GRENADA PRESENTATION

Presenter: Tessa Stroude

GEOGRAPHICAL LOCATION

Political Context Tri-island state-Grenada, Carriacou &Petit

Martinique Extension: 133 sq.miles Seven Parishes Westminster style parliamentary democracy –

bicameral legislature -Elected House of representatives -Senate appointed Executive powers: P.M. and Cabinet Governor General represents H.M. Queen Elizabeth 11 No formal local government institutions Multi-partite consultative committee

DEVELOPMENT INDICATORS Growth Rate (2003-2005) 5.8, -3.0, 1.9% GDP at 2000 constant prices- US$401mn Inflation (based on consumer index) 5.8% Population 106,027

Male 52,028Female

54,000 Unemployment 18% - Male 12.4 - Female 26.3 Adult Literacy rate 97.0 Human Development Index (2005) 66th

Social Development Household composition - Female headed 47.0 Access to water 98.8 Safe Water source 87.0 Safe Sanitary (human waste) 61.5 Collected Waste Disposal 97.5 Has Electricity 80.9

Investment in Health

GDP per Capita (2001) US$3,881 National Health Expenditure

as a % of GDP 2006 est. 4.8% Per Capita Health Expenditure US$ 223.00(2004) % Government Expenditure 2006 16.1% Private Expenditure (2002) est. 1.7% 70% of Health Budget Wages & Salaries

HEALTH INDICATORS

Life Expectancy 70.9years Infant Mortality 13.6 (2004) Maternal Mortality 0 Fertility Rate 3.09 Crude Birth Rate 17.8 (2004) Crude Death Rate 8.5 (2004) Immunization (across the board) 100% (2005)

Health Indicators cont’

Top 5 cause of death 2003 Malignant Neoplasm Endocrine & Metabolic Disease Disease of Pulmonary Circulatory Disease of Respiratory system Hypertensive Disease

MAJOR HEALTH PROBLEMS

Chronic Diseases Heart Disease Hypertension Diabetics Cancers HIV/AIDS Traffic Accidents

Health Services-Organization

One Main Acute care hospital Two Subsidiary hospitals – - Off shore island-Carriacou - Rural community One Psychiatric Facility Community Health Services - 6 Health Centres, 3 Maternity Units - 30 Medical Stations

Productivity – Health Services- Hospital - 2005

Discharges 7554 Average Length of Stay 6.8days Surgeries/Orthopedic 1785 Deliveries 1380 Outpatients 9730 Hospital Occupancy 75% Overall Death rate @

Hospital 3.6%

Health Services - Community Level

Child Health Ante Natal - 92.8% Delivery by health professionals 100% Post Natal - Chronic Diseases District Medical Officer Clinic Pharmacy Dental Services Mental Health Infectious Diseases

Health Services - Special Response Programs

Drug for the Needy: free access to drugs for chronic diseases

HIV/AIDS Free VCT clinics Free access to Anti-retrovirals

Free access to health services for persons under 16 years of age and over 60 years.

Miracle Program: free ophthalmologic care Oncology program introduced

Statorization of Solid Waste Management Development of Executive Agency to manage

Hospital Services Process under review – still part of the policy agenda Devolution of Good & Services New positions established (Top Management) Human Resources still under the PSC Recommendations to strengthen Planning

and Epidemiology Department Computerization of Medical and Registrar-

General Department.

Response : Health Sector Reform

Health System Response- Steering Role

Leadership Functional review of Ministry of Health conducted Administration Hospital & Community ServicesDevelopment of National Strategic PlanHealth Disaster Plan near completion

Regulatory Reviewing & revising Legislation Development of protocols and regulations

Public Health Review of EPHF’s

Health System Response: Steering Role Cont..

Harmonization of Health Services Delivery Training Assessment completed & Human

Resource Plan to be developed Strengthened Human Resource Management

New Chief Nurse Officer recruited New Chief Medical Officer recruited Director of Community Health Services introduced Additional Epidemiologist employed Training program to begin by July for Management

teams

Health Sector Response-Financing/Assurance

General Taxation User fees reviewed at hospital Plans to upgrade the Billing and

Admissions Department National Health Insurance (under

discussions)

Thank You !