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An Overview and a SWOT Analysis of The Libyan National Health System

An overview of the Libyan National Health Care System and SWOT Analysis

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An Overview and a SWOT Analysis of The Libyan National Health System

  1. 1. The Libyan National Health Care SystemThe Libyan National Health Care System Overview and SWOT AnalysisOverview and SWOT Analysis By: Ghada ElmasuriBy: Ghada Elmasuri Department of Oral & Maxillofacial SurgeryDepartment of Oral & Maxillofacial Surgery Tripoli Medical CenterTripoli Medical Center
  2. 2. The Libyan National Health Care SystemThe Libyan National Health Care System  Country profile  The Health System  Health Indicators  SWOT Analysis  Health priorities  Conclusion  References
  3. 3. Country ProfileCountry Profile  The 4th largest African country (1.775 million sq.km)  Located in the center of North Africa, with the longest Mediterranean coastline of about 2000 km.  Bordered by Egypt, Sudan, Chad, Niger, Algeria and Tunisia.
  4. 4. Country ProfileCountry Profile  Capital : Tripoli (Tarabulus) pop. est. 1.68 million
  5. 5. Natural ResourcesNatural Resources  Oil is the backbone of the Libyan economy, natural gas, gypsum  An OPEC member and holds the largest oil reserves in Africa
  6. 6. Population & DemographyPopulation & Demography Population (in millions( Selected Years, 1960– 2009 1.3 1960 2.0 1970 3.0 1980 4.3 1990 5.2 2000 5.7 2009 Population Growth Rate: 2.216% (2008 est )
  7. 7. Libya's Ethnic GroupsLibya's Ethnic Groups Arabs
  8. 8. LanguagesLanguages  Arabic is the official Language, Barber,  Italian , English are widely understood in the major cities
  9. 9. ReligionsReligions  100% Sunni Muslim
  10. 10. The Libyan Health Care SystemThe Libyan Health Care System
  11. 11. The Libyan Health CareThe Libyan Health Care SystemSystem  The public health system operates on several levels: • The 1st level consists of the basic health care units, providing curative and preventive services for 5.000 to 10.000 citizens. • The 2nd level comprises the basic health care centers, serving 10,000 to 26,000 citizens. • The 3rd level consists of the polyclinics. Staffed by specialized physicians, containing laboratories, radiological services and a pharmacy, these polyclinics serving about 50,000 to 60,000 citizens. • At the 4th level, there are hospitals in rural areas and the central hospitals in urban areas. • The 5th level comprises the specialized hospitals.
  12. 12. Organization Structure Of Libyan MOHOrganization Structure Of Libyan MOH Ministry of Health Minister of Health Secretary General Management administrative & financial affair Awareness& education Planning Medical services& equipments Pharmaceuticals products i Primary health care National services Projects Emergency &first aid services Offices Ministry affair Legal affair Technical cooperation Internal assessment workforce Follow up
  13. 13. Total expenditure on health of % of GDP
  14. 14. Health Expenditure indicators (2007est WHO)Health Expenditure indicators (2007est WHO) Total expenditure on health (per capita( 223 Total expenditure on health of % of GDP 3.7 General government expenditure on health as %of total health expenditure 69.5% Ministry of health budget as % of government budget 7% Source: Statistical report summary on the main health indicators.
  15. 15. Human and physical resources indicators 2007Human and physical resources indicators 2007 Physicians per 10000 population 25 Dentists per 10000 population 2.7 Pharmacists per 10000 population 8 Nursing and midwifery personnel 50 No of graduated medical students 13050 No of graduated dental students No of pharmaceutical graduated 4560 3022 Source: Statistical report summary on the main health indicators.
  16. 16. Human and physical resources indicators 2007Human and physical resources indicators 2007 Source: Statistical report summary on the main health indicators. Specialized hospitals 25 General hospitals 21 Rural hospitals 32 Central hospitals 19 Total no. of public hospitals 96 Primary haelth care facilities 1177 Beds per 10 000 population 39 Total no. of beds in public hospitals 20289 PHC facilities per 10 000 2.3
  17. 17. The Libyan National Health Care SystemThe Libyan National Health Care System
  18. 18. StrengthStrength 1. 11 of 12 global indicators of Health for All by 2000 were believed to be achieved by the end of last century in Libya 2. The motto of Libyan health policy is "health for all by all“. Basic & comprehensive health care including rehabilitation, disability and old-age benefits are provided to all citizens free of charge. The goal of this policy is to create a society in which every member can play an active role, both socially and economically, and in which services are equally distributed among the whole population. 3. The proportion of imported HR in Libya has dropped from >80% in the 70s to <8% in 2005.
  19. 19. WeaknessWeakness 1. Poor management: the predominant form of management in the Libyan health sector is lassez fair –management (hands off). 2. Poor inter sectoral cooperation and coordination and absence of comprehensive national programs.  Ex. the main cause of death in children after the first year of life is road traffic accidents as there is no inter sectoral cooperation and coordination with the education, transport, circulation and civil engineering sections.
  20. 20. WeaknessWeakness 3. Absence of a national health information system, absence of health system research as an integral part of national health development resulted in poor and uninformed decisions, poor planning and evaluation  Libya produced only 2.4 health publications 4. Poor data-information-intelligence cycle and surveillance
  21. 21. WeaknessWeakness 5. For a small population scattered over the vast geographical area, the potential of e-health solutions as electronic medical records for health service management and telemedicine are not yet applied in health. 6. Poor planning and evaluation and low quality impact assessment, duplicated efforts, and waste of time and resources  Ex. Projects only limited to buildings and construction of hospitals.
  22. 22. WeaknessWeakness 7. Bias towards rural areas and concentration of local human resources in certain regions.  Ex. Tripoli Medical Center a public hospital in Tripoli with 1500 beds, >3000 physicians , Dentists , medical Auxillaries. The Libyan government allocated a budget of 250 million Dollars that formed (7%) of the total health budget expenditure.
  23. 23. WeaknessWeakness 8. About $100-200 million are spent annually by the Goverment for medical treatment of Libyan citizens abroad. 9. More is spent as an out of pocket payment by Libyans traveling for treatment to neighboring countries and Europe.
  24. 24. OpportunitiesOpportunities 1. The gradual reintegration of Libya into the international economy, leading to better availability of medicines and health technologies. 2. Health care is available to all citizens free of charge by the public sector. 3. A growing private health sector is emerging and health insurance is being considered. 4. The country boasts the highest literacy and educational rates in Africa. 5. The Government is substantially increasing the development budget for health services. 6. Clear-cut and comprehensive strategies have been prepared for HIV/AID and TB.
  25. 25. ThreatsThreats 1. Lack of human resources for health planning and management. 2. Coordination among national institution is a challenge. 3. Lack of procedures and application management protocols. 4. The high prevalence of smoking “more than 30% of the adult male population smoke regularly”.
  26. 26. ThreatsThreats 5. High mortality and disability rates (13%) due to road traffic Injuries( 4–5 deaths per day and even
  27. 27. ThreatsThreats 6. Increasing incidence of AIDS and hepatitis duo to illegal immegration.
  28. 28. Priorities for transforming the Libyan HealthHealth Care SystemCare System 1. Restructuring of medical and paramedical human resources through redistribution of human resources and training of necessary cadres. 2. Improving, updating and developing health facilities, including developing some health delivery points into health centers. 3. Adopting health care management protocols. 4. Co-ordination and integration and improving the health information system. 5. Focusing on public health programmers.
  29. 29. ReferencesReferences The Work of WHO in the Eastern Mediterranean Region Human World Development Indicators 2004 Development Report, New York, UNDP,2006.   Library of Congress – Federal Research Division- http://lcweb2.loc.gov http://news.bbc.co.uk Libyan National Health Services The Need to Move to Management-by-Objectives(www.ljm.org.ly)  http://www.health.gov.ly http:looklex.com/e.o/libya.htm Country Cooperation Strategy for WHO and the Libyan Arab Jamahiriya 2005– 2009

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