LAOS WORKING GROUP PRESENTATION
Discussion topics:
Exemptions
Supervision at the community and MOH levels
Exemptions
(Implementation of Decree no. 52)
I. General situation
○ Transition to market economy, so population used to free-of-charge health services system
○ Poverty
II. Objective
○ Enable people to afford appropriate treatment
III. Categories and criteria
○ Poor (very low income, i.e. no rice fields, means of production)
○ Clergy (monks, novices)
○ People unable to pay (i.e. for long-term or serious care)
○ School-age children, students
IV. Alternative models for exemption:
Monitoring and Supervision
Supervision areas
I. Financial
○ Income generated by RDFs
○ Expenditure (replenishment, administration, etc.)
○ Exemption (government budget, consumption, etc.)
II. Drug management
○ Stock management
○ Inventory
○ Losses from pilfering, expiration, etc.
III. Function and management of RDF system
○ Problems, recommendation
IV. Utilization of services
○ Health statistics information
○ Rational use of drugs
Diagram. Supervision and Monitoring System
Action Plans
I. Start implementation of National Guidelines on RDFs in some pilot areas
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Training
→ Central Committee at MOH |
|
MOH(and external assistance?) |
1 Jan. 1997 |
Understanding and performance |
| → provincial committees (9 provinces) |
MOH |
|
|
| → district committees (10) |
MOH, province |
| → health facilities |
province, district, MOH |
| - central hospitals (3) |
|
| - provincial hospitals (9) |
|
| - district hospitals (10) |
| - sub-district health centers (20) |
| - community RDFs (20) |
| total 62 |
$170,000 |
|
|
|
| 2. |
Implementation |
|
MOH, province, district |
1 July. 1997 |
Good performance |
| - initial drug funds |
$400,000 |
|
|
|
| - equipment, materials |
$70,000 |
|
|
|
| 3. |
Follow-up, supervision |
$20,000 |
MOH, province, district |
1 July. 1997 |
Good performance |
| 4. |
Evaluation |
$10,000 |
MOH, province, district |
1 July. 1997 |
Good performance |
Total US$670,000
II. Strengthen existing community RDFs in 391 villages
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Training; upgrade course for RDF volunteers in 135 villages |
$10,000 |
District RDF training team |
Mar. 1997 |
270 RDF volunteers trained; understanding and performance |
| 2. |
Upgrade course on RDF management and PHC for health officers |
$40,000 |
MOH-RDF Committee |
Feb. 1997 |
80 province and district health officers trained; improvement of performance |
| 3. |
Train drug sellers and private practitioners on case management of diarrhea, malaria and ARI |
$70,000 |
MOH, provinces |
Jan.-Feb. 1997 |
1000 drug sellers and private practitioners trained |
Total US$120,000
Grand total US$790,000
(required from the Nippon Foundation)
