STRATEGIC ANALYSIS AND MEDIUM TERM STRATEGIC PLAN

In October-November 1999 the Ministry of Health, in collaboration with external development partners (EDP), conducted a strategic analysis of the health sector with a view to developing an effective planning approach. The aim of the strategic analysis was to initiate a process for analytical decision-making in planning. During the analysis it became apparent that despite policy commitment, equity in access to healthcare remained elusive. Of further concern was that compared with investments achievements were lower than expected. The following issues were identified: weak management of public sector health facilities and institutions; inadequate compliance with existing guidelines and quality of care protocols; lack of clear roles and responsibilities for health authorities (central and district level) regarding decentralisation; the absence of an effective system to ensure quality and fair pricing of private sector services; and the lack of policies for human resource development and management.

The outcome of the strategic analysis was the Medium Term Strategic Plan (MTSP), which was formulated to provide operational support for the SLTHP. More specifically, the MTSP provides a strategic framework for developing the Tenth Five Year Health Plan (2002-2007).