TAILIEUCHUNG - ZIMBABWE GLOBAL HEALTH INITIATIVE STRATEGY

the need for coordinated health sector action on hiv. Evidence and experience to date provide a compelling rationale for a new global health sector strategy on HIV. The WHO strategy is designed to meet the complex challenges of a dynamic epidemic in a rapidly evolving stage of global health actors. WHO’s work on HIV has been guided by a series of broad-based strategies and initiatives, including the Global health-sector strategy on HIV/AIDS 2003–2007, the “3 by 5” initiative, and the WHO 2006-2010 plan for universal access. The evaluation of and experience from this work highlight the value of a strong. | ZIMBABWE GLOBAL HEALTH INITIATIVE STRATEGY February 2012 1 GHI Strategy for Zimbabwe I. Introduction The sharp economic decline Zimbabwe experienced over the last decade resulted in a dramatic decrease in public funding fo r basic services and a severe deterioration of the health delivery system. At the end of 2008 the public sector health services had virtually collapsed. By 2009 national government expenditure on health was a mere US 15 million against the proposed national health budget of US 150 million or 10 of the estimated requirement for health programming in the country. Since 2009 Zimbabwe s public health system is slowly regaining functionality but this progress has required significant support from the United States and other donors. The Ministry of Health and Child Welfare MOHCW is using donor assistance to strengthen preventative and clinical services in Zimbabwe at both the health facility and community levels. Thus health services and systems are in the process of being rebuilt see the Health Sector Profile in Appendix A and the GHI strategy can play an important role toward this end. Existing US Government USG assistance has been mainly oriented around specific diseases and largely vertical national programs structured to mitigate those diseases. The basic premise used in formulating the GHI strategy was to identify effective approaches to accelerate progress in reducing preventable deaths and lessen the burden of disease within Zimbabwe with a particular focus on women and girls see the strategy to incorporate women girls and gender equality into USG programming in Appendix D through an effort to improve the integration of a set of essential health services and systems. Development of the strategy considered the major causes of deaths in the country and new assistance platforms that could help save more lives. Additionally the strategy applies GHI principles within the identified initiatives to achieve greater public health impact in the general .

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