North Fly Health Services Development Program

A Public-Private Partnership for health in PNG’s mining sector

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A snapshot of PNG

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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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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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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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Program Components

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Governance – level 1

Implementation Service Provider Contract

OTML – Abt JTA - District Government

Steering Committee

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Governance – level 2

Program Charter

– Stakeholders

– Service Providers

Implementation Coordinating Committee

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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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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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Outreach clinics

Source: Annual Sector Review 2012

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Achievements - MCH

Source: Annual Sector Review 2012

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Achievements - Malaria

Source: Annual Sector Review 2012

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Malaria

Remains major challenge

>100,000 bed nets – Rotarians Against Malaria

– 100% population coverage

– Community education programs

Source reduction

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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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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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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