Abstract
This Poverty Reduction Strategy Paper for the Kingdom of Lesotho presents a determined plan in pursuance of high and sustainable equity-based economic growth. It contains medium-term objectives and strategies to address the major challenges facing the country. These challenges include employment creation and income generation, and improving quality of and access to education and health services. Lesotho plans to deal boldly with its trading and investment partners by exploiting the opportunities inherent in the process of globalization under such mechanisms as the Africa Growth and Opportunities Act.
PRIORITISED IMPLEMENTATION MATRIX FOR THE POVERTY REDUCTION STRATEGY PAPER, 2004/5 TO 2006/7
PRSP NATIONAL PRIORITY FIVE: IMPROVE QUALITY AND ACCESS TO HEALTH CARE AND SOCIAL WELFARE SERVICES
1=HIGHEST RANK, 12=LOWEST RANK, RANK 1-4=dark grey, RANK 5-8=light grey, RANK 9-12=no colour
PRSP NATIONAL PRIORITY FIVE: IMPROVE QUALITY AND ACCESS TO HEALTH CARE AND SOCIAL WELFARE SERVICES
| OBJECTIVES | STRATEGIES | ACTIVITIES | STRATEGY RANKING WITHIN THE PRIORITY* | STRATEGY RANKING WIHTIN THE OBJECTIVE |
|---|---|---|---|---|
| 5.1 Promote access to quality and essential health care. | 5.1.1 Establish a Sustainable Health Care Financing System | 5.1.1.1 Implement the recently developed Health and Social Welfare Policy and Strategic Plan to address inter alia key issues of the cost of medical care, a cost sharing scheme, access to medical services, relationship with CHAL and decentralisation. | 1 | |
| 5.1.2. Improve health infrastructure, equipment, maintenance and supplies | 5.1.2.1 Rationalise health service facilities with construction or renovation as necessary. | 2 | ||
| 5.1.2.2 Establish new village health posts and mobile health care services for unserved areas. | ||||
| 5.1.2.3 Improve the procurement, storage, distribution and maintenance of equipment, drugs and dressings. | ||||
| 5.1.3. Improve the capacity of health personnel | 5.1.3.1 Train and distribute health personnel at all levels equitably throughout the country. | 4 | ||
| 5.1.3.2 Review and improve working conditions of health personnel to address the high rate of staff turnover and brain drain. | ||||
| 5.1.3.3 Train additional Village Health Workers and introduce incentives for them. | ||||
| 5.1.3.4 Train traditional healers to complement health delivery. | ||||
| 5.1.4 Improve health care management | 5.1.4.1 Upgrade the health management information system for measuring, monitoring and evaluating the performance. | 3 | ||
| 5.1.4.2 Strengthen research and data management systems for disease control. | ||||
| 5.1.4.3 Intensify and diversify training of health management staff to include effective use of funds. | ||||
| 5.1.4.4 Introduce financial controls and management audits to address the problems of poor use of resources and service delivery. | ||||
| 5.1.5 Strengthen disease prevention programmes. | 5.1.5.1 Improve and expand health education to provide people with information for preventive and curative purposes. | 5 | ||
| 5.1.5.2 Improve and expand critical programmes, including child vaccination, family planning, ANC, PNC, reproductive health and teenage motherhood. | ||||
| 5.1.5.3 Promote proper sanitation and good hygiene practices in households and schools. | ||||
| 5.2 Reduce Malnutrition | 5.2.1 Improve nutritional status of vulnerable groups. | 5.2.1.1 Refine National Nutrition Policy | 1 | |
| 5.2.1.2 Improve disaster preparedness for emergency food distribution | ||||
| 5.2.1.3 Maintain school feeding programme | ||||
| 5.2.1.4 Strengthen systems of supplementary feeding of malnourished children under 5 years | ||||
| 5.2.1.5 Promote good nutrition practices through community awareness campaigns, meetings, distribution of pamphlets etc | ||||
| 5.2.1.6 Provide nutritional food packages and micronutrient supplements to vulnerable groups and other relevant groups. | ||||
| 5.3 Provide Social Welfare services. | 5.3.1 Provide Social Welfare services for vulnerable groups. | 5.3.1.1 Prepare a Strategic Plan based on the National Social Welfare Policy which will identify priorities, roles and responsibilities and delivery mechanisms in detail. | 1 | |
| 5.3.1.2 Increase resources and capacity of social welfare services delivery institutions. | ||||
| 5.3.1.3 Promote integration of children with disabilities in schools and provide the necessary infrastructure and facilities. | ||||
| 5.3.1.4 Assist NGOs working directly with vulnerable groups - orphans, people living with HIV/AIDS, persons with disabilities and child-headed households - and support campaigns against sexual offences. |
1=HIGHEST RANK, 12=LOWEST RANK, RANK 1-4=dark grey, RANK 5-8=light grey, RANK 9-12=no colour
PRSP NATIONAL PRIORITY FIVE: IMPROVE QUALITY AND ACCESS TO HEALTH CARE AND SOCIAL WELFARE SERVICES
| OBJECTIVES | STRATEGIES | ACTIVITIES | STRATEGY RANKING WITHIN THE PRIORITY* | STRATEGY RANKING WIHTIN THE OBJECTIVE |
|---|---|---|---|---|
| 5.1 Promote access to quality and essential health care. | 5.1.1 Establish a Sustainable Health Care Financing System | 5.1.1.1 Implement the recently developed Health and Social Welfare Policy and Strategic Plan to address inter alia key issues of the cost of medical care, a cost sharing scheme, access to medical services, relationship with CHAL and decentralisation. | 1 | |
| 5.1.2. Improve health infrastructure, equipment, maintenance and supplies | 5.1.2.1 Rationalise health service facilities with construction or renovation as necessary. | 2 | ||
| 5.1.2.2 Establish new village health posts and mobile health care services for unserved areas. | ||||
| 5.1.2.3 Improve the procurement, storage, distribution and maintenance of equipment, drugs and dressings. | ||||
| 5.1.3. Improve the capacity of health personnel | 5.1.3.1 Train and distribute health personnel at all levels equitably throughout the country. | 4 | ||
| 5.1.3.2 Review and improve working conditions of health personnel to address the high rate of staff turnover and brain drain. | ||||
| 5.1.3.3 Train additional Village Health Workers and introduce incentives for them. | ||||
| 5.1.3.4 Train traditional healers to complement health delivery. | ||||
| 5.1.4 Improve health care management | 5.1.4.1 Upgrade the health management information system for measuring, monitoring and evaluating the performance. | 3 | ||
| 5.1.4.2 Strengthen research and data management systems for disease control. | ||||
| 5.1.4.3 Intensify and diversify training of health management staff to include effective use of funds. | ||||
| 5.1.4.4 Introduce financial controls and management audits to address the problems of poor use of resources and service delivery. | ||||
| 5.1.5 Strengthen disease prevention programmes. | 5.1.5.1 Improve and expand health education to provide people with information for preventive and curative purposes. | 5 | ||
| 5.1.5.2 Improve and expand critical programmes, including child vaccination, family planning, ANC, PNC, reproductive health and teenage motherhood. | ||||
| 5.1.5.3 Promote proper sanitation and good hygiene practices in households and schools. | ||||
| 5.2 Reduce Malnutrition | 5.2.1 Improve nutritional status of vulnerable groups. | 5.2.1.1 Refine National Nutrition Policy | 1 | |
| 5.2.1.2 Improve disaster preparedness for emergency food distribution | ||||
| 5.2.1.3 Maintain school feeding programme | ||||
| 5.2.1.4 Strengthen systems of supplementary feeding of malnourished children under 5 years | ||||
| 5.2.1.5 Promote good nutrition practices through community awareness campaigns, meetings, distribution of pamphlets etc | ||||
| 5.2.1.6 Provide nutritional food packages and micronutrient supplements to vulnerable groups and other relevant groups. | ||||
| 5.3 Provide Social Welfare services. | 5.3.1 Provide Social Welfare services for vulnerable groups. | 5.3.1.1 Prepare a Strategic Plan based on the National Social Welfare Policy which will identify priorities, roles and responsibilities and delivery mechanisms in detail. | 1 | |
| 5.3.1.2 Increase resources and capacity of social welfare services delivery institutions. | ||||
| 5.3.1.3 Promote integration of children with disabilities in schools and provide the necessary infrastructure and facilities. | ||||
| 5.3.1.4 Assist NGOs working directly with vulnerable groups - orphans, people living with HIV/AIDS, persons with disabilities and child-headed households - and support campaigns against sexual offences. |
1=HIGHEST RANK, 12=LOWEST RANK, RANK 1-4=dark grey, RANK 5-8=light grey, RANK 9-12=no colour