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Dr AVOCKSOUMA Djona , Human Resource for Health Programme Manager

MEETING OF AFRICAN MINISTERS OF HEALTH OF SMALL ISLAND DEVELOPING STATES Moroni, Comoros, 9 – 11 March 2011. Human Resources for Health: statement and problematic for SIDS. Dr AVOCKSOUMA Djona , Human Resource for Health Programme Manager WHO, Regional Office for Africa

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Dr AVOCKSOUMA Djona , Human Resource for Health Programme Manager

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  1. MEETING OF AFRICAN MINISTERS OF HEALTH OF SMALL ISLAND DEVELOPING STATES Moroni, Comoros, 9 – 11 March 2011 Human Resources for Health: statement and problematic for SIDS Dr AVOCKSOUMA Djona , Human Resource for Health Programme Manager WHO, Regional Office for Africa Brazzaville, Congo

  2. Outline • HRH situation in the region • HRH and Attainment of MDGs • Situational Analysis in each SIDS country • Regional & National Observatory • Way forward

  3. Introduction • Given the current trends, most of the countries in the African Region will not achieve the health MDGs unless urgent action is taken; • Minimum density threshold of 2.3 per 1000 of professional health workforce required to at least offer meaningful health service delivery. • Whole African region:1.6/1000 well below the recommended minimum and the average is only 0.8/1000 for the 36/57 countries in HRH crisis. • The 59th World Health Assembly adopted Resolution WHA59.23 called for the use of innovative strategies to maximize health professionals’ contributions.

  4. HRH situation in Africa

  5. Number and densities per 1000 population of Physicians and, Nurses and Midwives in Cape Verde, comoros, Mauritius , Sao Tome & Principe and Seychelles

  6. DENSITIES OF PHYSICIANS, NURSES AND MIDWIVESin Cape Verde, Comoros, Mauritius, Sao Tome & Principe and, Seychelles (2005- 2010)

  7. HRH Status Documents

  8. Availability of Country Profile Document

  9. Effective approach to build HRH development

  10. Advocacy for the AHWO Officially Launched in 2007, the Africa HW Observatory is a component of African Health Observatory (AHO); AHWO is a vehicle for building knowledge, disseminating accurate information in HRH, and facilitating dialogue and consensus for evidence-based policy development and monitoring AHWO at regional level is a cooperative network initiative participated in by the countries, training institutions and partners ; The network comprising national observatories ( bringing together stakeholders at country level), partners and regional secretariat in AFRo; The national observatories are not perceived as administrative structures but as mechanisms based on linkages.

  11. What is the role of AHWO? The AHWO is to support actions that address HRH challenges at regional and country level through : Promoting, developing and sustaining a firm knowledge base Keeping track of progress and fostering HRH actions Supporting and Improving HRH policy dialogue based on evidence Sharing information and country experiences & practices.

  12. Roles of HRH National Observatories A National Observatory is seen as : A national resource for HRH information A Platform for stakeholders and partners for sharing information and policy dialogue A Networking for joint planning, research, and tracking trends that have an impact on HRH policy. .

  13. Pillars of the National HW Observatory PLATFORM OF STAKEHOLDERS • To support actions that address HRH challenges in the country RESOURCE OF INFORMATION NETWORKING & SHARING 14

  14. Contribution of HRH Observatories Improve availability, access and use of evidence for HRH policy making, planning, stakeholder involvement & contribution Monitor impact of policy decisions (e.g. PHC renewal; scaling-up education, migration) Provide evidence through research, reviews, assessment, policy debates, roundtables, commission reports. Link national to regional and global agenda 15

  15. Way forward • scaling up training for newly emerging and priority diseases; • improving retention of qualified health workers in countries which suffer losses due to emigration; • improving the capacity of educational institutions to enable them to produce more health workers in a quality manner; • improving human resources for health governance capacity, in order to plan, regulate and manage the workforce more effectively at national level;

  16. Way forward • monitoring HRH trends; • steering HRH agenda and aligning it with other national health system development policies; • engaging all relevant sectors (Finance, Education, Labour and public services) as well as civil society and the private sector; • integrating HRH plans to address specific disease or priority health programmes with the overall HRH plans of health ministries; • resources mobilization for HRH and strategic investments; • harmonizing and building synergies in HRH across programmes and global health initiatives.

  17. “I would like to put particular emphasis on the health situation analysis and trends to provide required evidence for the best policy options; the development and enforcement of WHO norms and standards; the promotion of health research and the technical support to Member States.” Extract from RD’s Speech at the 126th Session of the WHO Executive Board, January 2010  END Thank You ! AHWO website www. hrh-observatory.afro.who.int/

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