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Wednesday, June 19, 2024

Strengthening Mauritius’ Major Well being Care method to enhance the inhabitants’s well being and well-being

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By offering inexpensive entry to high quality well being companies, Major Well being Care (PHC) varieties the cornerstone for advancing in direction of common well being protection (UHC) and finally for bettering individuals’s well being and well-being throughout the life-course.

In a nutshell, it’s about patient-centered care which is a basic human proper. PHC was recognized as the important thing to the attainment of the objective of Well being for All in 1978 by means of the milestone declaration of Alma-Ata in 1998. Mauritius was one among the many main nations within the African area to embrace the spirit of PHC and Alma Ata with the institution of Space and Neighborhood Well being Centres. By way of the Astana Declaration of 2018, which Mauritius adopted, PHC was revamped to make sure that everybody all over the place is ready to benefit from the highest potential attainable normal of well being.

Mauritius boasts a UHC service protection index of 66, which is considerably larger than the WHO African Area (AFRO) common of 44 and solely a few share factors decrease than the worldwide common of 68. One of many major causes for its robust UHC efficiency is the huge community of well being services providing fundamental free PHC to nearly all of the inhabitants inside a distance of lower than 5 kilometers. 

The Ministry of Well being and Wellness (MOHW) recognized Built-in Major Well being Care Companies as the primary precedence of its Well being Sector Strategic Plan 2020-2024. The MOHW thus requested that WHO assess the present standing of the PHC method in Mauritius and supply suggestions to make sure that the quickly increasing community of well being services can successfully maximize the extent and equitable distribution of well being and well-being among the many Mauritian Inhabitants.

Certainly, the PHC method goals to supply on the earliest potential stage people-centered, built-in and important well being companies that are of top quality, in addition to being accessible and inexpensive. It covers the continuum of care, from well being promotion and illness prevention to therapy, rehabilitation and palliative care, and goals to shift efforts from a reactive biomedical method to sickness in direction of a extra holistic and proactive method specializing in individuals’s well being wants and well-being throughout the life span.

Since November 2023, a group of WHO specialists has been working with the MOHW to organize the Scoping Mission which passed off in Might 2024 to: conduct a deep dive into Mauritius’ PHC method; determine its strengths and weaknesses, alternatives and challenges; suggest excessive stage suggestions for enchancment; and develop a roadmap for the operationalization of those suggestions. 

The Director of Well being Companies on the Ministry of Well being and Wellness, Dr Prithviraj Ramputty, explains the rationale behind the mission: “It was time for us to take a contemporary take a look at our journey because the calls for on the PHC system in Mauritius have developed considerably since independence in 1968.”

To realize these goals, the who group of specialists carried out a scientific overview of major and secondary knowledge, earlier assessments, present well being insurance policies, laws and techniques. In addition they performed in depth stakeholder consultations together with visits of well being services and interviews of key informants. “The interplay with the consultants was very frank and open. They shared their views and expertise from different nations. It was clear from very outset that we needed to contextualize the method and the drafting of the roadmap for the approaching 5 to 10 years,” Dr Prithviraj Ramputty explains.

The mission’s preliminary findings had been offered to the Minister of Well being and Wellness, Dr Kailash Jagutpal, and senior officers throughout a remaining stakeholder assembly in Port Louis on 24 Might 2024.

Launched by WHO professional Dr Benson Droti, the important thing suggestions embody: i. refining the Package deal of Well being Companies and interventions on the varied ranges of service supply; ii. revising staffing norms to match these companies and interventions; iii. establishing and institutionalizing high quality administration techniques; iv. digitalizing well being care; v. enhancing the supply and utilization of information to tell choice making; vi. personal sector engagement; vii. decentralizing well being service administration at sub-national stage (together with devolution to scale-up delegation of authority for better autonomy in choice making); and viii.  strengthening the nationwide regulatory framework for prescribed drugs and lifting up of well being promotive and preventative interventions.

In his allocution, the Minister of Well being and Wellness, Dr Kailesh Jagutpal, famous that Mauritius possesses a formidable 200 well being care factors earlier than remarking that the general public well being sector nonetheless wants to enhance by way of accessibility, making well being care companies extra acceptable from the sufferers’ views, high quality of care, well being fairness, neighborhood engagement and well being financing, amongst others. “This mission comes on the proper time as we’re within the course of getting ready the second Well being Sector Strategic Plan (HSSP).

The WHO Consultant, Dr Anne Ancia, additionally emphasised the timeliness and significance of the mission’s suggestions: “Elevating Mauritius’ PHC method will make sure that the mandatory well being system reorganization matches the increasing well being facility community and the companies on supply, to successfully enhance the well being and well-being of all Mauritians.”

Distributed by APO Group on behalf of World Well being Group (WHO) – Mauritius.


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