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This report explores the Synergistic Specialist Clinical Services Initiative (SSCSiP) in Guam, addressing the roles and activities facilitated by the initiative. It highlights the need for improved communication strategies and more engagement with Pacific Island countries. Through a comprehensive analysis of capacity building, health system strengthening, and the challenges faced in specialized clinical activities, this report aims to guide policy and decision-making in health services. Insights derived from various stakeholders reinforce the importance of co-funding, emergency response strategies, and regional collaboration for sustainable health outcomes.
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Reflections on SSCSiP PIHOA, Guam, 6-14-12
DaCT team • Project Manager, Health Planner, Project Coordinator, Biomedical Coordinator, M & E officer, Administration officer • Senior Clinical Advisors pro bono (2 Surgeons, Ob & Gyn, Anesthesia) • Dean’s Office
DaCT team • Who determines SSCSiPs role and activities? SRG • Poor Communication Strategy • More engagement with countries • SSCSiP regional vs national role
SSCSiP Activities • The majority of requests capacity building vs health systems strengthening (screening data, patient outcome data, coordination) • What is a specialized clinical activity? Specialization vs sub-specialization vs multi skilled (FSM ophthalmology) • Co-funding: What effort has been shown by those making the request? Influencing the agenda and participation
SSCSiP Activities • Emergency or fill in the gaps: Evidence of a longer term solution (locums, scholarships) • Conference / workshop shopping highlights the absence of an individual career path or a HRH plan. (Regional Technical Clinical Meeting, Nadi, April 2012)
SSCSiP Activities • Regional Organizations role and sustainability (networking, CPD/CME support, standards of practice, fellowship) PIHOA, PBMA • Biomedical activities (situational analysis, biomedical training course) • Annual Clinical Services Planning
SSCSiP Activities • Advocacy Role (Ministers of Health, PIFs) and Facilitation role (Cuban Issue) • Re-engaging Pacific Specialist who live outside the region (Tonga, Samoa) • Outreach within PIC
SSCSiP Activities • Adjusted Design provides increased clarity on the way forward (2012-2014) • More with Less: cost effective solutions (Fiji Cardiac Cases Study, CHIPS 2012) • SSCSiP by 2020 (evolution and existence)
The Way Forward • Plandemic (RACS PIP visits) • Choose Health