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Dr Jean Yan Coordinator, Nursing, Midwifery and Health Professions,

The World Health Report 2006. On ward …. Dr Jean Yan Coordinator, Nursing, Midwifery and Health Professions, Department of Human Resources for Health Beijing, China, 12-13 October 2007. April 2006. we're here with the health workers who are with the people they serve.

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Dr Jean Yan Coordinator, Nursing, Midwifery and Health Professions,

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  1. The World Health Report 2006 On ward …. Dr Jean Yan Coordinator, Nursing, Midwifery and Health Professions, Department of Human Resources for Health Beijing, China, 12-13 October 2007

  2. April 2006 we're here with the health workers who are with the people they serve

  3. Global Commitments to address critical shortage of health workforce ( May 2006) • WHA Resolution 59.23 Rapid Scaling-up of Health Workforce Production • WHA Resolution 59.27 Strengthening Nursing and Midwifery

  4. WHA Resolution 59.23 Rapid Scaling up of health workforce production • Revitalize health training institutions and rapidly increase the health workforce • Encourage global partners to support health training institutions • Engage in training partnerships to improve capacity and quality of health professional education in developing countries • Development of health workforce planning teams, use of innovative approaches to teaching in developing countries, state of the art teaching materials, continuing education through innovative use of information and communications technology

  5. WHA Resolution 59.27Strengthening Nursing and Midwifery - N&M involvement in integrated planning of HRH– re. strategies for maintaining adequate numbers of competent N&M personnel - to recruit N&M in all relevant WHO programs to ensure the contributions of nursing and midwifery in the development and implementation of WHO’s policy and programs - support to Member States in optimizing the contribution of N&M to meeting national heath policies and the MDGs - encourage and support Member States in the provision of workplace environments that are safe and support the retention of nurses and midwives

  6. WHO/HRH Strategic directions and work streams Work cycles Activities/products Country impact • Strategic information: • Core indicators • Global databases • Observatories, CoP Strengthened HRH agenda at country, regional and global level Strategic information Policy options • Policy options/good practices: • education, retention, migration Improved national capacities to plan, train, deploy, retain and manage the health workforce Monitoring and evaluation • Health systems/country work: • GAVI-HSS, GF • Integration with priority diseases • PHC Country work • Institutions strengthened: • regional offices and partnerships • accreditation mechanisms • governance for HRH • regulation Access to motivated, skilled, and supported health workforce Strengthened institutions

  7. Norms and standards setting • HRH Action Framework • Tools and guidelines for health workforce monitoring (core indicators and benchmarks) • Standards for practice in nursing and midwifery • Guidelines for task shifting for achieving universal access to HIV/AIDS treatment and care

  8. Regional and country support • Support the development of country and regional HRH Observatories as mechanisms for policy development and information sharing • Provide country support for HRH assessment, planning and implementation • Provide technical support for scaling up the health workforce production

  9. Observatories: National, regional, global • Research • Sharing • Learning Knowledge Country Action • Leadership/management • Education / training • Recruitment /deployment • Incentives/retention • Regional support Health Workforce • Visibility • Evidence • Political • Adequate/available • Competent • Motivated • Supported Advocacy Stronger health systems Better Health • Fiscal space • Migration • Alignment Addressing global issues

  10. Structure of the Department of Human Resources for Health

  11. Global Health Workforce Alliance Executive committee GHWA Members’ Forum Program / policy committee GHWA Board Nominating committee GHWA Secretariat Working Groups / Task Forces Financing Migration Advocacy Univ. access to HIV treat. Scale up Ed. & Training Tools & Guidelines

  12. Death from HIV – largest cause of attrition HIV prevalence = 15%  up to 33 % loss of health workers in 10 years • Zambia: • -1980: 2 nurses out of 1000 died • - 2001: 27 nurses out of 1000 died • Botswana: • - 1999-2005: 17% of health workforce died • - 1999-2010: 40% of health workforce will die (projection if no action)

  13. Universal Access to HIV Treatment:The TTR plan Treat (prevent, care, and support) A package of HIV/AIDS prevention, care, treatment, and support for health workers Train (and planning for HRH) Measures to empower HRH towards UA Retain Strategies to enable health systems to retain health workers Task shifting

  14. Scaling-up Education and Training • Case studies ( indicators and benchmarks) • Roadmap for countries to scale –up • Setting –up educational system • Guide for international partners to support countries to scale-up

  15. HRH Action Frameworktools for an effective and sustainable health workforce Preparation & Planning Policy Leadership Finance H R M Systems Implementation Situation analysis Partnership Education M & E country specific context including labour market Critical Success Factors BETTER HEALTH SERVICES EquityEffectivenessEfficiencyAccessibility Improved Health Workforce Outcomes BETTER HEALTH OUTCOMES other healthsystemcomponents

  16. Migration of Health Workers • Review of Codes of Practice, bilateral agreements, MRAs ( Commonwealth COP, ASEAN MRA, Caribbean Single Market and Economy, South Pacific Code of Practice, Namibia-Kenya MOU, Philippines-Spain MOU, UK-South Africa MOU) • Framework for Global Code of Practice : principles Opportunities for collaboration and monitoring impact • Information on Health worker Migration ( WHO-OECD) core dataset • Effective Policy response to Migration of Health workers ( WHO,ILO,IOM in 5 countries : Romania, Senegal, Costa Rica, Trinidad and Tobago, Kenya)

  17. Migration of Health workers GHWA RR Policy Advocacy Council UN Global Migration Forum WHA 2008 High –level Migration Forum EB and WHA 2008 Technical Working Group WHO/OECD WHO

  18. Primary Health Care • Commissioned study of PHC and HRH Framework • Three – country case study on CHW: Uganda, Kosovo • Literature review on contributions of health professions in PHC • Good Practices on PHC ( 2-3 cases from each region)

  19. Commitments to address critical shortage ofhealth workforce ( May 2006) • WHA Resolution 59.23Rapid Scaling-up of Health Workforce Production • WHA Resolution 59.27Strengthening Nursing and Midwifery

  20. Regional Response • AFRO High level inter-ministerial technical consultation (MOH, Finance, Education and Public Service) - 48 countries Consensus on the priority actions to address health workforce crisis reached and supported at the 3rd Conference of AU Ministers • PAHO Decade for Human Resources • EURO RC Resolution (EUR/RC57/R1) • EMRO Human Resource Observatory

  21. HRH Priority Action Areas

  22. http://www.who.int/hrh

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