Working Together Overcoming the HRH Crisis

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					   WORKING TOGETHER:
OVERCOMING THE HRH CRISIS


   Report of Transitional HRH Working Group
          High Level Forum III, Paris
            November 14-15, 2005
              Presentation


   High-Level Forum
      I Geneva, Jan04 Awareness crisis
      II Abuja, Dec04 Framework country action
      III Paris, Nov05 Progress and advice
   Core Messages
      Growing country action
      Urgent global support
      Working together
    HRH and Health Crisis
   MDGs and health crises
   HRH in health systems
       Shortages
       Skill-mix
       Migration
       Work environment
   Why important; no short cuts
       Outputs/outcomes
       Health systems
       Budget
       History
                                                     HRH and MDGs
                              9
                              8
Mortality (per 1,000, log)




                              7
                                               Maternal
                              6
                              5             Infant
                              4
                              3         Under-5

                              2
                              1
                              0
                                       0             1             2           3             4   5
                                                          Density (workers per 1,000, log)

                             Source: Anand & Barnighausen 2004
                     African Shortages

per 1,000 pop
 12.5
                                                                                 10.3
 10.0


  7.5


  5.0                                    4.0

  2.5
           0.8

  0.0
           Sub-      Asia    South &     Global    Middle   Western     North    Europe
         Saharan             Central               East     Pacific    America

     *combined physicians, nurses, midwives per 1,000 population
     Source: JLI (2004) compiled from WHO estimates of health personnel 2004
Energetic African Activities

     Innovations
         Ghana           salary incentive
         Malawi          HRH sector revamp
         Ethiopia        community workers
         Zambia          rural placement
     Regional hubs
         African Observatory
         Asia, Latin America, OECD
     Growing demand
         >30 African countries request
         Technical, information, policy support
African Leadership                                        Global Momentum
                                       Jan          Jan
                                                               HL Forum I Geneva
                                       Feb          Feb

                                       Mar          Mar

                                       Apr          Apr




                                             2004
                                       May          May
          WHA Resolution 1
                                       Jun          Jun

                                       Jul          Jul

                                       Aug          Aug            JLI Report
                                       Sep          Sep

                                       Oct          Oct
                                                                HL Forum II Abuja
                                       Nov          Nov
                                                                Oslo Consultation
     African Union Summit Abuja        Dec          Dec

                                       Jan          Jan         Transitional WG
                                       Feb          Feb

          WHA Resolution 2             Mar          Mar     Africa Commission Report
                                       Apr          Apr
                                                             G8 Summit Gleneagles

                                             2005
                                       May          May
   African Stakeholder Consultation
                                       Jun          Jun
              Brazzaville                                    Asia Network Bangkok
                                       Jul          Jul

                                       Aug          Aug
   African Regional Health Ministers                             UNGA Summit
                                       Sep          Sep
                Maputo
                                       Oct          Oct     PAHO Observatory Toronto
    AU Ministers of Health meeting     Nov          Nov

             Gabaronne                 Dec          Dec         HL Forum III Paris
                                       Jan          Jan
         African Partnership                                   World Health Report
                                             2006




                                       Feb          Feb
               London                  Mar          Mar         World Health Day
                                       Apr          Apr

                                       May          May
                                                                      WHA
                                       Jun          Jun
Imperative for Working Together

     Risks “stand alone”
         Wasting money, losing time
         Ineffectual, isolated actions
     Opportunities “joint action”
         Building health systems
         Harmonizing global initiatives
     Shared goals
         Country-led action
         Global problem-solving
         Mutual accountability all stakeholders
         No new organization; No new fund
                An Alliance
   Mission
       HRH for sustainable health systems
   Functions
       Catalytic country support
       Global promotion, learning, problem-solving
   Structure
       Inclusive all stakeholders
       Leadership and operational agility
       Based in established organization
       Country Support
   National strategic planning
      “Train, retain and sustain”
      Tools and guidelines
      Assessment and research
      Measuring monitoring progress
   Global regional support
      Technical cooperation
      Sharing best practices
      Building capacity
Global Problem-Solving
      Focal point
         Advocacy
         Communications
         Learning
     International Policies
         Fiscal space
         Migration regime
         Regulation and private sector
            Deliverables

   Immediate - 1 year
      Global plan action (roll-out WHR6)
      Alliance focal point
      National programs in 6-10 countries
      Task forces migration, fiscal policies
   Intermediate - 3-5 years
      Evidence and information base
      Learning: what works?
      Political advocacy and visibility

				
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