Maldives Health Master Plan 2016‒2025.

This Maldives Health Master Plan 2016‒2025 (HMP) sets out high level strategic directions for the health sector and its public, private and international partners for the period 2016-2025. The model adopted for this Plan is based on a strategic management framework. HMP focuses on general strategic directions— outcomes, broad strategies and the operating environment—but does not focus on detailed operations or resource requirements. As the HMP is expected to traverse at least two election cycles, this model provides the political contenders the flexibility to integrate their manifestos’ health priorities to contribute to the population health goals. Agricultural and fisheries programmes are primarily implemented as economic activities and food security features as a secondary output. However, present agricultural policies highlight food security. There is also no proper system in place for food quality control. Emphasis needs to be given to address these gaps and develop health, food security and food safety systems with clear links between programmes to contribute to national goals, while achieving sector specific goals.
Vision: A population that enjoys high levels of physical, mental and social wellbeing irrespective of their age, gender and socio-economic position and island environment. Core Values: The principle values required to ensure accomplishment of the Vision are: Human rights Commitment to health as a human right in all policies, programmes and services. Equity Assurance that the health system provides equitable access to health services that are responsive to age, gender, ethnic and socio-economic situation of the individual. Inclusion Emphasize collaboration and partnerships in health. Accountability Rely upon transparent and evidence-based decision-making at all levels towards achieving health gains. Sustainability Commitment to efficient use of resources and effective delivery of health services that are responsive to epidemiological and population health needs. Professionalism Competent health personnel with commitment to ethical and moral obligations of health care.
The overall national goal is to “Enhance health and wellbeing of the population”. The government and all health partners will endeavour to achieve this goal focusing on three specific health outcomes. These goals are based on the current and perceived health situation, socio-economic and political context for the next ten years. The three goals are: 1. Build trust in the national health system; 2. Reduce disease and disability among the population; 3. Reduce inequities in access to health care services and medicines. The national health goals can be realized through achievements of critical outputs and each output will contribute to achieving one or more of the three national goals. These outputs are: 1. Adopt value-oriented and evidence-based public policy making; 2. Strengthen partnerships for health within government, with private, voluntary sectors and civil society; 3. Ensure financial sustainability of the health system; 4. Enforce legislation enacted; 5. Enable a healthy start in life and childhood through the health system; 6. Enable young people and adults to adopt healthy practices; 7. Enhance quality of life of older people, those with disabilities and long-term health conditions; 8. Unify health care delivery by the public, private and voluntary sectors; 9. Maintain an adequate skill-mix of the health workforce, committed to provide holistic, customer-centred, quality care; 10. Ensure a responsive, integrated health information system that provides relevant information for evidence based decision making.
Health services have in-built systems for preparation and response to public health emergencies and disasters. As such, national protocols are in place and drills are conducted intermittently for public health emergencies and to a lesser extent on national emergency situations. In addition, it develops a health sector response plan and standard operating procedures in natural disasters and more frequent emergencies in alignment with national disaster management plans.