Annual Health Data Report 2010

A Joint Message from the Minister and Secretary of Health

September 12, 1978 marks the birth of the World Health Organization (WHO) Declaration of Alma Ata on Primary Health Care (PHC). The Declaration called for urgent action by all governments, all health and development entities and the world community to protect and promote quality health practices for all peoples. In furtherance, the PHC Declaration, as such, reaffirms that “health” is a state of complete physical, mental, social being and spiritual being, and not merely the absence of disease and infirmity. The PHC Declaration further supports the Ministry’s theme that health is a shared responsibility or ejmuur ej adwõj jimor eddo.

The MOH statistics show high incidence and prevalence rates of noncommunicable diseases (NCDs) or lifestyles diseases such as Diabetes Mellitus and its complications, cancer or hypertension. The statistics further show that cancer is the second leading cause of mortality in the RMI. The risk factors related to lifestyles diseases such as tobacco use, alcohol consumption, lack of physical activities and poor diet contribute in high prevalence and incidence rates of NCDs in our nation. RMI fully supports the NCD Declaration by the Pacific Islands Health Officers Association (PIHOA). NCDs are affecting lives of so many people in our region and around the world.

Preventive measures supported by the WHO Alma Ata Declaration on Primary Health Care need to take place now. Although PHC is being implemented by the Ministry since 80’s, the Ministry continues to need the support from the community, stakeholders and partners. Various prestigious nongovernmental organizations in the RMI are already implementing educational projects and programs to support the need to increase community awareness on health concerns and issues in the RMI, and this is “kumiti ejmour” efforts by all of us. Ministry of Health cannot carry out preventive measures on its own.

Every individual, community, business, organization, civil and RMI Government entities have a role to play in Primary Health Care initiatives. The WHO has reviewed the Alma Ata Declaration and confirmed that 30 years after the Declaration, Primary Health Care initiatives and activities remain very weak. The MOH has developed the Health Policy that focuses on preventive measures and primary health care with the hope that every stakeholder and MOH partners will create effective course of actions that will protect the wellbeing of individuals and communities in the RMI.

For the first time, the Ministry has added another section in this MOH Annual Report to include cost analysis for all the direct services provided in some of the areas within the Ministry. The cost analysis of services, materials needed, number of patients serviced, and the type of services provided in each of the area show the actual costs and comparison of costing to other countries. The Ministry does not apply the service charge indicated in each area but bears all costs of services with the budget that is allocated each fiscal year.

We are hopeful that preventive services, with support from our stakeholders and partners on island and international community support, will be compelling to each of us to lead the way forward to support primary health care initiatives necessary to further support the Millennium Development Goals.

Kommool tata.

© RMI Ministry of Health and Human services