Republic of Zambia
ZAMBIA NATIONAL HEALTH POLICY
, ‘A Nation of Healthy and Productive People’
August 2012
National Health Policy
Contents
Abbreviations and Acronyms........................................................................ iii
Working Definitions ....................................................................................... vi
Foreword ....................................................................................................... viii
Acknowledgements .................................................................................. viii
1 Introduction ................................................................................ 1 2
Situation Analysis ....................................................................... 3
2.1 Key Determinants of Health ......................................................... 3
2.2 Health Service Delivery ............................................................... 5
ii
,2.3 Health Workforce ......................................................................... 13
2.4 Medical Commodities .................................................................. 14
2.5 Infrastructure, Equipment and Transport ..................................... 15
2.6 Leadership and Governance ......................................................... 18
2.7 Health Information ....................................................................... 21
2.8 Health Financing .......................................................................... 23 2.9
Public Private Partnerships........................................................... 24
3 Vision, Rationale and Guiding Principles ................................ 25
3.1 Vision ........................................................................................... 25
3.2 Rationale ...................................................................................... 25 3.3
Guiding Principles......................................................................... 25 4 Policy
Objectives and Measures ................................................ 27
4.1 General Objectives ....................................................................... 27
4.2 Specific Objectives and Measures
................................................ 27
4.3 Communicable Diseases .............................................................. 30
4.4 Health Services Delivery Structures ............................................ 35
4.5 Health Workforce ......................................................................... 39
4.6 Medical Commodities .................................................................. 39
4.7 Infrastructure, Equipment and Transport ..................................... 41
4.8 Leadership and Governance ......................................................... 42
4.9 Health Information and Research ................................................. 44
4.10 Health Care Financing .................................................................. 45
4.11 Public Private Partnerships........................................................... 46 5
Implementation Framework ..................................................... 47
5.1 Legal and Regulatory Framework ................................................ 47
5.2 Institutional Framework ............................................................... 47
Abbreviations and Acronyms
AIDS Acquired Immune Deficiency
Syndrome
ANC Antenatal Care
ii
i
, ART Antiretroviral Treatment
CBoH Central Board of Health
CHAZ Churches Health Association of Zambia
CIP Capital Investment Plan
CPs Cooperating Partners
CSOs Civil Society Organisations
DALYs Disability-Adjusted Life Years
DLMIS Drugs and Logistics Management Information System
DPT3 Diphtheria Pertusis Tetanus – third dose
DSBL Drug Supply Budget Line
FAMS Financial Administration and Management System
FMS Financial Management Systems
GHD Global Health Diplomacy
GRZ Government of the Republic of Zambia
HBC Home Based Care
HIV Human Immunodeficiency Virus
HMIS Health Management Information System
HRH Human Resources for Health
HRIS Human Resources Information System
ICT Information Communication Technology
IDSR Integrated Disease Surveillance and Response Strategy
IFMIS Integrated Financial Management Information System
IRS Indoor Residual Spraying
ITN Insecticide Treated Net
JAR Joint Annual Review
LCMS Living Conditions and Monitoring Survey
LMIS Logistics Management Information System
M&E Monitoring & Evaluation
MDGs Millennium Development Goals
MDR TB Multi Drug Resistant Tuberculosis
MIS Management Information System
i
v
ZAMBIA NATIONAL HEALTH POLICY
, ‘A Nation of Healthy and Productive People’
August 2012
National Health Policy
Contents
Abbreviations and Acronyms........................................................................ iii
Working Definitions ....................................................................................... vi
Foreword ....................................................................................................... viii
Acknowledgements .................................................................................. viii
1 Introduction ................................................................................ 1 2
Situation Analysis ....................................................................... 3
2.1 Key Determinants of Health ......................................................... 3
2.2 Health Service Delivery ............................................................... 5
ii
,2.3 Health Workforce ......................................................................... 13
2.4 Medical Commodities .................................................................. 14
2.5 Infrastructure, Equipment and Transport ..................................... 15
2.6 Leadership and Governance ......................................................... 18
2.7 Health Information ....................................................................... 21
2.8 Health Financing .......................................................................... 23 2.9
Public Private Partnerships........................................................... 24
3 Vision, Rationale and Guiding Principles ................................ 25
3.1 Vision ........................................................................................... 25
3.2 Rationale ...................................................................................... 25 3.3
Guiding Principles......................................................................... 25 4 Policy
Objectives and Measures ................................................ 27
4.1 General Objectives ....................................................................... 27
4.2 Specific Objectives and Measures
................................................ 27
4.3 Communicable Diseases .............................................................. 30
4.4 Health Services Delivery Structures ............................................ 35
4.5 Health Workforce ......................................................................... 39
4.6 Medical Commodities .................................................................. 39
4.7 Infrastructure, Equipment and Transport ..................................... 41
4.8 Leadership and Governance ......................................................... 42
4.9 Health Information and Research ................................................. 44
4.10 Health Care Financing .................................................................. 45
4.11 Public Private Partnerships........................................................... 46 5
Implementation Framework ..................................................... 47
5.1 Legal and Regulatory Framework ................................................ 47
5.2 Institutional Framework ............................................................... 47
Abbreviations and Acronyms
AIDS Acquired Immune Deficiency
Syndrome
ANC Antenatal Care
ii
i
, ART Antiretroviral Treatment
CBoH Central Board of Health
CHAZ Churches Health Association of Zambia
CIP Capital Investment Plan
CPs Cooperating Partners
CSOs Civil Society Organisations
DALYs Disability-Adjusted Life Years
DLMIS Drugs and Logistics Management Information System
DPT3 Diphtheria Pertusis Tetanus – third dose
DSBL Drug Supply Budget Line
FAMS Financial Administration and Management System
FMS Financial Management Systems
GHD Global Health Diplomacy
GRZ Government of the Republic of Zambia
HBC Home Based Care
HIV Human Immunodeficiency Virus
HMIS Health Management Information System
HRH Human Resources for Health
HRIS Human Resources Information System
ICT Information Communication Technology
IDSR Integrated Disease Surveillance and Response Strategy
IFMIS Integrated Financial Management Information System
IRS Indoor Residual Spraying
ITN Insecticide Treated Net
JAR Joint Annual Review
LCMS Living Conditions and Monitoring Survey
LMIS Logistics Management Information System
M&E Monitoring & Evaluation
MDGs Millennium Development Goals
MDR TB Multi Drug Resistant Tuberculosis
MIS Management Information System
i
v
