Strengthening Public Health Governance & Management Systems, Swaziland

Strengthening healthcare and decentralization of hospitals in Swaziland remain a key strategy for improved healthcare delivery, and require clear governance and enhanced management capacity at this level of service delivery, as recognised by SDG 16.

The Swaziland Ministry of Health National Health Sector Strategic Plan (NHSPII) 2014-2018 aims to strengthen the governance and management capacity of the Ministry of Health and health institutions to effectively and efficiently perform and discharge core health sector functions. The institutional development strategy focuses on building a distinctive organizational culture, promoting values related to work processes and recognition systems, including institutional growth, efficiency, cost-effectiveness, responsiveness and sustainability.

HPI’s wholly owned subsidiary company, Health Partners South Africa (HPSA) is supporting the Ministry of Health in the implementation of the Government’s institutional and management reform initiatives. This project focuses primarily on governance, management and performance reform components to achieve the following deliverables:

i) Situation analysis through stakeholder consultations and diagnostic assessment of the status of governance and management in the health sector with an emphasis on hospitals, involving qualitative and quantitative assessments.

ii) Options for governance models and management structures, drawing from lessons, experiences and discussions from the resultant situation analysis.

iii) A set of governance and management tools and processes to support effective implementation of the reforms across all levels of care.

iv) An implementation roadmap.

Through improving governance and management structures, models and processes, and promoting results-driven service provision, the project will contribute to broader sector outcomes, such as efficiency and sustainability of health financing, improvements in the quality of care, and better health outcomes.

The project is funded jointly by the World Bank and the European Union.  The consortium contracted to implement the project is led by Health Partners Southern Africa (HPSA) in partnership with Health Information Systems Program (HISP), the Institute for Health Measurement (IHM) and Strategic Development Consultants (SDC).

Dr Andrew McKenzie, HPI’s Technical Lead for Governance, Policy and Planning is the lead expert of a team of 10.