PHRplus contributes policy and system strengthening support to complement major efforts already underway in Honduras to reform health care policy and improve the delivery of primary health services, especially priority services such as reproductive health and child survival. This takes place in the context of broader national decentralization. PHRplus works with the Ministry of Health (MOH) at the central and regional levels, and with facilities and community groups. Work at the local level takes place in two regions.
- Strengthen institutional capacity for health system management at the central and local levels
- Improve integration of MOH health information system (HIS)
- Strengthen the Community Drug Fund
- Enhance communication regarding health sector reform issues
Strengthening management: PHRplus/Honduras has, among other activities, supported health planning at all levels of the MOH, improved the integration of HIS systems in the MOH, improved community participation in health planning at the local level, and developed a policy to expand Community Drug Funds.
Communications: PHRplus/Honduras has identified and disseminated best practices on successful reform experiences; implemented a Communication Strategy to inform Health Sector Reform Dialogue; and collaborated with the government in planning for health projects within the National Poverty Reduction Strategy. In this way, the project has contributed to the mission's objectives of facilitating the improvement of health policy to increase equitable access to Primary Health Care.
- All four areas of Region 5 have begun to strengthen their organizational approach in the areas of epidemiology, administration, management, decentralization, and human resources. The Regional Director in Region 2 has successfully reinstated "Consejos departmentales" to strengthen methodology, organization, and strategic planning practices. The director of Region 5 has agreed to standardize and support community groups of Santa Rita, Copan, Ruinas and Cabanas. The Santa Rita community is also willing to establish a new user fee model that will allow their local clinic to commence operations. PHRplus has ficilitated interaction between region 5 and each of the municipalities, establishing a venue for regional advisors to share their priorities for the health sector. As members of a working group on an integrated Information System, PHRplus helped the MOH develop the Financial Administration System (FAS).