Transcript DIVISION OF COMMUNICABLE DISEASES

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
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SIDS meeting, Moroni 9-11 March 2011
Outline
1.
2.
3.
4.
5.
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HRH situation in the region
HRH and Attainment of MDGs
Situational Analysis in each SIDS country
Regional & National Observatory
Way forward
SIDS meeting, Moroni 9-11 March 2011
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.
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SIDS meeting, Moroni 9-11 March 2011
HRH situation in Africa
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SIDS meeting, Moroni 9-11 March 2011
Number and densities per 1000 population of Physicians and, Nurses and
Midwives in Cape Verde, comoros, Mauritius , Sao Tome & Principe
and Seychelles
Country
Cape Verde
Comoros
Mauritius
Sao Tome &
Principe
Seychelles
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Populatio
n
508 659
752 438
1 232 734
152 742
80 000
Year
2010
2009
2005
2008
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SIDS meeting, Moroni 9-11 March 2011
Number
Density
/1000 pop
Physicians
274
0,54
Nurses and
midwives
533
1,05
Physicians
121
0,16
Nurses and
midwives
451
0,60
Physicians
1303
1,057
Nurses and
midwives
4604
3,734
Physicians
39
0,26
Nurses and
midwives
372
2,44
Physicians
121
1,513
Nurses and
midwives
634
7,925
Category
DENSITIES OF PHYSICIANS, NURSES AND MIDWIVES
in Cape Verde, Comoros, Mauritius, Sao Tome &
Principe and, Seychelles (2005- 2010)
Country
2005-2010
Cape Verde
1,60
Comoros
0,83
Mauritius
4,79
Sao Tome & Principe
2,52
Seychelles
9,44
Average Africa
1,6
LIMIT
2,3
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SIDS meeting, Moroni 9-11 March 2011
HRH Status Documents
Situation analysis
Cape Verde
Available
Comoros
80%
Mauritius
Seychelles
In process
Sao Tome & Principe
20%
Available
Comoros
20%
In process
Seychelles
20%
HRH policy Status
Cape Verde
Not available
Mauritius
Sao Tome & Principe
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SIDS meeting, Moroni 9-11 March 2011
60%
HRH strategic plan Status
Cape Verde
Available
40%
Comoros
Mauritius
In process
40%
Seychelles
Not available
Sao Tome & Principe
20%
HRH Observatory Status
Planned
In process
Comoros
20%
Sao Tome & Principe
20%
Cape Verde
Not available
Mauritius
Seychelles
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SIDS meeting, Moroni 9-11 March 2011
60%
Availability of Country Profile Document
Status
Country
Cape Verde
Drafte
Comoros
Drafted with Analysis Situation
Sao Tome & Principe
Draft available to HQ
Mauritius
Not available
Seychelles
Not available
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SIDS meeting, Moroni 9-11 March 2011
Effective approach to build HRH
development
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SIDS meeting, Moroni 9-11 March 2011
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.
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SIDS meeting, Moroni 9-11 March 2011
What is the role of AHWO?
The AHWO is to support actions that address
HRH challenges at regional and country level
through :
1. Promoting, developing and sustaining a firm knowledge
base
2. Keeping track of progress and fostering HRH actions
3. Supporting and Improving HRH policy dialogue based on
evidence
4. Sharing information and country experiences & practices.
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SIDS meeting, Moroni 9-11 March 2011
Roles of HRH National Observatories
A National Observatory is seen as :
1. A national resource for HRH information
2. A Platform for stakeholders and partners for sharing
information and policy dialogue
3. A Networking for joint planning, research, and tracking
trends that have an impact on HRH policy.
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Pillars of the National HW Observatory
To support
actions that
address HRH
challenges in
the country
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SIDS meeting, Moroni 9-11 March 2011
Contribution of HRH Observatories
1. Improve availability, access and use of evidence for
HRH policy making, planning, stakeholder
involvement & contribution
2. Monitor impact of policy decisions (e.g. PHC
renewal; scaling-up education, migration)
3. Provide evidence through research, reviews,
assessment, policy debates, roundtables,
commission reports.
4. Link national to regional and global agenda
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SIDS meeting, Moroni 9-11 March 2011
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;
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SIDS meeting, Moroni 9-11 March 2011
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.
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SIDS meeting, Moroni 9-11 March 2011
“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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SIDS meeting, Moroni 9-11 March 2011