The Pacific Island Health Officers Association - PIHOA by hcj

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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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