Table 2 Proposed strengthening actions for management and governance
Subdomains | Proposed strengthening measures |
|---|---|
Policies and planning | Review the legislation and regulation Define clearly the roles and responsibilities of stakeholders at all pyramidal levels and disseminate to all HFs, especially private HFs during their creation Develop and disseminate a procedure manual and appropriate data management guidelines Ensure coordination between stakeholders at the district level Include stakeholders in the data validation process |
Management | Harmonize the various Standard Operating Procedures (SOP) between stakeholders Train and post the personal in charge of monitoring and evaluation (M&E) Introduce performance-based financing (PBF) in M&E activities Produce and disseminate supervision guidelines to all stakeholders Enforce the implementation of the already existing supervision action plans Update the Master facility list (MFL) to include service domains and unique identifier codes for all HFs Consider regular trimestral update by the districts and a general census every 5 years to update the MFL |
Human resources | Define clearly in the procedure manual the various positions and the competencies of staff required at every level Identify the various required staffs and then post according to their competencies Develop and validate a costed work force training plan for pre- and in-service training Standardise the training curriculum and modules among training institutions in the health sector Harmonise staff training data bases between the Regional authorities and partners Use staff management software to manage pre- and in-service training of staff |