Activities
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Advance rights-based mental health reform and integration into PHC: 1) Conduct public engagement and socialization for draft mental health legislative notes (roundtables, town-halls, CSO forums); 2) Co-design PHC-integrated care pathways and referral protocols (mhGAP-informed) and pilot in two polyclinics. 3) Enact mental health law and regulations; operationalize rights protections (advance directives, supported decision-making, complaints); start community mental health teams in priority clinics; train primary care teams; set crisis response and safe referral.; 4) Implement rights-based model in primary care and community; expand community mental health teams nationwide; monitor involuntary admissions and rights complaints; embed peer support and family participation; publish “you said, we did” actions; independent review of rights compliance.
Product/Service: Technical support to prevent suicide/mental health conditions/promote wellbeing
Output: 4.1.1 WHO develops evidence-based policies and supports the implementation, scale-up and measurement of best buys and other actions to strengthen person-centered prevention, control and management of noncommunicable diseases
Output Indicator: Country has evidence-based national guidelines/protocols/standards aligned with WHO guidance for the management of major NCDs through a primary care approach
Outcome: 4.1 Equity in access to quality services improved for noncommunicable diseases, mental health conditions and communicable diseases, while addressing antimicrobial resistance
Outcome Indicator: Service coverage for people with mental health and neurological conditions
Phase 5 Output: 3.2 - Equity in access to quality services improved
Phase 5 Objective: SO3 - Accelerated progress towards universal access to basic health services, to achieve UHC.
Establish an integrated geriatric/long-term care model linked to PHC and hospital services that includes a plan for the management of health risks and emergencies. 1) Define and approve the package of services for the new geriatric hospital (clinical services, rehab, social support, quality & safety). 2) Design and deliver training for interprofessional teams (geriatric medicine, rehabilitation, dementia care, IPC, patient safety). 3) Finalize design and launch a pilot of an integrated geriatric and long-term care model linking primary health care, hospital and community services; sign care-coordination standard operating procedures; train multidisciplinary teams (at least one hundred staff). 4) Scale the geriatric and long-term care model to all parishes; implement shared, person-centred care plans with referral and counter-referral captured in the electronic health record; monitor avoidable bed-days and readmissions; establish quality indicators and governance for the model.
Product/Service: Policy support to strengthen district health systems and primary care capacity
Output: 4.2.1 WHO provides guidance and technical assistance to improve sexual, reproductive, maternal, newborn, child, adolescent, adult and older person health
Output Indicator: Country has integrated care for older people at the primary care level using the WHO ICOPE package for the assessment and management of impairment in the intrinsic capacity of older people
Outcome: 4.2 Equity in access to sexual, reproductive, maternal, newborn, child, adolescent, and older person health and nutrition services and immunization coverage improved
Outcome Indicator: Percentage of older people receiving long-term care at a residential care facility and home
Phase 5 Output: 3.2 - Equity in access to quality services improved
Phase 5 Objective: SO3 - Accelerated progress towards universal access to basic health services, to achieve UHC.
Strengthen integrated networks and continuity of care across services: 1) Map and strengthen referral/counter-referral between PHC, geriatric hospital and community services; implement shared protocols and feedback loops. 2) Standardize referral and counter-referral pathways across services; establish a care-navigator function in select regions; hold monthly multidisciplinary case conferences; implement a hospital-to-home discharge planning protocol. 3) Institutionalize integrated network governance with service-level agreements and key performance indicators; deploy continuity-of-care dashboards; expand the care-navigator function nationwide; conduct an annual network performance review with community feedback and published actions.
Product/Service: Guidance on integrated service delivery networks and care delivery channels
Output: 3.1.1 WHO strengthens country capacity and provides guidance on the design, delivery, quality and measurement of integrated -services
Output Indicator: Country has an integrated UHC package of priority services that meets core WHO criteria
Outcome: 3.1 The primary health care approach renewed and strengthened to accelerate universal health coverage
Outcome Indicator: Integrated services and models of care composite indicator
Phase 5 Output: 3.1 - The primary health care approach is strengthened
Phase 5 Objective: SO3 - Accelerated progress towards universal access to basic health services, to achieve UHC.
Strategic communications and visibility to support all activities (messages, media, community outreach, social listening, materials).
Product/Service: Foster global partnerships in health systems governance
Output: 3.1.3 WHO strengthens countries’ national capacity to develop implementable national strategies for UHC
Output Indicator: Country has a national health sector policy/strategy/plan updated within the last five years, with WHO support
Outcome: 3.1 The primary health care approach renewed and strengthened to accelerate universal health coverage
Outcome Indicator: Primary health care-oriented governance and policy composite
Phase 5 Output: 3.1 - The primary health care approach is strengthened
Phase 5 Objective: SO3 - Accelerated progress towards universal access to basic health services, to achieve UHC.