Transcript Slide 1

Country Coordination and
Facilitation
04 May 2010
San Salvador
Hirotsugu Aiga, MPH, PhD
Coordinator, GHWA secretariat
Outline of presentation
Part 1
Background & introduction
Part 2
Country coordination and facilitation
Part 3
Way forward
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Part 1
Background & introduction
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Part 1
Countries with a critical HRH shortage
Of 57 crisis countries,
5 are in Latin America.
[Source] WHO. (2006). World Health Report 2006. WHO: Geneva.
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Part 1
What is GHWA?

Vision: access for all to a skilled, motivated, and
supported health worker as part of a functioning health
system.
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Mission: mobilize all stakeholders to collaboratively
advocate and take appropriate actions to achieve access
for all to skilled and motivated health workers, with a focus
on the 57 countries in crisis.

Stakeholders: 258 Alliance Members and 29 Alliance
Partners, representing developing and developed
countries, health professional organizations, academia,
NGOs and the private sector.
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Part 1
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29 GHWA partners
+ 258 GHWA members
Africa Public Health Alliance
African Christian Health Association (ACHA)
African Medical and Research Foundation
Asia Pacific Action Alliance on Human Resources for Health
Bill & Melinda Gates Foundation
Duke University
East, Central, and Southern African (ECSA) Health Community
Federal Ministry for Economic Cooperation and Development, Germany
French Development Agency - Agence Française de Développement
Health and Life Sciences Partnership
International Council of Nurses
International Hospital Federation
Intrahealth International, Inc.
Irish Aid - Department of Foreign Affairs, Ireland
Japan International Cooperation Agency (JICA)
Norwegian Agency for Development Cooperation (NORAD)
Physicians for Human Rights
Realizing Rights – The Ethical Globalization Initiative
Results for Development Institute
The Canadian International Development Agency (CIDA)
The College of Surgeons of East, Central, & Southern Africa (COSECSA)
The UK Department for International Development (DFID)
The United States Agency for International Development (USAID)
Tropical Health and Education Trust
Uganda National Association of Community & Occupational Health
University of Ottawa - Université d'Ottawa
World Health Organization (WHO)
World Health Professions Alliance
World Medical Association
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Part 1
Core functions of GHWA
Three core functions “ABC”:
Advocating for keeping HRH issues high on the global
agenda => High level commitment at G8 2008 and 2009,
Global forum on HRH
Brokering knowledge => country profile, technical tools,
community of practice, etc.
Convening all stakeholders => regional meeting,
technical working groups, task forces, consultations, etc.
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Part 1
Kampala Declaration & Agenda for Global
Action
1.: Building coherent national and global
leadership for HW solution
2. Scaling up education and training
3. Managing pressures of the international
health workforce market and its impact on
migration
4. Retaining an effective, responsive and
equitably distributed health workforce
5. Securing additional and more productive
investment in the health workforce
6. Ensuring capacity for an informed response
based on evidence and joint learning
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Part 2
Country coordination and
facilitation (CCF)
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Part 2
Why? HRH as a complex polyhedron
(1) MOH
(6) Health professional association
(7) Private sector
(5) NGO
Deployment &
distribution
(4) Civil society
Recruitment
(1) MOH
Migration
& retention
(2) MOE
=>Education
(3) MOF
=> Investment
(4) MOL
(5) MOFA
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Part 2
What is “Country Coordination and
Facilitation” (CCF)?
CCF is the process which brings all the key stakeholders
in the country to develop and implement a comprehensive
evidence-based HRH plan
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Comprehensive solution => All the stakeholders work
together as a multi-sectoral team
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Transparency => All the stakeholders share the
information and decision making process
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Ownership => All the stakeholders share the roles and
responsibility
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Maximizing existing mechanism => Reinforce the
existing HRH committee, if there is.
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Part 2
Flow of the CCF process
GHWA secretariat
[ Global level ]
STEP1
STEP 5
CCF facilitation
guidance
STEP 2
CCF regional TOT
CCF regional mtg
=>sensitization
Regional
institution
[ Regional level ]
[ Country level ]
STEP 3
National HRH Committee
CCF national trg
Ministry of Health
GHWA partner
in country:
Multi-/bi-lateral
agency
STEP 6
Facilitation &
acceleration
[ Note ] STEP 2 and STEP 5 will be
undertaken as a combined sessions.
Ministry of
Labor
Ministry of
Education
Ministry of
Finance
Health Prof
Association
Private
sector
Civil
society
............
Local
institution
STEP 4
Coaching &
mentoring
Develop & implement costed HRH plan
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Part 2
CCF process in the country
National HRH
Committee
Supervision
& Coaching
Consultation
Local
institution
Facilitation & acceleration
GHWA partner
(eg, PAHO, USAID, WB….)
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Part 2
Expected outcome of CCF
National HRH Committee throughout
the processes & outcome
[Outcome 1] Preparation of HRH country profile
[Outcome 2] Development of comprehensive costed
HRH plan
[Outcome 3] Implementation of comprehensive costed
HRH plan
[Outcome 4] M&E of implementation of comprehensive
costed HRH plan
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Part 3
Way forward
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Part 3
Lessons learned from other regions
1. Inadequate dialogues between stakeholders
=> Information was not adequately shared between
the sectors
2. In particular, health professional associations are
not adequately involved.
=> involvement of non-state stakeholders is key.
3. Stakeholders’ involvement had been limited to
validation of HRH strategy and plan.
=> they would like themselves to be more involved.
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Part 3
Way forward, to start CCF
1. Open a
dialogue
between key
stakeholders
2. Think about
organizing
national HRH
committee
4. Identify local
institute &
the Alliance
partner
5. Request for
CCF support
from GHWA,
if needed
3. Discuss how
the HRH
costed plan
should be
Then,
the CCF
process starts
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Thanks for your attention.
Let us work together!
Contact:
Hirotsugu Aiga
Laurence Codjia
Coordinator, GHWA
Technical Officer, GHWA
Email: [email protected]
Email: [email protected]
Phone: +81-22-791-2450
Phone: +81-22-791-2360
http://www.who.int/workforcealliance/en/