Monitoring of Private and Public Health Centers (AF0027)
Action Plan: Afghanistan Action Plan 2019-2021
Action Plan Cycle: 2019
Lead Institution: Ministry of Public Health
Support Institution(s): Relevant civil society organizations
Policy AreasE-Government, Health, Public Participation, Public Service Delivery, Social Accountability Measures & Feedback Loops, Subnational
What is the public problem that the commitment will address?
Low quality service delivery and ignoring the health standards in some health centers are problems in Afghanistan health sector and public trust in health sector has declined
This situation made our public pay lump sum amount of money for better and effective treatment outside Afghanistan whereas, economically deprived people cannot afford better and effective treatment outside Afghanistan.
What is the commitment?
A check list of minimal standards to scrutinize the quality of service delivery will be prepared by ministry of health. All health centers are obliged to comply with those minimal standards. Joint public and CSO experts monitor the health care centers to assess whether the standards are being met find out the bottle necks and difficulties and recommend solutions to the ministry of health within specific timeframe. Later the team re-monitors to check whether the recommendations have been implemented. In case the recommendations have not been considered or implemented, further steps according to law and procedures of ministry of health will be taken.
How will the commitment contribute to solving the public problem?
Identification and evaluation of health care problems in service delivery by ministry of health and implementation of recommendations in a specific time frame to bring reforms can uplift/improve quality of health services delivery.
Through supportive scrutiny, hospitals and health care centers will be obliged to work on quality service delivery.
The followings can also be considered:
1. Establish and publish minimal standards for health centers to aware citizens about the level of expectations in terms of facilities, medical equipment, staff from health centers.
2. By engaging CSOs in monitoring whether standards are being implemented, it instigates more accurate monitoring from health centers.
3. By conveying recommendations to health centers and existence of check list to examine implementation or nonoccurrence of minimal standards will promote accountability in health care services.
4. Minimal standards are developed by citizens and civil society in consultation with health care center staff, and other health professionals. This increases role of public in improvement of health care services.
Why is this commitment relevant to OGP values?
Quality improvement frame work (minimal standards) for health services delivery in participation with CSOs. It is related to civic participation and accountability
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