Technical Areas
Completed/Cancelled
| GPW Outcomes | GPW Outputs | Product/Service | Deliverables | Status |
|---|---|---|---|---|
| Assist drafting and endorsing the new Law on Medicines and related regulations to improve access to quality medicines | Law on Medicines to be submitted to Parliament. Improved capacity in regulating the pharmaceutical market (marketing authorization and related areas) as well as initial work in the area of pricing |
Completed |
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| 1.1 | 1.1.1 | TA to review and operationalise the primary care strategy 2016-2023 | Recommendations for improving quality mechanisms in primary care and strengthening coordination between primary and hospital care |
Completed |
| 1.1 | 1.1.1 | Support digitalization of the health sector | Assessment report and recommendations, feasibility study, training courses |
Completed |
| 1.1 | 1.1.1 | PHC Strategy/Roadmap updated/revised in line with the changing priorities and policy environment and vertical programmes integrated into PHC 1.12.2023 - policy dialogue and public event releasing the PHC policy paper in Georgia, with high level representation and discussion of implementation steps with the Minister of Health | PHC Strategy/Roadmap timely updated and stakeholders' consensus reached Integrating vertical programmes into PHC (including CDs, public health, mental health, etc.) and scaling up of prevention activities |
Completed |
| 1.1 | 1.1.1 | Designing best practice patient pathways for selected priority clinical areas and developing tools to support their implementation. | Best practice patient pathway for diabetes type 2 is developed and validated in local context and increased MOLHSA’s and SSA’s capacity to use different policy instruments to support best practice patient pathway’s implementation |
Completed |
| 1.1 | 1.1.1 | TA to develop best practice patient pathways for priority health outcomes and develop tools to support their implementation | Pathways developed spanning all levels of care and supporting purchasing instruments identified (contracting, payment, performance monitoring) |
Completed |
| 1.1 | 1.1.4 | Strengthening HRH policies to ensure proper supply and retention | HRH assessment report and recommendations, HWD/Governance assessment report and recommendations, HRH policy and HWD roadmap |
Completed |
| 1.1 | 1.1.5 | Strengthening Human Resources for Health in Georgia | COVID delayed Human resources for Health (HRH) assessment . Support HRH planning capacity and capability Support new nursing strategy and strengthening of nursing competencies in PHC. |
Completed |
| 1.2 | 1.2.1 | Preparing a strategy for strategic purchasing and providing support to advance the Social Services Agency’s capacity to implement the strategy. | A strategy for strategic purchasing based on international evidence and the Georgian health system context and increased capacity of the SSA to effectively implement the strategy for strategic purchasing |
Completed |
| 1.2 | 1.2.1 | TA to assess the SSA’s administrative capacity and capacity-building needs | Action plan for organisational strengthening and capacity development |
Completed |
| 1.2 | 1.2.1 | Comprehensive policy guidance on health financing under UHC-P project and BAR course for capacity building | Improving health services financing Comprehensive policy guidance on health financing under UHC-P project and BAR course for capacity building Barcelona course for capacity building |
Completed |
| 1.2 | 1.2.1 | Support in developing and implementation of financial protection policies and improving health accounts | Support to improve national health accounts Report on financial protection with policy recommendations |
Completed |
| 1.2 | 1.2.1 | Support DRG implementation and enhancement of other elements of strategic purchasing to increase the value for public funds | Policy advice and oversight of process of implementation of hospital payment system. Foster hands-on capacity building of the SSA staff, incl. knowledge exchange / study visit to comparable institution with strong capacity in the area of DRG-hospital payment system. Assist procedures for quality improvements of claims data. Assist piloting DRG as a “shadow” payment system, including advocacy and communication |
Completed |
| 1.2 | 1.2.1 | TA to explore ways of using SSA invoicing data to support strategic purchasing | Action plan for data systems improvement and provider payment refor |
Completed |
| 1.2 | 1.2.1 | Capacity building in health financing | Training in health financing delivered to appropriate people |
Completed |
| 1.2 | 1.2.1 | Establish a National Working Group to prepare an action plan for strategic purchasing and steer its implementation | Action plan developed, reviewed and agreed |
Completed |
| 1.2 | 1.2.1 | Assist implementation of selective contracting mechanisms, incl. optional policy dialogue | Assist reshaping/establishing New health division’s structure of the Social Services Agency (SSA) to better incorporate strategic purchasing functions Capacity building for new and existing SSA staff, to effectively implement the strategy for strategic purchasing |
Completed |
| 1.2 | 1.2.1 | Revising and introducing new payment systems (Diagnosis-Related Group – DRG) and strengthening strategic purchasing to increase efficiency. | DRG-based payment system introduced in 2019/2020 and integrated to the overall strategic purchasing framework. |
Completed |
| 1.3 | 1.3.2 | Strengthening regulatory capacity and regulation to improve access to quality medicines by introducing Good Manufacturing Practice and Good Distribution Practice. | Establishment of the National GMP/GDP Inspectorate, incl. Recruitment and Training of GMP Inspectors and introduction of Quality Management System and Standard Operating Procedures. |
Completed |
| 1.3 | 1.3.3 | Regulatory system strengthening including laboratories and inspection | COVID delayed Assistance in strengthening assessment function and capacity building of the Pharmaceutical Inspectorate, including implementation of GMP and GDP The laboratory capacity has been strengthened and WHO support will be adapted to the new system starting in 2024 |
Completed |
| 4.1 | 4.1.1 | Strengthening national capacities in data gathering, analytics and health information systems to better inform policies | Training in data collection and analysis |
Completed |
| 4.1 | 4.1.1 | HIS & surveillance | Map of HIS system and recommendations on streamlined data collection , provision of intensive technical assistance for mapping all existing data systems and reporting forms to reduce duplication in data collection; development of data input standards; and proposing a new lean health data structure to support optimization of data reporting. RECOMMENDATIONS: Complexity of PHC Data Flow and Duplication Reduction; Streamlining Registration and Information Sharing; Enhanced Data Entry and Real-time Updates; Efficient Vaccination and Radiation Exposure Tracking; Holistic Approach to Data Management and Ecosystem Enhancement |
Completed |
Details
| GPW Outcomes | GPW Outputs | Product/Service | Deliverables | Status |
|---|---|---|---|---|
| 1.1 | 1.1.1 | Health system strengthening to achieve UHC | all deliverables support this |
On track |
| 1.1 | 1.1.1 | Governance & regulatory framework | Governance structure for Medical Holding to manage Rural Doctors' Program and PHC reform, regulatory framework for digital health/telemedicine , The draft Law of Georgia On the Implementation of Telemedicine has been developed and handed over to MoH. The purpose of this Law is to ensure the improvement of patients’ both social and health conditions through the use of telemedicine and also provide them with access to Georgia’s health care system and appropriate quality medical services., WHO implemented PHC reform support to Adjara province with 20 PHC teams and proposed governance and operational changes within the Georgia medical holding to improve health outcomes through clinical audits, supervision and changes in information flows and patient referral patterns, focusing on NCDs |
Ongoing |
| 1.1 | 1.1.1 | Strengthening health system through digital health/digitalization | Support introduction of electronic medical records Strengthening Governance for digital health, including telemedicine |
Ongoing |
| 1.1 | 1.1.2 | Technical support to attaining cervical cancer elimination | Roadmap for accelerating the elimination of cervical cancer as a public health problem in Georgia Communication materials to support updatake of HPV vaccination and cervical cancer screening |
On track |
| 1.1 | 1.1.2 | Support National Cancer Control Plan /strategies: development or prioritization or expert review or costing, or all the above. | Costing of NCCP with HQ Policy Dialogue Recommendations on strategies to reduce breast cancer mortality |
Ongoing |
| 1.1 | 1.1.2 | NCD control and addressing risk factors | Roadmap on the integration of NCDs into PHC and training of PHC providers Health workforce assessment and health workforce strategy Review of treatment guidelines and training in CVD and diabetes care and prevention of complications |
On track |
| 1.2 | 1.2.1 | Improving health financing equity and distribution of health system's resources | System-wide analysis of health financing equity and distribution of health system's resources Mobilization of technical expertise for intervention through national implementation of Strategy and action plan for refugee and migrant health in the WHO European Region Defining the basic health package, including designing the system and process of revision and renewal , Support and analysis of the HUES survey, technical assistance in assessing the DRG payment system and building capacities and tools at the Ministry of Health and the National Health Agency to improve allocative efficiency and within health budget prioritization of PHC |
On track |
| 1.2 | 1.2.1 | Strengthening health financing policies to support UHC | Review of the DRG implementation status; PHC payment system design adjustments are waiting adoption of the PHC Roadmap; Health Financing Progress Matrix assessment , WHO updated the PHC costing and advocated at the highest political level for increased financing for PHC and amendments of reimbursement from flat capitation to age adjusted capitation and performance payment in PHC |
On track |
| 1.3 | 1.1.3 | Support to develop of pharmaceutical policies aiming at improving access to and quality of medicines | Draft law on medicines the draft law was updated in 2023 in relation to the progress in accession of Georgia to the candidacy status to the EU, WHO conducted analysis of prescribing patterns of novel and other cancer medicines and followed up with dialogue on access to cancer patient medication to develop system for positive list development and effective procurement and rational prescribing |
On track |
| 1.3 | 1.3.2 | Support to improve access to medicines through systems development including HTA, pricing, strategic procurement, supply chain systems, and reimbursement including out of pocket payments | Assist in improving the national legal framework on medicinal products and the institutional development plan Assist in updating and operationalizing the national Essential Medicines List Assist in improving price regulation and pricing policies Internal Reference Pricing introduced in 2023 and further expanded list of medicines included |
On track |
| 4.2 | 4.2.4 | WHO leadership in strengthening coordination in support of national efforts to accelerate progress toward the health-related SDGs among government, multilateral organizations and other development partners | Leadership on WHO-led EU-funded joint activities (reporting) Steering committee meetings with Ministry and UN Partners (exchange of information) |
On track |