SLOW DOWN IN THE APPLICATION OF THE HEALTH VISITOR PROGRAM IN THE HEALTH DEPARTMENTS OF BAGHDAD AND THE PROVINCES
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SLOW DOWN IN THE APPLICATION OF THE HEALTH VISITOR PROGRAM IN THE HEALTH DEPARTMENTS OF BAGHDAD AND THE PROVINCES
SLOW DOWN IN THE APPLICATION OF THE HEALTH VISITOR PROGRAM IN THE HEALTH DEPARTMENTS OF BAGHDAD AND THE PROVINCES
14/01/2020

The Federal Financial Supervision Bureau report revealed the policy of the Ministry of Health and Environment on the initiative of the health visitor program implemented by the Maysan Health Department in 2005 in order to raise the level of health services in it, which proved very successful according to evaluation reports issued by the Ministry of Public Health in the ministry, and was directed The Ministry of Health has generalized the experience of the rest of the health departments in Baghdad and the governorates in 2008 with the aim of communicating between citizens and health centers within the geographical area and providing integrated electronic health services, which goes through (6) stages are (1 - population inventory) and (2 - linking the population inventory with Immunization program information And mother and child care) and (3 - application of the electronic ticket) and (4 - text message system) and (5 - positioning) and (6 - conductive service) and thus an electronic record is created for all members of society to achieve justice in improving health and reducing mortality in it , And it has been applied in the Baghdad health departments and the (16) governorates a year ago
The report indicated that there is no strategic planning, and annual central plans prepared by the Public Health Department in the Ministry of Health and Environment and the participation of the Information Technology Center to work on the program being the technical authority for implementing electronic systems where its role was limited to follow-up and supervision of the implementation of the program in terms of improving the quality of health information and developing mechanisms Work that supports the implementation of the program, without providing it with the appropriate ground for it and appropriate training for the competent staff, as well as not providing financial allocations for the implementation of the program. Health and Air in Baghdad and the provinces covered by Pttabagahalammer which led to the loss of efforts and Tlkovi achieve its goals.
The report stated that a number of health departments, whether in Baghdad or the governorates, contracted separately to implement other programs similar to the health visitor program, which led to the work of each party in isolation from the other and thus led to the difficulty of standardizing data within the framework of one program, for example, the WHO contracted with a company to send a ministry Health and Environment The Department of Planning and Development of Resources contracted with KOICA (the Korean International Contracting Agency) in 2013 to provide the Health Information System (HIS), and the chart below shows the delay of Larsa, KOICA Organization in the application of health information systems in the Baghdad health departments (Rusafa and Karkh And the health of Najaf for the period from (2010 to 2016):

The report pointed out that the visitor’s health program had stopped in a number of health departments including (Najaf, Basra, Baghdad / Al-Rusafa), and the study also showed that the health visitor’s program goals related to increasing immunization coverage against polio and measles were not achieved and reducing morbidity and child and maternal mortality, as well as not The presence of accurate statistics on the extent of application of the program in (4) departments in the health of Baghdad and the governorates out of (16) districts, as the number of centers not dependent on the visitor health program reached (47) health centers.
The report recommended that the Public Health Department undertake a periodic evaluation of the applied program and the objectives set for it to know the extent of its powers and weaknesses in its procedures for studying it and developing appropriate solutions through coordination between the concerned departments (primary health care and the quality management and institutional development department with the planning and resource development department and the information technology center
https://www.fbsa.gov.iq/ar/view/1685#
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