COUNTRY PRESENTATION Commonwealth of the Northern Mariana Islands (CNMI) Overview *CNMI: 14 islands; 3 Primary Inhabited Islands -Saipan, Rota and Tinian -Population: 53,883 (2010 Census) *Former DPH now CHCC -Public Law 16-51 effective October 1, 2011 - Board of Trustees, CEO, Corporate Officers -Semi-autonomous public governmental agency -from a $38M Budget to $5M in FY2012 -1 public hospital located in Saipan -Divisions: Hospital, Public Health, THC, RHC *Top 3 CHCC Priority Issues: 1. Financial instability 2. Declining resources 3. NCDs NCDs and Associated Risk Factors 7 out of every 10 deaths in the CNMI Fig 1. Number of New RD Patients by Year, 2009-2011. 30 27 25 20 23 18 15 10 5 0 2009 2010 2011 Childhood Obesity According to a CNMI Nutrition Survey, 45% of 710 year olds were obese or overweight. Source: CNMI Nutrition Cluster Survey, Paulino, et al.2008 Does CNMI have a Health Plan? No. No comprehensive “whole of society” health plan in place nor a CHCC strategic plan. CDC NPHII… 4 Main Health Plans by 2012 1. 2. 3. 4. Community Health Assessment Community Health Improvement Plan Governor’s Healthcare System Assessment CHCC Strategic Plan What plans are in place? What plans are in place? *2007 Strategic Plan *2008 CNMI HRH Action Plan *2008 NCD Plan *2012 Six months Division of Public Health Strategic Plan Plan Process Stakeholders Guide Strategic Direction 2007 Strategic Plan Paid off-island Consultant Doctors and Hospital Mgt NO. DOA. 2008 HRH Plan PIHOA Governmental Agencies Needs to be updated. 2008 NCD Plan WHO Community & Gov’t Agencies Yes. PH Mgt Team Yes. 2012 PH Strategic PIHOA Plan Plan 2007 Strategic Plan Weaknesses Lack of Awareness by Leadership Strengths Well written report Hospital-centered 2008 HRH Plan No funding Identified Staff No Follow-up Inter-agency involvement Regional Initiative 2008 NCD Plan Government Agency controlled Lack of Awareness 2012 PH Strategic Plan 3 year SPC Funding Community Involvement Regional Initiative Competing Priorities PH Mgt Team involvement Lack clear objectives Relevant Lessons Learned on “the Plans” *Designate staff /champion with decision-making influence to keep the plan “Alive” *Keep Plan “Front & Center” horizontally and vertically (e.g. Active Collaboration & Engagement) *Secure and align funding (e.g. NA Program, NCD Plan) * Regular and consistent reporting of progress at all levels (e.g. Dashboards, targeted communication strategies) Si Yu’us ma’åsi’ yan Ghilisoow!