Docstoc

HIGH LEVEL FORUM ON THE HEALTH MDGs Human Resources

Document Sample
HIGH LEVEL FORUM ON THE HEALTH MDGs Human Resources Powered By Docstoc
					 HARNESSING THE POWER OF
HUMAN RESOURCES FOR MDGs:


   High Level Forum on the Health MDGs
                January 9, 2004
             Lincoln C. Chen, MD
                   Core Messages
• 1) In the poorest countries, human resources are in crisis,
  yet absolutely critical for achieving the MDGs

• 2) Urgently needed is rapid mobilization of an effective
  workforce for priority national programs, triggering the
  longer-term building of sustainable capacity and systems.

• 3) These country-based strategies must be multi-sectoral
  and engage key stakeholders

• 4) Actions should be started immediately to harness the
  power of human resources for the MDGs
Human Resources in Crisis


•   HIV/AIDS “triple threat”
•   Labor markets and migration
•   Neglect and under-investment
•   Donor, agency, government policies
•   Rapidly changing and uncertainties
                                            Workforce-Output
                        Relationship between health worker density and selected health outcomes in 97 countries


                                                                                                              Trinidad
             100
                               Mozambique
                                                               Measles Immunization
                          Eritrea
             80

                                                                                          Skilled Birth Attendance
Percentage




             60

                                                                                                        Venezuela
                                                                                 Kenya
               Uganda
             40

    Centrafrique
                   Mali
             20                                                   Laos



                       Nepal

              0
                   0                  5      10           15             20       25            30       35              40
                                                  Density of health workers/10,000 population
             Global Diversity
• Country Clusters
     1) Poorer worker-deficit – Africa
     2) Richer worker-dense – OECD
     3) Transitional/exporting – FSU, Cuba, Philippines
     4) Others – Asia, Latin America, Middle-East
• High variability
     Worker density; skill-mix, costs, health status
     Huge potential for efficiency gains
      National Mobilization

• Urgently mobilize workforce for MDGs
     Advance/balance priority programs
     Accelerate scaling-up
• Develop focused time-bound targets
     Monitor progress and setbacks
• “Decade of “the health worker” 2004-2014
  Sustainable Capacity/Systems
• Demand strategies
     Strengthening workforce in health systems
• Supply strategies
     Preparing future workforce via training
• Economic and migration policies
     Managing economic and civil service policies
     and labor markets especially migration
         Policy Forums


• Multiple sectors and stakeholders
• Strengthening existing mechanisms
    PRSP, MTEF, NEPAD, Global Fund
• Good governance
    Technical-political-economic processes
   Global Opportunities
• Growing demand from countries
• Reinforcing country work
     Standards, practices, metrics, tools
     Research knowledge gaps
• Harnessing global flows
     Labor migration
     Health and ICT technologies
     Financial and investment flows
     Networks and alliances
         Program Options

• Options considered
     Commission, Mainstreaming, Integration, Partnership
• Desirable attributes
     1) “Action Alliance” that augments the capacity and
     power of existing organizations while harnessing the
     contribution of key stakeholders
     2) Bring together “vision, actors, and activities” together
     into an effective whole (e.g. metrics network)
     2) Get started now! Take risk, implement what works,
     learn as we go and grow
              Action Alliance
• Set clear goals and objectives
• Develop evolving workplan
• Pilot some country-based actions
     Strengthen human resources in priority programs
     Develop national consultations and plans
     Organize human resource teams/missions
• Forge alliance with key actors
• Mobilize technical and financial resources
     High Stakes, High Leverage

• Domestic health expenditures 60-80% (>1% GDP)
• Health development assistance $8-9 billion (2002)
      Education                 $500 million
      Human resources           $2-3 billion (estim)
• Investment for impact
      Directly into countries   $200-300 million (10%)
      Global reinforcement      $20-30 million (10%)
               Next Step!


•   Planning Group WHO-Bank-Stakeholders
•   Backed by few key donors/foundations
•   Report back to next Forum
•   Who will exercise the leadership?

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:67
posted:10/20/2011
language:English
pages:14