Health Services
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Abt JTA | pg 5
Program priorities
Alignment with existing plans
– PNG Vision 2050
– National Health Plan 2011-2020
– Western Province Strategic Plan
Operationalising partner priorities
Integrated Annual Activity Plan based on Provincial plans
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Abt JTA | pg 6
Program Components
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Abt JTA | pg 7
Governance – level 1
Implementation Service Provider Contract
OTML – Abt JTA - District Government
Steering Committee
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Abt JTA | pg 8
Governance – level 2
Program Charter
– Stakeholders
– Service Providers
Implementation Coordinating Committee
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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
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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
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Abt JTA | pg 11
Outreach clinics
Source: Annual Sector Review 2012
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Abt JTA | pg 12
Achievements - MCH
Source: Annual Sector Review 2012
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Abt JTA | pg 13
Achievements - Malaria
Source: Annual Sector Review 2012
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Abt JTA | pg 14
Malaria
Remains major challenge
>100,000 bed nets – Rotarians Against Malaria
– 100% population coverage
– Community education programs
Source reduction
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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 2012. Western Province Health Capacity Diagnostics Report p49
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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
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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