Health Service Delivery Network Project

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The objective of the Health Service Delivery Network Project for Bolivia is to improve access to, and quality of, health service delivery in selected health networks. There are three components to the project, the first component being Strengthening Health Service Delivery Networks. This component will support the strengthening of ten health service delivery networks that serve an estimated 3.8 million population. A complete assessment of the networks’ situation and identification of adjustmentand rehabilitation needed will complement the rapid assessment study of all networks conducted during project preparation, which provided data for demographic, socioeconomic and health indicators for health networks nationwide. The second component is the improving quality of health service delivery and human resource capacity development. This component will support human resources capacity development, as well as the development and implementation of tools and standard operating procedures (SOPs) for the management of the new hospitals and their networks. Activities supported by this component will be implemented on a national level with priority placed on: (i) supporting the training of human resources needed to close the gap to start the operation of the new hospitals and (ii) increasing the national capacity of medical residency programs to enable these programs to satisfy the country’s need for medical specialists. A beneficiary feedback mechanism will be incorporated in the overall design of the project, through a patient satisfaction survey to measure access to services as well as adequate responses to cultural and gender sensitivities. This component includes three subcomponents: training medical specialists, other professionals and critical personnel; developing, updating and dissemination of national clinical care (care pathways) standards and other governance related regulations; and supporting the link between the SNIS (health information system) and the new hospitals’ information systems. Finally, the third component is the project management. The project will be implemented by two implementing entities: The Agency for Infrastructure in Health and Medical Equipment (AISEM), and a Project Implementing Unit (PIU) located in the Project Management Unit (UGESPRO) housed in the MoH, both bound to policies of the MoH and staffed with civil servants and consultants as needed to provide support, TA and capacity building. This component will finance the related operating expenses, equipment, furniture, vehicles and personnel necessary for the execution of the project, in the areas of contract management, procurement, financial management, technical and monitoring and evaluation, including project audits. This component will also finance the Government’s auditing of the hospital works and annual financial audits. Finally, the GoB will allocate budget to cover recurrent costs of the implementing entities.