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United Nations Department of Economic and Social Affairs Sustainable Development

Pacific Health Development Team: Bilateral Institutional Linkage Programme

Counties Manukau District Health Board (Auckland, New Zealand) & Samoa National Health Services
#SDGAction40049
Description
Description
Counties Manukau District Health Board has an Institutional Linkage Programme with Samoa National Health Services which supports the development of improved and sustainable health services. This programme focuses on strengthening the governance and management of clinical and whole of systems health service delivery. It includes health workforce development, visiting medical specialists and an overseas treatment scheme. There is an on-going commitment to develop this programme in conjunction with the National Health Plans for Samoa. Counties Manukau Health (CM Health) is one of 20 District Health Boards (DHBs) that was established under the New Zealand Public Health & Disability Act 2000 and is a crown owned entity for the purposes of the Crown Entities Act 2004. CM Health provides health and disability services to an estimated 512,000 people who reside in the local authorities of Auckland, Waikato District and Hauraki District. CM Health is a not-for profit integrated health care delivery system. The District Health Board is responsible for services across the care continuum. CM Health provides, a wide range of specialist secondary services, a selected range of community services as well as a number of niche specialist tertiary services through our provider arm. The specialist services include:- Bone tumour surgery- Plastic, reconstructive and maxillo facial surgery- National Burns service- Spinal cord injury rehabilitation- National / regional renal dialysis advisory service- Neonatal intensive care- Breast reconstructive surgery- National Interventional bronchoscopy (stent and valve placement) service and medical thoracoscopy - Endoscopic ultrasound and endobronchial ultrasound.The majority of inpatient acute services continue to be provided at the Middlemore Hospital site.Vision: To work in partnership with our communities to improve the health status of all, with particular emphasis on Maaori and Pacific and other communities with health disparities.Core Competencies - We achieve our vision through our Triple Aim Strategy.CM Health Triple Aim Strategy objectives are: - Improve health and equity for all populations- Improve quality, safety and experience of care- Ensure best value for public health system resource Achieving a Balance (AaB) is the primary portfolios of work that will help achieve these objectives. AaB is being actioned through six Executable Strategies, known as programmes of work. These are:- Better Health Outcomes for All- First Do No Harm- Patient and Whaanau Centred Care- System Integration- Ensuring Financial Sustainability- Enabling High Performing PeoplePacific Health Development work in the Pacific RegionPacific Health Development at Counties Manukau District Health Board has received funding through agreements with NZAID through Ministry of Foreign Affairs and Trade (MFAT) to co-ordinate and provide Institutional Linkage Programmes and Strengthening programmes to the Government of Samoa (via the National Health Service) and the Government of Niue (via the Department of Health). Counties Manukau Health (CMH) has a Memorandum of Understanding with the Government of the Cook Islands and a development contract for Radiology Services with the Marine Training Centre in Kiribati. Pacific Health Development will continue to develop new initiatives with Pacific Island nations within the Pacific, being responsive to regional aspirations that includes and creates new opportunities for collaboration.
Implementation of the Project/Activity

- Health Needs Analysis ILP for health systems development- ILP Planning and co-design and development of an Achievable Results Framework- Supporting strategic initiatives that are sustainable- Target setting through an achievable results framework that is strategic, measurable, attainable, results- orientated and time bound.- A robust monitoring and evaluation framework to monitor progress towards core indicators.

Capacity

All components of the Institutional Linkage Programme focus on capability and capacity building of all levels of NHS from governance through to students. This includes Board Members; General Manager and Management Team; Clinical Governance and Medical Staff; Allied Health; Microbiology, Radiology, and Laboratory; Mental Health; Administration; and a broad range of other health professionals. Streamlined automated patient pathways for general medicine as well as specific pathways in some areas (e.g. elective surgery) will be implemented in 2014. Telemedicine is also available through Counties Manukau Health and Pacific Health Development is currently working on providing the opportunity for Samoa to participate in this low-cost solution to access quality training and health care services.

Governed

- Memorandum of Understanding between CMDHB and NHS - Institutional Linkage Programme (ILP) for health service development with Samoa NHS and MFAT (NZAID)

Partners
Counties Manukau District Health Board
New Zealand
Samoa National Health Services
Samoa

Goal 3

Ensure healthy lives and promote well-being for all at all ages

Goal 3

3.1

By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births
3.1.1

Maternal mortality ratio

3.1.2

Proportion of births attended by skilled health personnel

3.2

By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births
3.2.1

Under-five mortality rate

3.2.2

Neonatal mortality rate

3.3

By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases

3.3.1

Number of new HIV infections per 1,000 uninfected population, by sex, age and key populations

3.3.2

Tuberculosis incidence per 100,000 population

3.3.3

Malaria incidence per 1,000 population

3.3.4

Hepatitis B incidence per 100,000 population

3.3.5

Number of people requiring interventions against neglected tropical diseases

3.4

By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being
3.4.1

Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease

3.4.2

Suicide mortality rate

3.5

Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol

3.5.1

Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and aftercare services) for substance use disorders

3.5.2

Alcohol per capita consumption (aged 15 years and older) within a calendar year in litres of pure alcohol

3.6

By 2020, halve the number of global deaths and injuries from road traffic accidents
3.6.1

Death rate due to road traffic injuries

3.7

By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes

3.7.1

Proportion of women of reproductive age (aged 15-49 years) who have their need for family planning satisfied with modern methods

3.7.2

Adolescent birth rate (aged 10-14 years; aged 15-19 years) per 1,000 women in that age group

3.8

Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all

3.8.1

Coverage of essential health services

3.8.2

Proportion of population with large household expenditures on health as a share of total household expenditure or income

3.9

By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination
3.9.1

Mortality rate attributed to household and ambient air pollution

3.9.2

Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene (exposure to unsafe Water, Sanitation and Hygiene for All (WASH) services)

3.9.3

Mortality rate attributed to unintentional poisoning

3.a

Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate
3.a.1

Age-standardized prevalence of current tobacco use among persons aged 15 years and older

3.b

Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all

3.b.1

Proportion of the target population covered by all vaccines included in their national programme

3.b.2
Total net official development assistance to medical research and basic health sectors
3.b.3

Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis

3.c

Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States
3.c.1

Health worker density and distribution

3.d

Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks

3.d.1

International Health Regulations (IHR) capacity and health emergency preparedness

3.d.2

Percentage of bloodstream infections due to selected antimicrobial-resistant organisms

Governance Strengthening
Management and Clinical Support and Development
Coordination of Visiting Medical Specialists for Samoa NHS
Coordination of Overseas Referral Scheme for Samoa Patients requiring treatment in New Zealand
Other, please specify
Finance, In Kind Support
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False
Action Network
Small Island Developing States
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Timeline
30 June 2015 (date of completion)
Entity
Pacific Health Development, Counties Manukau District Health Board
SDGs
3
Region
  1. Asia and Pacific
Countries
Samoa
Samoa
Contact Information

Elizabeth Powell, General Manager

elizabeth.powell@middlemore.co.nz