A. Composition of Committees and Boards
NATIONAL LEVEL
Central Hospital (>300 beds) Hospital Board
Head of the Local Administration Head of the Municipality
DG-Health of the Municipality Hospital Director
2 Heads of Departments Hospital administrator
7 nominated community members
GOVERNORATE LEVEL
Governorate Hospital (60-100 beds) Hospital Board
Representative from Governor's Office DG of the Health Office
Hospital Director
One Head of Department Hospital Administrator Head of Municipality
6 nominated community members
DISTRICT LEVEL District Management
District Health Management Team (DHMT) (appointed by District Health Director) 4-8 members e.g.
Curative Services
Community Health Outreach MCH and FP
Supply and Use of Drugs Health Education
Environmental Health Administration
District Health Council (DHC) Director from District
Head of the future Local Council District Director of Health
Director of District Health Center or Hospital
Representatives of organizations involved in district health development Equal number of community members to elected members of local HFCs
District Hospital (up to 60 beds) Hospital Board
Director of District or his representative Head of District Health Council
Hospital Director
One Head of Department
4 representatives from HFC elected by members of all HFCs in the district Health Facility Team (HFT)
Director of facility Heads of Departments
Other key personnel from work units such as pharmacy, personnel, etc.
BASIC HEALTH FACILITY LEVEL Health Center with or without beds Health Facility Team (HFT)
Director of facility Heads of departments
Other key personnel from work units such as pharmacy, personnel, etc.
Health Center and Health Unit Health Facility Committee (HFC) 5-9 elected community members
Uneven number., with females at least 2/5, 3/7, or 4/9 Half from outside community of HF location
1 representative from each uzlah (subdistrict) served
COMMUNITY LEVEL All Communities
Community Health Committee(CHC) 5-10 members elected by community
B.Functions of Committees and Boards
NATIONAL LEVEL
Central Hospital (>300 beds) Hospital Board
Sets rules, regulations and standards for operation of hospital Sets targets for performance
Plans the major activities Develops the budget
Fixes the schedules of fees and charges
Controls expenditures and presents the accounting report to general. assembly Mobilizes additional resources
Monitors performance
GOVERNORATE LEVEL
Governorate Hospital (60-100 beds) Hospital Board
Sets rules, regulations and standards for operation of hospital Sets targets for performance
Plans the major activities Develops the budget
Fixes the schedules of fees and charges
Controls expenditures and presents the accounting report to general assembly Mobilizes additional resources
Monitors performance
DISTRICT LEVEL District Management
District Health Management Team (DHMT) Meets frequently e.g. every week
Responsible for technical performance of all health services in the whole district including organizing the training of staff, maintenance of facilities, transport, supplies, and
admin. of cost sharing
Proposes to DHC which facility & its respective community fulfills the criteria for fulfilling the cost sharing program
Organizes the training for cost sharing
Supervises the functioning and development of cost sharing in the facilities Reports irregularities in cost sharing to the DHC
District Health Council (DHC) Meets quarterly
Approves admission of HF/community group to cost sharing program after recommendation by District Health Director
Assures that rules and standards are respected Monitors the development of cost sharing program
Arbitrates in cases of conflicts between partners of cost sharing scheme Accepts and FU in cases of complaints of personnel, patients, communities Fix the quota of poor families for exemptions in the catchment populations Assure the provision of free drugs by the government for the exempted population
District Hospital (up to 60 beds) Hospital Board
Sets rules, regulations and standards for operation of hospital Sets targets for performance
Plans the major activities Develops the budget
Fixes the schedules of fees and charges
Controls expenditures and presents the accounting report to general assembly Mobilizes additional resources
Monitors performance
Hospital
Health Facility Team (HFT) Manage all facility-based services Manage all outreach activities
Administer the local cost sharing scheme
Meet regularly with the community of the catchment area Answerable to Hospital Board
Technically guided and controlled by DHMT
BASIC HEALTH FACILITY LEVEL Health Center with or without beds Health Facility Team (HFT)
Manage all facility-based services Manage all outreach activities
Administer the local cost sharing scheme
Meet regularly with the community of the catchment area Answerable to Health Facility Committee
Technically guided & controlled by DHMT Shares 2 accounts for cost sharing with HFC Names 2 signatories for the account
Signature is needed to authorize any financial transaction
Health Center and Health Unit Health Facility Committee (HFC)
Represent the interests of the target population to the health facility
With the HFT, it controls quality of services, discusses problems, & finds solutions
With the HFT, it fixes the schedule of fees & within the regulations, the purposes for which the revenue is going to be used
Shares 2 accounts for cost sharing with HFT Names 2 signatories for the account
Signature is needed to authorize any financial transaction
COMMUNITY LEVEL All Communities
Community Health Committee(CHC)
Select community health workers such as TBAs, CHWs or CBDs (community based distributors of contraceptives) for training
Guide the volunteers
Help them to create awareness for disease prevention & health promotion in community Organize their remuneration from community resources
Control accounting system for drugs and money if volunteer does curative work In some cases, provide a representative to the HFC