Implications for Access and Service Delivery

• Access and Coverage: A seven-sub-municipal framework can improve access by situating facilities closer to communities. However, the effectiveness of this structure depends on factors such as road networks, transportation options, and population density in each sub-municipal area.
• Quality and Accountability: Government-owned facilities require robust governance mechanisms to maintain and improve quality of care. Transparent reporting, regular facility audits, and community feedback mechanisms are essential to ensure standards are met and sustained.
• Workforce and Training: The public system must ensure an adequate and well-trained health workforce across all sub-municipals. This includes ongoing professional development, retention strategies, and equitable deployment of staff to meet local needs.
• Funding and Sustainability: The reliance on government-owned facilities places emphasis on national and municipal budgeting, as well as potential partnerships with development programs. Sustainable financing is crucial for equipment, medicines, and facility maintenance.
  
  

Challenges and Opportunities

• Capacity Gaps: Some sub-municipals may experience higher demand than others, leading to wait times or stretched resources. Targeted investments can address gaps where needs are greatest.
• Private Sector Role: The absence of private facilities presents an opportunity to explore public-private partnerships, if policy and regulatory frameworks permit, to augment service delivery while maintaining public oversight and affordability.
• Community Engagement: Engaging residents in planning and feedback processes helps tailor services to real-world needs and increases trust in the health system.