National Health Programme
V. IMPLEMENTATION OF THE NATIONAL HEALTH PROGRAMME
1. PARTICIPANTS
The National Health Programme is a nation-wide undertaking which should involve the whole
society, all social systems and organizations operating under these systems.
Bearing in mind the WHO motto: "Think globally, act locally", the NHP is addressed mainly to
self-governments and local communities as well as to nongovernmental organizations (NGOs)
which are very active and whose number is still growing. To this end the ministries and other
bodies of the central level administration are not listed as executors of individual targets, however,
that does not exempt them from their relevant responsibilities at all levels. These bodies are
expected to establish adequate conditions and to stimulate and support activities undertaken by
governmental and nongovernmental organizations, groups and individuals. They are primarily
responsible for:
- establishing legislative mechanisms for the NHP implementation,
- stimulating the development and financing of research and other initiatives facilitating the
achievement of individual targets and tasks, its monitoring and evaluation,
- establishing organizational structures for health promotion and health education addresses to
the whole society,
- monitoring the NHP implementation and evaluation of the results.
2. THE REQUIREMENTS FOR NHP IMPLEMENTATION
The effective implementation of such a broad programme requires that the mechanisms should be
established in order:
- to disseminate the NHP objectives and tasks in the whole society through:
- the mass media, and
- the development of informative materials addressed to different social groups.
- to elaborate detailed programme and time-schedules for all participants involved in the NHP
implementation and to allocate financial means in the budgets of the units responsible for the
accomplishment of tasks specified in the Programme,
- to give priority to research related to individual NHP targets and tasks and carried out by
institutes and research units of all sectors involved,
- to provide adequate financial resources for the implementation of health promotion and health
education programmes at the local, regional and central levels,
- to nominate at all levels, within the sources available, persons responsible for the NHP
implementation and development of cooperation with self-governments.
3. MONITORING AND EVALUATION OF OUTCOMES
Monitoring and evaluation of the results play a key role in the effective implementation of the
National Health Programme. They will provide the basis for introducing in the Programme
necessary modifications and amendments. The elaboration of detailed objectives of monitoring
and evaluation of the results will be the responsibility of the professional team for the NHP
implementation.
4. FINANCING OF THE NHP IMPLEMENTATION
The National Health Programme specifies tasks for the public health policy to be implemented
during the period 1996-2005. The tasks are addressed to the whole society, and particularly to
local communities, self-governments and nongovernmental organizations. The tasks of the state
administration should be implemented by individual institutions with their own budgets.
National Health Programme
