世界银行-基里巴斯共和国初级卫生保健系统：初级卫生保健绩效倡议评估（英）-2023..docx

《世界银行-基里巴斯共和国初级卫生保健系统：初级卫生保健绩效倡议评估（英）-2023..docx》由会员分享，可在线阅读，更多相关《世界银行-基里巴斯共和国初级卫生保健系统：初级卫生保健绩效倡议评估（英）-2023..docx（79页珍藏版）》请在优知文库上搜索。

1、P N-o号alnsoosQ-qndpzo 号 V alnsoosQ-qndTHEPRIMARYHEALTHCARESYSTEMOftherepublicOfkiribatiAPRIMARYHEALTHCAREPERFORMANCEINITIATIVEASSESSMENTVALERIACRUZ-VILLALBAMARWARAMADANCAMERONSCOTTFEILAWADIALLOLATIFATOKARAMANUELAVILLARURIBEworldBankgroup-jHealth,NutritionAPopulationHITHEPRIMARYHEALTHCARESYSTEMOfther

2、epublicOfkiribatiAprimaryhealthcareperformanceINITIATIVEASSESSMENTVALERIACRUZ-VILLALBAMARWARAMADANCAMERONSCOTTFEILAWADIALLOLATIFATOKARAMANUELAVILLARURIBEReportpreparedbytheWorldBankinconsultationwiththeMinistryofHealthandMedicalServices,GovernmentofKiribatiworld BankgroupHealth, Nutrition 1 Populati

3、onophcpi2023TheWorldBankGroup1818HStreetNW,WashingtonDC20433Telephone:202-473-1000;Internet:www.worldbank.organdwww.ifc.org.SOMERIGHTSRESERVED.ThisworkisaproductofthestaffofTheWorldBank(theWorldBankGroup)withexternalcontributions.Thefindings,interpretations,andconclusionsexpressedinthisworkdonotnece

4、ssarilyreflecttheviewsofTheWorldBank,sBoardofExecutiveDirectors,orthegovernmentstheyrepresent.TheWorldBankdoesnotguaranteetheaccuracyoftheinformationincludedinthiswork.Theboundaries,colors,denominations,andotherinformationshownonanymapinthisworkdonotimplyanyjudgmentonthepartofTheWorldBankconcerningt

5、helegalstatusofanyterritoryortheendorsementoracceptanceofsuchboundaries.RIGHTSANDPERMISSIONS.Thematerialinthisworkissubjecttocopyright.BecausetheWorldBankencouragesdisseminationofitsknowledge,thisworkmaybereproduced,inwholeorinpart,fornoncommercialpurposesaslongasfullattributiontotheworkisgiven.ATTR

6、IBUTION.Pleasecitetheworkasfollows:,zWorldBankGroup.2023.ThePrimaryHealthCareSystemoftheRepublicofKiribati:APrimaryHealthCarePerformanceInitiativeAssessment,(c)WorldBankGroup.Allqueriesonrightsandlicenses,includingsubsidiaryrights,shouldbeaddressedtoWorldBankPublications,TheWorldBankGroup,1818HStree

7、tNW,Washington,DC20433zUSA;fax:;email:PUbrightSworldbank.org.DISCLAIMER.ThePHCPIisapartnershipdedicatedtotransformingtheglobalstateofprimaryhealthcare,beginningwithbettermeasurement.Whilethecontentinthisreportrepresentsthepositionofthepartnershipasawhole,itdoesnotnecessarilyreflecttheofficialpolicyo

8、rpositionofanyspecificpartnerorganization.Acknowledgments6Abbreviations7ExecutiveSummary9Introduction15Countrycontext16Economiccontext16Genderlandscape17AboutPrimaryHealthCarePerformanceInitiatives18Methodology21KeyfindingsfromtheVSP24Results25Performance26Access26Coverage28Quality31Equity34Capacity

9、37Governance37Inputs42Populationhealthmanagement47Financing50Recommendations51References62Annexes65Annex 1 rimaryHealthCarePerformanceInitiativeFramework66Performancedomain671.ISTOFFIGURESTable1,CoverageofservicesforRMNCH,infectiousdiseases,andNCDsusingdatafromthemostrecenthouseholdsurveysandmonitor

10、ingreportsinKiribati28Box1.OverviewofNCDpoliciesandstrategies37Box2.OverviewofNCDgovernanceandimplementation39Box3:Deep-diveintogovernanceandgender40Box4.OverviewofNCD-relatedinformationsystemsandfeedbackmechanisms44Box5:Deep-diveintoinputsandgender46Box6:Deep-diveintopopulationhealthandfacilitymana

11、gementandgender49ACKNOWLEDGMENTSThisreportpresentsthekeyfindingsofthePrimaryHealthCarePerformanceInitiativeassessmentintheRepublicofKiribati,whichwascompletedbyaWorldBankteamledbyManuelaVillar-UribeandWayneJeremyIravaincollaborationwiththeMinistryofHealthandHumanServicesoftheRepublicoftheMarshallIsl

12、ands.QualitativedatacollectionandanalysiswasledbyValeriaCruz-VillalbawithsupportfromIobiBatio.QuantitativedataanalysisandcurationwereledbyMarwaRamadan.CameronFeiLAwaDiallozandLatifatOkaraprovidedanalyticinputandwritingsupporttothisreport.DiegoHernanVaporeprovideddesignsupport.LucyHartshornzCaitlinNo

13、onan,andBaldeepDhaliwalalsoprovidedcriticalinputatdifferentphasesoftheassessment.Theteamisgratefulfortheoutstandingleadership,support,andguidanceprovidedbytheMinistryofHealthandMedicalServices,Kiribati-Dr.TekeuaUriam(DirectorHospitalServices),Ms.EretiTimeon(DirectorPublicHealth),Ms.HelenMurdoch(Dire

14、ctorNursingServices),Dr.TanebuTong(DeputyDirectorPublicHealth),Dr.AlfredTonganibeia(DeputyDirectorHospitalServices),andMs.ToataTitaake(DeputyDirectorNursingServices).Theyprovidedvaluableinputandmobilizedsupportfortheassessment/ssuccess.Theteamalsothanksthekeyinformantsinterviewedfortheirtimeandcontr

15、ibutions,withoutwhichthisassessmentwouldbeincomplete.ABBREVIATIONSANCAntenatalcareCEDAWConventionontheEliminationofallFormsofDiscriminationAgainstWomenCSOCivilsocietyorganizationDPT3Diphtheria-pertussis-tetanus,thirddoseEHRElectronichealthrecordGBVGender-basedviolenceGDPGrossdomesticproductHIESHouseholdincomeandexpendituresurveyHIVHumanImmunodeficiencyVirusHMISHealthManagementInformationSystemMHMSMinistryofHealthandMedicalServicesMICSMultipleIndicatorsClusterSurveyMWYSSAMinistryofWomen,Youth,Sport,andSocial