📋 Tender Overview
The health sector in Albania is undergoing structural reforms. New models of service that integrate health and social care are approved and being implemented currently in small scale. Under the lead of the Ministry of Health and Social Protection, the project will facilitate the upscale of the new home care service at primary health care. The aim is to transform primary care to the specific needs of the poor and vulnerable population like the elderly, people with disabilities and mental health disorders.
Country/region Topic Period Budget
Albania
Health
Health systems strengthening
Primary health care
01.04.2023 - 31.03.2027
CHF 4’050’000
The project in brief
Background
The National Primary Health Care (PHC) strategy 2020-2025 calls for the transformation of primary care based on the prevailing burden of diseases, aging of the population, internal/external migration and domestic financial resources available.
The health system is highly centralised with a top down approach by the Ministry of Health and Social protection (MoHSP). Key health sector actors operate most of the time ineffectively. The Health Services Operator has not yet been able to strengthen substantially its capacities after 4 years from its establishment. The Agency of Quality Assurance was established in 2021. It’s resources are limited and the challenges ahead for achieving its mission are important.
The sector faces an important shortage of doctors, and at a minor degree of nurses. Albania is one of the countries with the lowest ratio of physicians/population in the European region. Given prevailing demographic and migration patterns of health workers, nurses take a higher importance in respect to PHC services delivery.
Objectives The Albanian population benefits from better health thanks to improved and inclusive primary health care.
Target groups Chronic patients in general including the elderly (420’ 000) People with disabilities (30’000 homebound with severe disability and mental health disorders in 7 regions) and victims of domestic violence (approximately 26’000 in 7 regions) General population (over 2 million) and PHC doctors and nurses (3000 health workers) MoHSP, health service operator the agency of quality assurance and local CSOs
Medium-term outcomes Outcome 1: MoHSP and its affiliated entities steer and manage more effectively and efficiently primary health care and home care services Outcome 2: Citizens have access and use effectively primary health care and home care services of better quality
Results Expected results:
Under the lead of MoHSP, the home care service, clinical protocols and peer groups are up scaled at national level.
Planning and monitoring capacities of health service operator/local health units and the agency of quality assurance are strengthened.
Digital health solutions for PHC on NCDs protocols, and e -learning are developed and implemented
Role and capacities of CSOs is fostered to improve health system gov
