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WORLD HEALTH ORGANIZATION DILI OFFICE, EAST TIMOR CONSULTANT S REPORT: HEALTH SYSTEM AND HUMAN RESOURSES ASSESSMENT AND A PROPOSAL FOR FUTURE HEALTH SYSTEM IN EAST TIMOR Dr. G.G.. 4.2 National Committee for Health Development 4.3 Regional Committee for Health Development 4.4 Policy Implementation Process 5.0 Other Important Sections 24 5.1 National Health Information System (NHIS) 5.2 Drug Distribution and Management 5.3 Disaster Preparedness Program 5.4 Medico Legal Services 5.5 Blood Transfusion Services 5.6 Laboratory Services 5.7 Emergency/Ambulance Services 5.8 Health Care Financing 5.9 Private Health Care Sector 5.10 Process Section B 1.0 Human Resources Position Before Referendum in 1999 32 2.0 Assessment of Post Referendum Situation of Human Resources for Health 34 3.0 Main issues in HRH 35 4.0 Training 36 5.0 Assessment of future manpower requirement 37 6.0 Future Perspective 38 7.0 Immediate Future 39 8.0 Long Term Perspective 40 9.0 Recommendations 41 10.0 Acknowledgements 43 Consultant s Report Health System and Human Resources Assessment and A Proposal for Future Health System in East Timor Section A 1.0 Introduction.. Relevant Information Indonesia Timor Domestic Product Rupiah 771.000 220.100 Population Growth 1.34 (90-93) 3.02 (90) Fertility Rate/1000 female 3.326 5.729 Crude Birth Rate /1000 Population 25.3 (95) 29.2 (95) Infant Mortality Rate/1000 Live Birth 41 85 Under 5 Death Rate/1000 75 99 Maternal Mortality Rate/100.000 Live Birth 373 450-500 L B W Babies 11.5 6.8 Live Expectancy 64.25 61.11 The common disease reported by the health facilities in 1995 were: - U R T I 30.9 - Skin Disease 18.73 - M a l a r i a 15.34 - D i a r r h e a 8.6 During 1995 mortality reported were: - Tuberculosis 15.42 - M a l a r i a 11.83 - D i a r r h e a 5.99 - U R T I 5.7 - P n e m o n i a 5.6 - Broncho Pneumonia 4.1 The reporting of both mortality and morbidity data at the national and local levels seems to be unreliable, there may be under-reporting and over rep