Health System Modernization Project

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The objectives of Health System Modernization Project for Albania are: (i) to improve both physical and financial access to, and the actual use of high quality primary health care services, with an emphasis on those in poor and under-serviced areas as well as to diminish the unnecessary use of secondary and tertiary care facilities, (ii) to increase the effectiveness of the Ministry of Health (MOH), and HIF in formulating and implementing reforms in provider payments and health system performance, and (iii) to improve governance and management in the hospital sector. The project has the following components: Component A) will help the Health Insurance Institute (HII) develop its capacity as the sole purchaser of health services, and will support capacity building to strengthen the stewardship role of the MOH, the Institute of Public Health (IPH) and the HII. Component B) will support institutional reforms and limited investments aimed at improving quality of care among health care providers and in health facilities. Component C) will provide initial steps to improve hospital operations and direction by focusing on: (i) the development and introduction of accounting and internal control structures for hospital care providers and training in hospital management, (ii) developing the regulatory framework, including by-laws and regulations to support the move of MOH hospitals to the status of autonomous public entities; and (iii) piloting reforms of hospital management and governance structures in selected hospitals.