Medical Workforce Support Program (Vanuatu) Investment design



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Medical Workforce Support Program (Vanuatu)

Investment design (revised and updated)

Gillian Biscoe

Toa Fakakovikaetau

Rob Condon

Scott Monteiro

Revised by Rob Condon in April 2015

Health Resource Facility

Mott MacDonald (Mott MacDonald Australia Pty Ltd)

GPO BOX 224, Civic Square ACT 2608

SAP House, Level 6, 224 Bunda Street

Canberra City ACT 2601

Tel: +61 (2) 6153 6100

www.australianaidhrf.com.au

Contents


Acronyms and Abbreviations 3

Map of Vanuatu showing provincial composition 5

Executive summary 6

Outputs and Activities under the Program 10

Development Outcomes and Program Logic 12

1.Introduction and program origin 14

2.Program preparation 15

3.Australian aid program context and support 15

3.1.Australian policy context 15

3.2.Australian support to the health sector in Vanuatu 16

3.3.Australian aid portfolio review, 2014 17

3.4.Other health sector development partners 18

4.Vanuatu country context 18

4.1.Geography, climate and environment 18

4.2.Government 19

4.3.Socio-economic development 19

4.4.Gender equity and child protection 20

4.5.Population 20

4.6.Education 21

4.7.People with disabilities 21

4.8.Technology 21

5.Vanuatu health context 21

5.1.Health indicators 21

5.2.Health system overview 23

5.3.Health Sector Strategy 2010-2016 26



6.Other key findings 27

7.The Medical Workforce Support Program (Vanuatu) 27

7.1.Australian support 27

7.2.MWSPV design logic overview 28

7.3.How the MWSPV will contribute to higher level development outcomes 29

7.4.How the MWSPV will work – the underlying principles 31

7.5.What the MWSPV will do – Activities and Outputs 31

7.6.Beneficiaries 36

7.7.Development outcomes – What the MWSPV aims to achieve 38

7.8.Risks 38

7.9.Child protection, social inclusion, gender equity 40



8.Monitoring and evaluation 41

9.MWSPV aid modality 42

10.Budget and Value for money 42

10.1.Indicative budget 42

10.2.Value for money 42

11.Implementation arrangements 43

Annex 1: Literature reviewed 46

Annex 2: Aide Memoire 47

Annex 3: Vanuatu medical workforce supply 53

Annex 4: Behaviour change and MWSPV 59

Annex 5: PCC terms of reference 63

Annex 6: Mutual obligations – GOV and DFAT 64

Annex 7: Budget 66

Annex 8: MWSPV principles 67




Acronyms and Abbreviations


API Annual Malaria Parasite Incidence (per 1,000 population-at-risk)

ASO Anaesthetic Scientific Officers

AUD Australian dollar

AYAD Australian Youth Ambassadors for Development

CMNHS College of Medicine, Nursing and Health Sciences, FNU

CPD Continuing Professional Development

DFA Direct Funding Agreement (between DFAT and GOV)

DFAT Department of Foreign Affairs and Trade, Australian Government

DG Director-General for Health

DHS Demographic and Health Survey

DP Development Partner

EOPO End of Program Outcomes

FNU Fiji National University

FTE Full time equivalent

FTMG Foreign trained medical graduate (i.e. those trained outside the region at medical schools other than those traditionally serving the Pacific)

GBN Government Broadband Network

GDP Gross domestic product

GOPRC Government of the People’s Republic of China

GOV Government of Vanuatu

HIS Health information system

HRF Health Resource Facility, Australian Aid Program

HRH Human resources for health

HSL Health Specialists Limited

HSS Vanuatu Health Sector Strategy 2010-2016

IDQS Investment Design Quality Standards (DFAT)

IMR Infant mortality rate

JICA Japan International Cooperation Agency

JPA Joint Partnership Agreement between GOV and DPs

LDP Leadership and Development Program

M&E Monitoring and evaluation

MC Managing Contractor

MDG Millennium Development Goals

MFEM Ministry of Finance and Economic Management

MMed Master of Medicine

MOH Ministry of Health

MTS Medical Treatment Scheme, Government of New Zealand

MWSPV Medical Workforce Support Program (Vanuatu); “the Program”

NCD Non-communicable disease

NPH Northern Provincial Hospital

PAA Vanuatu Priorities and Action Agenda, 2010-2016

PacTAM Pacific Technical Assistance Mechanism

PCC Program Coordinating Committee

PGDip Post-graduate Diploma

PHC Primary and preventive health care

PIC Pacific Island country

PIP Pacific Islands Project (implemented by RACS)

POLHN Pacific Open Learning Health Network

PPD Vanuatu-Australia Partnership for Development 2010-2016

RACMA Royal Australasian College of Medical Administrators

RACS Royal Australasian College of Surgeons

ROI Return on investment

SSCSiP Strengthening Specialised Clinical Services in the Pacific (FNU program)

TCM Traditional Chinese Medicine

THE Total health expenditure

TOR Terms of reference

U5MR Under-5 mortality rate

UN United Nations

UNDP United Nations Development Programme

UNFPA United Nations Population Fund

UNICEF United Nations Children’s Fund

UPNG University of Papua New Guinea

USD United States dollar

VAT Value Added Tax

VCH Vila Central Hospital

VCNE Vanuatu College of Nursing Education

VHW Village Health Worker

ViVa Victoria Vanuatu Physician Project, Canada

VMIP Vanuatu Medical Internship Program

VPD Vaccine preventable disease

VUV Vanuatu Vatu

WHO World Health Organization




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