Projects

The UNICEF country programme 2020-2025 focuses on policies relevant to children, primarily health, social protection and education, and the proposed collaboration falls within the expected outcomes related to health and social care. UNICEF detected that "Vaccination services in North Macedonia register inadequate disposition of the network of vaccination centers and poor staffing, especially in regions with a larger population”. Some of the reasons include lack of funds for staff for immunization and the lack of opportunities for career advancement.

For the purposes of this project, UNICEF recognizes the essential role of the Vaccination Centers and the need to strengthen their work and importance across the entire territory of North Macedonia in order to serve the citizens more efficiently and optimize their functioning. Therefore, the implementation of this Functional and Financial Analysis by CCM will focus on the organizational set-up, resource allocation and workforce capacity of vaccination centers, the project will build upon the findings of this analysis and provide effective policy recommendations to the Ministry of Health. Furthermore, a cost-benefit analysis and possibilities for financial sustainability will be reviewed, by referencing some innovative options, as providing universal primary healthcare most remain free and accessible for all. By upgrading the internal organization and systematizing the work positions in the Immunization Services, the project will contribute to an overall better governance in the health sector, which will ultimately lead to improvements in the public systems responsible for the survival and development of the population. Additionally, in order to further strengthen the quality and coverage of the services, the project will also conduct a functional assessment of CSW in both rural and urban areas in North Macedonia.

Expected results:

Output 1 - Report on the functional analysis (FA) conducted in the Vaccination Services in North Macedonia, with recommendations for organizational development

Output 2 - Cost-effectiveness assessment and financial sustainability plan developed

Output 3 - Brief policy on vaccination services, summarizing key findings and recommendations for policymakers, professionals and communities

Output 4 - Revised Internal Act on Organization and Internal Act on Systematization of specific relevant job positions in vaccination centers

Output 5 - Final report for Component 1

Output 6 - Report on the functional analysis (FA) conducted in selected CSWs, with recommendations for organizational development

Output 7 - Policy recommendations to ensure improved CSW organization, performance management and operational efficiency

Output 8 - Prepared acts on organizational structure and systematization of jobs in CSWs

Output 9 – Final Report for Component 2