#1ANITI KWE DIGNITE TRAVAIL Universal Health & Preparedness Review UHPR Pilot in Central African Republic (CAR) Dr Pierre SOMSE Minister of Health and Population 25th November 2021 World Health Organization#2Content 1. Context of CAR 2. UHPR in the context of CAR 3. Methodology of implementation 4. Expected results in CAR World Health Organization ZO KWE TRAVAIL HEALTH EMERGENCIES 2 programme#3. Context CAR Landlocked country with a protracted security crisis and political instability resulting in a devastated national health system and one the worst health status as shown by the maternal and infant mortality rates, second highest in the world; Humanitarian crisis: affects 63 % of the population Governance: external assistance (60-70% of health budget) Strong political leadership and commitment for health: Covid-19: vaccination (7% of the population) UHPR is an opportunity for the country to address key constraints requiring global attention and solidarity World Health Organization UNT DIGNITE HEALTH EMERGENCIES 3 programme#4• ● UHPR IN CAR OPPORTUNITY Seek high-level national and international engagement; Strengthen framework for coordination with partners, review aid effectiveness, support multisectoral collaboration and community engagement; Strengthen strategic planning for implementation of Sustainable Development Goals recommendations; Reinforce legal framework for health; World Health Organization UNAVAIL DIGNITE HEALTH EMERGENCIES 4 programme#5Methodology: Build on what already exists for Covid-19 WHO Recommendations National Committee of UHPR at Presidency level CAR adaptation Crisis committee: Head of State (presidential decree)) Technical committee: Prime Minister Strategy and methodology National Secretariat at MoH Level UHPR National Secretariat (ministerial order) • Community dialogue World Health Organization#6Methodology in CAR Pre-examen phase preparation Activities/deliverables Chronogram 2021 PHASE I: PRE-EXAMEN POLITICAL: 50- 60% OF THE WORK: MINISTER OF HEALTH AND WR Expression of interest DG's letter to CAR's Minister VERY WELL ACCEPTATION World Health Organization Briefing of the MoH by WR Information note from the WHO office at the Ministry of Health Presentation cabinet of the process in Briefing by the Prime Minister's Chief of Staff Adoption by the Council of Ministers Briefing of the Prime Minister Briefing of the Head of State Presentation to the Strategy and Methodology Group Presentation to UNCT Technical committee Presentation to the President of the National Assembly Launch by Head of State and DG ZO KWE TRAVAIL Chronogram 2022 Sept Oct Nov Dec Jan Fev mar apr W1 W2 W3 W4 W1 W2 W3 W4 W1 W2 W3 W4 W5 HEALTH EMERGENCIES 6 programme#7Main expected results from UHPR in CAR Highlight the challenges in health and in health governance specific to the Central African context, including issues related to aid effectiveness and partner alignment; • Promote mutual accountability among ministries, civil society, the private sector and other stakeholders in the area of health security and pandemic preparedness; Resource mobilization at international level to support the UHPR recommendations; World Health Organization UNT DIGNITE HEALTH EMERGENCIES programme#8Main expected results from UHPR in CAR • To raise global awareness of the Government's efforts to promote population health in the context of a conflict and post-conflict country; • Share with the international community CAR's best practices in the field of health; • Define a way forward for equitable and sustainable Universal Health Coverage. World Health Organization UNT DIGNITE HEALTH EMERGENCIES programme#9World Health Organization Universal Health Peer Review (UHPR) Piloting the Universal Health and Preparedness Review SINGUILA MINGI 70 KW UNIT CRAVAIL