Product/Service: Implement diabetes and hypertension control interventions in primary care and facilitate exchange of information and experiences

Technical Area: NCDs & Mental Health

Deliverables: HEARTS technical package to improve the management of cardiovascular diseases implemented

Product/Service: Breast and cervical cancer control, including palliative care

Technical Area: NCDs & Mental Health

Deliverables: Prevention and treatment services for cervical and breast cancer programmes strengthened

Product/Service: Conduct an assessment of the Health System in Dominica, including: service delivery network (primary care and hospital); governance and oversight; risk reduction strategies (including surveillance); human resources for health; priorities medicines and other health technologies; and financing, all elements required to develop a resilient health system.

Technical Area: Governance|Service Delivery|Health Workforce|Pharma and Medical Products

Deliverables: No number of health districts evaluated and restructured for the delivery of essential services. Completed in June 2018. All 7 health districts were evaluated.

Product/Service: Support for the redefinition of the health systems organizational model to meet population current needs.

Technical Area: Governance

Deliverables: A national plan for the redefinition of the health system drafted by end 2018 with the progressive implementation in 2019. Deferred to to first semester of 2019, pending decisions of National Authorities on the recommendations of the assessment.

Product/Service: Support for the development of a national plan for the redefinition of the health system, including aspects related to human resources, medicines and health technologies, financing, management and essential public health functions.

Technical Area: Governance|Health Workforce|Health Financing|Pharma and Medical Products

Deliverables: A plan of action to implement short term changes to make primary care facilities operational by end of 2018. Deferred to first semester 2019, pending the development of the national plan for the redefinition of the health system.

Product/Service: Expand the current training of community health aids (to increase the cadre of health care workers)

Technical Area: Health Workforce

Deliverables: Trained and competent Community Health Aides

Product/Service: Support the redesign of the supply chain for medicines and other health technologies including access at the point of care

Technical Area: Pharma and Medical Products

Deliverables: Master plan for the redesign of the supply chain for medicines and other health technologies including access at the point of care, drafted. This output is deferred for 2019.

Product/Service: Assessment of blood product and laboratory services with a focus on strengthening primary health care services

Technical Area: Pharma and Medical Products

Deliverables: Report with recommendations for the strengthening of the capacity to deliver safe blood and blood products within an integrated health network and an effective monitoring and evaluation framework.

Product/Service: Assessment of radiology services with a focus on strengthening primary health care services

Technical Area: Pharma and Medical Products

Deliverables: Report with recommendations for the improvement in the provision of safe radiological services at the level of the hospital and community.