The World Bank commissioned a capacity assessment study of the Ministry of Health (MOH) that was undertaken in March 2006. The terms of reference covered the following areas: Identify the existing analytical work being done by other donors in the health field and summarize their terms of reference and main conclusions
assess the MOH capacity to implement health policies and strategies adopted by the government
assess the MOH capacity to implement projects financed by the Bank, the Global fund, EU and others focusing the analysis on the MOH capacity for policy formulation, mobilization of funds, and program implementation
assess the capacity at central, provincial and municipal level in (i) program management, (ii) service delivery, including the number and distribution of staff
analyze the decision making process and the incentives for decision making including how much the system is centralized or decentralized
analyze the existing stock of health professionals including the MOH and military, identifying key constraints and gaps in capacity, government plans to increase capacity
existing training institutions and their capacity to produce new professionals and follow-up training
propose options for short term and long-term interventions including training managers, training of doctors and nurses, recruitment, on-job-training, review of curricula and other
make cost estimates of short term capacity building interventions that could be financed by the Bank and other donors
and identify future work that may be needed to undertake deeper or follow-up analysis.