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COUNTRY PRESENTATION Commonwealth of the Northern Mariana Islands (CNMI) Overview *CNMI: 14 islands; 3 Primary Inhabited Islands -Saipan, Rota and Tinian -Population: 53,883 (2010 Census) *Former DPH now CHCC -Public Law 16-51 effective October 1, 2011 - Board of Trustees, CEO, Corporate Officers -Semi-autonomous public governmental agency -from a $38M Budget to $5M in FY2012 -1 public hospital located in Saipan -Divisions: Hospital, Public Health, THC, RHC *Top 3 CHCC Priority Issues: 1. Financial instability 2. Declining resources 3. NCDs NCDs and Associated Risk Factors 7 out of every 10 deaths in the CNMI Fig 1. Number of New RD Patients by Year, 2009-2011. Childhood Obesity According to a CNMI Nutrition Survey, 45% of 7- 10 year olds were obese or overweight. Source: CNMI Nutrition Cluster Survey, Paulino, et al.2008 Does CNMI have a Health Plan? No. No comprehensive “whole of society” health plan in place nor a CHCC strategic plan. CDC NPHII… 4 Main Health Plans by 2012 1. Community Health Assessment 2. Community Health Improvement Plan 3. Governor’s Healthcare System Assessment 4. CHCC Strategic Plan What plans are in place? What plans are in place? *2007 Strategic Plan *2008 CNMI HRH Action Plan *2008 NCD Plan *2012 Six months Division of Public Health Strategic Plan Plan Process Stakeholders Guide Strategic Direction 2007 Paid off-island Doctors and NO. DOA. Strategic Plan Consultant Hospital Mgt 2008 HRH Plan PIHOA Governmental Needs to be Agencies updated. 2008 NCD Plan WHO Community & Yes. Gov’t Agencies 2012 PH Strategic PIHOA PH Mgt Team Yes. Plan Plan Weaknesses Strengths 2007 Lack of Awareness by Well written report Strategic Plan Leadership Hospital-centered 2008 HRH Plan No funding Identified Staff Inter-agency No Follow-up involvement Regional Initiative 2008 NCD Plan Government Agency 3 year SPC Funding controlled Community Involvement Lack of Awareness Regional Initiative 2012 PH Strategic Plan Competing Priorities PH Mgt Team involvement Lack clear objectives Relevant Lessons Learned on “the Plans” *Designate staff /champion with decision-making influence to keep the plan “Alive” *Keep Plan “Front & Center” horizontally and vertically (e.g. Active Collaboration & Engagement) *Secure and align funding (e.g. NA Program, NCD Plan) * Regular and consistent reporting of progress at all levels (e.g. Dashboards, targeted communication strategies) Si Yu’us ma’åsi’ yan Ghilisoow!
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