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Health Facility Readiness and Service Availability (HFRSA) Assessment

The Kingdom of Tonga is making steady progress toward Universal Health Coverage. Currently, skilled birth attendance coverage is 98%, neonatal tetanus protection is 100%, and measles immunization 99%. The Pacific RMNCAH Workforce Assessment found that Tonga provides 94% of the 124 essential RMNCAH interventions recommended by the Global Strategy for Women’s, Children’s and Adolescents’ Health. Missing interventions in the Tonga minimum guaranteed benefits package include: (a) Detection of risk factors for genetic conditions as well as management of genetic conditions both in the antenatal and postnatal periods; (b) Prevention of and response to harmful practices such as early and forced marriage; and (c) Workforce potential to meet the RMNCAH needs based on the minimum guaranteed benefits package is at 97%. The Kingdom of Tonga is committed to Universal Health Coverage by 2030. The Health Facility Readiness Assessment Report, funded by Australia and implemented by UNFPA, is critical to bridge the gaps in universal access to SRHR in Tonga and in support to overall UHC in Tonga. Tonga’s health system is comprised of one referral hospital, three community hospitals, and fourteen (14) health centers and thirty-four (34) maternal and child health clinics, including the outer islands. The findings and the recommendations of the HFRSA Assessment will inform planning and investment decisions to strengthen the Tonga Health system. In particularly, information on the readiness of health facilities to provide basic health care interventions for Reproductive, Maternal, Newborn, Child and Adolescent Health are essential to quality planning, managing and decision for the adequate resourcing to deliver quality health service is essential. The HFRSA Assessment comes at a crucial time, as the Ministry of Health looks to review the current strategic plan to absorb new programs and developments in the Ministry from the last five years. Furthermore, to consider the ongoing works on the Package of Essential Health Services and the Health Facility Costing
project.