Health Services Restructuring
chart: Integrated Project Management & Control
integral part of our extensive participation in health services
restructuring projects in various parts of the world we have
developed a particular expertise in project management systems.
This expertise has proved to be of considerable value to national
project implementation units responsible for the development
and implementation of such health restructuring projects.
We consider that two elements of project management are of
particular relevance. These are:
scheduling and monitoring technology has been well established
and we at RMC utilize the most up-to-date project scheduling,
resource allocation and project progress monitoring programs
available. In light of this readily available technology we
do not consider it necessary to develop our own technology
in this domain.
area of financial management and procurement of goods and
services, we have had the privilege to work on the following
assignments over the recent past.
part of the $134 million IDB funded Health Sector Reform
Programme, RMC was retained by the MOH of Trinidad &
Tobago to assist the Project Administration Unit in the
selection of appropriate consultants, the evaluation of
their work and the administration of their contracts involving
some 90 technical assistance projects encompassing:
- Reform of the Ministry of Health,
- Devolution of Service Delivery to RHA,
- PHC Development, Promotion & Training,
- Rationalizing of Health Service Delivery,
- Behandlung der mannlichen Potenz cialis generika
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- Development of a Comprehensive Financing System, and
in the process transfer such knowledge, skills and systems
to the MOH and RHAs.
acting as advisors to the Minister and senior Ministry
officials on policy issues arising from the health care
restructuring, as well as to undertake, on a sole-source
basis, a number of the consultancies (1999-2003); for
and took active participation in a seminar and, in turn,
a conference on health financing/cost recovery and the
role of public/private participation, attended by senior
personnel from Ministries of Health, Finance, RHAs among
others, as well as representation from IDB and PAHO.
to provide financial management and procurement advisory
services to the Albania Ministry of Health, PCU on
a USD28 million W.B. funded (USD17 million) Health Systems
Recovery and Development Project dealing with objectives
governing three components (Phases 1, 2 and 3) listed below
project objectives are to:
and strengthen the governance structure and management
capacity at the national and regional levels; and
the effectiveness and quality of health service delivery
in the Tirana Region through upgrading of selected
health facilities as part of a regional health system.
The proposed Health System Recovery and Development
Project will build on the initial achievements and lessons
learned from the on-going Health Services Rehabilitation
Program by expanding the geographic scope of infrastructure
rehabilitation and by supporting the institutionalization
of techniques to improve the quality of service delivery.
approved project has three components:
Governance and Management of the Health System in Tirana
Regional Health System Delivery
and management of relevant expertise (i.e., consulting firms
and individual consultants) using well-defined and documented
systems, and to transfer such knowledge, skills and systems
to the MOH and Regional Health Authorities (RHAs). The management
activity includes: procurement, planning and liaison, solicitation,
evaluation, contract supervision and administration of consulting
firms and individual consultants to execute RFPs in five
broad categories (each of which consists of a number of
technical assistance (TA) assignments), and individual consultancy
assignments (97 TAs in total). Ministry of Health, Trinidad
& Tobago as part of a $134 million IADB funded project
(1999-2001). The broad categories include the following:
Reform of the MOH
of Service Delivery to RHAs.
of Health Service Delivery.
of a Comprehensive Financial System.
by the Hungarian Ministry of Health, World Bank Project
Management Unit to provide assistance in financial management
and procurement on a Heart Healthy Nutrition Project
management and procurement advisory services (1996-1997)
to the Georgia Ministry of Health, Project Coordination
Unit on a World Bank funded project dealing with health
systems, human resources, health financing and rehabilitation
of health facilities.
assisted (1995-1996) the Health Project Coordination
Unit, Estonia Ministry of Social Affairs in managing
a World Bank funded project. Significant areas of involvement
include staff training and support in accounting and administration;
development of procurement systems and procedures; and the
actual procurement of goods and services and financial management
of the construction of the Biomedical and Health Sciences
of advisory services, in procurement and financial management
(1992-1996), to the Poland Ministry of Health for
the US$135 million World Bank funded Poland Health Project.
Emphasis of the Project is on health promotion; primary
health care, health management training, pharmaceutical
monitoring; information systems; and materials and equipment
product of RMC's involvement in project management was the
development of an integrated Management Information and
Control System and Procurement Operations Management
System addressing the needs of both the client and the
funding agency in a cost-effective manner.