Table 6 Synthesis of the key health system gaps and their solutions for RMNACH programing
Health system gaps | Sub category | Solutions |
|---|---|---|
Health financing | Low government funding and the challenges to access it | - Increase budget allocation and financial aid |
Competing priorities for external funds International donors | - Re streamline funds and better align them with the MOH’s priorities - Increase MoH stewardships | |
Lack of informed financial planning and budgeting | - Improvement of planning budget | |
Health workforce | Critical shortage of skilled healthcare workers Low motivation | - Improve the capacity of institutions to increase intake and range of health professionals - Recruitment of qualified staff from within and diaspora, or from neighboring countries - Provide contingency recruitment plan/budget annually - Provide financial/ non -financial incentives |
Medicines & supplies | Lack of essential medicines | - Increase the budget allocation |
Poor infrastructure | - Increase the budget allocation and advocate for low level government to fund its infrastructure | |
Leadership & governance | Less prioritization and integration of newborn’s and children’s health within RH programs Weak Ministry of Health leadership | - Creation of technical group for newborn and child health |
| Â | - Improve the capacity of the staff at the MOH - Development of a policy framework that allows leadership to direct, delegate, monitor and control health action. Empowered governance (oversight) committees and boards that support management functions at all levels of the health system. | |
Service delivery | Low coverage of RMNCAH services Barriers to accessing RMNCAH services Perception of poor quality of care | - Build, renovate, rehabilitation of health facilities - Increase skill’s staff through training, in job training - Increase drugs and equipment availability |
Health system information | Incomplete and inconsistent information | - Strengthened facility and community- based surveillance and information system |
Lack of indicators of ASRH/GBV | - Incorporate ASRH indicators - Desegregate data (age/ sex) |