The World Bank commissioned a capacityassessment study of the Ministry of Health (MOH) that wasundertaken in March 2006. The terms of reference covered thefollowing areas: Identify the existing analytical work beingdone by other donors in the health field and summarize theirterms of reference and main conclusions; assess the MOHcapacity to implement health policies and strategies adoptedby the government; assess the MOH capacity to implementprojects financed by the Bank, the Global fund, EU andothers focusing the analysis on the MOH capacity for policyformulation, mobilization of funds, and programimplementation; assess the capacity at central, provincialand municipal level in (i) program management, (ii) servicedelivery, including the number and distribution of staff;analyze the decision making process and the incentives fordecision making including how much the system is centralizedor decentralized; analyze the existing stock of healthprofessionals including the MOH and military, identifyingkey constraints and gaps in capacity, government plans toincrease capacity; existing training institutions and theircapacity to produce new professionals and follow-uptraining; propose options for short term and long-terminterventions including training managers, training ofdoctors and nurses, recruitment, on-job-training, review ofcurricula and other; make cost estimates of short termcapacity building interventions that could be financed bythe Bank and other donors; and identify future work that maybe needed to undertake deeper or follow-up analysis.
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